Silver Simple Diabetes — full price in Licking County, Ohio (2026)
Silver Simple Diabetes (29341OH0100062), a silver plan from Oscar Health Insurance in Licking County, Ohio, costs $539.84/month full price for a 40-year-old in 2026 — $1146.42 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 | $422.42 |
| 27 | $442.69 |
| 30 | $479.44 |
| 40 | $539.84 |
| 50 | $754.43 |
| 60 | $1146.42 |
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 $538.05/mo. This plan is $539.84/mo at 40 — a difference of $1.79/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 Licking County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | Antidote Health Plan of Ohio, Inc. | $527.69 |
| Silver Classic Standard | Oscar Health Insurance | $538.05 |
| Silver Simple PCP Saver | Oscar Health Insurance | $539.32 |
| Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | Antidote Health Plan of Ohio, Inc. | $539.95 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Insurance | $540.04 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29341OH0100062 in FIPS 39089.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Licking County
Reviewed by Jason Burns, Editorial Steward.