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Anthem Blue Cross reports no rate or benefit changes for Q2 2018. With a rate pass and underwriting promotions extended through June 15, 2018, Anthem is a good carrier to consider including in your quotes. For the past three years, every Q2 has received a rate pass. This rolls up to their market position of lower overall rate trend and consistent pricing. Please review Anthem’s quarterly rate action below.

 

Q2 2016

 

Q3 2016

 

Q4 2016

 

Q1 2017

 

Q2 2017

 

Q3 2017

 

Q4 2017

 

Q1 2018

 

Q2 2018

  

  Net Change

 

Average Quarterly Change

PPO 0.0% 2.7% -0.4% -1.2% 0.0% 3.1% 3.2% -0.4% 0.0% 7.0% 0.78%
HMO 0.0% 2.3% -1.0% -4.6% 0.0% 2.8% 2.2% 2.4% 0.0% 4.1% 0.46%
Underwriting Guidelines and Promotions

Underwriting guidelines and promotions continue through June 15, 2018:

  • 30% relaxed participation promo for groups with 5+ enrolled
  • On and off-exchange IFP is considered a valid waiver
  • DE-9C is not required for groups with 6+ enrolling (excludes virgin groups). Groups with prior coverage must submit prior carrier bill.
  • Dual HMO: Groups can select both HMO networks to be offered alongside each other.
  • Same-day turnaround for new business is subject to completeness. Case must use census Enrollment Tool for same-day turnaround. Holidays excluded.
Introducing Paperless Member ID Cards!

Member ID cards are now paperless for quicker turn-around times. Below is the process for obtaining the digital ID cards:

  • Upon member enrollment, an ID card image is generated.
  • An email is sent to the member with an activation code directing the member to register on mobile.
  • If the member registers and selects digital preference within 48 hours, card is immediately available for viewing. No ID card is mailed.
  • If the member does not register within 48 hours OR selects a hard copy ID card, it will be mailed to the member and also be available for mobile viewing.
  • If Anthem does not have an email address on file, a hard copy will be mailed to the member automatically.
  • Member can change ID card preferences at any time.

Anthem has also improved their Enhanced Employer Package and Member Welcome Kit with tools and member-friendly terminology about their medical and ancillary benefits.  

New and Improved Provider Search Tool

Available to PPO members, Anthem’s improved provider search tool integrates with members’ benefits, so they can compare costs and anticipate co-pay or coinsurance estimates for a particular procedure ahead of time. Members can also read reviews and see if certain providers received recognition and rewards. More than a resource about what provider is in which network, the search tool allows members to make better informed decisions that impact their health and personal finances.

For questions, please contact your LISI Regional Sales Manager.