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Anthem Blue Cross has announced the notice of termination for Community Hospital of the Monterey Peninsula (CHOMP) has been rescinded as a new agreement has been reached. Anthem will send letters to the admitting HMO medical groups and to the non-exclusive admitting PPO physicians who received the pretermination notice informing them that the termination has been rescinded. If You Have Any Questions or Need Help Quoting Anthem, Please Contact Your Dickerson Sales Representative.

Blue Shield is currently negotiating with Community Medical Centers (CMC) to reach an agreement that would support keeping healthcare costs affordable. Terminating facility/hospitals within CMC are Clovis Community Hospital, Community Regional Medical Center, and Fresno Heart and Surgical Hospital. If an agreement is not reached, CMC facilities will not be in-network for Blue Shield of California members beginning February 1, 2026 . Blue Shield of California has a strong provider network in Fresno County and alternative in-network hospitals including St. Agnes Medical Center and Valley Children’s Hospital. CMC has an affiliated medical group, Community Health Partners, who serve a select group of Blue Shield PPO members. If CMC terminates their contract with Blue Shield, these members would be charged out of network rates with this group. Impacted members include commercial HMO and PPO members who have received care in the last 12-months at a CMC facility and/or DMHC PPO members who live within a 15-mile radius of a CMC facility. For More Information or Help Quoting Blue Shield, Please Contact Your Dickerson Sales Representative.

Health Net arranged for Shingrix to be administered through contracted pharmacies—while still allowing members to receive it at their doctor’s office if available. Members can get the vaccine at a $0 copay. Shingrix is an immunization covered under the medical benefit; however, many PCPs do not stock the vaccine, resulting in members being redirected to pharmacies where coverage was previously unavailable. Availability by line of business Marketplace (CA IFP): Members can obtain the Shingrix vaccine through a contracted pharmacy at a $0 copay (preventive benefit). This has been effective since 1/1/2026. Employer Group (Large Group & SBG): Members will be able to access the vaccine through a contracted pharmacy after February 15, 2026 at $0 copay. Members may also continue to receive the vaccine at their provider’s office if the PPG chooses to continue offering vaccination services. What You Need To Know – No Action Required Shingrix will be covered under the pharmacy benefit as a preventive medication at $0 copay. No contract modifications are required. This update resolves the current gap where members were redirected to pharmacies but found the vaccine was not covered. Note The Shingrix vaccine is available to members 50 years of age and older. Members may obtain an immunization from their physician or at a participating pharmacy, at no charge. For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Representative.

Molina Marketplace Producer GuideThe updated Molina Marketplace Producer Guide is now available and includes the most current requirements, tools, and resources to support Marketplace producers. Producers are encouraged to review the updates, share the information with their brokers, and access the guide through the broker portal for ongoing reference. Marketplace Producers Guide Click Here For More Information or Help Quoting Molina, Please Contact Your Dickerson Sales Rep.