Anthem’s new Whole Health Plans enhance delivery of care: one rate and one plan covers vision, dental, and medical pediatric and adult care
Anthem is dedicated to improving member health outcomes, which is why they decided to extend the Special Enrollment Period (SEP) deadline, offer new Whole Health plans, provide an enhanced Rx Choice Tiered Network, and unveil a new Site of Service benefit.
We’re happy to be able to share more information on these exciting new developments just in time to welcome a new year!
SEP Deadline Extension
Due to the new shelter in place orders, Anthem decided to extend the Special Enrollment SEP submission cut-off date until noon December 30, 2020. The effective date for SEP groups will be January 1, 2021.
During the SEP, participation and contribution requirements will not be enforced, but all other small group eligibility requirements must be met. Please be sure to submit clean cases with all necessary information to avoid delays.
As a reminder, Anthem will be closed on December 31, 2020, so get your Anthem cases submitted today!
Whole Health Plan
Finding a health plan that covers overall health can be hard to find, especially one that combines dental and vision coverage. That’s why Anthem decided to embed dental, vision, and medical into one enhanced plan that covers both pediatric and adult care. By bundling plans with the Whole Health Plan, Anthem is helping both employees and their children form good habits that improve their health, thus lowering costs in the long run.
And having an embedded plan that covers every base means that there is ONE plan/contract code, ONE enrollment process, and ONE affordable rate.
On these plans, pediatric dental is not subject to the medical deductible like it is on Anthem’s non-Whole Health plans.
To learn more about this new offering, check out this flyer.
RX Choice Tiered Network
Anthem provides members options, convenience, and savings when they fill prescriptions. Through the Rx Choice Tiered Network, members can select a pharmacy from two levels of coverage, which helps them save money.
With Level 1 pharmacies, the copay is lower while with Level 2 pharmacies, the copay is higher.
Click here to view a flyer with more detail on the Rx Choice Tiered Network.
New Site of Service Benefit
Anthem’s new Site of Service benefit is included in all 2021 Small Group plans, and it can help members save thousands of dollars when they seek care from lower-cost independent providers listed in the Find Care tool.
Employees can log onto anthem.com/ca and search for providers for the following services:
- Lab Tests
- Radiology & Advanced Diagnostic Imaging
- Outpatient Surgery
Anthem created an extremely helpful flyer with detailed information on the Site of Service Benefit. Click here to view it.
For more information on all of these updates from Anthem, contact your Dickerson Account Executive.