Enhanced Diabetes Care Silver with $0 Drug Options
Silver · EPO · Ambetter of Alabama · Alabama
At age 40 it costs between $653.21 and $744.20 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,000 | $8,650 | $30 | $3 |
| up to 150% of the federal poverty level | $0 | $1,400 | $5 | $3 |
| 150% to 200% | $750 | $3,350 | $10 | $3 |
| 200% to 250% | $4,000 | $8,000 | $25 | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 53932AL0100018 |
|---|---|
| Insurer | Ambetter of Alabama |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,650 |
| Family maximum | $17,300 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-442-1623 · TTY 1-800-442-1623 |
Where it is sold, and what it costs there
40 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Baldwin County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Barbour County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Bullock County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Chambers County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Choctaw County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Cleburne County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Coffee County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Covington County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Cullman County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Dallas County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| De Kalb County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Escambia County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Franklin County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Jackson County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Marion County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Marshall County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Perry County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Pickens County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Randolph County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Sumter County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Talladega County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Washington County | $511.13 | $580.12 | $653.21 | $912.86 | $1,387.19 |
| Geneva County | $512.14 | $581.27 | $654.50 | $914.67 | $1,389.92 |
| Henry County | $512.14 | $581.27 | $654.50 | $914.67 | $1,389.92 |
| Houston County | $512.14 | $581.27 | $654.50 | $914.67 | $1,389.92 |
| Mobile County | $513.04 | $582.29 | $655.66 | $916.28 | $1,392.37 |
| Colbert County | $547.71 | $621.64 | $699.96 | $978.20 | $1,486.47 |
| Lauderdale County | $547.71 | $621.64 | $699.96 | $978.20 | $1,486.47 |
| Lowndes County | $548.67 | $622.73 | $701.19 | $979.90 | $1,489.06 |
| Montgomery County | $548.67 | $622.73 | $701.19 | $979.90 | $1,489.06 |
| Jefferson County | $549.62 | $623.81 | $702.41 | $981.61 | $1,491.65 |
| Shelby County | $549.62 | $623.81 | $702.41 | $981.61 | $1,491.65 |
| Walker County | $549.62 | $623.81 | $702.41 | $981.61 | $1,491.65 |
| Lawrence County | $564.60 | $640.81 | $721.54 | $1,008.35 | $1,532.29 |
| Morgan County | $564.60 | $640.81 | $721.54 | $1,008.35 | $1,532.29 |
| Lee County | $565.45 | $641.77 | $722.63 | $1,009.87 | $1,534.59 |
| Limestone County | $572.03 | $649.24 | $731.04 | $1,021.63 | $1,552.46 |
| Madison County | $572.03 | $649.24 | $731.04 | $1,021.63 | $1,552.46 |
| Russell County | $573.89 | $651.35 | $733.42 | $1,024.95 | $1,557.50 |
| Etowah County | $582.33 | $660.93 | $744.20 | $1,040.02 | $1,580.41 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.