Window shopping for Individual and Family 2027 open enrollment starts October 1, 2026, on anthem.com. Open enrollment begins on November 1, 2026, and runs through January 15, 2027.
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 Sydney® Health app gives members their health information, resources, and well-being support in one convenient place.
Important updates for 2027
- Anthem will no longer offer on-exchange PPO plans through CoverME.gov for plan year 2027. Impacted members will be automatically transitioned to a comparable HMO plan effective January 1, 2027, unless they select a different plan during Open Enrollment. The replacement HMO plan covers most of the same services, provides broad network access across Maine and New England, and includes coverage for urgent and emergency services, as well as pre-approved out-of-network services.
- Members currently enrolled in an off-exchange PPO plan will be automatically transitioned to a comparable non-marketed off-exchange PPO plan for plan year 2027, unless they select a different plan during open enrollment.
- We’re no longer marketing PPO plans in the Individual market.
2027 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. After enrollment, your clients can virtually access their ID cards and other plan details through the Sydney Health app.
Tips & tools to help you and your clients
- Members must pay the full amount of their January bill on time to make sure their 2027 coverage begins January 1, 2027.
- If your clients are staying on their plan, they can maintain their coverage by continuing payments.
- If CoverME.gov contacts your client about updating their account information, please advise them to reply quickly. We can’t complete their enrollment until CoverME.gov tells us their account information is current.
- Use E-Submit for paper applications and maintenance paperwork.
- Our Maine map shows current coverage areas.3
- 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 IndividualBrokerServices@anthem.com.
Thank you for your partnership and dedication to your Anthem clients. Visit Anthem Broker Hub for additional online support to help your business and your clients.
1 Nationally recommended preventive care services received in-network have no copay and no deductible requirement.
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 2027 will be available to access on AnthemBrokerHub.com on October 1, 2026.