Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Silver · HMO · Anthem Blue Cross and Blue Shield · Ohio
At age 40 it costs between $542.69 and $709.81 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 | $5,000 | $8,950 | $30 | $3 |
| up to 150% of the federal poverty level | $0 | $1,000 | $5 | $3 |
| 150% to 200% | $1,300 | $2,500 | $15 | $3 |
| 200% to 250% | $3,750 | $7,000 | $20 | $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 | 29276OH0970006 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,950 |
| Family maximum | $17,900 |
| Primary care visit | $30 |
| Specialist visit | $80 |
| Emergency room | $500 Copay after deductible and 25% 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 | $424.64 | $481.97 | $542.69 | $758.41 | $1,152.47 |
| Hamilton County | $424.64 | $481.97 | $542.69 | $758.41 | $1,152.47 |
| Warren County | $424.64 | $481.97 | $542.69 | $758.41 | $1,152.47 |
| Defiance County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Fulton County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Henry County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Lucas County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Williams County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Wood County | $434.62 | $493.29 | $555.44 | $776.23 | $1,179.56 |
| Columbiana County | $437.36 | $496.40 | $558.95 | $781.12 | $1,187 |
| Mahoning County | $437.36 | $496.40 | $558.95 | $781.12 | $1,187 |
| Trumbull County | $437.36 | $496.40 | $558.95 | $781.12 | $1,187 |
| Ashtabula County | $443.93 | $503.86 | $567.34 | $792.86 | $1,204.83 |
| Cuyahoga County | $443.93 | $503.86 | $567.34 | $792.86 | $1,204.83 |
| Geauga County | $443.93 | $503.86 | $567.34 | $792.86 | $1,204.83 |
| Lake County | $443.93 | $503.86 | $567.34 | $792.86 | $1,204.83 |
| Lorain County | $443.93 | $503.86 | $567.34 | $792.86 | $1,204.83 |
| Erie County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Huron County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Ottawa County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Sandusky County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Seneca County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Wyandot County | $452.20 | $513.25 | $577.91 | $807.63 | $1,227.27 |
| Champaign County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Clark County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Darke County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Greene County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Miami County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Montgomery County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Preble County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Shelby County | $454.28 | $515.61 | $580.57 | $811.34 | $1,232.92 |
| Holmes County | $461.04 | $523.28 | $589.21 | $823.42 | $1,251.26 |
| Wayne County | $461.04 | $523.28 | $589.21 | $823.42 | $1,251.26 |
| Adams County | $461.28 | $523.55 | $589.52 | $823.85 | $1,251.91 |
| Brown County | $461.28 | $523.55 | $589.52 | $823.85 | $1,251.91 |
| Clermont County | $461.28 | $523.55 | $589.52 | $823.85 | $1,251.91 |
| Clinton County | $461.28 | $523.55 | $589.52 | $823.85 | $1,251.91 |
| Highland County | $461.28 | $523.55 | $589.52 | $823.85 | $1,251.91 |
| Ashland County | $463.22 | $525.75 | $592 | $827.31 | $1,257.18 |
| Medina County | $463.22 | $525.75 | $592 | $827.31 | $1,257.18 |
| Portage County | $463.22 | $525.75 | $592 | $827.31 | $1,257.18 |
| Summit County | $463.22 | $525.75 | $592 | $827.31 | $1,257.18 |
| Allen County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Auglaize County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Hancock County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Hardin County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Mercer County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Paulding County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Putnam County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Van Wert County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Carroll County | $475.51 | $539.70 | $607.70 | $849.26 | $1,290.53 |
| Stark County | $475.51 | $539.70 | $607.70 | $849.26 | $1,290.53 |
| Belmont County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Coshocton County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Guernsey County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Harrison County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Jefferson County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Monroe County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Morgan County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Muskingum County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Noble County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Perry County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Tuscarawas County | $500.10 | $567.61 | $639.13 | $893.18 | $1,357.27 |
| Delaware County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Fairfield County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Fayette County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Franklin County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Knox County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Licking County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Logan County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Madison County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Pickaway County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Union County | $514.99 | $584.51 | $658.16 | $919.77 | $1,397.68 |
| Crawford County | $518.25 | $588.21 | $662.32 | $925.59 | $1,406.53 |
| Richland County | $518.25 | $588.21 | $662.32 | $925.59 | $1,406.53 |
| Marion County | $523.45 | $594.12 | $668.97 | $934.88 | $1,420.64 |
| Morrow County | $523.45 | $594.12 | $668.97 | $934.88 | $1,420.64 |
| Gallia County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Jackson County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Lawrence County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Pike County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Ross County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Scioto County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Vinton County | $544.44 | $617.94 | $695.79 | $972.37 | $1,477.61 |
| Athens County | $555.41 | $630.39 | $709.81 | $991.96 | $1,507.38 |
| Hocking County | $555.41 | $630.39 | $709.81 | $991.96 | $1,507.38 |
| Meigs County | $555.41 | $630.39 | $709.81 | $991.96 | $1,507.38 |
| Washington County | $555.41 | $630.39 | $709.81 | $991.96 | $1,507.38 |
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.