SilverEPO

Standard, Silver, ST, INN, IHC Network Marketplace, Dep25

Issuer 18029

Starting at

$1033

/month before subsidy

Key facts

Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 is a 2026 Silver EPO health insurance plan from Issuer 18029, sold on the ACA Marketplace in New York under plan ID 18029NY1350005. The monthly premium starts at $1,033 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,450 ($2,450 for a family), and the individual out-of-pocket maximum is $10,150 ($10,150 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
18029NY1350005
Plan year
2026
State
New York
Metal level
Silver
Plan type
EPO
HSA-eligible
No

Individual Deductible

$2,450

Family: $2,450

Out-of-Pocket Max

$10,150

Family: $10,150

Coinsurance

0%

You pay after deductible

Network Type

EPO

NYN001

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?
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Who This Plan Is Best For

This Silver EPO 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

$1,879/month

Annual Premium

$12,396

OOP Maximum

$10,150

💡 What this means:

With a $2,450 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from Issuer 18029 in New York

View all Marketplace plans in New York

Frequently asked questions about Standard, Silver, ST, INN, IHC Network Marketplace, Dep25

How much does Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 cost per month?

Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 from Issuer 18029 starts at $1,033 per month before any subsidy in New York. 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 Standard, Silver, ST, INN, IHC Network Marketplace, Dep25?

The individual medical deductible is $2,450, and the family deductible is $2,450. 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 Standard, Silver, ST, INN, IHC Network Marketplace, Dep25?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $10,150 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 HSA-eligible?

No. Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 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 Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 use?

Standard, Silver, ST, INN, IHC Network Marketplace, Dep25 is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

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.