Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver · EPO · Anthem Blue Cross and Blue Shield · Missouri
At age 40 it costs between $551.92 and $928.82 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 | $5,350 | $8,600 | $30 | $3 |
| up to 150% of the federal poverty level | $0 | $1,200 | $3 | $3 |
| 150% to 200% | $500 | $3,350 | $11 | $3 |
| 200% to 250% | $4,100 | $7,500 | $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 | 32753MO0980015 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $5,350 |
| Deductible (family) | $10,700 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,600 |
| Family maximum | $17,200 |
| Primary care visit | $30 |
| Specialist visit | $65 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $35 |
| Specialty drugs | 50% 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 | 1-855-738-6677 |
Where it is sold, and what it costs there
81 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 |
|---|---|---|---|---|---|
| Franklin County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Jefferson County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Lincoln County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Saint Charles County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Saint Francois County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Saint Louis County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Saint Louis City | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Sainte Genevieve County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Warren County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Washington County | $431.86 | $490.16 | $551.92 | $771.30 | $1,172.07 |
| Barry County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Cedar County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Christian County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Dade County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Dallas County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Douglas County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Greene County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Hickory County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Laclede County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Lawrence County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Ozark County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Polk County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Stone County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Taney County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Webster County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Wright County | $563.11 | $639.13 | $719.65 | $1,005.71 | $1,528.28 |
| Audrain County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Boone County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Callaway County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Camden County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Chariton County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Cole County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Cooper County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Gasconade County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Howard County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Maries County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Miller County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Moniteau County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Monroe County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Montgomery County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Morgan County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Osage County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Randolph County | $625.42 | $709.85 | $799.29 | $1,117 | $1,697.39 |
| Bollinger County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Butler County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Cape Girardeau County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Dunklin County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Madison County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Mississippi County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| New Madrid County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Pemiscot County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Perry County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Scott County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Stoddard County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Wayne County | $660.96 | $750.19 | $844.71 | $1,180.47 | $1,793.85 |
| Carter County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Crawford County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Dent County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Howell County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Iron County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Oregon County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Phelps County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Pulaski County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Reynolds County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Ripley County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Shannon County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Texas County | $684.18 | $776.54 | $874.38 | $1,221.95 | $1,856.86 |
| Adair County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Clark County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Knox County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Lewis County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Linn County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Macon County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Marion County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Pike County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Putnam County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Ralls County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Schuyler County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Scotland County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Shelby County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
| Sullivan County | $726.78 | $824.90 | $928.82 | $1,298.03 | $1,972.48 |
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.