account management team
1
Simplified administration Everything all in one place:
Naomi’s Anthem plan connected her medical claims and health history with her dental and vision claims. After analyzing this data and applying advanced analytics and risk-scoring, Anthem Whole Health Connection identified a gap in her care: She hadn’t had her teeth cleaned in over a year.
for better employee health, lower costs, and a simplified experience
More than
of dental and vision care alerts successfully acted upon monthly1
Member engagement
%
dental and vision care alerts generated on average monthly1
Personalized care
,000
dental, vision, medical, and pharmacy claims processed annually1
Whole-person health
billion
What does clinical integration look like?
Clinical integration
* Additional dental discounts may be available. Dental and vision plans require 50% participation with a minimum of two members enrolled. Contact your Anthem representative for complete details.
Close gaps in care
Unlock the value of integrated care
Bridging wellness gaps with Anthem Whole Health Connection Meet Naomi
You can offer Anthem Blue Cross dental and vision coverage either as stand-alone benefit plans or integrated with an Anthem medical plan. Adding dental and vision benefits helps to:
Caring for your employees’ whole health
Anthem Whole Health Connection enhances communication between patient and care provider and engages members in their own health.
Attract and retain talent
Increase productivity
Reduce healthcare costs
Improve employee health
Anthem member Naomi thought she was managing her diabetes well. She saw her doctor regularly, monitored her blood sugar levels, and followed a healthy diet. But life got busy, and she didn’t realize she was overlooking a crucial aspect of her whole health — her dental care. Here’s how Anthem Whole Health Connection worked behind the scenes:
Connecting care at a deeper level with Anthem Whole Health Connection®
By integrating plan benefits, we can connect a member’s claims data with clinical data to build a more complete picture of their health. Then, using superior analytics and risk-scoring tools, we can create actionable insights to:
Integrated digital solutions
One important way Anthem simplifies the healthcare experience is with digital tools that give both employers and employees a single, secure, personalized point of access to their health plan information. By simplifying their digital experiences, these tools help them make informed decisions and feel more in control.
Gives members convenient access to plan benefits and care management support through the Sydney Health app, including health assessment questions, care plan goals, and interventions.
Identifies and closes gaps in care with dental and vision care alerts.
Enhances communication among dentists, eye care providers, doctors, and other care management professionals.
Offers employer resources that help promote dental, vision, and overall health for employees.
Connect care at a deeper level with Anthem Whole Health Connection®.
Save with up to 5% off your group medical premium.
Savings with bundling
Ease plan administration with EmployerAccess, engage employees in their healthcare with our Sydney® Health app, and visit anthem.com/ca anytime.
One carrier means you have one bill, one member ID card, one website and app, and one account management team.
Simplified administration
Integrated benefits offer better flexibility, outcomes, and savings
EmployerAccess for real-time benefits management
One place to manage benefit plans, including enrollment, renewals, billing, updates, and news.
Client Information Insights (CII) reporting
Timely details presented with rich visualization, deep trend analysis, and actionable workforce insights to help improve members’ health and reduce costs.
Benefit plan administration expertise
Easy-to-use digital administration tools, turnkey enrollment support, and auto-notification to members of eligible claims.
2
3
4
5
An electronic care alert was sent to Naomi and her doctor recommending she have a dental exam. This recommendation was based on evidence from clinical insights showing blood sugar levels are better managed with a clean, healthy mouth.
After seeing her notification in the Sydney Health app, Naomi used the app’s Find Care tool to find a nearby dentist and called them to schedule the visit. The dentist performed a thorough cleaning and addressed minor gum issues.
Several weeks later, Naomi’s doctor saw her latest labs showed improvement in her blood sugar stability. Her electronic medical records also showed she had completed her dental cleaning.
Now understanding the importance of frequent dental cleanings to her overall health, and knowing that her plan covers them, Naomi immediately made her next appointment.
34% (or $8,280)
54% decrease
eligibility file
website and app
member ID card
bill
Go to Digital solutions to learn more
Dental
17,000
1.
19
100
54
Connect your Anthem benefits to enhance the healthcare experience for you and your employees.
Experience the value of integration
Go to available plans
Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. This is intended to be a summary and is subject to change. Anthem reserves the right to interpret the terms and conditions of these programs, including eligibility, calculation, and payout, and may terminate this program at any time. Only a definitive agreement in writing by you and an authorized Anthem representative will be binding upon Anthem to have any liability thereafter. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 1088792CAEENABC 02/26
Select each number in the timeline below to read Naomi's story.
See the results Select each tab to see how connecting dental and vision benefits reduces risk and enhances health outcomes.
