Do you see a CommonSpirit or Optum provider? Please be aware of negotiations affecting Anthem’s network

CommonSpirit Health has left Anthem’s network in Colorado

The CU Health Plan is aware of recent developments regarding Anthem Blue Cross Blue Shield’s network in Colorado. CommonSpirit Health, formerly part of Centura Health, has chosen to leave Anthem’s network effective May 1, 2024.

Negotiations between Anthem and CommonSpirit have been ongoing for several months, aiming to establish a new contract that would maintain CommonSpirit facilities and physicians within Anthem’s network.

More information about this change can be found at Anthem.com.

For questions or assistance regarding continuity of care, network adequacy, or balance billing, please contact the member services number on your Anthem member ID card. Please don’t hesitate to reach out to Anthem if you have any concerns or need further information.

 


 

Optum Colorado may be leaving the Anthem network on July 1, 2024

The CU Health Plan is aware of ongoing negotiations between Anthem and Optum Colorado. Anthem has been working closely with Optum — which includes the provider group formerly known as New West Physicians — but they have notified Anthem of their intent to leave Anthem’s network if a new agreement is not reached by June 30, 2024. Their doctors may leave Anthem’s network on July 1, 2024.

Here’s what you need to know:

  • Seeing a doctor or choosing a healthcare facility in the plan’s network keeps costs down – It’s up to plan members to choose which doctor to see and which healthcare facility to use, but selecting one in your plan will cost less. Members can find healthcare providers and facilities in your plan using the Sydney℠ Health app or by logging in to anthem.com/find-care. You also can call Member Services at the number on your Anthem ID card.
  • Plan Members may pay more if they decide to keep receiving care from Optum – Starting July 1, 2024, employees may pay more, or all, of the costs for the care received from this Optum providers. Some plans only cover care from doctors and facilities in the network, except in emergencies. Check your plan documents to learn more.
  • There may be exceptions – A plan member may be able to keep receiving care from Optum for a limited time if they are receiving certain types of care there. Plan documents include more information about Continuity of Care.

For questions or assistance regarding continuity of care, network adequacy, or balance billing, please contact the member services number on your Anthem member ID card. Please don’t hesitate to reach out to Anthem if you have any concerns or need further information.