Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Silver · HMO · Anthem Blue Cross and Blue Shield · Ohio
At age 40 it costs between $568.58 and $743.68 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 | 29276OH0970011 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 98.88% |
| 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 | $444.90 | $504.96 | $568.58 | $794.59 | $1,207.46 |
| Hamilton County | $444.90 | $504.96 | $568.58 | $794.59 | $1,207.46 |
| Warren County | $444.90 | $504.96 | $568.58 | $794.59 | $1,207.46 |
| Defiance County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Fulton County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Henry County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Lucas County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Williams County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Wood County | $455.36 | $516.83 | $581.95 | $813.27 | $1,235.85 |
| Columbiana County | $458.23 | $520.09 | $585.62 | $818.40 | $1,243.64 |
| Mahoning County | $458.23 | $520.09 | $585.62 | $818.40 | $1,243.64 |
| Trumbull County | $458.23 | $520.09 | $585.62 | $818.40 | $1,243.64 |
| Ashtabula County | $465.11 | $527.90 | $594.41 | $830.69 | $1,262.31 |
| Cuyahoga County | $465.11 | $527.90 | $594.41 | $830.69 | $1,262.31 |
| Geauga County | $465.11 | $527.90 | $594.41 | $830.69 | $1,262.31 |
| Lake County | $465.11 | $527.90 | $594.41 | $830.69 | $1,262.31 |
| Lorain County | $465.11 | $527.90 | $594.41 | $830.69 | $1,262.31 |
| Erie County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Huron County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Ottawa County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Sandusky County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Seneca County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Wyandot County | $473.78 | $537.74 | $605.49 | $846.17 | $1,285.84 |
| Champaign County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Clark County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Darke County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Greene County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Miami County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Montgomery County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Preble County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Shelby County | $475.96 | $540.21 | $608.28 | $850.06 | $1,291.76 |
| Holmes County | $483.04 | $548.25 | $617.33 | $862.71 | $1,310.97 |
| Wayne County | $483.04 | $548.25 | $617.33 | $862.71 | $1,310.97 |
| Adams County | $483.29 | $548.53 | $617.64 | $863.16 | $1,311.65 |
| Brown County | $483.29 | $548.53 | $617.64 | $863.16 | $1,311.65 |
| Clermont County | $483.29 | $548.53 | $617.64 | $863.16 | $1,311.65 |
| Clinton County | $483.29 | $548.53 | $617.64 | $863.16 | $1,311.65 |
| Highland County | $483.29 | $548.53 | $617.64 | $863.16 | $1,311.65 |
| Ashland County | $485.32 | $550.84 | $620.24 | $866.78 | $1,317.16 |
| Medina County | $485.32 | $550.84 | $620.24 | $866.78 | $1,317.16 |
| Portage County | $485.32 | $550.84 | $620.24 | $866.78 | $1,317.16 |
| Summit County | $485.32 | $550.84 | $620.24 | $866.78 | $1,317.16 |
| Allen County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Auglaize County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Hancock County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Hardin County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Mercer County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Paulding County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Putnam County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Van Wert County | $495.48 | $562.37 | $633.22 | $884.93 | $1,344.73 |
| Carroll County | $498.20 | $565.46 | $636.70 | $889.79 | $1,352.11 |
| Stark County | $498.20 | $565.46 | $636.70 | $889.79 | $1,352.11 |
| Belmont County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Coshocton County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Guernsey County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Harrison County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Jefferson County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Monroe County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Morgan County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Muskingum County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Noble County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Perry County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Tuscarawas County | $523.96 | $594.69 | $669.62 | $935.79 | $1,422.03 |
| Delaware County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Fairfield County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Fayette County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Franklin County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Knox County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Licking County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Logan County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Madison County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Pickaway County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Union County | $539.56 | $612.40 | $689.56 | $963.65 | $1,464.37 |
| Crawford County | $542.98 | $616.28 | $693.93 | $969.76 | $1,473.65 |
| Richland County | $542.98 | $616.28 | $693.93 | $969.76 | $1,473.65 |
| Marion County | $548.43 | $622.47 | $700.89 | $979.50 | $1,488.44 |
| Morrow County | $548.43 | $622.47 | $700.89 | $979.50 | $1,488.44 |
| Gallia County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Jackson County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Lawrence County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Pike County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Ross County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Scioto County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Vinton County | $570.42 | $647.43 | $729 | $1,018.77 | $1,548.12 |
| Athens County | $581.91 | $660.47 | $743.68 | $1,039.29 | $1,579.30 |
| Hocking County | $581.91 | $660.47 | $743.68 | $1,039.29 | $1,579.30 |
| Meigs County | $581.91 | $660.47 | $743.68 | $1,039.29 | $1,579.30 |
| Washington County | $581.91 | $660.47 | $743.68 | $1,039.29 | $1,579.30 |
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.