Bronze Simple Diabetes | MercyOne — full price in Madison County, Iowa (2026)
Bronze Simple Diabetes | MercyOne (45819IA0010072), a expanded bronze plan from Oscar Insurance Company in Madison County, Iowa, costs $349.66/month full price for a 40-year-old in 2026 — $742.55 at 60, with a $5,500 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 45819IA0010072 · 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 | $273.61 |
| 27 | $286.73 |
| 30 | $310.54 |
| 40 | $349.66 |
| 50 | $488.65 |
| 60 | $742.55 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,500
- Family deductible: $11,000
- 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 $459.01/mo. This plan is $349.66/mo at 40 — a difference of $-109.35/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 expanded bronze plans in Madison County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Bronze Classic Standard | MercyOne | Oscar Insurance Company | $342.61 |
| Wellmark Bronze Traditional HMO | Wellmark Health Plan of Iowa, Inc. | $350.73 |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne | Oscar Insurance Company | $351.62 |
| Bronze Classic 4700 | MercyOne | Oscar Insurance Company | $352.83 |
| Bronze Simple Chronic Care CKM | MercyOne | Oscar Insurance Company | $357.86 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 45819IA0010072 in FIPS 19121.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Madison County
Reviewed by Jason Burns, Editorial Steward.