Is adult dental care included?

Adult dental care is listed among excluded services in this SBC. Check official documents for any separate dental option.

How much does this plan cost per month?

The SBC does not provide the premium. Get an official quote based on your location, age and eligibility.

Anthem Bronze Pathway 10600 Review (2026)

Q: Do I need a referral to see a specialist?

The referenced SBC says no specialist referral is required. Confirm the terms for your specific policy.

Anthem Bronze Pathway 10600 Overview

Anthem Bronze Pathway 10600 is a 2026 Individual and Family ACA Marketplace HMO documented for Kentucky/Indiana. The official Summary of Benefits and Coverage lists a $10,600 individual in-network deductible and a $21,200 family deductible. The in-network out-of-pocket limit is also $10,600 per individual and $21,200 per family. Preventive care is covered before the deductible, and virtual visits are available. Premiums and full terms must be checked using the applicant’s location and official plan documents.

2026 plan with $0 preventive care and documented virtual-care benefits; verify local availability.

Expert Review of Anthem Bronze Pathway 10600

This Bronze plan has a high deductible, so members should compare the monthly premium with the amount they may pay before most cost-sharing begins. The 2026 SBC lists no specialist referral requirement and specifies that routine out-of-network services are generally not covered. Confirm the local provider network, prescription formulary, exclusions and complete Evidence of Coverage before enrollment.

Pros

Preventive care is covered before the deductible under the SBC terms.
The SBC states that a specialist referral is not required.
Virtual visits are available under the documented plan.

Cons

The individual in-network deductible is high at $10,600.
Routine out-of-network services are generally not covered under the SBC.
The monthly premium cannot be established without a location-specific quote.

About Elevance Health (Insurer Profile)

Elevance Health

Key Insights

Founded

1944

Elevance Health was established 82 years ago and has built strong credibility over time, backed by its long-standing presence in the market.

Claims Experience

0% CSR, calculated as a 3-year average

Elevance Health settles 0% of all claims it receives.

Network Hospitals

9000+

Elevance Health has a network of 9000+ hospitals, ensuring wide accessibility and convenience for policyholders.

Anthem Bronze Pathway 10600 Features and Benefits

In-network deductible

$10,600 per individual and $21,200 per family for the 2026 plan document.

Applies to in-network providers; review the SBC for services covered before deductible.

Out-of-pocket limit

$10,600 per individual and $21,200 per family for covered in-network services.

Premiums, balance-billing charges and excluded services do not count toward this limit.

Preventive care

Covered preventive care is listed as available before the deductible.

Use in-network providers and confirm that the service qualifies as preventive.

Primary and specialist visits

The SBC lists 0% coinsurance after deductible where applicable and no specialist referral requirement.

Confirm the service terms and network before receiving care.

Prescription drugs

The SBC lists prescription drug tiers and refers members to the plan Select Drug List.

Check the current formulary and pharmacy rules for the exact medicine.

Emergency services

Emergency room care and emergency medical transportation are listed as covered at in-network cost-sharing.

Non-emergency ambulance and other limitations may apply; see the official SBC.

What Anthem Bronze Pathway 10600 Does Not Cover (Exclusions)

Conditions or treatments that the policy clearly says it will not cover.

Adult dental care.
Adult routine eye care.
Infertility treatment.
Cosmetic surgery.
Long-term care.
Routine foot care.
Weight-loss programs.
Routine non-emergency care outside the United States.

Disclaimer: For illustration purposes only - exact terms are in the policy wording.

What's missing in Anthem Bronze Pathway 10600

Adult routine dental care is listed as excluded in this SBC.
Adult routine eye care is listed as excluded; check the full policy for any separate options.
Review the current Summary of Benefits and Coverage for exclusions, prior authorization requirements and service-specific limitations.

Anthem Bronze Pathway 10600 FAQs

What is the deductible for Anthem Bronze Pathway 10600?

The 2026 Kentucky/Indiana SBC lists $10,600 per individual and $21,200 per family for in-network providers.

What is the out-of-pocket limit?

The SBC lists $10,600 per individual and $21,200 per family for covered in-network services.

Does the plan cover preventive care before the deductible?

Yes. The SBC lists preventive care as covered before the deductible, subject to the plan terms.

Do I need a referral to see a specialist?