Silver Simple PCP Saver | with Atrium Health — full price in Yadkin County, North Carolina (2026)
Silver Simple PCP Saver | with Atrium Health (69803NC0010065), a silver plan from Oscar Health Plan of North Carolina, Inc in Yadkin County, North Carolina, costs $628.82/month full price for a 40-year-old in 2026 — $1335.39 at 60, with a $5,500 deductible and $9,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 69803NC0010065 · Issuer: Oscar Health Plan of North Carolina, Inc · 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 | $492.05 |
| 27 | $515.65 |
| 30 | $558.46 |
| 40 | $628.82 |
| 50 | $878.78 |
| 60 | $1335.39 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,500
- Family deductible: $11,000
- Individual out-of-pocket max: $9,900
- Family out-of-pocket max: $19,800
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $545.64/mo. This plan is $628.82/mo at 40 — a difference of $83.18/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 Yadkin County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver with Atrium Health | Ambetter of North Carolina | $540.11 |
| Focused Silver with Atrium Health | Ambetter of North Carolina | $545.64 |
| Standard Silver with Atrium Health + Vision + Adult Dental | Ambetter of North Carolina | $558.29 |
| Focused Silver with Atrium Health + Vision + Adult Dental | Ambetter of North Carolina | $564.00 |
| AmeriHealth Caritas Next Silver Essential + No Referrals | AmeriHealth Caritas Next | $590.72 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 69803NC0010065 in FIPS 37197.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Yadkin County
Reviewed by Jason Burns, Editorial Steward.