Grow Your Business With Anthem

We offer tailored, high-value health plans that give your clients more choices. Our affordable, flexible, group products include customizable Consumer Driven Health Plans (CDHP), a wide range of deductible/coinsurance and pharmacy options to reduce your clients’ costs. Plus, our funding options and group health expense accounts offer even more ways to manage health care expenses.

National Presence

We provide access to an extensive network of PPO providers through the Blue Cross Blue Shield Association’s BlueCard^® program. This nationwide capability, along with access to local, in-network care, is our commitment to improving the health of our communities. Our services are right where you, your clients, and their members live and work.

Peace Of Mind

Partnering with Anthem, an industry leader, means being able to offer your clients the strength and peace of mind of:

   A suite of meaningful, cost-saving solutions

   Doctor-patient relationships that can improve overall care

   Provider collaboration that facilitates innovation 

   Cost-of-care strategies that members value 

Robust Networks

As an Anthem broker, you can assure your clients that they’ll have access to the largest networks: locally, nationwide, and online. This includes:

   Cost-effective network options and discounts to help your client’s bottom line

   Integrated programs and services to improve health and reduce costs

   Strong provider partnerships for better long-term health and cost savings

   National strength with a local presence 

The Power Of Integration

It’s vital for a health plan to coordinate medical and pharmacy when making clinical and coverage decisions. A PBM that only has visibility into the drug claims they process won’t see the entire picture, which means they cannot fully manage pharmacy spend. Through our integrated approach, we’re able to see data and manage across medical and pharmacy benefits to improve health outcomes and lower total cost of care.

Experience Counts: Our Rich Legacy of Pharmacy Management

34+ years of experience¹

$34B pharmacy revenue¹

310M+ prescriptions managed annually¹

16M+ members¹

Affordability: We take a holistic health approach in everything we do

Emphasizing clinical expertise and closing health care gaps promotes better health and improved medication adherence.

CarelonRx offers a top-tier specialty drug management solution. A cross-functional strategy is applied, using cutting-edge analytics for strong strategic planning, integrating both medical and pharmacy clinicians.

Rigorous clinical oversight coupled with high-touch care is practiced for the most vulnerable members. This approach leads to savings of over $212 PMPM².

Simplicity- Integration delivers savings, simplicity, and a streamlined experience

Streamlined Experience. One account team, one contract, one card and one website.

Integrated cost of care and analytics reporting.

Real-time data sharing across medical and pharmacy benefits.

Real-time member drug pricing insight.

Integration  = real results

$31 PMPM lower average medical costs³

1.3% overall pharmacy drug trend⁴

$105 PMPM all-cause medical savings for integrated members taking specialty drugs⁵

1 CarelonRx Internal data, FY 2023.

2 CarelonRx study: Specialty RX managed vs. unmanaged populations, CY2022 outcomes (October 2023).

3 HealthCore, Inc.: Value of Pharmacy and Medical Integration (2020).

4 CarelonRx: Drug trend data summary (2022).

5 CarelonRx: Specialty conditions value of integration study (2022).

No two businesses are alike, so why settle for cookie-cutter plans for your retirees? Anthem offers fully customizable plans that fit your business, your budget, and your members’ needs. We understand the unique needs of employers and their retirees, and our Group Medicare plans are customized to each situation. Whether you cover 10 retirees or 100,000, in the public sector or private, we have a solution to match your needs. Learn how we've solved unique business needs for our customers.

• Our 4 Star National PPO is backed by a commitment to transform care and personalize service.

• With a national network of over 1.3 million doctors and hospitals, retirees can see providers they know and trust.

• Our PPO plans let retirees see any doctor that accepts Medicare—whether in-network or out-of-network—for the same cost share.

• We connect retirees to the right care at the right time through a holistic approach—with an unwavering commitment to simplicity, affordability, and member experience.

• 93% member satisfaction.*

• Learn how we've solved unique business needs for our customers.

Anthem Whole Health Connection^® focuses on whole-person health — connecting medical coverage with behavioral, specialty, and pharmacy services. By leveraging our vast network and combining it with emerging technologies, we can deliver a best-in-class experience focused on the needs of the whole person. The result: better health, lower costs, and a better customer experience.

 Save when you add dental, vision, life, disability and more to your client’s medical coverage. We offer a large group savings programs for fully insured and self-insured clients.

