Silver Simple Women's Health with Menopause Benefits — full price in Pasco County, Florida (2026)
Silver Simple Women's Health with Menopause Benefits (21525FL0010017), a silver plan from Oscar Health Maintenance Organization of Florida in Pasco County, Florida, costs $699.70/month full price for a 40-year-old in 2026 — $1485.89 at 60, with a $6,000 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0010017 · 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 | $547.50 |
| 27 | $573.77 |
| 30 | $621.40 |
| 40 | $699.70 |
| 50 | $977.82 |
| 60 | $1485.89 |
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 $660.28/mo. This plan is $699.70/mo at 40 — a difference of $39.42/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 Pasco County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Simple PCP Saver | with AdventHealth | Oscar Health Maintenance Organization of Florida | $659.34 |
| Clarity Silver | Ambetter Health | $660.28 |
| myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards) | Florida Blue HMO (a BlueCross BlueShield FL company) | $662.26 |
| Silver Classic Standard | with AdventHealth | Oscar Health Maintenance Organization of Florida | $665.24 |
| Silver Simple Diabetes | with AdventHealth | Oscar Health Maintenance Organization of Florida | $665.61 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0010017 in FIPS 12101.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Pasco County
Reviewed by Jason Burns, Editorial Steward.