THIS COMMUNICATION APPLIES ONLY TO CALIFORNIA SMALL GROUP AND LARGE GROUP PLANS
Anthem is making these changes to comply with new laws. They’ll affect your clients’ CA Large Group and Small Group plans.
Changes we’re required to make:
Mental Health and Substance Use Disorder Benefits
California Senate Bill 855 (2020) took effect January 1, 2021. It requires health plans to cover medically necessary treatment for all mental health and substance use disorders under the same terms and conditions used for other medical conditions. This includes all mental health and substance use disorders in the most recent versions of the International Classification of Diseases or the Diagnostic and Statistical Manual of Mental Disorders.
Pre – Exposure (PrEP) and Post-Exposure (PEP) Prophylaxis Medication
California Senate Bill 159 took effect on January 1, 2020. It increases access to PrEP and PEP drugs that help prevent human immunodeficiency virus (HIV).
Employer notifications will be sent the first week of December 2021.
A clarification we’re choosing to make:
We are clarifying the California Notice of Non-Discrimination.
Questions? Please contact your Anthem sales representative for more information.