Window shopping for Individual and Family 2025 open enrollment has started. Open enrollment starts November 1, 2024, and runs through January 15, 2025.
We’re here to help you connect your clients to a health plan that offers the savings and care they need. Benefits include $0 preventive care,1 $0 virtual care visits,2 $0 for many brand and generic prescription drugs,3 and rewards for healthy behaviors.
Important updates for 2025
- Open Access Network name for plans on and off the exchange will change to Anthem Essential Network. This is a network name change only, there is no change to benefits or providers.
- Our network and coverage footprint are expanding. We are now in Franklin, Ripley, Dearborn, Ohio, and Switzerland counties.
- If members qualify for extra savings to help lower costs in 2025, the Health Insurance Marketplace may enroll them in a silver plan. If members prefer to keep their bronze plan or choose another plan, they must enroll in their preferred plan by December 15, 2024.
- The 2025 plan names that include “Heart Healthy” have additional benefits. They include the same copays for cardiologist office visits as primary care physicians and nutritional counseling. Some heart tests will be covered at no cost, including Cardiac Calcium Scoring, Carotid Intimal Medial Thickness Test, and High Sensitivity C-Reactive Protein Test, which can cost $8 to $350. We will promote Heart Healthy benefits during renewal. They can help members improve their health, avoid heart disease, and identify risks.
- New plans for 2025: HMO Bronze and Silver medical plans that include embedded adult dental and vision
2025 open enrollment renewal materials
Your clients will receive their personalized open enrollment renewal packets by mail. The cover letter includes information on how members can find out if they qualify for financial help or make sure they receive all the savings available to them. Visit Producer Toolbox, select Book of Business, then select Renewals to view the Renewal Letter link for a specific client.
Tips & tools to help you and your clients
- Members can review their personal information, premium, and whether they qualify for financial help on myanthemchoices.com.
- Members must pay the full amount of their January bill on time, including any past-due amount, to make sure their 2025 coverage begins January 1, 2025.
- Enrollment-Renewal Reference Sheet includes helpful enrollment and renewal information.
- Our Indiana map shows current coverage areas.
- View ACA rate sheets and generate client reports in Producer Toolbox.
We’re here to help you connect your clients to affordable Anthem health plans. If you have questions, please contact Broker Services at 833-864-0133, or agency.services@anthem.com.
Thank you for your partnership and dedication to your Anthem clients.
1 Nationally recommended preventive care services received in-network have no copay and no deductible requirement.
2 Virtual care visits, including medical chats and video visits using the Sydney Health app are at no cost to members for most plans. Those enrolled in High-Deductible Health Plans associated with a Health Savings Account and Catastrophic plans must first meet their deductible. Virtual care visits refer to medical chats and/or video consultation, as deemed appropriate by a licensed physician. In addition to using a telehealth service, members can receive in-person or virtual care from their own doctor or another healthcare provider in their plan’s network. If members receive care from a doctor or healthcare provider not in their plan’s network their share of the costs may be higher. Members may also receive a bill for any charges not covered by their health plan.
3 Some commonly used prescription drugs are available at no cost to members. Contact us for more information.