Anthem Blue Cross Blue Shield has released their 2026 Small Group portfolio update and Q1 2026 rates.

Average Rate Change for Q1 2026

• EPO 3.2%
• EPO HSA 1.9%
• POS 3.4%
• POS HSA 3.4%

New Alternative Plans for 2026

• Clear Choice Plans - Delivering straightforward and cost-effective healthcare
• Virtual Access Plans - Combining convenience, flexibility and predictable costs
• Advanced Access Plans - Effective and efficient healthcare tailored to member needs

Pharmacy Updates

• Less than 5% of current retail pharmacies changing from Tier 1 to Tier 2
• Applies to Rx Choice pharmacy network

Engagement Package 200 Enhancements

• 120 days v 90 days to complete wellness exam
• New $10 A1c lab test reward
• New $10 and $25 diabetic test and exam rewards
• New $5, $10, and $12 wellness activity rewards

2026 plans are quote ready. Reach out to your Amwins Connect Sales team to review Anthem solutions for your for your small groups including ACA, MEWA and ABF portfolios.