Silver Simple PCP Saver — full price in Dallas County, Texas (2026)
Silver Simple PCP Saver (20069TX0100025), a silver plan from Oscar Insurance Company in Dallas County, Texas, costs $760.40/month full price for a 40-year-old in 2026 — $1614.82 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 | $595.01 |
| 27 | $623.56 |
| 30 | $675.32 |
| 40 | $760.40 |
| 50 | $1062.66 |
| 60 | $1614.82 |
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 $670.83/mo. This plan is $760.40/mo at 40 — a difference of $89.57/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 Dallas County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver VALUE | Ambetter from Superior HealthPlan | $667.44 |
| Focused VALUE Silver | Ambetter from Superior HealthPlan | $670.83 |
| Molina Silver Saver with Four Free PCP Visits | Molina Healthcare | $688.04 |
| Silver Simple Guided Care | Oscar Insurance Company | $692.56 |
| Standard Silver VALUE + Vision + Adult Dental | Ambetter from Superior HealthPlan | $692.67 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100025 in FIPS 48113.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Dallas County
Reviewed by Jason Burns, Editorial Steward.