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Nov 03, 2023

  • Individual
  • CA

Two health systems leave Anthem Pathway network

Optum and St. Joseph Providence Health will terminate their health maintenance organization (HMO) agreements with Anthem Blue Cross effective January 1, 2024. As a result, Optum and Providence Health will no longer be part of the Anthem Blue Cross Commercial Pathway HMO Exchange Network starting January 1, 2024. This only affects Anthem’s Individual ACA business. 

 Members who are currently enrolled with the Optum and Providence Health medical groups listed below will be transferred to participating medical groups. On November 2, 2023, we sent them letters to let them know this is happening.

The following medical groups are leaving Anthem’s Pathway HMO Exchange Network:

Optum

  • Epic Health Plan, Inc. (Z58)                                  
  • Optum – Harbor (0UL)                                                         
  • Optum – Willow (0P0)                                                         
  • Optum Care Network-Arta Health (0WL)         
  • Optum Care Network-Monarch (0UW)                           
  • Optum Care Network-Northridge (0DF)                          
  • Optum Care Network SGV/GLEN/BEV (69U)  
  • Optum Care Network AppleCare Select (ZUD)              
  • Optum Care Network Desert Cities (0MY)     
  • Optum Care Network-Southwestern Valley (0HY)
  • Optum Care Network-Citrus Valley (ABK)
  • Optum Care Network-Corona (0LJ)
  • Optum Care Network-Inland Valley (0TX)
  • Optum Care Network-Moreno Valley (0NN)
  • Optum Care Network-Moreno Valley (0NN)
  • Optum Care Network-Redlands (0UA)
  • Optum Care Network-Riverside (0LH)
  • Optum Care Network-San Bernardino (ABJ)
  • Optum-0T2-Member Services Admin (0T2)

Providence Health

  • Axminster Medical Group (0Q1)         
  • Facey Medical Foundation (0N0)        
  • Mission Heritage Medical Group (AFN)            
  • Providence Affiliated Physicians Mission (0XL)             
  • Providence Affiliated Physicians St. Joseph (0WX)     
  • Providence Affiliated Physicians St. Jude (0DL)
  • Providence Saint John’s Medical Foundation (GWR)
  • St. Jude Heritage Medical Group (0RD)
  • St. Joseph Heritage Medical Group-Orange-Chapman (1BG)

After members renew with Anthem for 2024, we’ll send them new ID cards listing their new medical groups. Members should familiarize themselves with their new medical group, because it will include different hospitals and specialists than the Optum and Providence Health medical groups. Members can also use the Find Care feature on the Sydney℠ Health app or anthem.com/ca to see the providers available to them. 

Please reach out to your Anthem sales representative if you have questions. 

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