Open enrollment begins on 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,1 $0 virtual care visits,2 and prescription drug coverage including convenient home delivery. Plus, our SydneySM Health app gives members their health information, resources, and wellbeing support in one convenient place.
Important updates for 2026:
- Embedded pediatric dental coverage is being removed from all on and off exchange medical plans. For off-exchange consumers, the Affordable Care Act (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.
- The extra help provided by the American Rescue Plan Act may stop on December 31, 2025. This might mean your client will have to pay more for their premium after that date. Anthem also offers other plan options that may be lower cost and work better for your client.
- Increased timeframe to receive a $50 incentive for wellness exams from 90 to 120 days starting with January 1 renewal dates.
- New out-of-pocket maximums for non-HSA plans: $10,600/$21,200.
2026 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. After enrollment, your clients can virtually access their ID cards and other plan details through the Sydney HealthSM app.
Tips and tools to help you and your clients
- Members must pay the full amount of their January bill on time to make sure their 2026 coverage begins January 1, 2026.
- If your clients are staying on their plan, they can maintain their coverage by continuing payments.
- Use E-Submit for paper applications and maintenance paperwork.
- If kynect contacts your client about updating their account information, please advise them to reply quickly. We can’t complete their enrollment until kynect tells us their account information is current.
- Enhanced Direct Enrollment through Health Sherpa allows you and your client to enroll, renew, or update your information for Affordable Care Act (ACA) plans on the exchange using anthem.com.
- Our Kentucky map shows current coverage areas.3
- 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 IndividualBrokerServices@anthem.com.
Thank you for your partnership and dedication to your Anthem clients.Visit Anthem Broker Hub for additional online support to help your business and your clients.
Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan.
1 Nationally recommended preventive care services received in-network have no copay and no deductible requirement.
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 Individual Marketing collateral for plan year 2026 is available on AnthemBrokerHub.com.