Silver Simple Diabetes — full price in Clermont County, Ohio (2026)
Silver Simple Diabetes (29341OH0100062), a silver plan from Oscar Health Insurance in Clermont County, Ohio, costs $496.79/month full price for a 40-year-old in 2026 — $1055.01 at 60, with a $6,500 deductible and $10,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29341OH0100062 · Issuer: Oscar Health Insurance · 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 | $388.74 |
| 27 | $407.39 |
| 30 | $441.21 |
| 40 | $496.79 |
| 50 | $694.27 |
| 60 | $1055.01 |
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 $496.32/mo. This plan is $496.79/mo at 40 — a difference of $0.47/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 Clermont County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Classic Standard | Oscar Health Insurance | $495.15 |
| Silver Simple PCP Saver | Oscar Health Insurance | $496.32 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Insurance | $496.98 |
| Silver Simple Chronic Care CKM | Oscar Health Insurance | $501.59 |
| Silver Elite Saver Plus | Oscar Health Insurance | $502.66 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29341OH0100062 in FIPS 39025.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Clermont County
Reviewed by Jason Burns, Editorial Steward.