Standard Silver
Silver · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $561.23 and $675.54 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 62505OK0120020 |
|---|---|
| Insurer | Ambetter of Oklahoma |
| Metal level | Silver |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay 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 | 1-833-492-0679 |
Where it is sold, and what it costs there
43 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 |
|---|---|---|---|---|---|
| Canadian County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| Cleveland County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| Lincoln County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| Logan County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| McClain County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| Oklahoma County | $439.15 | $498.43 | $561.23 | $784.31 | $1,191.84 |
| Creek County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Okmulgee County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Osage County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Rogers County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Tulsa County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Wagoner County | $443.10 | $502.91 | $566.27 | $791.36 | $1,202.54 |
| Adair County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Alfalfa County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Atoka County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Blaine County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Caddo County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Carter County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Cherokee County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Choctaw County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Cotton County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Dewey County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Garvin County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Grant County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Greer County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Haskell County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Johnston County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Kingfisher County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Love County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Major County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Mayes County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| McIntosh County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Muskogee County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Okfuskee County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Payne County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Pontotoc County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Pottawatomie County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Pushmataha County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Seminole County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Woods County | $457.99 | $519.80 | $585.29 | $817.94 | $1,242.95 |
| Comanche County | $513.36 | $582.65 | $656.06 | $916.84 | $1,393.23 |
| Le Flore County | $528.61 | $599.96 | $675.54 | $944.07 | $1,434.61 |
| Sequoyah County | $528.61 | $599.96 | $675.54 | $944.07 | $1,434.61 |
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.