Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Silver · HMO · Anthem Blue Cross and Blue Shield · Ohio
At age 40 it costs between $563 and $736.37 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 | $4,000 | $9,200 | $35 | $3 |
| up to 150% of the federal poverty level | $0 | $1,000 | $10 | $3 |
| 150% to 200% | $900 | $2,600 | $15 | $3 |
| 200% to 250% | $2,700 | $8,100 | $25 | $3 |
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 | 29276OH0970005 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $4,000 |
| Deductible (family) | $8,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | $35 |
| Specialist visit | $70 |
| Emergency room | $500 Copay after deductible and 30% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $40 |
| Specialty drugs | 40% Coinsurance 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 | $440.53 | $500 | $563 | $786.79 | $1,195.60 |
| Hamilton County | $440.53 | $500 | $563 | $786.79 | $1,195.60 |
| Warren County | $440.53 | $500 | $563 | $786.79 | $1,195.60 |
| Defiance County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Fulton County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Henry County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Lucas County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Williams County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Wood County | $450.88 | $511.75 | $576.22 | $805.27 | $1,223.69 |
| Columbiana County | $453.72 | $514.97 | $579.85 | $810.34 | $1,231.40 |
| Mahoning County | $453.72 | $514.97 | $579.85 | $810.34 | $1,231.40 |
| Trumbull County | $453.72 | $514.97 | $579.85 | $810.34 | $1,231.40 |
| Ashtabula County | $460.54 | $522.71 | $588.57 | $822.52 | $1,249.91 |
| Cuyahoga County | $460.54 | $522.71 | $588.57 | $822.52 | $1,249.91 |
| Geauga County | $460.54 | $522.71 | $588.57 | $822.52 | $1,249.91 |
| Lake County | $460.54 | $522.71 | $588.57 | $822.52 | $1,249.91 |
| Lorain County | $460.54 | $522.71 | $588.57 | $822.52 | $1,249.91 |
| Erie County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Huron County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Ottawa County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Sandusky County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Seneca County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Wyandot County | $469.12 | $532.45 | $599.54 | $837.85 | $1,273.19 |
| Champaign County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Clark County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Darke County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Greene County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Miami County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Montgomery County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Preble County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Shelby County | $471.28 | $534.90 | $602.30 | $841.71 | $1,279.05 |
| Holmes County | $478.29 | $542.86 | $611.25 | $854.23 | $1,298.08 |
| Wayne County | $478.29 | $542.86 | $611.25 | $854.23 | $1,298.08 |
| Adams County | $478.54 | $543.14 | $611.57 | $854.67 | $1,298.76 |
| Brown County | $478.54 | $543.14 | $611.57 | $854.67 | $1,298.76 |
| Clermont County | $478.54 | $543.14 | $611.57 | $854.67 | $1,298.76 |
| Clinton County | $478.54 | $543.14 | $611.57 | $854.67 | $1,298.76 |
| Highland County | $478.54 | $543.14 | $611.57 | $854.67 | $1,298.76 |
| Ashland County | $480.55 | $545.42 | $614.14 | $858.26 | $1,304.21 |
| Medina County | $480.55 | $545.42 | $614.14 | $858.26 | $1,304.21 |
| Portage County | $480.55 | $545.42 | $614.14 | $858.26 | $1,304.21 |
| Summit County | $480.55 | $545.42 | $614.14 | $858.26 | $1,304.21 |
| Allen County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Auglaize County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Hancock County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Hardin County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Mercer County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Paulding County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Putnam County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Van Wert County | $490.60 | $556.83 | $626.99 | $876.21 | $1,331.49 |
| Carroll County | $493.30 | $559.90 | $630.44 | $881.03 | $1,338.82 |
| Stark County | $493.30 | $559.90 | $630.44 | $881.03 | $1,338.82 |
| Belmont County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Coshocton County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Guernsey County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Harrison County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Jefferson County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Monroe County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Morgan County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Muskingum County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Noble County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Perry County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Tuscarawas County | $518.80 | $588.84 | $663.03 | $926.58 | $1,408.02 |
| Delaware County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Fairfield County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Fayette County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Franklin County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Knox County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Licking County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Logan County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Madison County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Pickaway County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Union County | $534.25 | $606.37 | $682.77 | $954.17 | $1,449.95 |
| Crawford County | $537.64 | $610.22 | $687.10 | $960.23 | $1,459.15 |
| Richland County | $537.64 | $610.22 | $687.10 | $960.23 | $1,459.15 |
| Marion County | $543.03 | $616.34 | $693.99 | $969.85 | $1,473.78 |
| Morrow County | $543.03 | $616.34 | $693.99 | $969.85 | $1,473.78 |
| Gallia County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Jackson County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Lawrence County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Pike County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Ross County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Scioto County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Vinton County | $564.81 | $641.06 | $721.83 | $1,008.75 | $1,532.89 |
| Athens County | $576.19 | $653.98 | $736.37 | $1,029.08 | $1,563.78 |
| Hocking County | $576.19 | $653.98 | $736.37 | $1,029.08 | $1,563.78 |
| Meigs County | $576.19 | $653.98 | $736.37 | $1,029.08 | $1,563.78 |
| Washington County | $576.19 | $653.98 | $736.37 | $1,029.08 | $1,563.78 |
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.