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For years, members have relied on Anthem blue cross-of California
(BCC) for coverage of safe and effective prescription medications that
encourage good health while providing an affordable benefit.Anthem blue cross of California offers health improvement programs (disease management
programs) to our members with asthma, diabetes, congestive heart failure
(CHF) and/or cardiovascular disease (CVD), cancer and musculoskeletal
conditions (rheumatoid arthritis, osteoarthritis, and low back pain).
Our health improvement programs (HIPs) provide an innovative,
interdisciplinary approach to helping members manage their chronic conditions.
Our Baby Connection program is also available to prenatal members. All
of our HIPs and Baby Connection are coordinated and administered completely
in-house.
Our programs involve an individualized approach and
utilize one-on-one communication with each participant to assess individual
needs. Members work with a team of health care professionals - led by
a registered nurse acting as a "health coach" and including
their personal physicians - to achieve health and lifestyle goals. Participation
in our HIPs is always voluntary.
Prescription drug benefits are administered through
Well Point Pharmacy Management (WPM), our wholly owned Pharmacy Benefits
Management (PBM) company. BCC prescription drug benefits promote greater
flexibility to manage overall health care cost. The ability to review
both medical and pharmacy claims allows for integrated clinical programs
that help reduce rising prescription drug costs and facilitate comprehensive
management programs.
Prescription drug benefits, often tied to a preferred
drug list, provide our members with safe and cost-effective treatment
options, while ensuring access to non-preferred, yet medically necessary
medications. Our expansive selections of prescription drug plans provide
choice, versatility and affordability. Prescription drug benefits and
clinical programs vary widely between benefit designs.
This section reflects general administration and is
intended for informational purposes only. It is not a guarantee of coverage,
as some policies do not provide pharmacy benefits. Benefits are implemented
according to the provisions outlined in the member's Evidence of Coverage
(EOC).
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