Apr 23, 2025
Anthem has been in discussions to renegotiate the terms of Doc’s Surgical Hospital’s Commercial Hospital Agreement. Regrettably, Anthem Blue Cross and Doc’s Surgical Hospital were unable to reach an agreement, and the contract terminated effective April 15, 2025. From that date forward, Anthem will generally no longer authorize or approve scheduled or elective admissions to Doc’s Surgical Hospital for Anthem Blue Cross or Anthem Blue Cross Life and Health Insurance Company members.
Anthem notified physicians who admit to Doc’s Surgical Hospital of this development so that they can arrange for admission of all Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company members to alternate facilities.
The following is a partial list of alternate contracted facilities in the Doc’s Surgical Hospital service area:
- Cedars-Sinai Medical Center
- Good Samaritan Hospital
- Hollywood Presbyterian Medical Center
- LA Downtown Medical Center
- Marina Del Rey Hospital
- Providence Saint John's Health Center
- Santa Monica UCLA Medical Center
- Southern California Healthcare System
- UCLA Medical Center
Note that the alternate hospitals may not be participating in all Anthem networks. Anthem members have been advised to verify with both their provider and the Anthem Blue Cross website that the alternate facility is participating in their benefit plan’s network. For a complete list of all Anthem Blue Cross contracted providers, please reference Anthem.com.
Please be aware that there are limited benefits for Anthem Small Group and Individual PPO clients who receive care at Doc’s Surgical Hospital on or after the termination date, except for medical emergencies.
Members who are pregnant, currently undergoing a course of treatment, have a current authorization for health care services or are otherwise concerned about disruption of treatment, should call toll-free customer service number 1-844-971-0117 or the toll-free member services telephone number on their member ID card.
As of today, a termination announcement has been sent to members and your clients.
