Balance by Medica Silver $0 Copay PCP Visits — full price in Canadian County, Oklahoma (2026)
Balance by Medica Silver $0 Copay PCP Visits (21333OK0060047), a silver plan from Medica in Canadian County, Oklahoma, costs $730.79/month full price for a 40-year-old in 2026 — $1551.93 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21333OK0060047 · Issuer: Medica · 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 | $571.83 |
| 27 | $599.27 |
| 30 | $649.02 |
| 40 | $730.79 |
| 50 | $1021.28 |
| 60 | $1551.93 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,500
- Family deductible: $7,000
- Individual out-of-pocket max: $10,450
- Family out-of-pocket max: $20,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $567.94/mo. This plan is $730.79/mo at 40 — a difference of $162.85/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 Canadian County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter of Oklahoma | $561.23 |
| Focused Silver | Ambetter of Oklahoma | $567.94 |
| Silver Simple PCP Saver | Oscar Insurance Company | $570.01 |
| Silver Classic Standard | Oscar Insurance Company | $571.55 |
| Silver Simple Diabetes | Oscar Insurance Company | $575.17 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21333OK0060047 in FIPS 40017.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Canadian County
Reviewed by Jason Burns, Editorial Steward.