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CatastrophicEPOHSA Eligible

Anthem Catastrophic Pathway (+ Incentives)

Anthem Blue Cross and Blue Shield

Starting at

$365

/month before subsidy

Key facts

Anthem Catastrophic Pathway (+ Incentives) is a 2026 Catastrophic EPO health insurance plan from Anthem Blue Cross and Blue Shield, sold on the ACA Marketplace in Missouri under plan ID 32753MO0980017. The monthly premium starts at $365 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $10,600 ($21,200 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
32753MO0980017
Plan year
2026
State
Missouri
Metal level
Catastrophic
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$10,600

Family: $21,200

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

0%

You pay after deductible

Network Type

EPO

MON001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$40.00
Specialist VisitNo Charge after deductible
Urgent CareNo Charge after deductible
Emergency RoomNo Charge after deductible

Prescription Drugs

Generic Drugs0.00% Coinsurance after deductible
Brand Name Drugs0.00% Coinsurance after deductible
Specialty Drugs0.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
2.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$10,660

your estimated cost

Deductible
$10,600
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$5,320

your estimated cost

Deductible
$5,200
Copays
$100
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Anthem Blue Cross and Blue Shield. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Catastrophic EPO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $10,600 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,248/month

Annual Premium

$4,380

OOP Maximum

$10,600

💡 What this means:

With a $10,600 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Anthem Blue Cross and Blue Shield in Missouri

View all Marketplace plans in Missouri

Frequently asked questions about Anthem Catastrophic Pathway (+ Incentives)

How much does Anthem Catastrophic Pathway (+ Incentives) cost per month?

Anthem Catastrophic Pathway (+ Incentives) from Anthem Blue Cross and Blue Shield starts at $365 per month before any subsidy in Missouri. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Anthem Catastrophic Pathway (+ Incentives)?

The individual medical deductible is $10,600, and the family deductible is $21,200. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Anthem Catastrophic Pathway (+ Incentives)?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Anthem Catastrophic Pathway (+ Incentives) HSA-eligible?

Yes. Anthem Catastrophic Pathway (+ Incentives) is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Anthem Catastrophic Pathway (+ Incentives) use?

Anthem Catastrophic Pathway (+ Incentives) is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

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Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.