HDHP Preventive Silver 5500 $0 Chronic Care Drugs — full price in Madison County, Ohio (2026)
HDHP Preventive Silver 5500 $0 Chronic Care Drugs (77552OH0010219), a silver plan from CareSource in Madison County, Ohio, costs $922.44/month full price for a 40-year-old in 2026 — $1958.93 at 60, with a $5,500 deductible and $5,500 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 77552OH0010219 · Issuer: CareSource · 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 | $721.79 |
| 27 | $756.43 |
| 30 | $819.23 |
| 40 | $922.44 |
| 50 | $1289.11 |
| 60 | $1958.93 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,500
- Family deductible: $11,000
- Individual out-of-pocket max: $5,500
- Family out-of-pocket max: $11,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $539.32/mo. This plan is $922.44/mo at 40 — a difference of $383.12/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 Madison County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Classic Standard | Oscar Health Insurance | $538.05 |
| Silver Simple PCP Saver | Oscar Health Insurance | $539.32 |
| Silver Simple Diabetes | Oscar Health Insurance | $539.84 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Insurance | $540.04 |
| Silver Simple Chronic Care CKM | Oscar Health Insurance | $545.05 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 77552OH0010219 in FIPS 39097.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Madison County
Reviewed by Jason Burns, Editorial Steward.