Update on Anthem 2018 SBCs and SOBs

The SBCs and SOBs are still being created and have been delayed.  The current ETA is the first part of November.

Please remember you can use Anthem’s plan comparison tool to obtain the spreadsheet style benefit outlines—including grandmothered plans.

For more information, click here.

Anthem to Launch New Pharmacy Benefits Manager

Anthem’s new pharmacy benefits manager will be IngenioRx, which will offer a full suite of PBM solutions starting in 2020, coinciding with the conclusion of the company’s current PBM contract.

IngenioRx will serve customers of Anthem affiliated health plans, as well as non-Anthem
customers, with a seamless, integrated experience by taking Anthem’s new model to the
national marketplace. The IngenioRx pharmacy leadership team combined has more than 100
years of experience in the PBM industry, which will be invaluable in helping to ensure a
seamless transition for members.

To learn more, click here.

Anthem to Offer New Musculoskeletal and Pain Management Solution

Beginning in November, Anthem will offer a new comprehensive Musculoskeletal and Pain Management Solution, administered by AIM Specialty Health. This program reviews certain spine and join surgeries, and interventional pain services against clinical criteria to help make sure the care is appropriate and that it aligns with established evidence-based medicine.

The MSK program also includes an initiative to help get members engaged. Before any scheduled
procedure, they get information that educates them about the surgery or treatment. This initiative is
designed to drive adherence to care plans, motivate preventive action, and improve appropriate use
of care.

Starting in November 2017, the MSK program will be available only in certain states where Anthem does
business. The program will continue to expand into other states throughout 2018. It will be made
available to National Accounts in January 2019.

Here is the roll-out schedule for the new MSK program:

  • November 1, 2017: Fully insured groups in Kentucky, Ohio, Missouri, Wisconsin (Indiana is
  • March 1, 2018: Fully insured groups in Georgia, Virginia, New York, New Hampshire,
  • March 1, 2018: Fully insured groups in Georgia, Virginia, New York, New Hampshire,
    Connecticut, Maine, Colorado, Nevada, California
  • July 1, 2018: ASO (Administrative Services Only) groups
  • July 1, 2018: ASO (Administrative Services Only) groups
  • January 1, 2019: National Accounts
  • January 1, 2019: National Accounts

ANTHEM: Become a Medicare Megastar

Sell 18 approved Anthem Medicare Advantage policies with 1/1/18 effective dates during this AEP season and YOU can become a Medicare Megastar! As a Medicare Megastar, you’re entitled to SUPERHERO benefits like getting your 2019 AHIP certification at no cost!


View all the reasons to sell Anthem this year here!

Carriers with January 1 Effective Dates Available!

The following carriers have January 1, 2018, effective dates available for quoting as of October 4, 2017, this afternoon:

  • Aetna Funding Advantage
  • All Savers
  • Anthem (OH, KY, IN)
  • Anthem SOCA BP
  • Humana (OH, KY, IN)
  • UHC (IN, KY, OH)


For more information, contact your Cornerstone representative today!

Anthem Will Not Offer Coverage in Pike County

Anthem announced last week that they have chosen not to offer one Individual off-exchange catastrophic health plan in Pike County, Ohio. Impacted members have been notified.

The company hopes that changes in the market will allow them to have a more robust presence in the future.

Anthem Improves Security Measures

In an effort to keep members’ information and privacy secure, Anthem removed the option for Social Security numbers to be used as a registration data point when members are setting up an online account on their secure member website.

To register, members will enter their member identification number (found on their ID card.) For members who forget their username or password, they’ll need to use their email address or ID number to find their account. The member’s first name, last name, and date of birth are still required for registration and for username or password account recovery.


Safeguarding the trust and security of our members is our top priority

Letter From Anthem: Individual ACA Open Enrollment Starts November 1

Anthem recently released a letter detailing plans for 2018. As previously mentioned, the company will not offer ACA Individual health plans through the Health Insurance Marketplace in Ohio for 2018 and will reduce their off-exchange plan offerings. Only one Individual off-exchange catastrophic medical plan will be available in Pike County.

Click here to read more.

Anthem 2018 Commission Rates for Medicare Advantage

Anthem has announced their 2018 Medicare Advantage Commission rates.  This schedule takes effect for 1/1/18 business.


Click here for the commission schedule.

Anthem Annual Broker Road Show | Cincinnati

Join Cornerstone and Anthem for a road show meeting to learn about Anthem’s 2018 updates for your Individual, Small Group (2–50), and Key (51–99) clients.

Click here to RSVP.


DATE: October 3, 2017

TIME: 9:00 am–11:00 am

LOCATION: Cornerstone Cincinnati Office

2101 Florence Avenue | Cincinnati, OH 45206


Contact your Cornerstone representatives for additional details!


Click here for information about the Columbus meeting.