Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental — full price in Sterling County, Texas (2026)
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental (29418TX0160053), a silver plan from Ambetter from Superior HealthPlan in Sterling County, Texas, costs $968.52/month full price for a 40-year-old in 2026 — $2056.77 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 | $757.85 |
| 27 | $794.21 |
| 30 | $860.14 |
| 40 | $968.52 |
| 50 | $1353.50 |
| 60 | $2056.77 |
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 $924.74/mo. This plan is $968.52/mo at 40 — a difference of $43.78/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 Sterling County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Superior HealthPlan | $920.02 |
| Focused Silver | Ambetter from Superior HealthPlan | $924.74 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $933.42 |
| Blue Advantage Silver HMO℠ 801 | Blue Cross and Blue Shield of Texas | $952.79 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $954.59 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29418TX0160053 in FIPS 48431.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sterling County
Reviewed by Jason Burns, Editorial Steward.