Silver Simple Women's Health with Menopause Benefits — full price in Saint Johns County, Florida (2026)
Silver Simple Women's Health with Menopause Benefits (21525FL0020013), a silver plan from Oscar Health Maintenance Organization of Florida in Saint Johns County, Florida, costs $750.20/month full price for a 40-year-old in 2026 — $1593.16 at 60, with a $6,000 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0020013 · 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 | $587.02 |
| 27 | $615.19 |
| 30 | $666.26 |
| 40 | $750.20 |
| 50 | $1048.41 |
| 60 | $1593.16 |
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 $697.47/mo. This plan is $750.20/mo at 40 — a difference of $52.73/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 Saint Johns County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Clarity Silver | Ambetter Health | $654.04 |
| Gym Access IND Silver HMO OA Standard 1440 | Florida Health Care Plans | $697.47 |
| Standard Silver | Ambetter Health | $697.62 |
| Focused Silver | Ambetter Health | $706.04 |
| Gym Access IND Silver HMO BC 7741 | Florida Health Care Plans | $711.42 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0020013 in FIPS 12109.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Saint Johns County
Reviewed by Jason Burns, Editorial Steward.