Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Silver · HMO · Anthem Blue Cross and Blue Shield · Ohio
At age 40 it costs between $551.47 and $721.29 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 29276OH0970008 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay 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 | $431.51 | $489.76 | $551.47 | $770.68 | $1,171.12 |
| Hamilton County | $431.51 | $489.76 | $551.47 | $770.68 | $1,171.12 |
| Warren County | $431.51 | $489.76 | $551.47 | $770.68 | $1,171.12 |
| Defiance County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Fulton County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Henry County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Lucas County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Williams County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Wood County | $441.65 | $501.27 | $564.43 | $788.79 | $1,198.64 |
| Columbiana County | $444.43 | $504.43 | $567.98 | $793.75 | $1,206.18 |
| Mahoning County | $444.43 | $504.43 | $567.98 | $793.75 | $1,206.18 |
| Trumbull County | $444.43 | $504.43 | $567.98 | $793.75 | $1,206.18 |
| Ashtabula County | $451.11 | $512.01 | $576.52 | $805.68 | $1,224.31 |
| Cuyahoga County | $451.11 | $512.01 | $576.52 | $805.68 | $1,224.31 |
| Geauga County | $451.11 | $512.01 | $576.52 | $805.68 | $1,224.31 |
| Lake County | $451.11 | $512.01 | $576.52 | $805.68 | $1,224.31 |
| Lorain County | $451.11 | $512.01 | $576.52 | $805.68 | $1,224.31 |
| Erie County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Huron County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Ottawa County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Sandusky County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Seneca County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Wyandot County | $459.52 | $521.56 | $587.27 | $820.70 | $1,247.14 |
| Champaign County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Clark County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Darke County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Greene County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Miami County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Montgomery County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Preble County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Shelby County | $461.63 | $523.95 | $589.96 | $824.47 | $1,252.86 |
| Holmes County | $468.50 | $531.75 | $598.74 | $836.74 | $1,271.51 |
| Wayne County | $468.50 | $531.75 | $598.74 | $836.74 | $1,271.51 |
| Adams County | $468.74 | $532.02 | $599.05 | $837.17 | $1,272.16 |
| Brown County | $468.74 | $532.02 | $599.05 | $837.17 | $1,272.16 |
| Clermont County | $468.74 | $532.02 | $599.05 | $837.17 | $1,272.16 |
| Clinton County | $468.74 | $532.02 | $599.05 | $837.17 | $1,272.16 |
| Highland County | $468.74 | $532.02 | $599.05 | $837.17 | $1,272.16 |
| Ashland County | $470.71 | $534.26 | $601.57 | $840.69 | $1,277.51 |
| Medina County | $470.71 | $534.26 | $601.57 | $840.69 | $1,277.51 |
| Portage County | $470.71 | $534.26 | $601.57 | $840.69 | $1,277.51 |
| Summit County | $470.71 | $534.26 | $601.57 | $840.69 | $1,277.51 |
| Allen County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Auglaize County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Hancock County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Hardin County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Mercer County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Paulding County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Putnam County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Van Wert County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Carroll County | $483.20 | $548.43 | $617.53 | $863 | $1,311.40 |
| Stark County | $483.20 | $548.43 | $617.53 | $863 | $1,311.40 |
| Belmont County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Coshocton County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Guernsey County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Harrison County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Jefferson County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Monroe County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Morgan County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Muskingum County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Noble County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Perry County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Tuscarawas County | $508.18 | $576.78 | $649.45 | $907.61 | $1,379.20 |
| Delaware County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Fairfield County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Fayette County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Franklin County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Knox County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Licking County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Logan County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Madison County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Pickaway County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Union County | $523.32 | $593.97 | $668.80 | $934.65 | $1,420.29 |
| Crawford County | $526.63 | $597.73 | $673.03 | $940.56 | $1,429.27 |
| Richland County | $526.63 | $597.73 | $673.03 | $940.56 | $1,429.27 |
| Marion County | $531.92 | $603.73 | $679.79 | $950.01 | $1,443.63 |
| Morrow County | $531.92 | $603.73 | $679.79 | $950.01 | $1,443.63 |
| Gallia County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Jackson County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Lawrence County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Pike County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Ross County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Scioto County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Vinton County | $553.25 | $627.94 | $707.05 | $988.10 | $1,501.52 |
| Athens County | $564.39 | $640.58 | $721.29 | $1,008 | $1,531.75 |
| Hocking County | $564.39 | $640.58 | $721.29 | $1,008 | $1,531.75 |
| Meigs County | $564.39 | $640.58 | $721.29 | $1,008 | $1,531.75 |
| Washington County | $564.39 | $640.58 | $721.29 | $1,008 | $1,531.75 |
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.