Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)
Starting at
$535
/month before subsidy
Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) is a 2026 Gold HMO health insurance plan from Anthem Blue Cross and Blue Shield, sold on the ACA Marketplace in New Hampshire under plan ID 96751NH0150036. The monthly premium starts at $535 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,200 ($3,600 for a family), and the individual out-of-pocket maximum is $9,000 ($18,000 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 96751NH0150036
- Plan year
- 2026
- State
- New Hampshire
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$1,200
Family: $3,600
Out-of-Pocket Max
$9,000
Family: $18,000
Coinsurance
20%
You pay after deductible
Network Type
HMO
NHN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$3,560
your estimated cost
- Deductible
- $1,200
- Copays
- $300
- Coinsurance
- $2,000
Managing type 2 diabetes
A year of routine care
$1,420
your estimated cost
- Deductible
- $0
- Copays
- $1,400
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$1,600
your estimated cost
- Deductible
- $1,200
- Copays
- $100
- Coinsurance
- $300
Enter your ZIP code first to search nearby doctors.
This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,285/month
Annual Premium
$6,420
OOP Maximum
$9,000
💡 What this means:
With a $1,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,000 total. Then insurance covers everything else for the year.
More plans from Anthem Blue Cross and Blue Shield in New Hampshire
- Anthem Catastrophic Pathway X Enhancedfrom $278/mo
- Anthem Bronze Pathway X Enhanced 6000/35% HSAfrom $367/mo
- Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs)from $324/mo
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standardfrom $353/mo
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs)from $355/mo
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs)from $478/mo
- Anthem Silver Pathway X Enhanced 4500/20% HSAfrom $445/mo
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs)from $440/mo
Frequently asked questions about Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)
How much does Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) cost per month?
Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) from Anthem Blue Cross and Blue Shield starts at $535 per month before any subsidy in New Hampshire. 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 Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)?
The individual medical deductible is $1,200, and the family deductible is $3,600. 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 Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)?
The most you would pay in a year for covered in-network care is $9,000 for an individual and $18,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) HSA-eligible?
No. Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) use?
Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.