Anthem Blue Cross and Blue Shield
2015 Staples Mill Road
Richmond, VA 23230
• Telephone: (804) 354-7000
• Member Services: (800) 451-1527
Web site: www.anthem.com
Key Staff
• President, Virginia Market- C. Burke King
• Medical Director for Utilization Mgmt- Jay Schukman, MD
• Vice President, Health Services- Colin Drozdowski
• Government Relations - Mark Pratt
Other Contacts
• General Company Information - Scott Golden
• Grievance/Appeals Procedures - Terri Clarke
• Quality Improvement - Catherine Steeley
• Pharmacy Benefits - Mark Bowker
| Specialized Health Care Services | ||
|---|---|---|
| Service | In-House | Contracted |
| X | ||
| X | ||
| X | ||
| X | ||
| X | ||
| X |
| Market Segment | ||
|---|---|---|
| HMO/POS | PPO | |
| X | ||
| X | X | |
| X | X | |
| X |
| Network Providers Under Contract (numbers are combined HMO/PPO) | ||||
|---|---|---|---|---|
| HMO | PPO | PAR | Medicaid HMO | |
| 3263 | 5998 | 6016 | 2247 | |
| 7407 | 9643 | 9686 | 5535 | |
| 78 | 96 | 97 | 57 | |
| 700 | 1200 | 1207 | 558 |
| 317923 | |
| 135759 | |
| 46107 | |
| 16618 | |
| 1769235 | |
| 496 | |
| 208496 |
Virginia HMO Service Area:
HealthKeepers, Inc. HMO Service Area:
Counties: Accomack, Albemarle, Amelia, Arlington, Bedford, Botetourt, Brunswick, Buckingham, Caroline, Charles City, Charlotte, Chesterfield, Clarke, Craig, Cumberland, Dinwiddie, Essex, Fairfax, Fauquier, Floyd, Fluvanna, Franklin, Frederick, Giles, Gloucester, Goochland, Greene, Greensville, Halifax, Hanover, Henrico, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Loudoun, Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Page, Pittsylvania, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Rappahannock, Richmond, Roanoke, Rockbridge, Shenandoah, Southhampton, Spotsylvania, Stafford, Surry, Sussex, Tazewell, Warren, Westmoreland, Wythe, York
Cities: Alexandria, Bedford, Buena Vista, Charlottesville, Chesapeake, Colonial Heights, Danville, Emporia, Fairfax, Falls Church, Franklin, Fredericksburg, Hampton, Hopewell, Lexington, Manassas, Manassas Park, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford, Richmond, Roanoke, Salem, South Boston, Suffolk, Virginia Beach, Williamsburg, Winchester
HealthKeepers, Inc. Medicaid HMO Service Area:
Central Virginia: Amelia, Brunswick, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Greensville, Halifax, Hanover, Henrico, King George, Lancaster, Lunenburg, Mecklenburg, New Kent, Nottoway, Powhatan, Prince Edward, Prince George, Spotsylvania, Stafford, Sussex, Westmoreland, Colonial Heights, Emporia, Fredericksburg, Hopewell, Petersburg, Richmond City
Northern Virginia: Arlington, Culpeper, Fairfax County, Fauquier, Loudoun, Prince William, Alexandria, Fairfax City, Falls Church, City of Manassas, Manassas Park
Winchester: Clarke, Frederick, Page, Rappahannock, Shenandoah, Warren, Winchester
Charlottesville: Albemarle, Augusta, Buckingham, Fluvanna, Greene, Louisa, Madison, Nelson, Orange, Rockingham, Charlottesville, Harrisburg, Staunton, Waynesboro
Peninsula Health Care, Inc. HMO Service Area:
Counties: Accomack, Albemarle, Amelia, Arlington, Bedford, Botetourt, Brunswick, Buckingham, Caroline, Charles City, Charlotte, Chesterfield, Clarke, Craig, Cumberland, Dinwiddie, Essex, Fairfax, Fauquier, Floyd, Fluvanna, Franklin, Frederick, Giles, Gloucester, Goochland, Greene, Greensville, Halifax, Hanover, Henrico, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Loudoun, Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Page, Pittsylvania, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Rappahannock, Richmond, Roanoke, Rockbridge, Shenandoah, Southhampton, Spotsylvania, Stafford, Surry, Sussex, Tazewell, Warren, Westmoreland, Wythe, York
Cities: Alexandria, Bedford, Buena Vista, Charlottesville, Chesapeake, Colonial Heights, Danville, Emporia, Fairfax, Falls Church, Franklin, Fredericksburg, Hampton, Hopewell, Lexington, Manassas, Manassas Park, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford, Richmond, Roanoke, Salem, South Boston, Suffolk, Virginia Beach, Williamsburg, Winchester
Peninsula Health Care, Inc. Medicaid HMO Service Area:
Counties: Essex, Gloucester, Isle of Wight, James City County, King and Queen, King William, Mathews, Middlesex, Northumberland, Richmond County, Surry, York
Cities: Hampton, Newport News, Poquoson, Williamsburg
Priority Health Care, Inc. HMO Service Area:
Counties:Accomack, Albemarle, Amelia, Arlington, Bedford, Botetourt, Brunswick, Buckingham, Caroline, Charles City, Charlotte, Chesterfield, Clarke, Craig, Cumberland, Dinwiddie, Essex, Fairfax, Fauquier, Floyd, Fluvanna, Franklin, Frederick, Giles, Gloucester, Goochland, Greene, Greensville, Halifax, Hanover, Henrico, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Loudoun, Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Page, Pittsylvania, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Rappahannock, Richmond, Roanoke, Rockbridge, Shenandoah, Southampton, Spotsylvania, Stafford, Surry, Sussex, Tazewell, Warren, Westmoreland, Wythe, York
Cities: Alexandria, Bedford, Buena Vista, Charlottesville, Chesapeake, Colonial Heights, Danville, Emporia, Fairfax, Falls Church, Franklin, Fredericksburg, Hampton, Hopewell, Lexington, Manassas, Manassas Park, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford, Richmond, Roanoke, Salem, South Boston, Suffolk, Virginia Beach, Williamsburg, Winchester
Priority Health Care, Inc. Medicaid HMO Service Area:
Counties: Accomac, Northampton, Southampton
Cities: Chesapeake, Franklin City, Norfolk, Portsmouth, Suffolk, Virginia Beach