Silver Simple Breathe Easy with Enhanced COPD Benefits — full price in Lauderdale County, Tennessee (2026)
Silver Simple Breathe Easy with Enhanced COPD Benefits (23552TN0020056), a silver plan from Oscar Insurance Company in Lauderdale County, Tennessee, costs $667.21/month full price for a 40-year-old in 2026 — $1416.92 at 60, with a $6,200 deductible and $9,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 23552TN0020056 · Issuer: Oscar Insurance Company · 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 | $522.09 |
| 27 | $547.14 |
| 30 | $592.56 |
| 40 | $667.21 |
| 50 | $932.43 |
| 60 | $1416.92 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,200
- Family deductible: $12,400
- Individual out-of-pocket max: $9,600
- Family out-of-pocket max: $19,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $654.32/mo. This plan is $667.21/mo at 40 — a difference of $12.89/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 Lauderdale County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter of Tennessee | $646.11 |
| BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health® | BlueCross BlueShield of Tennessee | $654.32 |
| Silver Classic Standard | Oscar Insurance Company | $662.85 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter of Tennessee | $662.95 |
| Standard Silver + Vision + Adult Dental | Ambetter of Tennessee | $663.89 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 23552TN0020056 in FIPS 47097.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Lauderdale County
Reviewed by Jason Burns, Editorial Steward.