Anthem’s 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
- Georgia is launching a full state-based exchange on GeorgiaAccess.gov for open enrollment which will replace HealthCare.gov.
- Please note: Georgia Access will send a notice to members on or around October 15, 2024, indicating if they have an account with a certified Georgia Access enrollment partner (“certified partner”), which includes web brokers, agents, and insurance companies. Members who previously enrolled in coverage through HealthCare.gov using a certified partner, are being advised to call them or visit their website to update their account information. Please ensure your clients know that you are their certified partner and help them update their account information as applicable.
- Anthem renewal notices will not include on-exchange estimated premiums and will instead refer members to the plan renewal notice they will receive from Georgia Access.
- For consumers who enroll in a plan on or before December 16, 2024, coverage will start on January 1, 2025. For consumers who enroll in a plan after December 16, 2024, coverage will begin on February 1, 2025.
- We expanded the service area for the Pathway PCP Copay Choice plans.
- We expanded the Blue Value Individual Network HMO into 102 counties, including Atlanta and Columbus.
- We're offering new bronze-level Blue Value plans.
- We've increased incentives for Anthem’s Smart Rewards Program.
- Georgia Access will allow consumers to purchase an on-exchange stand-alone dental plan (SADP) without purchasing an on-exchange medical plan. Visit the Georgia Access consumer portal at georgiaaccess.gov if they only want to enroll in a SADP.
- Pediatric dental coverage is being removed from Georgia medical plans on and off the exchange. For off-exchange consumers, the ACA requires anyone up to age 19 to have coverage for pediatric dental services. We are informing members in their renewal packets that by renewing their medical plan they are agreeing to purchase pediatric dental separately for anyone up to age 19.
- We are discontinuing the CMS Standard Plans and automatically renewing members into a similar non-standard option unless members select another plan during open enrollment.
2025 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.
Tips & tools to help you and your clients
- Members can review their personal information, premium, and whether they qualify for financial help on myanthemchoices.com.
- 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 Georgia map shows state-wide service area and product availability.
- Generate client reports in Producer Toolbox.
We’re here to help you connect your clients to affordable Anthem health plans.
Contact Broker Services at 833-864-0133, or eastbrokerservices@anthem.com with any questions.
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 and Catastrophic plans 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. Contact us for more information.