This tool provides research information only and does not guarantee eligibility, coverage, or reimbursement. Benefit details vary by plan year, member status, and administrator rules. Always verify current benefits directly with your insurer or plan administrator before making purchasing decisions.
Anthem Catastrophic Pathway (+ Incentives)
2026 ACA Marketplace plan · MO
According to 2026 Centers for Medicare & Medicaid Services (CMS) public filings, this Catastrophic EPO plan from Anthem Blue Cross and Blue Shield includes hearing aid coverage with Not Applicable / Tier 2: Not Applicable. This plan is available in Missouri.
This information is derived from publicly available CMS data and may not reflect individual plan variations, rider modifications, or mid-year changes. Always verify benefits directly with the plan or its administrator.
Sample report is open to everyone. No sign-in required.
Hearing Aids
Covered
Metal Level
Catastrophic
In-Network Cost
Not Applicable / Tier 2: Not Applicable
Out-of-Network Cost
100.00%
Quantity Limit
No limit reported
Source
CMS public filing
What this likely means
Based on the 2026 CMS public filing, this EPO plan from Anthem Blue Cross and Blue Shield includes hearing aid coverage as part of its Catastrophic tier benefits. In-network hearing aid costs are subject to Not Applicable / Tier 2: Not Applicable. Out-of-network costs are subject to 100.00%. The filing notes: "One hearing aid per ear every 36 months. Limit does not apply to newborn."
- •Confirm whether hearing aids require a referral or prior authorization
- •Ask whether your hearing aid provider is in-network for this plan
- •Ask about any quantity or frequency limits on hearing aids
- •Verify whether hearing aid costs count toward your annual deductible and out-of-pocket maximum
This interpretation is based on publicly available CMS filing data and may not reflect individual eligibility, rider modifications, or mid-year changes. Always verify benefits directly with the plan administrator.
See the full plan report
Includes plan administrator details, network requirements, prior authorization rules, cost worked examples, and direct contact numbers.
Questions to ask before ordering hearing aids
For audiologists and clinics
See which plans route hearing benefits through a third-party payer — before the appointment.
Related plans
Anthem Blue Cross and Blue Shield
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + …
SilverCovered
Anthem Blue Cross and Blue Shield
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drug…
Expanded BronzeCovered
Anthem Blue Cross and Blue Shield
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drug…
SilverCovered