Silver Simple Breathe Easy with Enhanced COPD Benefits — full price in Madison County, Tennessee (2026)
Silver Simple Breathe Easy with Enhanced COPD Benefits (23552TN0020056), a silver plan from Oscar Insurance Company in Madison County, Tennessee, costs $747.07/month full price for a 40-year-old in 2026 — $1586.50 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 | $584.57 |
| 27 | $612.62 |
| 30 | $663.48 |
| 40 | $747.07 |
| 50 | $1044.03 |
| 60 | $1586.50 |
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 $716.45/mo. This plan is $747.07/mo at 40 — a difference of $30.62/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.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Madison County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health® | BlueCross BlueShield of Tennessee | $700.74 |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health® | BlueCross BlueShield of Tennessee | $716.45 |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health® | BlueCross BlueShield of Tennessee | $718.49 |
| Standard Silver | Ambetter of Tennessee | $740.30 |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health® + Adult Dental | BlueCross BlueShield of Tennessee | $741.16 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 23552TN0020056 in FIPS 47113.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Madison County
Reviewed by Jason Burns, Editorial Steward.