Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) — full price in Butler County, Ohio (2026)
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) (29276OH0970006), a silver plan from Anthem Blue Cross and Blue Shield in Butler County, Ohio, costs $542.69/month full price for a 40-year-old in 2026 — $1152.47 at 60, with a $5,000 deductible and $8,950 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29276OH0970006 · Issuer: Anthem Blue Cross and Blue Shield · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $424.64 |
| 27 | $445.02 |
| 30 | $481.97 |
| 40 | $542.69 |
| 50 | $758.41 |
| 60 | $1152.47 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,000
- Family deductible: $10,000
- Individual out-of-pocket max: $8,950
- Family out-of-pocket max: $17,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $483.07/mo. This plan is $542.69/mo at 40 — a difference of $59.62/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
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Other silver plans in Butler County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Classic Standard | Oscar Health Insurance | $481.93 |
| Silver Simple PCP Saver | Oscar Health Insurance | $483.07 |
| Silver Simple Diabetes | Oscar Health Insurance | $483.54 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Insurance | $483.72 |
| Silver Simple Chronic Care CKM | Oscar Health Insurance | $488.21 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29276OH0970006 in FIPS 39017.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Butler County
Reviewed by Jason Burns, Editorial Steward.