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Anthem Plan & Rate Updates Effective April 2024

Jan 17, 2024

Anthem announced rate and plan updates for April 1, 2024 effective dates. Rates are available for quoting!

 

Rates

Medical Quarterly Rate Change Average:

  • PPO: 1.2%
  • HMO: 1.2%

 

Medical Average Annual / Renewal Rate Change Average:

  • PPO: 7.9%
  • HMO: 7.5%

 

Dental & Vision new business rate action:

  • Plans without orthodontics: 4%
  • Plans with orthodontics: 3.3%

 

Dental & Vision renewal rate action:

  • Essential Choice/Metallic: 4%
  • Dental Net and Legacy: no change
  • Blue View Vision: no change

 

Selling Highlights

  • DE9C not required with 3 or more subscribers enrolling. A prior carrier bill is required if DE9C is not provided (excludes virgin groups).
  • Relaxed participation:
    • 25% participation for groups with 5 or more enrolled subscribers.
    • 65% participation for groups with 4 or fewer enrolled subscribers.
  • Valid waivers include individual coverage, Medicare, Medi-Cal, military service, or covered as a dependent on an employer-sponsored group plan.

 

Additional Network Flexibility

For Q2, Anthem Small Group will continue to allow additional network flexibility. Employers can select one of the following pairings:

  • Both PPO networks alongside any 2 HMO networks (including Vivity)
  • Both PPO networks alongside Select HMO, Priority Select HMO, and Vivity HMO (excludes CaliforniaCare HMO)

 

Important Dates

  • April renewal release dates
    • 01/22/24: Producer Toolbox
    • 01/26/24: Mailed to employers
    • 01/31/24: EmployerAccess
  • May renewal release dates
    • 02/21/24: Producer Toolbox
    • 02/28/24: Mailed to groups
    • 03/04/24: EmployerAccess
  • June renewal release dates
    • 03/22/24: Producer Toolbox
    • 03/28/24: Mailed to groups
    • 04/01/24: EmployerAccess

 

For questions or help with an Anthem Blue Cross quote, please contact a member of your B&P Sales Team - 888.722.3373.

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