On Monday 12/16/13 PAMF announced that they’ve declined contracts to be included in Anthem PPO plans offered through Covered Ca.. They will continue to be in network for many of Anthem’s “off-exchange” plans, written directly through Anthem.
What’s the difference between going direct through Anthem and getting Anthem through Covered Ca? The federal subsidy. You can purchase virtually identical plans direct from Anthem, but you’ll pay full price and get no financial assistance unless you’re enrolled through Covered Ca.
Blue Shield and Healthnet are the only Covered Ca insurance company that will be in network with PAMF. They’re also in network with Dominican. The one drawback to the Blue Shield plan is it’s an EPO plan rather than PPO.
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Owner of Paul Nelson Insurance, and resident of Santa Cruz and Monterey counties for 30 years.