Our current plan is Anthem Blue Cross PPO Prudent Buyer Incentive Plan. This plan is administered through SISC/Anthem Blue Cross.
- Member and Provider services can be reached at 1-800-322-5709. Please contact them with any eligibility, claims or plan questions. They will also assist you when needing to order new Medical/Prescription cards.
- ASH (Physical Medical Authorization) can be reached at 1-800-872-8276. Please contact them with any physical therapy, occupational therapy or chiropractic care authorizations or concerns.
- Utilization Review (AIM) can be reached at 1-877-291-0360. Please contact them regarding any authorization/pre-certification on imaging procedures. This includes scans-CT, MRI, Petscans.
Effective October 1, 2015, our plan will be implementing the following updates:
- Out Of Network Providers: X-ray, Lab, Durable Medical Equipment and Physical Medicine provided by non-participating providers will no longer be covered. Physical Medicine includes chiropractic, physical and occupational therapy. This change does not apply to emergencies. To verify if a provider or facility is contracted please contact Member Services at 1-800-322-5709.
- Hip, Knee and Spine Inpatient Surgical Benefit Update: The Blue Distinction Specialty Plus program will be implemented for inpatient Hip and Knee replacement procedures and inpatient Spine procedures. Members considering these types of procedures must contact Member Services to obtain information regarding in-network facilities for the procedure request. Blue Distinction Specialty Care Program designated facilities must meet quality and cost criteria. A travel benefit will be available for members who do not have access to a covered facility in their area. Member Services can be reached at 1-800-322-5709 to provide assistance to members with questions regarding this program.
Please find the links below for additional information.
- Membership Change Form
- Plan Summary
- Plan Benefit Description
- Condition Care Program
- Condition Care-Frequently Asked Questions
- Blue Cross Claim Form
- Pro-Rated Rates
- MDLIVE A web-based interactive doctor visit available 24/7.
- List of Providers- please visit www.anthem.com/ca/sisc/ .
- HIPAA Notice
- Urgent Care Providers
- Anthem Blue Cross App for your smartphone or tablet
- Anthem Special Savings offers- Health/Fitness/Vision/Hearing