Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Silver · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $603.47 and $726.39 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 | 62505OK0130024 |
|---|---|
| Insurer | Ambetter of Oklahoma |
| Metal level | Silver |
| Plan type | PPO |
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 95.75% |
| 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 | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| Cleveland County | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| Lincoln County | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| Logan County | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| McClain County | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| Oklahoma County | $472.21 | $535.94 | $603.47 | $843.34 | $1,281.54 |
| Creek County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Okmulgee County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Osage County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Rogers County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Tulsa County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Wagoner County | $476.45 | $540.76 | $608.89 | $850.92 | $1,293.05 |
| Adair County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Alfalfa County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Atoka County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Blaine County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Caddo County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Carter County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Cherokee County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Choctaw County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Cotton County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Dewey County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Garvin County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Grant County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Greer County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Haskell County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Johnston County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Kingfisher County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Love County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Major County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Mayes County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| McIntosh County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Muskogee County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Okfuskee County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Payne County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Pontotoc County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Pottawatomie County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Pushmataha County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Seminole County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Woods County | $492.46 | $558.93 | $629.35 | $879.51 | $1,336.50 |
| Comanche County | $552 | $626.51 | $705.44 | $985.85 | $1,498.10 |
| Le Flore County | $568.39 | $645.11 | $726.39 | $1,015.13 | $1,542.58 |
| Sequoyah County | $568.39 | $645.11 | $726.39 | $1,015.13 | $1,542.58 |
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.