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Anthem Plan & Rate Updates Effective April 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.