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
- To cover members’ whole health, some plans now include adult dental and vision.
- Lowest cost silver plan language in renewal notice
- We will notify members in the lowest-cost silver plan that Anthem offers other lower- or zero-cost options that may work better for them.
- Heart healthy plans and benefits
- 2025 plan names will include “Heart Healthy” to clarify added benefits. Those benefits include the same copays for cardiologist office visits as primary care physicians and nutritional counseling. Some heart tests will be covered at no cost, including Cardiac Calcium Scoring, Carotid Intimal Medial Thickness Test, and High Sensitivity C-Reactive Protein Test, which can cost $8 to $350. We will promote Heart Healthy benefits during renewal. They can help members improve their health, avoid heart disease, and identify risks.
- Some members enrolled in a 2024 Bronze plan may qualify for a 2025 Silver Cost Share Reduction (CSR) plan offered by the Marketplace to help reduce out-of-pocket costs. CMS will communicate with bronze members automatically enrolled in a silver CSR plan. Anthem renewals will still reflect a bronze plan on broker and member portals until January 7, 2025. If a member prefers to keep their bronze plan or choose another plan, they must enroll in the preferred plan by December 15, 2024.
2025 open enrollment renewal materials
We’ll mail personalized Open Enrollment renewal packets to your clients by mid-October. 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 financial aid qualifications 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 Ohio map shows current coverage areas.
- 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.
Contact Broker Services at 833-864-0133, or agency.services@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.