Vision
patients with high-risk health conditions identified from vision claims1
average monthly vision care gaps identified1
average monthly vision care gaps closed1
Over 222,000
Over 254,000
Over 138,000
average monthly dental care gaps closed1
in opioids prescribed by dentists in Anthem plans3
lower medical costs per member per year when a third cleaning is used2
Gives employers access to everything they need to manage their benefit plans — online and in an app. Enroll, renew, make payments, manage updates, and run reports.
EmployerAccess
Your go-to source for health plan administration and news
Convenient 24/7 access helps employees keep track of their health and benefit plan information — all in one place. They can quickly find care, look up claims, or connect to live support. It’s also available online through anthem.com/ca.
24/7 access to benefits and care
Sydney Health app
Employees register at anthem.com/ca/register to access their account and view benefits and claims, find care, schedule or have a virtual visit, and access health records. Once registered, they can also log in to the Sydney Health app.
Convenient online access to benefits and supporting tools
anthem.com/ca
Lower costs
Simplify the healthcare experience
1 Anthem internal data, 2023. 2 Anthem integrated medical and dental quantifying value study for diabetes, cardiovascular disease, cancer, and organ transplant conditions, 2023. 3 CarelonRx internal claims data (2023 versus 2019 reduction in dental prescribed morphine milligram equivalents) per member per month.
Dental and vision plans for small groups
Integrating healthcare benefits contributes to better care coordination, member experiences, health outcomes, and cost savings. That’s why Anthem focuses on connecting care for every moment of health. And it’s also why we offer discounts when you add new dental and vision coverage from Anthem. Bundled together, our plans help members develop healthier habits, identify health issues sooner, and provide cost-saving opportunities.
Add more benefits for more savings
Receive up to a 5% bundling discount on dental and vision when you buy your group’s dental coverage and add vision coverage.*
%2B
Personalized sales support for Small Group brokers
Tools that simplify administration and the member experience
Connecting benefits to improve health outcomes and cost savings
Digital solutions
Anthem Connect team
Available plans
The power of integration
Strong discounts in the plan network and claims savings wherever employees are located Targeted recruiting of dental care providers to offer broad access to employees1
1 Available in targeted locations only. 2 Zelis Network360® data, December 2023. 3 Anthem Quarterly Network Metric Report, 2024. 4 Pretreatment estimates are not preapprovals as they do not determine medical necessity but rather inform both member and dentist about dental plan benefits and costs. Dentists may suggest alternate treatments based on plan coverage. 5 The cost estimate is based on the dental plan type, eligibility, current benefits, deductible, and annual maximum at the time of the estimate.
Competitive rates with no network access fees or claims repricing Simple, consistent member experiences across medical and dental, with one member ID card and our Sydney® Health app to help members make informed decisions about dental health
View brochure
For a more in-depth look at our flexible, cost-effective plan options, view the Essential Choice PPO brochure.
Discover savings and a better dental care experience
Discuss treatment or procedure with dental staff.
Dentist submits proposed treatment plan and supporting documents to Anthem dental.
Anthem reviews documents alongside specific dental plan benefits.
Estimates are usually returned within days, though complex treatments may take longer.5
To help members understand costs before treatment begins, including any out-of-pocket expenses, they should ask their dentist to request estimates before treatment for major dental procedures, such as crowns, wisdom tooth extractions, bridges, dentures, and oral surgery.4
Pretreatment dental estimates can help clarify costs up front
Virtual dental care
Added preventive dental care services
100% in-network coverage
SpecialOffers
Helps avoid higher-cost emergency room visits for standard and urgent dental issues, as well as adding convenience for other services such as: Clear aligners for mild-to-moderate teeth straightening through your dental office Custom-fit, premium replacement dentures with remote oversight by a licensed dentist and a lifetime replacement guarantee
This includes extra periodontal cleanings for gum health as part of certain care management programs, or added no-cost dental care services based on eligible conditions, such as diabetes, heart disease, and pregnancy.
Added preventive dental services
This includes most preventive and diagnostic care, including cleanings, exams, and X-rays.
Anthem dental benefits at a glance
The value of integrated care Adding dental benefits to an Anthem medical plan provides:
Savings from medical premium discounts
Lower administrative fees
One place for all your benefits
Anthem covers dental emergencies for members when they’re outside of the United States. Our program includes a worldwide network of English-speaking dentists and 24-hour assistance to find one nearby. We reimburse for emergency care, and the cost does not count toward annual maximums.
