Enhanced Diabetes Care Silver with $0 Drug Options — full price in Hidalgo County, Texas (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (29418TX0140049), a silver plan from Ambetter from Superior HealthPlan in Hidalgo County, Texas, costs $658.18/month full price for a 40-year-old in 2026 — $1397.73 at 60, with a $5,000 deductible and $8,650 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29418TX0140049 · 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 | $515.02 |
| 27 | $539.73 |
| 30 | $584.54 |
| 40 | $658.18 |
| 50 | $919.81 |
| 60 | $1397.73 |
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 $648.73/mo. This plan is $658.18/mo at 40 — a difference of $9.45/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 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 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $673.11 |
| Focused Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $676.56 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29418TX0140049 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.