Prepare for Maine Open Enrollment and Member Renewals

Window shopping for Individual and Family 2025 Open Enrollment has started. Open enrollment begins 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

• We will maintain our price position as the lowest cost carrier overall for 2025.
• Incentives for Anthem’s Smart Rewards program are increasing.
• Adult vision exam is back in Individual PPO plans.
• Cost share reduction (CSR) and American Indian (AI) plan names will include the actual deductible amount in their plan name.

2025 Open Enrollment Renewal materials
Your clients will receive their personalized open enrollment renewal packets by mail. The cover letter explains how members can find out if they qualify for financial help and help 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 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.
• The Enrollment-Renewal Reference Sheet includes helpful enrollment and renewal information.
• Our Maine HMO tiered hospitals map shows the hospitals in Maine, and which tiers they are in.
• 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 eastbrokerservices@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 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 for most plans. Contact us for more information.