757-692-8388
Anthem & Sentara Medicare Changes for 2027
Concerned About Keeping Your Sentara Doctors?
-
Sentara has announced that its agreement with Anthem Medicare Advantage plans will end January 1, 2027.
-
If you have Anthem Medicare coverage and see Sentara doctors, you may have questions about what happens next.
-
The good news is that you still have time to understand your options before making any decisions.
-
Retha Rish is here to help you navigate the changes and make informed choices about your Medicare coverage.
-
Call Retha: 757-692-8388
What's happening between Anthem and Sentara?
Sentara Health has announced that negotiations with Anthem regarding Medicare Advantage coverage have ended without a new agreement.
As a result, Sentara is expected to become out-of-network for affected Anthem Medicare Advantage plans beginning January 1, 2027, unless the situation changes.
For now, affected members can continue receiving in-network care from Sentara providers through December 31, 2026, subject to their current plan benefits.
This is particularly important for Hampton Roads residents who have established relationships with Sentara physicians, specialists, and hospitals.
The important thing to remember is that you do not need to rush into changing your coverage.
Should You Change Your Medicare Plan Right Now?
Retha recommends taking a cautious approach.
Although Sentara has announced the end of negotiations, there is still time before the changes are scheduled to take effect.
Retha recommends allowing until the end of October to see whether there are any further developments or a possible resolution.
If the situation remains unchanged, she will begin helping individuals who want to keep their Sentara doctors explore other Medicare plans that may include their preferred providers.
The goal is to make the right decision for your healthcare needs, not a rushed decision based on uncertainty.
What to remember
You have time to review your options. Don't make a change to your Medicare coverage without understanding how it could affect your doctors, prescriptions, and costs.
What Happens If Anthem and Sentara Don't Reach an Agreement?
If the situation remains unresolved at the end of October, Retha will begin helping individuals who wish to keep their Sentara providers review other Medicare coverage options.
Not everyone will need to change plans. Your choices depend on your individual healthcare needs and the coverage available in your area.
Retha can help you:
-
Review your current Medicare coverage.
-
Understand how the changes may affect your doctors and hospitals.
-
Explore available plans that include your preferred Sentara providers.
-
Compare prescription coverage, benefits, and costs.
-
Decide whether making a change is right for you.
Important Medicare Enrollment Dates
October 15 to December 7, 2026
This is Medicare's Annual Election Period, when eligible beneficiaries can make changes to their Medicare Advantage or prescription drug coverage for 2027.
Changes made during this period generally take effect January 1, 2027.
Have Questions About Anthem, Sentara, or Your Medicare Coverage?
You don't have to figure this out alone.
Whether you're already a client or looking for a local Medicare professional, Retha can help you understand your options.
Before making changes to your Medicare coverage, speak with someone who can help you review the full picture.
Retha Rish
American Senior Benefits
Call: 757-692-8388
Email: rrish@asb.insure
