Anthem Blue Cross Exits the Bay Area – Health Care Costs Rise

Anthem+Blue+Cross

Covered California health insurance premiums are soaring. Why? A partial and probable cause is that Anthem Blue Cross of California is leaving the Bay Area. The reason given by the insurer is a “shrinking individual market as well as continual changes”.

Federal uncertainty as to the future of health care coverage is undoubtedly the “continual changes” source the insurer gives for its exit from the California Bay Area.

The reduced competition in the insurance market as a result of Anthem Blue Cross exiting certain counties could contribute to the 12.5% rate hike for 2018 anticipated by the state’s health exchange. Of the 1.4 million enrollees in Covered California, 19% have been customers of Anthem Blue Cross, many of whom live in the heavily populated Bay Area.

In 2018 the insurer plans to restrict coverage to include only Santa Clara County, parts of the Central Valley, and portions of Northern California, heavily affecting the individual insurance market. Those insured through their employer, Medicare Advantage, Medicare Supplement, or Medi-Cal remain unaffected.

Co-Pays

One challenge for those previously insured by Anthem Blue Cross is retaining co-pay rates for essential pharmaceuticals. Insurers have varied rates or may not cover certain drugs. For those with complex or life-threatening conditions, changing doctors under a new insurer could also be a challenge.

Anthem Blue Cross & Blue Shield sells plans on Obamacare exchanges in 14 states. The insurer confirms it is also leaving other markets in Ohio, Wisconsin, Indiana, and Nevada.

PERCENT OF BAY AREA RESIDENTS ENROLLED IN ANTHEM PLANS THROUGH COVERED CALIFORNIA IN 2017

San Benito, Santa Cruz and Monterey counties: 39 percent of 29,050 total exchange enrollees

Santa Clara County: 34 percent of 59,721 enrollees

San Mateo County: 11 percent of 24,970 enrollees

Marin, Napa, Solano and Sonoma counties: 8 percent of 52,562 enrollees

San Francisco County: 6.7 percent of 36,955 enrollees

Alamada County: 5 percent of 63,582 enrollees

Contra Costa County: 3 percent of 41,637 enrollees

Source: Covered California

Vacillating laws, uncertain health care coverage, and rising costs are all reasons why the California Nurses Association has worked tirelessly to promote the Healthy California Act, SB 562. Health Care for All in a single-payer format alleviates health care insecurity.

Single Payer in California

For more on Anthem Blue Cross exiting California counties and the Healthy California Act, SB 562, refer to EAST BAY TIMES: Bay Area residents frustrated by Anthem Blue Cross exit from health exchange and National Nurses United, the sources from which this information was derived.

Author: jmelange

I am a writer living in the Bay Area, California.

One thought on “Anthem Blue Cross Exits the Bay Area – Health Care Costs Rise”

  1. Anthem Blue Cross is not worth having. I had it as an employer-paid plan and through Covered California. They are NOT about providing health care; it’s all about their profits. I’d say good riddance to them. In fact, let’s prohibit Anthem from doing business in California. It would be a service to all.

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s