Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) — full price in Ozaukee County, Wisconsin (2026)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (79475WI0550037), a silver plan from Anthem Blue Cross and Blue Shield in Ozaukee County, Wisconsin, costs $601.73/month full price for a 40-year-old in 2026 — $1277.86 at 60, with a $6,000 deductible and $8,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 79475WI0550037 · 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 | $470.84 |
| 27 | $493.44 |
| 30 | $534.40 |
| 40 | $601.73 |
| 50 | $840.92 |
| 60 | $1277.86 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- Individual out-of-pocket max: $8,900
- Family out-of-pocket max: $17,800
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $576.42/mo. This plan is $601.73/mo at 40 — a difference of $25.31/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.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Ozaukee County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | CareSource (Common Ground Healthcare) | $575.25 |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | CareSource (Common Ground Healthcare) | $576.42 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | CareSource (Common Ground Healthcare) | $580.64 |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | CareSource (Common Ground Healthcare) | $581.80 |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | CareSource (Common Ground Healthcare) | $582.70 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 79475WI0550037 in FIPS 55089.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Ozaukee County
Reviewed by Jason Burns, Editorial Steward.