Anthem HMO

The Anthem HMO is a low-cost plan designed specifically for USC employees that includes providers in Anthem’s HMO network and other selected providers. While the plan does not allow you to choose a Keck Medicine of USC doctor, some Keck doctors are in the Anthem network. You must use network providers; there is no out-of-network coverage (except in an emergency).

Designating a primary care physician

Upon enrollment in this plan, you must choose a primary care physician for each covered family member from Anthem Blue Cross HMO’s list of affiliated physicians. You must see your primary care physician for a referral to any other Anthem Blue Cross HMO physician and obtain authorization before seeking care outside the HMO.

To find providers in the Anthem HMO

  1. Go to www.anthem.com/ca and scroll down the home page to click on Find A Doctor. You may search as a member, or click on Continue under Search as a Guest, then follow the steps below.
  2. Under How do you get Insurance? select Through my employer.
  3. Under What state do you want to search in? select the name of your state.
  4. Under What type of care are you searching for? select Medical.
  5. Under Select a plan/network, enter Blue Cross HMO (CACare) – Large Group, then click on Continue.
  6. Using the drop-down boxes, select what type of doctor, specialty and location you’re looking for, then select Search.
  7. For more information about a provider, such as skills and training, click on the provider’s name on the screen that appears after you select Search.

Accessing urgent care

Follow the directions above for provider search, but choose “Urgent Care” under what type of care you’re searching for.

Prescription coverage

Your copayment is $10 per prescription for generic drugs, 20% of cost (with a minimum $30 copay and up to a maximum of $125 copay) for brand name formulary drugs, and 45% of the cost for brand name non-formulary drugs (with a minimum of $50 copay and up to a maximum $250 copay) at participating pharmacies. You can find a participating pharmacy near you on the Anthem Blue Cross HMO website or by calling (800) 235-8631.

Claims, billing, reimbursement and ID card information

Available through Anthem directly – access their website portal by creating an account.

Plan documents

Anthem HMO benefit highlights
Anthem Blue Cross HMO Summary of Benefits and Coverage
Anthem Blue Cross ConditionCare Health Program
Anthem Blue Cross 24/7 NurseLine
Anthem Blue Cross Prescription Formulary List
Anthem Blue Cross Future Moms Information
Anthem Blue Cross Diabetes Information
Anthem Blue Cross Power of Prevention
Anthem Blue Cross Special Discounts
Anthem Blue Cross Website Overview
Anthem Blue Cross Anywhere Mobile App Info

Contact information

Anthem Blue Cross HMO | www.anthem.com/ca
(800) 888-8288

HMO Member Services
(800) 227-3771

Provider inquiries
(800) 677-6669