SilverHMO

Silver Classic Standard

Oscar Health Plan, Inc.

Starting at

$602

/month before subsidy

Key facts

Silver Classic Standard is a 2026 Silver HMO health insurance plan from Oscar Health Plan, Inc., sold on the ACA Marketplace in Mississippi under plan ID 20635MS0010004. The monthly premium starts at $602 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,000 ($12,000 for a family), and the individual out-of-pocket maximum is $8,900 ($17,800 for a family). After the deductible, coinsurance is 40% for covered in-network care. The plan is not HSA-eligible.

Plan ID
20635MS0010004
Plan year
2026
State
Mississippi
Metal level
Silver
Plan type
HMO
HSA-eligible
No

Individual Deductible

$6,000

Family: $12,000

Out-of-Pocket Max

$8,900

Family: $17,800

Coinsurance

40%

You pay after deductible

Network Type

HMO

MSN001

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

Medical Services

Primary Care Visit$40.00
Specialist Visit$80.00
Urgent Care$60.00
Emergency Room40.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$20.00
Brand Name Drugs$80.00 Copay after deductible
Specialty Drugs$350.00 Copay after deductible
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$8,120

your estimated cost

Deductible
$6,000
Copays
$20
Coinsurance
$2,100

Managing type 2 diabetes

A year of routine care

$1,500

your estimated cost

Deductible
$100
Copays
$1,400
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,500

your estimated cost

Deductible
$2,200
Copays
$300
Coinsurance
$0
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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Official Plan Documents
Published by Oscar Health Plan, Inc.. These are the authoritative source for coverage details.
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

$1,344/month

Annual Premium

$7,224

OOP Maximum

$8,900

💡 What this means:

With a $6,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 40% (coinsurance) until you hit $8,900 total. Then insurance covers everything else for the year.

More plans from Oscar Health Plan, Inc. in Mississippi

View all Marketplace plans in Mississippi

Frequently asked questions about Silver Classic Standard

How much does Silver Classic Standard cost per month?

Silver Classic Standard from Oscar Health Plan, Inc. starts at $602 per month before any subsidy in Mississippi. 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 Classic Standard?

The individual medical deductible is $6,000, and the family deductible is $12,000. 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 Classic Standard?

The most you would pay in a year for covered in-network care is $8,900 for an individual and $17,800 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Silver Classic Standard HSA-eligible?

No. Silver Classic Standard 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 Classic Standard use?

Silver Classic Standard 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.