Anthem Medical

Anthem Preferred Provider Organization (PPO)

A PPO is a suitable option for those who have regular medical expenses and prefer an unlimited choice of providers. Employees may choose a PPO if they:

  • Have health problems, visit the doctor frequently, or take many medications.

  • Are expecting a major medical expense such as surgery or the birth of a child.

  • Are willing to pay higher premiums in exchange for lower out-of-pocket costs related to specific medical needs.

Anthem High Deductible Health Plan (HDHP)

High Deductible Health Plans (HDHPs) allow employees to have a Health Savings Account (HSA), a tax-advantaged investment account designed to help pay for healthcare expenses. The funds can be typically used for medical care, prescriptions, dental care and vision care. Employees may choose an HDHP if they:

  • Are generally healthy and don't need frequent medical care.

  • Have enough money in savings to cover the deductible in case of an emergency.

  • Want to save money for healthcare costs when they retire.

  • Are willing to price-shop for medications and services to minimize their expenses.

Anthem Exclusive Provider Organization (HPN/EPO)

An HPN/EPO is an exclusive network plan which offers plan members a network of high performing providers. Members have the flexibility to see any doctor and/or specialist (without referral) within the plan network. This is an ideal plan for those who want access to high quality providers at an affordable cost. Employees may choose an HPN/EPO if they:

  • Want lower monthly premiums.

  • High quality medical networks such as:

  • California: Sutter Health, PAMF, Good Samaritan Hospital, John Muir, Quest & LabCorp, Providence St. Joseph, UCI Medical Center, Children's Hospital of Orange County, Memorial Care

  • Minnesota: Olmsted Medical Center

  • Colorado: UC Health, HealthOne and Parkview Physicians

Take the BHPN QUIZ to confirm the HPN/EPO is available where you live you and discover other available networks.

Plan Comparison

Plan Provider Plan Year Plan Name Actions
Anthem Blue Cross 2026 Anthem HPN/EPO Select Selected
Anthem Blue Cross 2026 Anthem PPO Select Selected
Anthem Blue Cross 2026 Anthem HDHP Select Selected

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Plans are effective from January 1, 2026 to December 31, 2026.

Contacts

Anthem Medical
Website: anthem.com/ca
Phone: (800) 562-2795
Group ID: C17950

Anthem Cancer Care
Phone: (833) 649-0669
For an overview of Cancer Care Engagement, log in to anthem.com/ca or your SydneySM Health app.

  1. Choose My Health Dashboard under Menu.
  2. Find Cancer Care Engagement under Programs

Anthem Prescription Drug Plan
Website: anthem.com/ca
Phone: (833) 280-7487

Anthem LiveHealth Online (Telehealth)
Website: livehealthonline.com
Phone: (888) 548-3432

Medical Glossary

Deductible - The amount you must pay for medical services, before the plan pays a benefit. Preventative care is always covered at 100% with no deductible required.

Coinsurance - This is the percentage of the cost you pay for certain services after the deductible has been met. You can think of this as “cost sharing”. For example, once your deductible has been met you could pay 20% for the cost of certain services and the plan could pay 80%.

Copay - The flat fee paid by the member when a medical service is received, i.e. $20 for a doctor's visit or $20 for a prescription.

In Network Provider - An in-network provider is a hospital, doctor, medical group, and/or other healthcare provider contracted to provide services to insurance company customers for a discounted fee. Using these providers will lessen your medical expenses when using your benefits.

Out of Network Provider - An out of network provider is a hospital, doctor, medical group, or other healthcare provider who are not contracted to provide services to insurance company customers. Because the fees are not negotiated in advance with the insurance company, the provider can charge the member as much as they wish.

Out of Pocket Maximum - The maximum amount a member would have to pay out of their pocket for medical expenses for the year, with the exception of benefit premiums (which come out of your paycheck). Your out-of-pocket maximum includes your deductible, any coinsurance paid and all co-payments (medical and prescription drug).
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