 When benefits are connected, our network providers see a complete view of a member’s health in order to close gaps in care and improve outcomes. 5.5M average monthly care gaps were identified by Anthem and 1.38M average monthly care gaps were closed.³

 Integrated medical and pharmacy programs drive $368 PMPY lower average medical, 11.6% lower outpatient, and 5.5% lower inpatient costs.⁴

 The medical spend for those who used EAP was $75 per member/per month less than those who did not use EAP.⁵

Dental insurance is about more than just teeth—it’s about caring for the whole body. Anthem dental plans deliver flexibility, unmatched network access, and broad, innovative benefits. We offer standalone dental benefits. Or, when combined with an Anthem medical insurance plan, we coordinate whole-person care across plans for improved outcomes and savings for your clients.

Excellent Coverage — Our plans include preventive coverage for regular cleanings, exams, x-rays, as well as procedures like fillings, crowns, and root canals. We even offer Dental@Home teledentistry solutions, Ortho@Home clear aligners, Dentures@Home replacement dentures program, and extended services for certain medical conditions.

Flexible Portfolio — Our options are all customizable so we can meet any of your clients’ needs. We offer choices for annual maximums, deductibles and coinsurances, and out-of-network reimbursement.

Extensive Networks — With over 143,800* providers at over 617,700* locations, our network ensures that your clients and their members will find in-network dentists near where they live and work.

* Zelis Network360 data, December 2023.

Anthem’s vision plans deliver unmatched flexibility and diverse networks for easy access to care and savings. We offer standalone vision coverage. Or, when combined with an Anthem medical insurance plan, we coordinate whole-person care across plans for improved outcomes and savings for your clients.

Exceptional Coverage — Our plans cover check-ups and eye exams, allowances for glasses (single, bifocal, and trifocal lenses) or contacts, and new frames every 12 or 24 months.

Flexible Portfolio — Our broad portfolio of plans and cost share levels provide choices that best meets your clients’ needs. Options include exam only, materials only, or full-service coverage. We even offer plans with special benefits for active kids and young adults.

Extensive Networks — With over 43,000* eye doctors at over 32,000* locations nationwide, our network ensures that your clients and their members will find in-network providers near where they live and work.

Strategic Partnerships — We partner with the best in the industry. Your clients will have access to local independent eye doctors and regional and national providers: LensCrafters^®, Pearle Vision^®, and Target Optical^®. Plus, members have 24/7 access to online providers, including Glasses.com^®, ContactsDirect^®, 1-800 CONTACTS^®, Ray-Ban.com^®, Befitting^®, and Oakley.com^®.

* Zelis Network360 data, December 2023.

Anthem partners with The Standard to offer your clients leading life plans. You can learn more about The Standard’s products and solutions at standard.com.

Learn more about life plans from The Standard 

Anthem partners with The Standard to offer your clients leading absence & disability plans. You can learn more about The Standard’s products and solutions at standard.com.

Learn more about short term disability from The Standard 

Learn more about long term disability from The Standard 

Your large group clients can support their employees with supplemental health plans from Anthem. They reduce the impact of out-of-pocket expenses when employees face a health emergency.

An unexpected illness or injury can cause financial hardship. We offer three supplemental health benefit plans to help:

Accident

Critical Illness

Hospital Indemnity

Plans immediately pay lump-sum benefits that employees can use as they see fit, including for medical costs or daily living expenses during recovery. Supplemental health plans also include:

Automatic notification of benefits when members with Anthem medical and Anthem supplemental health benefits have an eligible claim.

No pre-existing condition exclusions for covered accidents or illnesses that occur after the effective coverage date.

Enrollment with no medical evidence needed.

Perpetual guaranteed issue during open enrollment and ongoing annual enrollments.

Supplemental health plans can be offered as employer paid or voluntary employee-paid plans.

For some of your clients, balancing rising health costs with a competitive benefits program can be challenging. With our voluntary benefits and enrollment services, your clients can attract and retain the best employees — while keeping costs in check. That’s because our specialty benefit plans can also be sold as voluntary options — paid 100% by employees through payroll deduction.

With voluntary specialty plans, we’ll even help your clients conduct enrollment. In person or online, our Voluntary Solutions team will walk your clients’ employees through all their new benefits and services, for maximum enrollment participation. Available for large group clients.