CommunityCare Silver SLIH223
Silver · HMO · CommunityCare · Oklahoma
At age 40 it costs between $636.43 and $668.35 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 | $6,600 | $7,800 | $35 | $10 |
| up to 150% of the federal poverty level | $50 | $1,100 | $15 | $10 |
| 150% to 200% | $200 | $2,800 | $25 | $10 |
| 200% to 250% | $3,300 | $7,000 | $35 | $10 |
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 | 98905OK0130051 |
|---|---|
| Insurer | CommunityCare |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $6,600 |
| Deductible (family) | $17,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,800 |
| Family maximum | $18,200 |
| Primary care visit | $35 |
| Specialist visit | $65 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $55 |
| 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 | 1-800-777-4890 · TTY 1-800-722-0353 |
Where it is sold, and what it costs there
26 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 |
|---|---|---|---|---|---|
| Cherokee County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Craig County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Creek County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Delaware County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Hughes County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Kingfisher County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Mayes County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| McIntosh County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Muskogee County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Nowata County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Okmulgee County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Osage County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Ottawa County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Pawnee County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Payne County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Pittsburg County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Pottawatomie County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Rogers County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Tulsa County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Wagoner County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Washington County | $497.99 | $565.22 | $636.43 | $889.41 | $1,351.54 |
| Canadian County | $522.96 | $593.56 | $668.35 | $934.01 | $1,419.32 |
| Cleveland County | $522.96 | $593.56 | $668.35 | $934.01 | $1,419.32 |
| Lincoln County | $522.96 | $593.56 | $668.35 | $934.01 | $1,419.32 |
| Logan County | $522.96 | $593.56 | $668.35 | $934.01 | $1,419.32 |
| Oklahoma County | $522.96 | $593.56 | $668.35 | $934.01 | $1,419.32 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.