Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental — full price in Donley County, Texas (2026)
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental (29418TX0160053), a silver plan from Ambetter from Superior HealthPlan in Donley County, Texas, costs $810.46/month full price for a 40-year-old in 2026 — $1721.11 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29418TX0160053 · Issuer: Ambetter from Superior HealthPlan · 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 | $634.17 |
| 27 | $664.60 |
| 30 | $719.77 |
| 40 | $810.46 |
| 50 | $1132.61 |
| 60 | $1721.11 |
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 $773.82/mo. This plan is $810.46/mo at 40 — a difference of $36.64/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 Donley County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Superior HealthPlan | $769.87 |
| Focused Silver | Ambetter from Superior HealthPlan | $773.82 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $781.09 |
| Blue Advantage Silver HMO℠ 801 | Blue Cross and Blue Shield of Texas | $796.10 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $798.80 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29418TX0160053 in FIPS 48129.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Donley County
Reviewed by Jason Burns, Editorial Steward.