Anthem Silver Pathway 5500 for HSA
Silver · HMO · Anthem Blue Cross and Blue Shield · Ohio
At age 40 it costs between $588.75 and $770.05 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,500 | $5,500 | No Charge after Deductible | No Charge after Deductible |
| up to 150% of the federal poverty level | $700 | $700 | No Charge after Deductible | No Charge after Deductible |
| 150% to 200% | $1,800 | $1,800 | No Charge after Deductible | No Charge after Deductible |
| 200% to 250% | $4,800 | $4,800 | No Charge after Deductible | No Charge after Deductible |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 29276OH0970004 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,500 |
| Family maximum | $11,000 |
| Primary care visit | No Charge after Deductible |
| Specialist visit | No Charge after Deductible |
| Emergency room | No Charge after Deductible |
| Inpatient stay | No Charge after Deductible |
| Generic drugs | No Charge after Deductible |
| Preferred brand drugs | No Charge after Deductible |
| Specialty drugs | No Charge after Deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-748-1808 |
Where it is sold, and what it costs there
88 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Butler County | $460.68 | $522.87 | $588.75 | $822.77 | $1,250.29 |
| Hamilton County | $460.68 | $522.87 | $588.75 | $822.77 | $1,250.29 |
| Warren County | $460.68 | $522.87 | $588.75 | $822.77 | $1,250.29 |
| Defiance County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Fulton County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Henry County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Lucas County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Williams County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Wood County | $471.50 | $535.15 | $602.58 | $842.10 | $1,279.65 |
| Columbiana County | $474.47 | $538.52 | $606.37 | $847.40 | $1,287.71 |
| Mahoning County | $474.47 | $538.52 | $606.37 | $847.40 | $1,287.71 |
| Trumbull County | $474.47 | $538.52 | $606.37 | $847.40 | $1,287.71 |
| Ashtabula County | $481.60 | $546.62 | $615.48 | $860.14 | $1,307.06 |
| Cuyahoga County | $481.60 | $546.62 | $615.48 | $860.14 | $1,307.06 |
| Geauga County | $481.60 | $546.62 | $615.48 | $860.14 | $1,307.06 |
| Lake County | $481.60 | $546.62 | $615.48 | $860.14 | $1,307.06 |
| Lorain County | $481.60 | $546.62 | $615.48 | $860.14 | $1,307.06 |
| Erie County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Huron County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Ottawa County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Sandusky County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Seneca County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Wyandot County | $490.58 | $556.81 | $626.96 | $876.18 | $1,331.43 |
| Champaign County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Clark County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Darke County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Greene County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Miami County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Montgomery County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Preble County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Shelby County | $492.83 | $559.36 | $629.84 | $880.19 | $1,337.54 |
| Holmes County | $500.17 | $567.69 | $639.22 | $893.30 | $1,357.46 |
| Wayne County | $500.17 | $567.69 | $639.22 | $893.30 | $1,357.46 |
| Adams County | $500.42 | $567.98 | $639.54 | $893.75 | $1,358.14 |
| Brown County | $500.42 | $567.98 | $639.54 | $893.75 | $1,358.14 |
| Clermont County | $500.42 | $567.98 | $639.54 | $893.75 | $1,358.14 |
| Clinton County | $500.42 | $567.98 | $639.54 | $893.75 | $1,358.14 |
| Highland County | $500.42 | $567.98 | $639.54 | $893.75 | $1,358.14 |
| Ashland County | $502.53 | $570.37 | $642.23 | $897.52 | $1,363.87 |
| Medina County | $502.53 | $570.37 | $642.23 | $897.52 | $1,363.87 |
| Portage County | $502.53 | $570.37 | $642.23 | $897.52 | $1,363.87 |
| Summit County | $502.53 | $570.37 | $642.23 | $897.52 | $1,363.87 |
| Allen County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Auglaize County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Hancock County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Hardin County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Mercer County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Paulding County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Putnam County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Van Wert County | $513.04 | $582.30 | $655.67 | $916.29 | $1,392.39 |
| Carroll County | $515.86 | $585.50 | $659.27 | $921.33 | $1,400.04 |
| Stark County | $515.86 | $585.50 | $659.27 | $921.33 | $1,400.04 |
| Belmont County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Coshocton County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Guernsey County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Harrison County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Jefferson County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Monroe County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Morgan County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Muskingum County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Noble County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Perry County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Tuscarawas County | $542.53 | $615.77 | $693.35 | $968.96 | $1,472.43 |
| Delaware County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Fairfield County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Fayette County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Franklin County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Knox County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Licking County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Logan County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Madison County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Pickaway County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Union County | $558.69 | $634.11 | $714.01 | $997.82 | $1,516.28 |
| Crawford County | $562.23 | $638.13 | $718.53 | $1,004.14 | $1,525.89 |
| Richland County | $562.23 | $638.13 | $718.53 | $1,004.14 | $1,525.89 |
| Marion County | $567.87 | $644.53 | $725.74 | $1,014.22 | $1,541.20 |
| Morrow County | $567.87 | $644.53 | $725.74 | $1,014.22 | $1,541.20 |
| Gallia County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Jackson County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Lawrence County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Pike County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Ross County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Scioto County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Vinton County | $590.64 | $670.38 | $754.84 | $1,054.88 | $1,603 |
| Athens County | $602.54 | $683.88 | $770.05 | $1,076.14 | $1,635.29 |
| Hocking County | $602.54 | $683.88 | $770.05 | $1,076.14 | $1,635.29 |
| Meigs County | $602.54 | $683.88 | $770.05 | $1,076.14 | $1,635.29 |
| Washington County | $602.54 | $683.88 | $770.05 | $1,076.14 | $1,635.29 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.