Silver Simple Diabetes — full price in Jackson County, Missouri (2026)
Silver Simple Diabetes (69512MO0010045), a silver plan from Oscar Insurance Company in Jackson County, Missouri, costs $588.20/month full price for a 40-year-old in 2026 — $1249.12 at 60, with a $6,500 deductible and $10,000 out-of-pocket max, per the CMS PY2026 QHP Landscape. 2027 plans for Jackson County are now available — to compare plans and sign up for coverage, call a licensed agent at 1-855-333-3555.
HIOS plan ID: 69512MO0010045 · 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 | $460.26 |
| 27 | $482.34 |
| 30 | $522.38 |
| 40 | $588.20 |
| 50 | $822.01 |
| 60 | $1249.12 |
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 $580.77/mo. This plan is $588.20/mo at 40 — a difference of $7.43/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 Jackson County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Home State Health | $571.78 |
| Complete Silver | Ambetter from Home State Health | $580.77 |
| Silver Simple PCP Saver | Oscar Insurance Company | $582.83 |
| Silver Classic Standard | Oscar Insurance Company | $587.04 |
| Standard Silver + Vision + Adult Dental | Ambetter from Home State Health | $589.06 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 69512MO0010045 in FIPS 29095.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Jackson County
Reviewed by Jason Burns, Editorial Steward.
Source record: privatehealthinsurancedirectanswers.com/plan/mo/jackson/69512mo0010045 · Record ID PHI-Q2ZRRGG6