How much is a specialist visit?

The SBC lists a $70 in-network specialist copay before the deductible.

What is the monthly premium?

The SBC says premium information is provided separately. Obtain a quote for the applicable location and applicant.

Anthem Bronze Pathway Transition 7300 Benefits and Costs

Q: How much is a primary-care visit?

The SBC lists a $50 in-network primary-care copay before the deductible.

Anthem Bronze Pathway Transition 7300 Overview

Anthem Bronze Pathway Transition 7300 is a 2026 Individual and Family HMO plan. Its official Summary of Benefits and Coverage lists a $7,300 individual or $14,600 family in-network deductible and an in-network out-of-pocket limit of $10,600 per individual or $21,200 per family. The plan lists primary care, specialist visits, preventive care, certain prescription drugs and vision among services that may be covered before the deductible, subject to the applicable copayment or coinsurance. Virtual primary-care and selected drug benefits are part of the plan name; consult the full SBC and benefit documents for their exact terms.

$7,300 individual deductible, virtual PCP and select prescription-drug benefits.

Expert Review of Anthem Bronze Pathway Transition 7300

This Bronze HMO has a relatively high deductible, so members may pay substantial costs before the plan pays for many services. The SBC lists a $50 primary-care copay and a $70 specialist copay, both without applying the deductible. Preventive care is listed at no charge in-network. Many diagnostic, emergency and hospital services have significant coinsurance. Confirm the network, formulary, service-specific rules and availability in the intended county before enrolling.

Pros

Preventive care is listed at no charge when covered in-network.
Primary-care and specialist copays are available before meeting the deductible.
The plan includes virtual PCP and selected prescription-drug benefits.

Cons

The individual deductible is $7,300, which can mean substantial upfront costs.
Diagnostic, imaging and hospital services can involve significant coinsurance.
Routine out-of-network care is generally not covered except as specified by the plan.

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 Transition 7300 Features and Benefits

Primary care

In-network primary-care visits are listed at $50 per visit without applying the deductible.

Check the complete SBC for service-specific rules.

Specialist visits

In-network specialist visits are listed at $70 per visit without applying the deductible.

No referral is required under the cited SBC.

Preventive care

Covered in-network preventive services are listed at no charge.

Coverage follows the plan and preventive-service rules.

Diagnostic testing and imaging

Diagnostic services and imaging may involve substantial cost sharing; the SBC lists 40% coinsurance for diagnostic testing and imaging.

Confirm the service setting and applicable authorization requirements.

Prescription drugs

The SBC lists $25 for Tier 1 retail prescriptions, 35% coinsurance for Tier 2, 45% for Tier 3 and 50% for Tier 4.

Formulary, supply limits and pharmacy rules apply.

Hospital care

In-network hospital facility care is listed at 40% coinsurance after the deductible.

Hospital treatment can result in substantial out-of-pocket costs.

Waiting Periods in Anthem Bronze Pathway Transition 7300

The cited SBC does not specify a general medical waiting period. Enrollment dates, effective dates and service-specific requirements may apply.

What Anthem Bronze Pathway Transition 7300 Does Not Cover (Exclusions)

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

Adult routine dental care is generally not covered.
Adult routine eye care is generally not covered.
Infertility treatment is generally not covered.
Weight-loss programs and bariatric surgery are generally not covered.
Acupuncture is generally not covered.
Cosmetic surgery is generally not covered.
Long-term care is generally not covered.
Routine foot care is generally not covered unless medically necessary.
Non-emergency care outside the United States is generally not covered.
Non-emergency out-of-network care is generally not covered unless the plan approves it.

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

What's missing in Anthem Bronze Pathway Transition 7300

The official SBC does not state a monthly premium; request a quote for the relevant location.
Adult routine dental care, adult routine eye care and infertility treatment are listed among services generally not covered.
Review the current Summary of Benefits and Coverage for exclusions, prior authorization requirements and service-specific limitations.

Anthem Bronze Pathway Transition 7300 FAQs

What is the individual deductible?

The 2026 SBC lists $7,300 for in-network individual coverage.

What is the family deductible?

The 2026 SBC lists $14,600 for in-network family coverage.

What is the out-of-pocket limit?

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

How much is a primary-care visit?