Enhanced Diabetes Care Silver with $0 Drug Options — full price in Orange County, Florida (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (49004FL0010009), a silver plan from Ambetter Health in Orange County, Florida, costs $741.56/month full price for a 40-year-old in 2026 — $1574.80 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 | $580.26 |
| 27 | $608.10 |
| 30 | $658.58 |
| 40 | $741.56 |
| 50 | $1036.33 |
| 60 | $1574.80 |
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 $680.08/mo. This plan is $741.56/mo at 40 — a difference of $61.48/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 Orange County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Clarity Silver | Ambetter Health | $675.76 |
| Silver Savings 1821 (Primary Care Copay, Open Access) | Health First Commercial Plans, Inc. | $680.08 |
| myBlue Silver 26M03-02 ($0 Primary Care Visits with Select Providers / $5 Labs / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $681.98 |
| Silver Simple PCP Saver | with AdventHealth | Oscar Health Maintenance Organization of Florida | $683.98 |
| Silver Standard 1829 | Health First Commercial Plans, Inc. | $685.19 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 49004FL0010009 in FIPS 12095.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Orange County
Reviewed by Jason Burns, Editorial Steward.