Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · POS · Anthem Blue Cross and Blue Shield · Wisconsin
At age 40 it costs between $844.46 and $1,158.10 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 79475WI0560008 |
|---|---|
| Insurer | Anthem Blue Cross and Blue Shield |
| Metal level | Gold |
| Plan type | POS |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $660.77 | $749.97 | $844.46 | $1,180.14 | $1,793.33 |
| Green Lake County | $660.77 | $749.97 | $844.46 | $1,180.14 | $1,793.33 |
| Marquette County | $660.77 | $749.97 | $844.46 | $1,180.14 | $1,793.33 |
| Richland County | $660.77 | $749.97 | $844.46 | $1,180.14 | $1,793.33 |
| Sauk County | $660.77 | $749.97 | $844.46 | $1,180.14 | $1,793.33 |
| Door County | $671.36 | $761.99 | $858 | $1,199.05 | $1,822.07 |
| Menominee County | $671.36 | $761.99 | $858 | $1,199.05 | $1,822.07 |
| Dodge County | $715.03 | $811.56 | $913.81 | $1,277.04 | $1,940.59 |
| Waupaca County | $715.03 | $811.56 | $913.81 | $1,277.04 | $1,940.59 |
| Waushara County | $715.03 | $811.56 | $913.81 | $1,277.04 | $1,940.59 |
| Lincoln County | $715.10 | $811.64 | $913.90 | $1,277.17 | $1,940.78 |
| Marathon County | $715.10 | $811.64 | $913.90 | $1,277.17 | $1,940.78 |
| Wood County | $715.10 | $811.64 | $913.90 | $1,277.17 | $1,940.78 |
| Crawford County | $728.54 | $826.89 | $931.07 | $1,301.17 | $1,977.26 |
| Grant County | $728.54 | $826.89 | $931.07 | $1,301.17 | $1,977.26 |
| Iowa County | $728.54 | $826.89 | $931.07 | $1,301.17 | $1,977.26 |
| Lafayette County | $728.54 | $826.89 | $931.07 | $1,301.17 | $1,977.26 |
| Vernon County | $728.54 | $826.89 | $931.07 | $1,301.17 | $1,977.26 |
| Forest County | $747.81 | $848.76 | $955.70 | $1,335.59 | $2,029.56 |
| Pierce County | $748.52 | $849.57 | $956.61 | $1,336.86 | $2,031.48 |
| Polk County | $748.52 | $849.57 | $956.61 | $1,336.86 | $2,031.48 |
| Saint Croix County | $748.52 | $849.57 | $956.61 | $1,336.86 | $2,031.48 |
| Ashland County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Bayfield County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Burnett County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Douglas County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Sawyer County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Washburn County | $857.39 | $973.14 | $1,095.74 | $1,531.30 | $2,326.96 |
| Barron County | $869.84 | $987.27 | $1,111.66 | $1,553.53 | $2,360.75 |
| Clark County | $869.84 | $987.27 | $1,111.66 | $1,553.53 | $2,360.75 |
| Rusk County | $869.84 | $987.27 | $1,111.66 | $1,553.53 | $2,360.75 |
| Buffalo County | $878.02 | $996.55 | $1,122.11 | $1,568.14 | $2,382.95 |
| Jackson County | $878.02 | $996.55 | $1,122.11 | $1,568.14 | $2,382.95 |
| La Crosse County | $878.02 | $996.55 | $1,122.11 | $1,568.14 | $2,382.95 |
| Monroe County | $878.02 | $996.55 | $1,122.11 | $1,568.14 | $2,382.95 |
| Chippewa County | $906.18 | $1,028.51 | $1,158.10 | $1,618.44 | $2,459.37 |
| Eau Claire County | $906.18 | $1,028.51 | $1,158.10 | $1,618.44 | $2,459.37 |
| Pepin County | $906.18 | $1,028.51 | $1,158.10 | $1,618.44 | $2,459.37 |
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.