Silver Simple PCP Saver — full price in Hidalgo County, Texas (2026)
Silver Simple PCP Saver (20069TX0100025), a silver plan from Oscar Insurance Company in Hidalgo County, Texas, costs $724.69/month full price for a 40-year-old in 2026 — $1538.96 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 | $567.06 |
| 27 | $594.26 |
| 30 | $643.60 |
| 40 | $724.69 |
| 50 | $1012.74 |
| 60 | $1538.96 |
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 $648.73/mo. This plan is $724.69/mo at 40 — a difference of $75.96/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 Hidalgo County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| MyBlue Health Silver℠ 405 | Blue Cross and Blue Shield of Texas | $578.51 |
| Standard Silver | Ambetter from Superior HealthPlan | $648.73 |
| Focused Silver | Ambetter from Superior HealthPlan | $652.06 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $658.18 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $673.11 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100025 in FIPS 48215.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Hidalgo County
Reviewed by Jason Burns, Editorial Steward.