Silver Simple Diabetes — full price in Benton County, Iowa (2026)
Silver Simple Diabetes (45819IA0010064), a silver plan from Oscar Insurance Company in Benton County, Iowa, costs $590.20/month full price for a 40-year-old in 2026 — $1253.36 at 60, with a $6,500 deductible and $10,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 45819IA0010064 · Issuer: Oscar Insurance Company · 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 | $461.82 |
| 27 | $483.98 |
| 30 | $524.16 |
| 40 | $590.20 |
| 50 | $824.80 |
| 60 | $1253.36 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,500
- Family deductible: $13,000
- Individual out-of-pocket max: $10,000
- Family out-of-pocket max: $20,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $490.46/mo. This plan is $590.20/mo at 40 — a difference of $99.74/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 Benton County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter Health | $486.31 |
| Wellmark Silver Primary Care | UnityPoint Health | Wellmark Health Plan of Iowa, Inc. | $490.46 |
| Focused Silver | Ambetter Health | $491.73 |
| Standard Silver + Vision + Adult Dental | Ambetter Health | $506.92 |
| Focused Silver + Vision + Adult Dental | Ambetter Health | $512.57 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 45819IA0010064 in FIPS 19011.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Benton County
Reviewed by Jason Burns, Editorial Steward.