International emergency dental program
No matter where employees live, work, or visit, our dental network is there for them when they need care. That’s because Anthem has one of the largest dental preferred provider organizations (PPOs) in the nation, Anthem Essential Choice PPO, offering:
members receiving care in network3
74
High in-network utilization
average member network discount3
41
Strong savings
Broad access to care
locations2
dentists2
Anthem dental
Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. This is intended to be a summary and is subject to change. Anthem reserves the right to interpret the terms and conditions of these programs, including eligibility, calculation, and payout, and may terminate this program at any time. Only a definitive agreement in writing by you and an authorized Anthem representative will be binding upon Anthem to have any liability thereafter. 1088792CAEENABC 02/26
Go to the power of integration to learn more
Discounts on dental-related products and services.
Select each number in the timeline below to read about the pretreatment estimate process.
Convenient access to finding dental care, viewing costs, receiving clinical guidance, and completing activities that help improve dental wellness.
A more complete picture of employee health
We leverage care provider partnerships through one of the largest vision care provider networks in the nation, making the right care accessible to our members. Our Blue View Vision network is diverse, with a strong presence of independent local eye doctors, as well as national retail care providers. Our Blue View Vision PLUS offers additional benefits and national care providers.
Compared to other vision networks, a significant portion of Anthem’s Blue View Vision network is made up of local, independent eye care providers across the country, but also includes regional and national retail eye care providers who may be more convenient or accessible for members in certain markets.
A wide-ranging care provider network
We provide a broad range of plan offerings, including:
24/7 phone support
Translation services in 160 languages for talking with an eye doctor
Available in 20 countries and territories
No-cost temporary emergency glasses delivery within 24 hours in most locations
Over
Anthem vision benefits at a glance
eye care providers2
100%
in-network coverage for scratch coating on standard/basic lenses
in-network coverage for polycarbonate and Transitions® lenses for kids under 19
40% off
unlimited additional pairs of glasses
30% off
prescription eye drops for nearsightedness and dry eyes
20% off
accessories and lens upgrades, including most nonprescription sunglasses
Discounts
on laser vision correction surgery and more through our SpecialOffers program
Convenience
with Member Services available 7 days a week
Buy-up option
through Blue View Vision PLUS, with $0 copays on exams and an extra $50 frame allowance
When traveling out of the country, vision care providers offer quality care and frames:
Independent care providers/ Retail care provider mix1
30%
70%
Members can find information about their embedded vision plan, which is part of their medical plan, by referring to their medical plan benefits —available through the Sydney® Health app or anthem.com/ca.
The value of integrated care Adding vision benefits to an Anthem medical plan provides:
International travel services
10
43
Anthem vision
Go to The power of integration to learn more
1 Anthem internal data, 2023. 2 Zelis Network360® data, December 2023.
Dedicated inside sales and support reps
Our Anthem Connect team is available to support our Small Group brokers and their clients with dental and vision plan needs so they can:
Contact Anthem Connect at:
866-956-8602
This is intended to be a summary and is subject to change. Anthem reserves the right to interpret the terms and conditions of these programs, including eligibility, calculation, and payout, and may terminate this program at any time. Only a definitive agreement in writing by you and an authorized Anthem representative will be binding upon Anthem to have any liability thereafter. 1088792CAEENABC 02/26
Our knowledgeable representatives are committed to building relationships so you feel confident in meeting your clients’ needs and delivering seamless plan implementations.
Assist in making renewals smooth and easy
Consult on plan options with alternate benefits or lower rates
Help with our online self-service, allowing you to run quotes anytime using your own broker self-service user ID and password
Answer questions about participation guidelines, requirements, and materials for a seamless plan implementation
Quickly run quotes and assist with new business sales
We’re here and ready to help you succeed. We can:
Ready to help you succeed
connect@anthem.com
Find out what’s possible
Ask questions
Build relationships with more support
Get a quote
If you do not have an Anthem medical plan, you will need to register for EmployerAccess.
EmployerAccess has just what you need to manage your group health benefit plans. It makes it easier for you to:
Go-to source for health plan administration and news
Watch a quick video about our Sydney Health app
Watch this short EmployerAccess video to see how to view and manage plan details.
See what EmployerAccess can do
Engage in care management programs
Look up claims
Connect with Member Services
Find virtual care providers
Find care
Access benefit plan details
Our Sydney® Health app helps members:
Anthem is continuously innovating to simplify healthcare and help lower costs for everyone. With our digital healthcare tools, employers and employees can stay one step ahead — with simpler, more personalized experiences that keep them in control.
Making healthcare easier
1088793MUEENABS 02/26
Enroll employees Make changes to enrollment View and pay your Anthem bills Download reporting with detailed insights Share educational materials with your employees
