Anthem (Elevance Health) employer health plans in Maine
Who Anthem (Elevance Health) insures among Maine employers and what those plans pay in premium and broker compensation, and what the Anthem (Elevance Health) network pays hospitals.
Anthem (Elevance Health) employer health plans in Maine at a glance
What the data shows
Anthem (Elevance Health) insures 29 employer health plans in Maine (18% of 163 insured large plans), 2nd of 7 carrier groups; regional insurers hold more.
Anthem (Elevance Health) has shrunk 22% in Maine since 2020, from 37 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (21 plans); 2 cover 1,000 or more.
Median premium per person covered was $8,193, 3% above the Maine all-carrier median of $7,992. Benefit design and group mix differ, so this is not a price comparison.
97% of these plans reported broker or agent pay on their Anthem (Elevance Health) contracts; where paid, the median was 3.2% of premium (middle half 2.0%–3.5%).
At Maine hospitals, Anthem (Elevance Health)'s commercial rates run higher than other carriers' at the same hospital for 11 of 14 services.
Anthem (Elevance Health) plans in Maine, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 37 | 46,941 | 23% | $6,040 |
| 2021 | 53 | 49,167 | 27% | $6,368 |
| 2022 | 38 | 44,442 | 22% | $6,872 |
| 2023 | 29 | 38,717 | 15% | $7,066 |
| 2024 | 29 | 38,543 | 18% | $8,193 |
| 2025 (partial) | 17 | 8,497 | 13% | $7,035 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 4 | 14% |
| 100–499 | 21 | 72% |
| 500–999 | 2 | 7% |
| 1,000–4,999 | 1 | 3% |
| 5,000 or more | 1 | 3% |
Premiums and broker pay
| Measure | Anthem (Elevance Health) | All carriers, Maine |
|---|---|---|
| Median premium per person covered | $8,193 | $7,992 |
| Premium per person, middle half | $6,447–$8,847 | $5,791–$9,948 |
| Plans reporting broker or agent pay | 97% | 94% |
| Median broker pay, % of premium | 3.2% | 3.1% |
| Broker pay, middle half | 2.0%–3.5% | 2.4%–4.1% |
| Median broker pay per person covered | $203 | $248 |
Industries
Anthem (Elevance Health)'s Maine employer clients are concentrated in finance and insurance (6 plans) and health care and social assistance (6), followed by professional and technical services (5).
| Industry | Plans | Share |
|---|---|---|
| Finance and insurance | 6 | 21% |
| Health care and social assistance | 6 | 21% |
| Professional and technical services | 5 | 17% |
| Construction | 3 | 10% |
| Manufacturing | 3 | 10% |
| Retail trade | 2 | 7% |
Anthem (Elevance Health) employer clients in Maine
29 employers in Maine have a Anthem (Elevance Health) major-medical contract, 2 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the Anthem (Elevance Health) Prospect List for Maine →
What the Anthem (Elevance Health) network pays hospitals in Maine
Anthem (Elevance Health) commercial rates are on record at 28 Maine hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, Anthem (Elevance Health)'s rate is higher than the other carriers' median for 11 of 14 services and lower for 1. For Emergency visit, level 4, the rate runs from $206 to $1,864 across 23 hospitals.
This page shows 2 of the 14 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| MRI, lower back | 24 | $352 | $234–$1,725 | Higher | $1,293 |
| MRI, knee | 24 | Locked | Locked | Higher | Locked |
| CT, head | 24 | Locked | Locked | Higher | Locked |
| CT, abdomen and pelvis | 24 | Locked | Locked | Higher | Locked |
| Screening mammogram | 24 | Locked | Locked | About the same | Locked |
| Colonoscopy, diagnostic | 19 | Locked | Locked | Higher | Locked |
| Upper GI endoscopy with biopsy | 19 | Locked | Locked | Higher | Locked |
| Knee arthroscopy | 19 | Locked | Locked | Higher | Locked |
| Cataract surgery | 18 | Locked | Locked | Higher | Locked |
| Gallbladder removal, laparoscopic | 19 | Locked | Locked | Higher | Locked |
| Knee replacement, outpatient | 19 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 23 | $226 | $206–$1,864 | Higher | $754 |
| Comprehensive metabolic panel | 24 | Locked | Locked | Lower | Locked |
| Complete blood count | 24 | Locked | Locked | About the same | Locked |
Hospitals with the most published Anthem (Elevance Health) rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Eastern Maine Medical Center | – | Locked | Locked | Locked | Locked | Locked |
| Franklin Memorial Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Maine Medical Center | $47,797 | Locked | Locked | Locked | Locked | Locked |
| Mainehealth Franklin Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Mainehealth Lincoln Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Mid Coast Hospital | $34,057 | Locked | Locked | Locked | Locked | Locked |
| Northern Light A R Gould Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Northern Light Acadia Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Northern Light Blue Hill Memorial Hospital | – | Locked | Locked | Locked | Locked | Locked |
| Pen Bay Medical Center | $38,270 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 10%, fee schedules 75%, per diem 0%, percent of billed charges 6%, other 8% of Anthem (Elevance Health)'s published commercial rates for these services in Maine.
Employers: see all 14 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Maine
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 71 | 44% | $8,727 | 3.0% |
| Anthem (Elevance Health) | 29 | 18% | $8,193 | 3.2% |
| Cigna | 28 | 17% | $7,637 | 4.0% |
| Aetna | 19 | 12% | $7,214 | 3.1% |
| UnitedHealthcare | 12 | 7% | $5,997 | 3.1% |
| Blue Cross Blue Shield | 8 | 5% | $8,271 | 2.9% |
| Kaiser Permanente | 2 | 1% | $5,971 | 4.6% |
Anthem (Elevance Health) in other states
FAQ
How many Maine employers have Anthem (Elevance Health) health insurance?
29 employer health plans in Maine reported a Anthem (Elevance Health) major-medical contract in their 2024 filings, covering 38,543 persons. Self-funded plans that Anthem (Elevance Health) only administers are not counted.
What is Anthem (Elevance Health)'s share of the Maine insured employer market?
18% of insured large employer health plans, 2nd of 7 carrier groups by plan count.
How much do brokers earn on Anthem (Elevance Health) plans in Maine?
Where broker or agent pay was reported, the median was 3.2% of premium (3.1% across all carriers in Maine).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 29 Maine employer health plans with a Anthem (Elevance Health) major-medical contract in their 2024 filings. Self-funded plans that Anthem (Elevance Health) only administers are not counted here.
- Premium and broker figures: 29 contracts with 20+ persons covered and a reported premium; broker percentages use the 28 contracts that reported broker or agent pay.
- Hospital prices: Anthem (Elevance Health) commercial rates at Maine hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.