Silver Simple Women's Health with Menopause Benefits — full price in Escambia County, Florida (2026)
Silver Simple Women's Health with Menopause Benefits (21525FL0020013), a silver plan from Oscar Health Maintenance Organization of Florida in Escambia County, Florida, costs $690.93/month full price for a 40-year-old in 2026 — $1467.29 at 60, with a $6,000 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0020013 · Issuer: Oscar Health Maintenance Organization of Florida · 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 | $540.65 |
| 27 | $566.59 |
| 30 | $613.62 |
| 40 | $690.93 |
| 50 | $965.58 |
| 60 | $1467.29 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $670.48/mo. This plan is $690.93/mo at 40 — a difference of $20.45/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 Escambia County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Clarity Silver | Ambetter Health | $640.54 |
| myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $670.48 |
| myBlue Silver 26M06-03V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $674.52 |
| myBlue Silver 25M06-02 ($0 Labs / $50 PCP Visits / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $680.88 |
| myBlue Silver 26M06-03E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $682.57 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0020013 in FIPS 12033.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Escambia County
Reviewed by Jason Burns, Editorial Steward.