Silver Simple PCP Saver — full price in Caldwell County, Texas (2026)
Silver Simple PCP Saver (20069TX0100025), a silver plan from Oscar Insurance Company in Caldwell County, Texas, costs $850.48/month full price for a 40-year-old in 2026 — $1806.11 at 60, with a $5,750 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20069TX0100025 · 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 | $665.49 |
| 27 | $697.42 |
| 30 | $755.32 |
| 40 | $850.48 |
| 50 | $1188.54 |
| 60 | $1806.11 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,750
- Family deductible: $11,500
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $609.68/mo. This plan is $850.48/mo at 40 — a difference of $240.80/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 Caldwell County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | Sendero Health Plans, Local Nonprofit | $607.90 |
| CHRISTUS Standard Silver 70 ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $609.68 |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | Sendero Health Plans, Local Nonprofit | $624.97 |
| CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) | CHRISTUS Health Plan | $626.75 |
| CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) | CHRISTUS Health Plan | $644.51 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100025 in FIPS 48055.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Caldwell County
Reviewed by Jason Burns, Editorial Steward.