Anthem Plan & Rate Updates Effective April 2024
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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.