Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Expanded Bronze · HMO · Anthem Blue Cross and Blue Shield · Wisconsin
At age 40 it costs $501.77 a month before any subsidy.
What CMS publishes about it
| Plan ID | 79475WI0550023 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $2,900 |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $30 |
| Specialist visit | $150 |
| Emergency room | $3,000 |
| Inpatient stay | $3,200 Copay per Stay |
| Generic drugs | $25 |
| Preferred brand drugs | $175 Copay after deductible |
| Specialty drugs | 45% 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 | 1-855-748-1813 |
Where it is sold, and what it costs there
2 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 |
|---|---|---|---|---|---|
| Kenosha County | $392.62 | $445.62 | $501.77 | $701.22 | $1,065.57 |
| Racine County | $392.62 | $445.62 | $501.77 | $701.22 | $1,065.57 |
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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When this plan’s price or benefits change.
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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.