Window shopping for Individual and Family 2027 open enrollment starts November 1 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 drugs 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
Discontinued POS plans for 2027
Effective January 1, 2027, Anthem BCBS will discontinue Blue Preferred POS plans in all regions for both on- and off-exchange plans. Members will receive a mailed notice explaining the POS plan discontinuation and transition to an HMO plan. These members will be eligible for a Special Enrollment Period (SEP) from January 1, 2027, through March 2, 2027.
Rating Region Changes
Effective January 1, 2027, Blue Preferred POS and Pathway HMO plans in Rating Region 13 and 16 will no longer be available in Forest and Manitowoc counties. Members will receive a mailed notice about the Blue Preferred POS plan and Pathway HMO discontinuation and county exit. Because they will not be transitioned to an HMO plan, they should shop for a different plan during open enrollment. These members will qualify for a Special Enrollment Period (SEP) from January 1, 2027, through March 2, 2027.
Primary Care Provider
Primary Care Providers (PCPs) are required for HMO ACA plans in 2027. PCPs will be automatically selected during renewals for mandatory PCP benefit changes. Members can change PCPs at any time.
Wellness Incentive Changing
Members will now have 120 days, instead of 90 days, to receive the $50 wellness exam incentive.
2027 Open Enrollment Renewal & Discontinuation materials
Your clients will receive their personalized open enrollment renewal and discontinuation 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.
- Use E-Submit for paper applications and maintenance paperwork.
- Enhanced Direct Enrollment allows you and your client to enroll, renew, or update your information for Affordable Care Act (ACA) plans on the exchange using anthem.com.
- Our Wisconsin network overview brochure provides detailed provider and network informaion
- Generate client reports in Producer Toolbox.
- If the Marketplace contacts your client about updating their account information, please advise them to reply quickly. We can’t complete their enrollment until the Marketplace 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 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.