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Anthem | Small Group 2025 Preview

Aug 26, 2024
Category
Carrier News

Anthem Blue Cross announced exciting updates for 2025 during the recent Broker Roadshow. 

Q1 2025 Rate Action

  • Medical Quarterly Average Change
    • PPO 1.2%
    • HMO 0.8% 
  • Medical Annual Average Change
    • PPO 7.7%
    • HMO 9.4%

Medical Plan Updates
Anthem's 2025 portfolio is streamlined for an improved buying experience.  Discontinued plans:

  • Some Gold PPO and HMO plans with a $150 prescription deductible. 
  • Higher priced Silver level Priority Select HMO and Vivity HMO plans.

Underwriting Updates

  • Participation moving from 65% to 60% for groups with 1-4 employees.
  • Oscar promotion extended to January 1, 2025 business.
  • Network flexibility continues: 
    • Both PPO networks alongside any two HMO networks.
    • Both PPO networks alongside Select HMO, Priority Select HMO and Vivity HMO networks (Excludes CaliforniaCare HMO).

Ancillary Updates

  • Dental rate pass - new business through Q1 2025.
  • New $5,000 annual max (in network) dental plan coming in 2025.
  • Vision rates decrease on new business in 2025.
  • Increased frame allowances from $130 up to $200.
  • 5% bundling discount & 24-month rate guarantee.

 

 We are committed to keeping you informed - stay connected with your Amwins Connect team for additional Anthem updates.

 

 

Tags
Anthem California

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