USC Trojan Care EPO

The USC Trojan Care EPO (Exclusive Provider Organization) plan is a high-quality, affordable medical plan offering access to Keck Medicine of USC and other select Anthem providers throughout six counties in Southern California. 

Trojan Care EPO will offer coverage to dependents (spouses and child(ren)) who live in the U.S. outside of California or in Northern California. Those dependents also have access to select Anthem Prudent Buyer/BlueCard providers where they reside.  

You must use USC Trojan Care EPO network providers; there is no out-of-network coverage (except for urgent care and emergencies). Examples of out-of-network providers include, but are not limited to: UCLA Health hospitals, their physicians and any of its affiliates and Cedars-Sinai Medical Center, their physicians and any of its affiliates.

Get the details

Prescription coverage

The EPO drug formulary (a list of prescription drugs preferred by your health plan) is designed to provide a wide range of medications while helping keep EPO care affordable. Be sure to verify your medications are covered under the EPO drug formulary. Some medications may also require a clinical prior authorization, step therapies, or specific quantity limits.

The plan does have an exclusive specialty pharmacy network, meaning those taking medications for certain complex diseases, such as rheumatoid arthritis, multiple sclerosis, cancer, etc., must fill their specialty medications through Keck Medicine of USC Specialty Pharmacy or Optum Specialty Pharmacy.

For those currently enrolled in the USC Trojan Care EPO Plan, here’s what to expect with the change to Optum Rx:

• new drug formulary
• all active drug prior authorizations will be transferred to Optum Rx – no new authorizations required
• exclusive specialty pharmacy Network – Keck Medicine of USC Specialty Pharmacy and Optum Specialty Pharmacy
• members currently filling a specialty drug will receive personalized communication on setting up a pharmacy account
• new Plan ID cards will be issued and mailed to all members
• new mail order service through Optum Home Delivery, and
• minimal retail pharmacy network disruption.

If you are currently taking a medication that will not be covered under the new drug formulary, Optum Rx will be sending you a letter in early January advising you of covered alternatives to discuss with your physician.

If you have questions about the prescription drug formulary, you can make an appointment to speak with a clinical pharmacist by contacting IPA Concierge Services at 855-948-0219 or by making an appointment at https://calendly.com/pharmacy-consulting-teleconference-usc/usc-teleconference.

For prescription copay information, please reference the EPO plan fact sheet.

Visit the Optum Rx site to learn more about your medications under the new drug formulary and to search for a contracted retail pharmacy.

Behavioral health benefits with Lyra Health

EPO members have additional access to behavioral health benefits with Lyra Health, which provides care for mental and emotional health.  

  • Find personalized recommendations for top providers.
  • Meet with a therapist or coach in person or via live video and tap into self-care apps on the go.
  • EPO Plan members receive 25 no-cost sessions annually. Additional sessions are covered under the EPO medical plan – plan copays apply.  
  • Refer to the Lyra Health fact sheet on page 10 of the 2025 Benefits Guide.

Diabetes management benefits through Livongo

EPO members also have free access to diabetes management benefits through Livongo, which combines advanced technology with coaching to support you and/or your family members with diabetes. Benefits include:

  • A connected, real-time meter that uploads your blood glucose readings
  • Personalized insights with each reading
  • Coaches – certified diabetes educators – available via phone, text, and mobile app to offer nutrition and lifestyle guidance
  • Unlimited strips and lancets at no cost to you
  • Free diabetes medications
  • A welcome kit shipped to your door at no cost
  • Refer to the Livongo fact sheet on page nine of the 2025 Benefits Guide.

 Nurturing Together program through Personify Health 

USC has partnered with Personify Health to offer free access to the  Nurturing Together program for Trojan Care EPO members. The  Nurturing Together program provides you with access to prenatal nurses and their expertise in the care of women and newborn babies. Your prenatal nurse remains available to you throughout your pregnancy and six weeks postpartum to assist you in obtaining the information and care you need. To learn more: