Open enrollment begins November 1, 2025, and runs through January 15, 2026. Anthem will offer window shopping starting November 1. Some exchanges may offer window-shopping options earlier. We encourage you to check with specific exchanges for their timelines.
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 information, resources, and well-being support in one convenient place.
Important updates for 2026
Key changes:
- The extra help provided by American Rescue Plan Act subsidies may stop on December 31, 2025. This might mean your client 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 your client.
- PreventiveRx benefit has been added to the on-exchange Bronze Preferred Provider Organization (PPO) Pathway health savings account (HSA) plan. This includes select generic drugs for asthma, diabetes, high cholesterol, heart health, and blood pressure.
- The pediatric dental benefit has been removed from non-standard on-exchange Bronze and Gold plans.
- New out-of-pocket maximums for non-HSA plans are $10,600 for individuals and $21,200 for families.
Discontinuation of Bronze PPO Pathway plan with adult dental and vision coverage: This plan will be discontinued as of December 31, 2025. Members who are currently on this plan and making timely monthly payments will automatically transition to the Bronze PPO Pathway with PreventiveRx HSA.
Covered Connecticut Program
This program is administered by the Connecticut Department of Social Services.3 To qualify, Connecticut residents must:
- Be 19 to 64 years old.
- Have a household income up to and including 175% of the federal poverty level.
- Not qualify for Medicaid due to income.
- Be eligible for financial help, including advance premium tax credits and cost-sharing reductions, and use 100% of the financial help available.
- Enroll and remain enrolled in a Silver plan for the entire plan year.
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.
Helpful tips and tools
- 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.
- If Access Health CT contacts your client about updating their account information, please advise them to reply quickly. We can’t complete their enrollment until Access Health CT tells us their account information is current.
- Use E-Submit for paper applications and maintenance paperwork.
- You can generate client reports by visiting 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 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 Covered CT Program is established pursuant to C.G.S. §19a-754c, C.G.S. §4-8 and Special Act 21-15. Visit accesshealthct.com for more information.