PPO plans tend to attract unhealthy members who want top-of-the-line coverage for serious medical issues. This was a huge risk as it would leave them vulnerable as the only carrier on the exchange offering PPO products. Blue Shield Took a Gamble and Kept the “PPO”īlue Shield of California was facing the same challenges with their PPO products, but they chose to keep offering out-of-network coverage.
Your out-of-pocket costs remain so much lower when you stay in-network.Īnthem was losing money on their out-of-network coverage offered by their PPO’s so they made a gutsy move to switch all their individual and family plans over to EPO’s and stop offering out-of-network coverage. Whether you go with Anthem or Blue Shield, it most often makes the most sense to stay in network.
And, for many Californian’s who want choice, they felt they would be limited by this. Anthem stopped offering out-of-network coverage. It made consumers uneasy, and it caused many to switch from Anthem Blue Cross Covered California to Blue Shield Covered California. What’s an EPO? That was the big question for many consumers during the 2017 Open Enrollment Period in California. Care, call 1-888-4LA-CARE.Īll logos used with kind permission © 2019.Anthem’s EPO Gives Blue Shield the Winning Edgeīlue Shield of CA Maintains the PPO and thus the Image of Being the Carrier Who Offers “Choice” Care’s network of more than 10,000 doctors, hospitals, clinics and pharmacies. Care Health Plan and get your Medi-Cal benefits directly through L.A. For more information about Kaiser Permanente, call (800) 464-4000. Providers and staff speak many languages and understand the different cultures in California. Kaiser Permanente provides and coordinates health care for Medi-Cal beneficiaries, including preventive care such as well-baby and prenatal care, immunizations, screening diagnostics hospital and medical services and pharmacy services. Kaiser Permanente is America’s largest non-profit health maintenance organization (HMO), serving 8.1 million members in nine states and the District of Columbia. For more information about Blue Shield of California Promise Health Plan, call (800) 605-2556. Blue Shield of California Promise Health Plan providers and staff speak many languages and understand different cultures. These providers are committed to quality health care for our Medi-Cal members. Blue Shield of California Promise Health Plan has a large provider network including primary care physicians, specialists, hospitals and ancillary providers. If you would like more information about Blue Cross, please call (888) 285-7801.īlue Shield of California Promise Health Planīlue Shield of California Promise Health Plan serves people who live in Los Angeles County. Many of the physicians and doctors speak different languages so they can help patients. Anthem Blue Cross is a Plan Partner that serves Medi-Cal members. Blue Cross provides health care services to nearly five million members. These include Anthem Blue Cross, Blue Shield of California, and Kaiser Permanente.Īnthem Blue Cross has been serving the health care needs of people who live in California since 1937. Care or one of the other excellent Plan Partners we work with to provide Medi-Cal coverage in L.A. Care, you can choose to get your health care from L.A.
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