Enhanced Diabetes Care Silver with $0 Drug Options — full price in Palm Beach County, Florida (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (49004FL0010009), a silver plan from Ambetter Health in Palm Beach County, Florida, costs $839.15/month full price for a 40-year-old in 2026 — $1782.05 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 | $656.62 |
| 27 | $688.13 |
| 30 | $745.25 |
| 40 | $839.15 |
| 50 | $1172.71 |
| 60 | $1782.05 |
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 $676.38/mo. This plan is $839.15/mo at 40 — a difference of $162.77/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 Palm Beach County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Wellpoint | $674.23 |
| Silver Simple PCP Saver | Oscar Health Maintenance Organization of Florida | $676.38 |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Wellpoint | $676.94 |
| Silver Classic Standard | Oscar Health Maintenance Organization of Florida | $682.43 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Maintenance Organization of Florida | $682.57 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 49004FL0010009 in FIPS 12099.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Palm Beach County
Reviewed by Jason Burns, Editorial Steward.