Enhanced Diabetes Care Silver with $0 Drug Options
Silver · EPO · Ambetter of Tennessee · Tennessee
At age 40 it costs between $662.95 and $854.91 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 | 70111TN0110018 |
|---|---|
| Insurer | Ambetter of Tennessee |
| 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 | 1-833-709-4735 |
Where it is sold, and what it costs there
95 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 |
|---|---|---|---|---|---|
| Fayette County | $518.75 | $588.77 | $662.95 | $926.47 | $1,407.86 |
| Haywood County | $518.75 | $588.77 | $662.95 | $926.47 | $1,407.86 |
| Lauderdale County | $518.75 | $588.77 | $662.95 | $926.47 | $1,407.86 |
| Shelby County | $518.75 | $588.77 | $662.95 | $926.47 | $1,407.86 |
| Tipton County | $518.75 | $588.77 | $662.95 | $926.47 | $1,407.86 |
| Anderson County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Blount County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Campbell County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Claiborne County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Cocke County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Grainger County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Hamblen County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Jefferson County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Knox County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Loudon County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Monroe County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Morgan County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Roane County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Scott County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Sevier County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Union County | $536.86 | $609.32 | $686.09 | $958.81 | $1,457.01 |
| Bledsoe County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Bradley County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Franklin County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Grundy County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Hamilton County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Marion County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| McMinn County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Meigs County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Polk County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Rhea County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Sequatchie County | $560.31 | $635.94 | $716.06 | $1,000.69 | $1,520.64 |
| Carter County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Greene County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Hancock County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Hawkins County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Johnson County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Sullivan County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Unicoi County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Washington County | $575.22 | $652.87 | $735.12 | $1,027.33 | $1,561.13 |
| Benton County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Carroll County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Chester County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Crockett County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Decatur County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Dyer County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Gibson County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Hardeman County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Hardin County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Henderson County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Henry County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Lake County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Madison County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| McNairy County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Obion County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Weakley County | $594.37 | $674.60 | $759.60 | $1,061.54 | $1,613.11 |
| Cheatham County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Davidson County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Montgomery County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Robertson County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Rutherford County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Sumner County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Trousdale County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Williamson County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Wilson County | $626.35 | $710.90 | $800.47 | $1,118.65 | $1,699.90 |
| Cannon County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Clay County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Cumberland County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| DeKalb County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Fentress County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Jackson County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Macon County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Overton County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Pickett County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Putnam County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Smith County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Van Buren County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Warren County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| White County | $639.12 | $725.39 | $816.78 | $1,141.45 | $1,734.55 |
| Bedford County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Coffee County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Dickson County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Giles County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Hickman County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Houston County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Humphreys County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Lawrence County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Lewis County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Lincoln County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Marshall County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Maury County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Moore County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Perry County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Stewart County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
| Wayne County | $668.95 | $759.25 | $854.91 | $1,194.73 | $1,815.51 |
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.