SilverHMO

Silver Elite Saver Plus Rx Copay (Select)

Issuer 11574

Starting at

$634

/month before subsidy

Key facts

Silver Elite Saver Plus Rx Copay (Select) is a 2026 Silver HMO health insurance plan from Issuer 11574, sold on the ACA Marketplace in Illinois under plan ID 11574IL0020030. The monthly premium starts at $634 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $500 ($500 for a family), and the individual out-of-pocket maximum is $9,500 ($9,500 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.

Plan ID
11574IL0020030
Plan year
2026
State
Illinois
Metal level
Silver
Plan type
HMO
HSA-eligible
No

Individual Deductible

$500

Family: $500

Out-of-Pocket Max

$9,500

Family: $9,500

Coinsurance

50%

You pay after deductible

Network Type

HMO

ILN002

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Silver HMO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,426/month

Annual Premium

$7,608

OOP Maximum

$9,500

💡 What this means:

With a $500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $9,500 total. Then insurance covers everything else for the year.

More plans from Issuer 11574 in Illinois

View all Marketplace plans in Illinois

Frequently asked questions about Silver Elite Saver Plus Rx Copay (Select)

How much does Silver Elite Saver Plus Rx Copay (Select) cost per month?

Silver Elite Saver Plus Rx Copay (Select) from Issuer 11574 starts at $634 per month before any subsidy in Illinois. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Silver Elite Saver Plus Rx Copay (Select)?

The individual medical deductible is $500, and the family deductible is $500. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Silver Elite Saver Plus Rx Copay (Select)?

The most you would pay in a year for covered in-network care is $9,500 for an individual and $9,500 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Silver Elite Saver Plus Rx Copay (Select) HSA-eligible?

No. Silver Elite Saver Plus Rx Copay (Select) is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Silver Elite Saver Plus Rx Copay (Select) use?

Silver Elite Saver Plus Rx Copay (Select) is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.