CareWorx Healthcare Solutions

Health Plan Profile

Anthem Blue Cross

A licensee of the Blue Cross Association serving Californians across all lines of business.

Region
Statewide California
Established
1937
Members
~8M California members
Plan Types
5

Who They Are

About Anthem

Overview

Anthem Blue Cross is the California affiliate of Elevance Health and an independent licensee of the Blue Cross Association, with roots in the state tracing back to the 1930s. Anthem serves Medi-Cal, Medicare Advantage, commercial group, and individual members across California through one of the largest provider networks in the state. It is a Two-Plan Medi-Cal partner in Los Angeles County alongside L.A. Care and operates Medi-Cal lines in more than two dozen counties, with deep contracting in behavioral health, hospital systems, and value-based primary care.

Mission

"To improve the health of humanity by simplifying health care and creating lifetime, trusted relationships with members."

Within California, that translates into broad statewide PPO and HMO networks, a major Medi-Cal book of business, and significant investment in digital member experience and value-based provider partnerships.

Services

What Anthem offers

Medi-Cal Managed Care in contracted counties
CalAIM ECM and Community Supports
Care management and disease management programs
Behavioral health and SUD coverage
Pharmacy benefits and value-based provider partnerships
Maternal and child health programs

Plan Types

Lines of business

The product lines this plan operates across Medi-Cal, Medicare, commercial, and dual-eligible populations.

Medi-Cal Managed Care
Medicare Advantage and D-SNP
Commercial PPO, HMO, EPO, and HSA plans
Covered California Individual & Family plans
Dental and vision lines

Furthermore

More on Anthem

  • Part of Elevance Health, one of the largest health benefits companies in the U.S.
  • Operates broad statewide networks including PPO and HMO products.
  • Two-Plan Medi-Cal partner with L.A. Care Health Plan in Los Angeles County.
  • Operates one of California's largest commercial group employer books.
  • Significant investment in value-based primary care arrangements.
Official site
www.anthem.com/ca
Visit Anthem

Other Plans We Work With

Explore more California health plans

Grow with Anthem

Building a growth motion with Anthem?

CareWorx helps healthcare organizations align their patient acquisition, ECM enrollment, referral, and recruitment programs to Anthem and other California health plans.