Plans and Providers

Health Plan Descriptions:

Blue Cross of California
Exclusive Provider Organization (EPO)

Customer Service Number: 1-800-289-6574,
TDD: Monday - Friday from 8:30 a.m. to 7:00 p.m.

Who Can Join the Blue Cross EPO Plan
The Blue Cross EPO Plan is available to AIM-eligible pregnant women in the counties of: Alpine; Amador; Butte; Calaveras; Colusa; Del Norte; Glenn; Humboldt; Imperial; Inyo; Lake; Lassen; Madera; Marin; Mariposa; Mendocino; Merced; Modoc; Mono; Monterey; Napa; Nevada; Plumas; San Benito; San Luis Obispo; San Mateo; Shasta; Sierra; Siskiyou; Solano; Sutter; Tehama; Trinity; Tuolumne, Yolo and Yuba.

The Blue Cross EPO Plan is available to AIM-eligible pregnant women in the following counties only if the community they live in is not covered by another plan: El Dorado, Kern, Placer, Riverside and San Bernardino.

In some rural areas, there are only a limited number of EPO Plan providers. If you live in a rural area, please contact Blue Cross regarding the availability of providers.

Plan Highlights
As a member of the Blue Cross EPO Plan for AIM, you have your choice of Blue Cross Prudent Buyer PPO providers within your area. This includes physicians, hospitals and other health care professionals. The Blue Cross EPO Plan for AIM includes the following benefits:

• You can go to any doctor in our Blue Cross Prudent Buyer PPO Plan network.
• The Blue Cross EPO Plan network has a large selection of doctors to choose from near you.
• Our Prenatal Program, a voluntary wellness program, is designed to reduce risks to infants by educating expectant mothers and offers you free gifts for participation.
• MedCall® is a 24-hour free nurse health information line, staffed by registered nurses. Services include health education, health counseling and access to recorded information on more than 400 health topics including "Smoking and Pregnancy."
• We have a large selection of participating pharmacies from which you can choose. For your convenience, a mail order prescription drug program is also included.

Plan Providers
The Blue Cross EPO Plan for AIM offers an extensive, statewide network of physicians, hospitals and other health care professionals from which you can select for your care. 1-888-757-6034, English and Spanish. You must use a provider participating in the Blue Cross Prudent Buyer PPO Plan network or you will not be eligible for benefits, except in an emergency.

Once your AIM Program application has been approved, a Blue Cross Prudent Buyer Provider Directory will be sent to you so that you can choose providers near your home or work.

How the Plan Works
How to Enroll
Simply write "Blue Cross EPO Plan" on the "Choice of Health Plan" line on the AIM application. No choice of Medical Group/Provider or Provider Code is required.

Once Accepted
First, select an EPO Plan participating physician from your Blue Cross Prudent Buyer Provider Directory. You must choose a participating physician from this Directory.

If you need to consult a physician, your provider is available by phone, 24-hours a day.

Third, call us so we can verify if the hospital you wish to deliver your baby is contracted.

Also, it is very important to remember that no benefits are available for services performed by a provider not participating in the Blue Cross Prudent Buyer PPO Plan network, unless authorized and approved by Blue Cross, or in an emergency.

For more information about the Blue Cross EPO Plan for AIM, please call 1-800-289-6574. We will be happy to answer any questions you may have regarding the Blue Cross EPO Plan for AIM.

The information presented on this page is only a summary. For exact terms and conditions you should refer to the Evidence of Coverage booklet for the Blue Cross EPO Plan for AIM