What’s New for 2026

What You Need to Know

Effective January 1, 2026 (or as otherwise indicated)

  • Health Care premiums: Our health care cost increases reflect national health care trends, increased utilization and the continued inflationary economic environment. We continue to share these costs with you. In 2026, medical and dental premiums will increase. Vision premiums will remain the same.
  • Value PPO Plan: Annual deductibles will increase. In-network Individual/Family will be $1,700/$3,400 and out-of-network will be $3,400/$6,800. In addition, telehealth visits will no longer be subject to the deductible.
  • Anthem medical plans: You can search for an Anthem Diamond Provider Designation when you search for a provider on the Anthem website. These providers focus on quality care and better health outcomes at lower costs. You’ll also have access to dermatologists virtually, through LiveHealth Online.
  • Prescription drugs: Express Scripts will implement new quantity limits that align with FDA-approved label and medical guidelines to promote safe and appropriate drug use and reduce waste. If a higher quantity is medically necessary your doctor can contact Express Scripts to complete the exceptions process.
  • Hello Heart: Program eligibility will expand to females, age 52+ who report experiencing menopause. Hello Heart is a user-friendly program designed to help you monitor, manage, and improve your heart health. Current eligibility applies to Staff members who have high blood pressure (130/80 mmHg or higher), high cholesterol (120 mg/dL or higher), or take medication for either condition. Staff members and legal dependents over age 18 covered by an Amgen health plan can participate.
  • Power of Vitality: Play a new game of chance – Vitality Squares – starting December 1, 2025. Play once per month for opportunities to win points and gift cards. The number of squares you can flip is based on your reward status. Some Vitality Points activities will also increase in 2026.
    • Athletic Events will increase to 250 (Level 1), 350 (Level 2) and 500 (Level 3)
    • Sports Leagues will increase to 350 up to 10,000 (limited to the well-being category maximum)

    Log into PowerofVitality.com or Power of Vitality mobile app.

  • Health Care Flexible Spending Account (HCFSA): The HCFSA contribution annual limit will increase to $3,300 with a maximum carryover to $660 into 2027.
  • Health Savings Account (HSA): The IRS announced increased maximum annual HSA contributions to $4,400 (staff member only coverage) and $8,750 (family coverage). HSA catch-up contributions for those age 55 or older remain at $1,000 (staff member or family coverage).

Effective July 2025

  • New leave of absence administrator: Administration of our leave of absence program changed to AbsenceOne (formerly Reliance Matrix). Go to Leave of Absence.

Staff Members on a Leave of Absence

You do not need to actively enroll if you would like to keep your current Amgen medical, dental and vision coverage (or continue to opt-out of coverage) and do not want to add or change eligible dependent coverage. If currently on a leave of absence, you may make changes to your benefit elections, including your HSA and FSA, when you return from a leave of absence. Changes must be made within 31 days of the event.