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Anthem Plan & Rate Updates Effective January 2023

Anthem announced rate and plan updates for January 1, 2023 effective dates. Rates are available for quoting!



Medical Quarterly Rate Change Average:

  • PPO: 1.3%
  • HMO: 0.3%


Medical Average Annual / Renewal Rate Change Average:

  • PPO: 4.3%
  • HMO: 1.6%


Anthem's Dental & Vision plans will have no rate action for new business.


Plan Updates

New Plans

  • Gold PPO 1700/15% w/HSA PrevRx
  • Silver PPO 2000/35% w/HSA PrevRx
  • Bronze PPO 65/6000/40% (CalChoice)
  • Silver PPO 50/1700/40% (CalChoice)


Discontinued Plans

  • Gold EPO 35/500/20%
  • Gold EPO 35/1700/20%
  • Gold Advantage PPO 30/500/20% (CalChoice)
  • Silver Advantage PPO 45/1600/40% (CalChoice)
  • Silver EPO 2000/35% w/HSA PrevRx (CalChoice)
  • Bronze EPO 65/6000/40% (CalChoice)
  • Silver EPO 55/2200/40% (CalChoice)


Important Cost Sharing Changes


Additional Network Flexibility

For Q1 and Q2 of 2023, Anthem Small Group will be allowing additional network flexibility. Employers can select one of the following pairings:

  • Both PPO networks alongside any HMO network (including Vivity)
  • Any 2 HMO networks (including Vivity) alongside 1 PPO network
  • Select HMO, Priority Select HMO, and Vivity HMO alongside 1 PPO network (excluding CaliforniaCare HMO)


Broker Bonuses

As a reminder, Anthem's 6% commission rate on new medical business for the life of the case when you sell any new Small Group with 8 or more enrolled employees continues from October 2022 through January 2023 effective dates. See their flyer for complete details.


Important Dates

  • 10/25/22: January renewals posted on Producer Toolbox
  • 10/27/22: January renewals mailed to Employers
  • 11/01/22: January renewals available on EmployerAccess


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