Silver Simple Women's Health with Menopause Benefits Guided Care — full price in Comal County, Texas (2026)
Silver Simple Women's Health with Menopause Benefits Guided Care (20069TX0510028), a silver plan from Oscar Insurance Company in Comal County, Texas, costs $666.36/month full price for a 40-year-old in 2026 — $1415.09 at 60, with a $6,000 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20069TX0510028 · 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 | $521.41 |
| 27 | $546.43 |
| 30 | $591.79 |
| 40 | $666.36 |
| 50 | $931.23 |
| 60 | $1415.09 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- 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 $634.53/mo. This plan is $666.36/mo at 40 — a difference of $31.83/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 Comal County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CHRISTUS Value Silver 70 ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $616.33 |
| CHRISTUS Standard Silver 70 ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $634.53 |
| CHRISTUS Value Silver 70 + Dental & Vision ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $634.64 |
| Imperial Standard Silver | Imperial Insurance Companies, Inc. | $648.20 |
| Silver Simple Guided Care | Oscar Insurance Company | $651.96 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0510028 in FIPS 48091.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Comal County
Reviewed by Jason Burns, Editorial Steward.