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MRMIP benefits

The Major Risk Medical Insurance Program (MRMIP) provides health insurance to Californians who are considered “high-risk” because of pre-existing medical conditions.

You may be eligible for MRMIP through Anthem if you:

  • Are not eligible for Medicare Part A and Part B (except for end-stage renal disease)
  • Are not eligible for COBRA or Cal-COBRA benefits
  • Have been denied individual health coverage within the last 12 months
How to enroll

What you get with Anthem

Your benefits include:

  • Medical services at a discounted rate
  • Access to one of the largest provider networks in California
  • Low-cost preventive care services
  • Maternity care
  • Low copays when you see a doctor in our plan
  • Low-cost prescription drugs
  • $50 toward a smoking cessation program

See your member handbook for a full list of benefits.

Find a Doctor

Your benefits include a wide range of prescription and over-the-counter drugs. We work with Express Scripts (ESI) to provide these benefits. You can get your prescription filled at more than 4,400 pharmacies in our plan.

Check your member handbook for copay information.

Find a pharmacy

Use our online search tool to find a pharmacy in our plan.

Find a Pharmacy

Formulary (drug list)

The formulary is a list of all brand-name and generic drugs available in your plan. Our Pharmacy and Therapeutics (P&T) Committee reviews and recommends what drugs should be in the formulary. They choose the medications for our drug list based on things like how safe the drug is, how well it works and how much it costs.

View drug list

Prior authorizations

Some drugs on the drug list require prior authorization. This means your doctor must get approval from us before he or she can write a prescription for the drug.

Drug interactions and side effects

Learn more about drug interactions or side effects on the Express Scripts Drug Information page.

We want to make sure you get the care you need when you need it. Find out how long you’ll typically wait to see your doctor when you call for an appointment.

Call us if you need help in another language. This help is free. We will get someone who speaks your language to answer your questions.

If you need someone to explain medical information while you are at your doctor’s office, ask your doctor to call us. We’ll be glad to help you.

Member resources

We want you to understand your benefits and receive the best possible care. Here are some resources to help.

MRMIP member handbooks

Complete benefit information can be found in your member handbook.

Customer Care Center

Have questions about your benefits? Call our Customer Care Center at 1-877-687-0549 (TTY 711). Our team is available Monday through Friday from 8:30 a.m. to 5 p.m.

 
NurseLine

24/7 NurseLine

Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. Call 1-800-224-0336 (TTY 711) anytime, day or night.

Not yet a member? Choose Anthem.

You have a choice in your health care. Call the MRMIP Enrollment Unit at 1-800-289-6574 or visit our How to enroll page.

How to enroll