Enhanced Diabetes Care Silver with $0 Drug Options — full price in Clay County, Florida (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (49004FL0010009), a silver plan from Ambetter Health in Clay County, Florida, costs $826.52/month full price for a 40-year-old in 2026 — $1755.22 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 49004FL0010009 · Issuer: Ambetter Health · 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 | $646.74 |
| 27 | $677.77 |
| 30 | $734.04 |
| 40 | $826.52 |
| 50 | $1155.06 |
| 60 | $1755.22 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,000
- Family deductible: $10,000
- Individual out-of-pocket max: $8,650
- Family out-of-pocket max: $17,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $710.56/mo. This plan is $826.52/mo at 40 — a difference of $115.96/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 Clay County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Simple PCP Saver | Oscar Health Maintenance Organization of Florida | $704.26 |
| Silver Classic Standard | Oscar Health Maintenance Organization of Florida | $710.56 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Maintenance Organization of Florida | $710.70 |
| Silver Simple Diabetes | Oscar Health Maintenance Organization of Florida | $710.96 |
| Silver Simple Women's Health with Menopause Benefits | Oscar Health Maintenance Organization of Florida | $711.66 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 49004FL0010009 in FIPS 12019.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Clay County
Reviewed by Jason Burns, Editorial Steward.