Enhanced Diabetes Care Silver with $0 Drug Options — full price in Jefferson County, Texas (2026)
Enhanced Diabetes Care Silver with $0 Drug Options (29418TX0140049), a silver plan from Ambetter from Superior HealthPlan in Jefferson County, Texas, costs $654.33/month full price for a 40-year-old in 2026 — $1389.54 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 | $512.00 |
| 27 | $536.57 |
| 30 | $581.11 |
| 40 | $654.33 |
| 50 | $914.42 |
| 60 | $1389.54 |
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 $643.72/mo. This plan is $654.33/mo at 40 — a difference of $10.61/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 Jefferson County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CHRISTUS Value Silver 70 ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $625.26 |
| CHRISTUS Standard Silver 70 ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $643.72 |
| CHRISTUS Value Silver 70 + Dental & Vision ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $643.83 |
| Standard Silver | Ambetter from Superior HealthPlan | $644.93 |
| Focused Silver | Ambetter from Superior HealthPlan | $648.23 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29418TX0140049 in FIPS 48245.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Jefferson County
Reviewed by Jason Burns, Editorial Steward.