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Anthem No Longer Kentucky Medicaid Managed Care Organization (MCO) January 1

BCBSTX Finanicla Relief Program

Attention all Kentucky Medicare Agents,

Agility has learned that Anthem has moved all its Dual Eligible Special Needs Plans (DSNP) in Kentucky to non-marketed status on January 1, 2025. This is because Anthem lost its MCO status with the State of Kentucky.

Anthem is asking Agility to distribute the information below for agent reference:

The plans impacted by this action in Kentucky are:

  • Anthem Full Dual Advantage (HMO D-SNP), H9525-007-000

 

  • Anthem Full Dual Advantage 2 (HMO D-SNP), H9525-019-000

 

  • Anthem Dual Advantage (HMO D-SNP), H9525-016-000


Members enrolled in the plans listed above can now use their plan benefits.

Frequently Asked Questions:

Q: What will happen to Anthem’s Medicaid plan members in Kentucky?

A: Kentucky’s Department of Medicaid Services will automatically reassign Anthem Medicaid members to a new Medicaid MCO for plan year 2025. Members will receive a letter telling them about their new Medicaid MCO. Their new Medicaid plan is effective January 1, 2025.

Q: What will happen to Anthem’s Medicare Advantage D-SNP members in Kentucky?

A: Anthem’s D-SNP members remain enrolled in their plan while Anthem representatives discuss the changes with the state. Anthem will provide additional information as soon as possible.

Q: Will brokers receive commissions for 2025 D-SNP members?

A: Yes. Brokers will receive commissions on renewing and newly enrolled 2025 members.

Q: Can brokers continue to submit enrollment applications for 2025 D-SNP plans?

A: No. These plans are being removed from broker quoting platforms. We are in discussions with the state and will provide additional information soon.

Q: Which Anthem plans are still available to sell in Kentucky?

A: In Kentucky, Anthem continues to offer non-SNP Medicare Advantage Plans with robust benefits, Medicare Supplement and Medicare Select Plans, and Prescription Drug Plans.

2025 Medicare Advantage Plans

  • Anthem Medicare Advantage (HMO-POS)


        o H9525-013-002 in the Louisville area

        o H9525-013-003 in the Lexington area

        o H9525-013-004 in Northern and Western Kentucky

  • Anthem Veteran (PPO), H4909-023-000

 

2025 Prescription Drug Plans available:

  • Anthem MediBlue Rx Standard (PDP), S5596-017-000

 

  • Anthem MediBlue Rx Plus (PDP), S5596-018-000

 

Agility encourages all agents with clients on these plans to stay in regular contact with their clients using the 30-, 60-, or 90-day touch strategy to know what’s happening with their health insurance.

Agility encourages these agents to stay in regular contact with their Anthem Regional Sales Manager and to ensure client health and satisfaction during these changes.

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