Silver Simple Women's Health with Menopause Benefits
Starting at
$736
/month before subsidy
Silver Simple Women's Health with Menopause Benefits is a 2026 Silver EPO health insurance plan from Oscar Insurance Company, sold on the ACA Marketplace in Nebraska under plan ID 57424NE0010055. The monthly premium starts at $736 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 $10,150 ($20,300 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 57424NE0010055
- Plan year
- 2026
- State
- Nebraska
- Metal level
- Silver
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$6,000
Family: $12,000
Out-of-Pocket Max
$10,150
Family: $20,300
Coinsurance
50%
You pay after deductible
Network Type
EPO
NEN001
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$8,200
your estimated cost
- Deductible
- $6,000
- Copays
- $100
- Coinsurance
- $2,100
Managing type 2 diabetes
A year of routine care
$4,400
your estimated cost
- Deductible
- $4,200
- Copays
- $200
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,680
your estimated cost
- Deductible
- $2,600
- Copays
- $80
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
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.
If you max out this year
$1,582/month
Annual Premium
$8,832
OOP Maximum
$10,150
💡 What this means:
With a $6,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.
More plans from Oscar Insurance Company in Nebraska
- Bronze Classicfrom $555/mo
- Bronze Classic | with Bryan Healthfrom $517/mo
- Bronze Classic Standardfrom $585/mo
- Bronze Classic Standard | with Bryan Healthfrom $545/mo
- Bronze Elite + PCP Saver Plusfrom $627/mo
- Bronze Elite + PCP Saver Plus | with Bryan Healthfrom $584/mo
- Bronze Simple Diabetesfrom $596/mo
- Bronze Simple Diabetes | with Bryan Healthfrom $555/mo
Frequently asked questions about Silver Simple Women's Health with Menopause Benefits
How much does Silver Simple Women's Health with Menopause Benefits cost per month?
Silver Simple Women's Health with Menopause Benefits from Oscar Insurance Company starts at $736 per month before any subsidy in Nebraska. 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 Simple Women's Health with Menopause Benefits?
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 Simple Women's Health with Menopause Benefits?
The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Silver Simple Women's Health with Menopause Benefits HSA-eligible?
No. Silver Simple Women's Health with Menopause Benefits 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 Simple Women's Health with Menopause Benefits use?
Silver Simple Women's Health with Menopause Benefits 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.