Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver · POS · Anthem Blue Cross and Blue Shield · Wisconsin
At age 40 it costs between $735.60 and $1,008.80 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 | $5,500 | $9,200 | $15 | $3 |
| up to 150% of the federal poverty level | $0 | $1,400 | No Charge | $3 |
| 150% to 200% | $650 | $3,350 | $10 | $3 |
| 200% to 250% | $4,000 | $7,500 | $15 | $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 | 79475WI0560004 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Silver |
| Plan type | POS |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | $15 |
| Specialist visit | $65 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% 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 | 1-855-748-1813 |
Where it is sold, and what it costs there
38 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 |
|---|---|---|---|---|---|
| Adams County | $575.59 | $653.29 | $735.60 | $1,028 | $1,562.15 |
| Green Lake County | $575.59 | $653.29 | $735.60 | $1,028 | $1,562.15 |
| Marquette County | $575.59 | $653.29 | $735.60 | $1,028 | $1,562.15 |
| Richland County | $575.59 | $653.29 | $735.60 | $1,028 | $1,562.15 |
| Sauk County | $575.59 | $653.29 | $735.60 | $1,028 | $1,562.15 |
| Door County | $584.82 | $663.77 | $747.40 | $1,044.49 | $1,587.20 |
| Menominee County | $584.82 | $663.77 | $747.40 | $1,044.49 | $1,587.20 |
| Dodge County | $622.85 | $706.93 | $796 | $1,112.41 | $1,690.41 |
| Waupaca County | $622.85 | $706.93 | $796 | $1,112.41 | $1,690.41 |
| Waushara County | $622.85 | $706.93 | $796 | $1,112.41 | $1,690.41 |
| Lincoln County | $622.91 | $707 | $796.08 | $1,112.52 | $1,690.58 |
| Marathon County | $622.91 | $707 | $796.08 | $1,112.52 | $1,690.58 |
| Wood County | $622.91 | $707 | $796.08 | $1,112.52 | $1,690.58 |
| Crawford County | $634.62 | $720.29 | $811.04 | $1,133.43 | $1,722.36 |
| Grant County | $634.62 | $720.29 | $811.04 | $1,133.43 | $1,722.36 |
| Iowa County | $634.62 | $720.29 | $811.04 | $1,133.43 | $1,722.36 |
| Lafayette County | $634.62 | $720.29 | $811.04 | $1,133.43 | $1,722.36 |
| Vernon County | $634.62 | $720.29 | $811.04 | $1,133.43 | $1,722.36 |
| Forest County | $651.41 | $739.35 | $832.50 | $1,163.42 | $1,767.93 |
| Pierce County | $652.02 | $740.04 | $833.28 | $1,164.51 | $1,769.58 |
| Polk County | $652.02 | $740.04 | $833.28 | $1,164.51 | $1,769.58 |
| Saint Croix County | $652.02 | $740.04 | $833.28 | $1,164.51 | $1,769.58 |
| Ashland County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Bayfield County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Burnett County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Douglas County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Sawyer County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Washburn County | $746.86 | $847.69 | $954.49 | $1,333.89 | $2,026.98 |
| Barron County | $757.70 | $859.99 | $968.34 | $1,353.25 | $2,056.40 |
| Clark County | $757.70 | $859.99 | $968.34 | $1,353.25 | $2,056.40 |
| Rusk County | $757.70 | $859.99 | $968.34 | $1,353.25 | $2,056.40 |
| Buffalo County | $764.83 | $868.08 | $977.45 | $1,365.99 | $2,075.75 |
| Jackson County | $764.83 | $868.08 | $977.45 | $1,365.99 | $2,075.75 |
| La Crosse County | $764.83 | $868.08 | $977.45 | $1,365.99 | $2,075.75 |
| Monroe County | $764.83 | $868.08 | $977.45 | $1,365.99 | $2,075.75 |
| Chippewa County | $789.36 | $895.92 | $1,008.80 | $1,409.80 | $2,142.32 |
| Eau Claire County | $789.36 | $895.92 | $1,008.80 | $1,409.80 | $2,142.32 |
| Pepin County | $789.36 | $895.92 | $1,008.80 | $1,409.80 | $2,142.32 |
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.