Oct 11, 2024
Anthem has announced their small group updates for Q1 2025.
Rate Action:
- Quarterly Rate Change (Statewide Average):
- HMO Full Network : 0.9%
- HMO Limited Network: 1.3%
- PPO Full Network: 1.4%
- PPO Limited Network: 1.1%
- PPO HSA Full Network: 2.5%
- PPO HSA Limited Network: 2.5%
- Annual Rate Change (Statewide Average):
- HMO Full Network : 7.4%
- HMO Limited Network: 8.5%
- PPO Full Network: 7.9%
- PPO Limited Network: 7.7%
- PPO HSA Full Network: 8.9%
- PPO HSA Limited Network: 9.0%
Medical Plan/Portfolio Updates:
- Chiropractic is now covered at a $15 copay on copay based PPO plans.
- Rx benefit improvements to Vivity HMO
- Discontinued plans.
- RxD plans. Removing plans with $150 separate Rx deductible eliminates barrier to care
- Silver Priority Select and Silver Vivity HMO plans removed to create an improved buying experience.
Underwriting:
- DE-9C not required with 3+ enrolling. Submit a prior carrier bill in lieu of.
- Relaxed Participation. 25% for 5+ enrolled. 60% for 1-4 enrolled, reduced from 65%.
- Cigna+Oscar takeover simplified underwriting extended through January 2025.
- Network Flexibility continues through March 2025. Both PPO networks + any two HMO networks. Or Both PPO networks + all HMO limited networks.
Quoting is available now. Reach out to your Amwins Connect team today.
