Enhanced Diabetes Care Silver with $0 Drug Options — full price in Wilson County, Tennessee (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (70111TN0110018), a silver plan from Ambetter of Tennessee in Wilson County, Tennessee, costs $800.47/month full price for a 40-year-old in 2026 — $1699.90 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 70111TN0110018 · 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 | $626.35 |
| 27 | $656.41 |
| 30 | $710.90 |
| 40 | $800.47 |
| 50 | $1118.65 |
| 60 | $1699.90 |
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 $752.48/mo. This plan is $800.47/mo at 40 — a difference of $47.99/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 Wilson County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Classic Standard | Oscar Insurance Company | $750.75 |
| Silver Simple PCP Saver | Oscar Insurance Company | $752.48 |
| Silver Simple Diabetes | Oscar Insurance Company | $753.27 |
| Silver Simple Women's Health with Menopause Benefits | Oscar Insurance Company | $753.85 |
| Silver Simple Chronic Care CKM | Oscar Insurance Company | $755.08 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 70111TN0110018 in FIPS 47189.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Wilson County
Reviewed by Jason Burns, Editorial Steward.