Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental — full price in Sequatchie County, Tennessee (2026)
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental (70111TN0120001), a silver plan from Ambetter of Tennessee in Sequatchie County, Tennessee, costs $735.76/month full price for a 40-year-old in 2026 — $1562.49 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 70111TN0120001 · Issuer: Ambetter of Tennessee · 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 | $575.72 |
| 27 | $603.35 |
| 30 | $653.44 |
| 40 | $735.76 |
| 50 | $1028.22 |
| 60 | $1562.49 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,000
- Family deductible: $10,000
- Individual out-of-pocket max: $8,650
- Family out-of-pocket max: $17,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $698.54/mo. This plan is $735.76/mo at 40 — a difference of $37.22/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 Sequatchie County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter of Tennessee | $697.87 |
| SoloCare Standard Silver EPO $6000 DED 10007 | Alliant Health Plans, Inc. | $698.54 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter of Tennessee | $716.06 |
| Standard Silver + Vision + Adult Dental | Ambetter of Tennessee | $717.07 |
| SoloCare Silver EPO $6500 DED 10013 | Alliant Health Plans, Inc. | $731.19 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 70111TN0120001 in FIPS 47153.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sequatchie County
Reviewed by Jason Burns, Editorial Steward.