Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental — full price in Lavaca County, Texas (2026)
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental (29418TX0160053), a silver plan from Ambetter from Superior HealthPlan in Lavaca County, Texas, costs $827.72/month full price for a 40-year-old in 2026 — $1757.77 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 | $647.68 |
| 27 | $678.76 |
| 30 | $735.10 |
| 40 | $827.72 |
| 50 | $1156.74 |
| 60 | $1757.77 |
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 $790.31/mo. This plan is $827.72/mo at 40 — a difference of $37.41/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 Lavaca County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Superior HealthPlan | $786.27 |
| Focused Silver | Ambetter from Superior HealthPlan | $790.31 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $797.73 |
| UHC Silver Standard | UnitedHealthcare | $808.04 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $815.82 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29418TX0160053 in FIPS 48285.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Lavaca County
Reviewed by Jason Burns, Editorial Steward.