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Prepare for Colorado open enrollment and member renewals

Individual | CO

Open Enrollment begins November 1, 2025, and runs through January 15, 2026. Anthem will offer shopping starting November 1. We’re committed to Colorado and will continue offering an Individual health plan in every county in 2026.

We’re here to help you connect your clients to a health plan that delivers the savings and care they need. Benefits include $0 preventive care, $0 virtual care visits, and prescription drug coverage including convenient home delivery.1,2 Plus, our SydneySM Health app gives members their health plan information, resources, and well-being support in one convenient place.

 

Important updates for 2026

  • There are no plan discontinuations for plan year 2026.
  • The extra help provided by American Rescue Plan Act subsidies may stop on December 31, 2025. This might mean your clients will have to pay more for their premium after that date. Please keep in mind that Anthem offers other plan options that may have lower costs and better benefits for a client.
  • Your clients also may qualify for additional premium assistance, Colorado Premium Assistance, when purchasing a plan through the state's health insurance marketplace, Connect for Health Colorado.
  • Members enrolled in the OmniSalud Program will need to reenroll for 2026 coverage. Membership does not automatically renew. They will receive information from Colorado Connect to help with reenrollment. 
  • Members with Colorado Option standard benefit plans are not eligible for the Smart Rewards program.
  • The time frame to receive a $50 incentive for wellness exams has increased from 90 to 120 days.
  • The new out-of-pocket maximums for plans without a health savings account are $10,600 for individuals and $21,200 for families.

 

2026 open enrollment renewal materials
Your clients will receive their personalized open enrollment renewal packets by mail. The cover letter explains how they can find out if they qualify for financial help and how to make sure they receive all the savings available to them. To view the renewal letter for a specific client, visit Producer Toolbox, select Book of Business, then select Renewals. After enrollment, your clients can virtually access their member ID cards and other plan details through the Sydney Health app.

 

Tips and tools to help you and your clients:

  • Please understand open enrollment readiness may be impacted by recent or future policy changes.
  • Members must pay the full amount of their January bill on time to make sure their 2026 coverage begins January 1, 2026.
  • If a client is staying on their plan, they can maintain their coverage by continuing payments.
  • Use E-Submit for paper applications and maintenance paperwork.
  • Our Colorado state map shows current coverage areas.3
  • You can generate client reports by visiting Producer Toolbox.
  • If Connect for Health Colorado contacts your client about updating their account information, please advise them to reply quickly. We can’t complete their enrollment until Connect for Health Colorado tells us their account information is current.

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 individualbrokerservices@anthem.com.

Thank you for your partnership and dedication to your Anthem clients. Visit Anthem Broker Hub for additional online support for your business and clients.

 

1 Nationally recommended preventive care services have no copay and no deductible requirement when the provider is in the plan's network.

2 Virtual care visits, including video visits using the Sydney Health app are at no cost to members for most plans (however, it may be subject to the deductible depending upon the terms of the plan). Virtual care visits refer to video consultations, as deemed appropriate by a licensed physician. In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan’s network. If you receive care from a doctor or healthcare provider not in your plan’s network, your share of the costs may be higher. You may also receive a bill for any charges not covered by your health plan. Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan.

3 Individual marketing collateral for plan year 2026 is available on anthembrokerhub.com.