GOOD NEWS: Anthem Blue Cross announced it has reached a new agreement with Dignity Health (Dignity) for all commercial products and networks including HMO, PPO and EPO. This agreement returns Dignity facilities to Anthem health plans, while protecting affordability for consumers. This agreement is retroactive to July 15, 2021, which means any care provided to CalCPA Health medical subscribers since that date, will be considered in-network.
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More information for Anthem Blue Cross members.
These relaxed guidelines were previously effective from October 11, 2019 through November 10, 2019 for impacted members in Los Angeles and Sonoma counties. Effective October 25, 2019 through December 2, 2019 the relaxed guidelines are extended to impacted members who live in any part of California. They apply to members with Anthem group or individual and family health plans.
Anthem is taking action to help people affected by the wildfires in Lake, Mariposa, Mendocino, Napa, Riverside and Shasta counties by revising medical and pharmacy guidelines that will help ensure members can continue care and access needed prescription medications. The items pertaining to pharmacy apply to Anthem’s relationship with Express Scripts. It’s important that our members know what Anthem is doing for our members in the above mentioned areas during this critical time.
For impacted members, Anthem is:
- Relaxing time limits for prior authorization, pre-certification and referral requirements – there will be no late penalties.
- Suspending early refill limits for prescriptions.
- Allowing replacement of medical equipment or supplies.
- Extending filing deadlines for claims.
These medical and pharmacy guidelines are effective from July 26, 2018 until August 25, 2018, unless further extended.
For additional questions, members should call the phone number on the back of their membership card as associates are standing by to help.
Your vision can be damaged or lost without treatment.
There are about 29 million people who have diabetes in the U.S. today. If your doctor has told you that you have diabetes, you’re one of the 21 million who know. That leaves about 8 million people who have no idea they have it.1
Diabetes affects your body’s ability to use blood sugar or glucose. The most common form of diabetes is type 2, where the body does not properly use insulin, a hormone that helps the body use blood sugar for energy. This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn’t able to keep up and can’t make enough insulin to keep your blood sugar at normal levels.1
Having diabetes puts you at risk for serious eye problems — all of which lead to poor vision and, for some, even blindness. Here are some eye conditions made worse by diabetes:
The retina is the layer at the back of the eye containing cells that are sensitive to light. Retinopathy occurs when the blood vessels in the retina swell and leak fluid. New blood vessels can also grow on the retina, leaking fluid and stopping light form reaching it. This causes blurry vision and, in more serious cases, blindness.2
A cataract is a clouding of the eye’s natural lens, which lies behind the iris and pupil. The lens inside the eye works much like a camera lens, focusing light onto the retina for clear vision. It also adjusts the eye’s focus, letting us see things clearly up close and far away. The lens is mostly made of water and protein. The protein helps keep the lens clear and allows light to pass through it. As we age, some of the protein may clump together and start to cloud a small area of the lens. This is a cataract.3
This is pressure in the eye, which causes harm to the optic nerve. Glaucoma impacts light perception. Without treatment, people with glaucoma will slowly lose their peripheral (side) vision, making them unable to see objects to the side and out of the corner of their eye. They feel like they’re looking at things through a tunnel. Over time, straight-ahead (central) vision may get worse until its lost completely.4
People with diabetes are more sensitive to the sun than people who don’t have it. This is because the drugs taken by people who have diabetes, such as those for high blood pressure, increase light sensitivity. Protecting your eyes from the sun’s UV rays is not only for people with diabetes. All people should take safety precautions to protect their vision. To protect your eyes you should:
- Wear sunglasses that block 100% of UV rays, even on cloudy days.
- Get Transitions®
- lenses for your prescription glasses. They are as clear as regular lenses indoors, but turn as dark as sunglasses outdoors, depending on the strength of UV rays — reducing glare and making the eyes more comfortable. They also block 100% of UVA and UVB rays.
- Choose bigger lenses to protect more of your eyes, and wear a wide-brimmed hat to block UV rays from the top and sides of your face.
- Get contact lenses that filter out UV, but remember that they do not protect the area around the eyes. For complete eye protection, wear sunglasses that shield most of the eye as well.
People with diabetes need yearly eye exams4
If you have been diagnosed with diabetes, taking the right medicine, watching your blood sugar levels, eating healthy and exercising can help you control it. It’s also important to get yearly eye exams, which includes dilation. With dilation, an eye care professional places drops in each eye to widen the pupil, which is the opening at the center of the colored part of the eye called the iris. Dilation is an important part of a comprehensive eye exam because it lets your eye care professional to see the inside of the eye.
Diabetes is a condition where the body can’t make insulin, or can’t use it well. Insulin is a hormone that helps our bodies get energy from the glucose in the food we eat. Without it, glucose levels in the blood stream are too high. Over time, this can cause damage to your body tissue and organs.1
There are three main types of diabetes.1
- Type 1 diabetes can affect anyone, but most often it develops in children or young adults. People with this type of diabetes produce very little insulin, or none at all.
- Type 2 diabetes is the most common type. People with type 2 diabetes either make too little insulin, or their bodies aren’t able to use it effectively.
- Gestational diabetes (GDM) is a form of diabetes that appears during pregnancy. While GDM usually goes away after pregnancy, it puts women and their babies at higher risk for type 2 diabetes.
Cancer comes in all shapes and sizes. And, people of all ages can get it. But there are things you can do to protect your health. The best ways to stop cancer in its tracks are to get your cancer screenings on time and take steps each day to stay healthy.
Get checked early and often
Did you know that your chances of surviving the most common types of cancer are 80-100% if you catch them early enough? Cancer progresses in stages. It starts in one organ or place in the body. This is called “local.”
What is pre-diabetes?
Pre-diabetes means your blood sugar level is higher than normal, but not yet high enough to be classified as type 2 diabetes. However, without intervention, pre-diabetes can become type 2 diabetes in 10 years or less.
If you have pre-diabetes, the long-term damage of diabetes – especially to your heart and circulatory system — may already be starting.
Here’s the good news: Progression from pre-diabetes to type 2 diabetes isn’t inevitable.
With healthy lifestyle changes — such as eating healthy foods, including physical activity in your daily routine and maintaining a healthy weight — you may be able to bring your blood sugar level back to normal.
STEP ONE: Know the Risks
People who fit the following descriptions are more likely to develop diabetes: Read more
Looking for information to help? The Stronger Together website is a great starting place for people facing cancer. You can find all the site links, tools, apps and more to help you – from diagnosis to survivorship and everything in between.
Find digital tools to:
- Make shared treatment decisions.
- Prepare for care.
- Self-manage symptoms and concerns.
- Work on a care plan.
- Learn where to go for case management help.
- Get support resources for caregivers.
Skin cancer is the most common form of cancer in the United States, but the good news is that it can be cured, especially when it’s found early.
If you notice any change on your skin, make an appointment with your doctor. Treatments are much more effective on cancers that are found early.
Know the warning signs
A yearly exam by a dermatologist is a key part of early detection. Signs of a problem include:*
- An open sore or bump that itches, bleeds, crusts over and then repeats for more than
- A red, irritated patch on the skin.
- A shiny bump of any color.
- A pink growth with an elevated border and a crusted indentation in the center or a growth that looks like a wart.
- A scar-like area where the skin is shiny and tight.
- Asymmetry, uneven borders, more than one color, large diameter or changes to moles – these are the signs of melanoma, the most dangerous form of skin cancer.
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