After more than four months of uncertainty, we're happy to share that Anthem Blue Cross and Scripps Health have officially come to terms on a new contract. This is a major relief for many individuals and employer groups across San Diego who have been caught in the middle of this prolonged negotiation.

The Big News: Retroactive Coverage

The agreement is retroactive to January 1, 2025, which means any medical services received from Scripps during the gap in coverage will now be processed as in-network. If you delayed care or paid out-of-pocket during this time, your claims should be reprocessed by Anthem to reflect the in-network status.

Why This Matters

Scripps is one of San Diego’s most respected healthcare providers, and having access to its hospitals and physicians is crucial for many of our clients. The months-long standoff felt like a bad breakup—Anthem blamed Scripps, Scripps blamed Anthem, and meanwhile, patients were left to navigate care with confusion and concern.

This resolution brings long-overdue peace of mind to Anthem Blue Cross members who rely on Scripps for everything from primary care to specialty services and urgent care.

What Happens Next?

Anthem will begin reprocessing claims that were affected during the gap. If you had care during this period and aren't sure where things stand, we’re happy to help you look into your claims and ensure you’re receiving the appropriate coverage and reimbursement. If you are on an HMO and want to be reassigned to Scripps, please call Anthem at 1-844-971-0117 or with the toll free member services number on your current ID card.

We’re Here to Help

Our agency has been monitoring this situation closely since the contract lapsed, and we’ve been in constant communication with clients, carriers, and healthcare providers. If you have questions about your plan, recent claims, please don’t hesitate to reach out.