About Anthem BCBS Missouri Coverage in Saint Louis
Anthem BCBS Missouri operates 24 distinct networks in Saint Louis, MO, with a combined in-network roster of 191 doctors across 14 medical specialties. Among the five largest insurers we track in Saint Louis, Anthem BCBS Missouri ranks #6 by provider count, the leader is Aetna with 10,881 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Anthem BCBS Missouri networks have the widest reach in Saint Louis, and compare coverage against other major insurers before scheduling care.
Anthem BCBS Missouri publishes its Saint Louis directory at the network level rather than the consumer-plan level. The labels on each row below (for example Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
Anthem BCBS Missouri sells consumer plans through two channels in Saint Louis: 10 ACA marketplace plans on healthcare.gov and 5 Medicare Advantage plans for seniors. Both are listed below with metal tiers, plan types, and star ratings where applicable.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Marketplace plans come from the CMS Qualified Health Plan Public Use File. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed October 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Anthem BCBS Missouri Networks in Saint Louis
Anthem BCBS Missouri contracts with doctors at the network level in Saint Louis. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them. For consumer plan names, see the section below.
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Bronze
4,760
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze
4,760
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze
4,760
Anthem Catastrophic Pathway (+ Incentives)
Catastrophic
4,760
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold
4,760
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze
4,760
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver
4,760
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver
4,760
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver
4,760
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver
4,760
Anthem Dental Family
Low
169
Anthem Dental Family Enhanced
High
169
Anthem BCBS Missouri ACA Marketplace Plans Available in Saint Louis
10 Anthem BCBS Missouri plans sold on healthcare.gov for Saint Louis. These are the consumer plan names you’ll see during open enrollment, with metal tier (Bronze/Silver/Gold/Platinum) and plan type (PPO/HMO/EPO/POS).
Bronze plans have lower monthly premiums and higher out-of-pocket costs; Gold and Platinum have higher premiums but lower copays. Your plan choice affects which Anthem BCBS Missouri doctors above are in-network. the network labels above map to one or more of these plans.
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: Pathway and Pharmacy Base Network
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: Pathway and Pharmacy Base Network
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: Pathway and Pharmacy Base Network
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Network: BEST Life and Health National Network
Anthem Catastrophic Pathway (+ Incentives)
Network: BEST Life and Health National Network
Source: CMS Qualified Health Plan Public Use Files (PY 2026). ACA marketplace plans only. Does not include employer-group or Medicare plans.
Anthem BCBS Missouri Medicare Advantage Plans in Saint Louis
5 Anthem BCBS Missouri Medicare Advantage plans available to seniors in Saint Louis. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting Anthem BCBS Missouri
Anthem BCBS Missouri’s Saint Louis network spans 14 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in Saint Louis, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Top Hospitals Serving Anthem BCBS Missouri Patients in Saint Louis
Hospitals with the most Anthem BCBS Missouri-network physicians practicing there. Large affiliation counts indicate that Anthem BCBS Missouri has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your Anthem BCBS Missouri plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Barnes Jewish Hospital
Saint Louis, MO
Missouri Baptist Medical Center
Saint Louis, MO
Mercy Hospital St Louis
Saint Louis, MO
Mercy Hospital South
Saint Louis, MO
Mercy Hospital Springfield
Springfield, MO
Medical Center Of The Rockies
Loveland, CO
Coverage Compared in Saint Louis
Side-by-side provider counts for the five largest commercial and government insurers tracked in Saint Louis. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If Anthem BCBS Missouri’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Saint Louis provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with Anthem BCBS Missouri Coverage
Cities closest to Saint Louis where Anthem BCBS Missouri has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Anthem BCBS Missouri network size. a small count doesn’t mean no coverage, just that your in-Saint Louis options are likely more plentiful.
Frequently Asked Questions
Common questions about Anthem BCBS Missouri coverage in Saint Louis
How do I find an Anthem BCBS Missouri in-network doctor in Saint Louis, MO?
Anthem BCBS Missouri has 191 in-network providers across 14 medical specialties in Saint Louis. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified October 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What Anthem BCBS Missouri ACA marketplace plans cover Saint Louis?
Anthem BCBS Missouri sells 10 consumer plans on healthcare.gov for Saint Louis, MO, including Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives), Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives), Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) and 7 others. Available plan types are EPO. These plans appear on healthcare.gov during open enrollment (typically November to January) and through special enrollment periods after qualifying life events.
What metal tiers does Anthem BCBS Missouri offer in Saint Louis?
Anthem BCBS Missouri's ACA marketplace presence in Saint Louis spans 5 metal tiers: Bronze (1), Expanded Bronze (3), Catastrophic (1), Gold (1), Silver (4). Metal tiers describe the cost-sharing balance, not provider quality. Bronze plans have the lowest monthly premiums but you pay more per visit. Silver plans are eligible for federal cost-sharing reductions if your income qualifies. Gold and Platinum plans cost more monthly but reduce out-of-pocket costs for specialist visits, hospital stays, and prescriptions.
Does Anthem BCBS Missouri offer Medicare Advantage in Saint Louis?
Yes. Anthem BCBS Missouri offers 5 Medicare Advantage plans in Saint Louis for 2026, with plan types including HMO-POS C-SNP, HMO D-SNP, HMO-POS, PPO. The average CMS star rating across these plans is 3.0 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated Anthem BCBS Missouri Medicare Advantage plan in Saint Louis?
Anthem Chronic Care (HMO-POS C-SNP) (HMO-POS C-SNP) holds Anthem BCBS Missouri's top CMS star rating in Saint Louis at 3.0 of 5, with a $0 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Are there $0 premium Anthem BCBS Missouri Medicare Advantage plans in Saint Louis?
Yes. 4 of Anthem BCBS Missouri's 5 Medicare Advantage plans in Saint Louis carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.
Which hospitals in Saint Louis accept Anthem BCBS Missouri?
Hospitals where Anthem BCBS Missouri doctors most commonly practice in Saint Louis include BARNES JEWISH HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, MERCY HOSPITAL ST LOUIS, MERCY HOSPITAL SOUTH. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Anthem BCBS Missouri plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most Anthem BCBS Missouri providers in Saint Louis?
Anthem BCBS Missouri's Saint Louis network is largest in Dentist (135), Oral Surgery (13), Mental Health Counselor (12). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How does Anthem BCBS Missouri compare to other insurers in Saint Louis?
Anthem BCBS Missouri ranks #6 of 6 major insurers tracked in Saint Louis by provider count, with 191 doctors. Aetna leads at 10,881 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Saint Louis.
Why don't I see specific Anthem BCBS Missouri plan names like Bronze or Silver?
Anthem BCBS Missouri files its Saint Louis provider directory at the network level rather than by consumer plan name. The labels above (such as Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)) are the network identifiers Anthem BCBS Missouri uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
How do I verify a doctor is in-network with Anthem BCBS Missouri?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Anthem BCBS Missouri plan, and third check Anthem BCBS Missouri's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed October 29, 2026.
What if my doctor isn't listed here?
This list reflects Anthem BCBS Missouri's submitted network data as of the last federal filing on October 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Anthem BCBS Missouri, then check Anthem BCBS Missouri's own member portal for confirmation.
When was this Anthem BCBS Missouri data last updated?
The Anthem BCBS Missouri Saint Louis provider list was last refreshed October 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. ACA marketplace plan data comes from the CMS Qualified Health Plan Public Use File for plan year 2026. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Saint Louis Anthem BCBS Missouri members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified October 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly