Silver Simple Breathe Easy with Enhanced COPD Benefits — full price in Martin County, Florida (2026)
Silver Simple Breathe Easy with Enhanced COPD Benefits (21525FL0020009), a silver plan from Oscar Health Maintenance Organization of Florida in Martin County, Florida, costs $755.24/month full price for a 40-year-old in 2026 — $1603.85 at 60, with a $6,200 deductible and $9,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0020009 · 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 | $590.96 |
| 27 | $619.32 |
| 30 | $670.73 |
| 40 | $755.24 |
| 50 | $1055.44 |
| 60 | $1603.85 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,200
- Family deductible: $12,400
- Individual out-of-pocket max: $9,600
- Family out-of-pocket max: $19,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $706.73/mo. This plan is $755.24/mo at 40 — a difference of $48.51/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 Martin County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Wellpoint | $704.94 |
| Clarity Silver | Ambetter Health | $706.73 |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Wellpoint | $707.78 |
| Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | Wellpoint | $715.31 |
| Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | Wellpoint | $720.38 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0020009 in FIPS 12085.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Martin County
Reviewed by Jason Burns, Editorial Steward.