Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) — full price in Sheboygan County, Wisconsin (2026)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (79475WI0550035), a silver plan from Anthem Blue Cross and Blue Shield in Sheboygan County, Wisconsin, costs $572.54/month full price for a 40-year-old in 2026 — $1215.87 at 60, with a $6,000 deductible and $8,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 79475WI0550035 · 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 | $448.00 |
| 27 | $469.50 |
| 30 | $508.48 |
| 40 | $572.54 |
| 50 | $800.13 |
| 60 | $1215.87 |
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 $572.66/mo. This plan is $572.54/mo at 40 — a difference of $-0.12/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 Sheboygan County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $572.66 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $573.00 |
| Prevea360 Silver $0 Copay PCP Visits | Dean Health Plan | $644.39 |
| Prevea360 Silver Share | Dean Health Plan | $658.84 |
| UHC Silver Standard (No Referrals) | UnitedHealthcare | $662.16 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 79475WI0550035 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.