Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental — full price in Martin County, Florida (2026)
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental (49004FL0020008), a silver plan from Ambetter Health in Martin County, Florida, costs $796.53/month full price for a 40-year-old in 2026 — $1691.53 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 49004FL0020008 · 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 | $623.27 |
| 27 | $653.18 |
| 30 | $707.40 |
| 40 | $796.53 |
| 50 | $1113.14 |
| 60 | $1691.53 |
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 $706.73/mo. This plan is $796.53/mo at 40 — a difference of $89.80/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 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 49004FL0020008 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.