Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) — full price in Sheboygan County, Wisconsin (2026)
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (79475WI0550012), a expanded bronze plan from Anthem Blue Cross and Blue Shield in Sheboygan County, Wisconsin, costs $424.95/month full price for a 40-year-old in 2026 — $902.43 at 60, with a $5,000 deductible and $10,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 79475WI0550012 · 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 | $332.51 |
| 27 | $348.47 |
| 30 | $377.40 |
| 40 | $424.95 |
| 50 | $593.86 |
| 60 | $902.43 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,000
- Family deductible: $10,000
- Individual out-of-pocket max: $10,600
- Family out-of-pocket max: $21,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $572.66/mo. This plan is $424.95/mo at 40 — a difference of $-147.71/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 expanded bronze plans in Sheboygan County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Prevea360 Bronze Share | Dean Health Plan | $405.65 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) | Anthem Blue Cross and Blue Shield | $429.65 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $430.38 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | Anthem Blue Cross and Blue Shield | $455.65 |
| Prevea360 Expanded Bronze Standard | Dean Health Plan | $477.18 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 79475WI0550012 in FIPS 55117.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sheboygan County
Reviewed by Jason Burns, Editorial Steward.