Standard Silver

Ambetter from Home State Health · 2026 plan year

Silver

Ind. deductible: $6,000
Family deductible: $12,000
Ind. OOP max: $8,900
Family OOP max: $17,800

Compare with other Silver plans in MO

Side by side: deductibles, out-of-pocket limits and copays.

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)Anthem Blue Cross and Blue Shield · Deductible $6,000 · Out-of-pocket max $8,900
Silver Classic StandardOscar Insurance Company · Deductible $6,000 · Out-of-pocket max $8,900
Cox HealthPlans Silver ConnectCox HealthPlans · Deductible $6,000 · Out-of-pocket max $7,000

Compare 4 plans Browse all Silver plans in MO

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Zero Cost Sharing Plan Variation

More Ambetter from Home State Health plans in MO

Complete Silver Complete Gold Everyday Bronze Everyday Gold

Monthly premiums by age

Rating Area 6 — the lowest-priced of the 10 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$313	$313
21	$409	$471
30	$465	$534
40	$523	$602
50	$731	$841
60	$1,111	$1,278
64 and over	$1,228	$1,413

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$40.00

Specialist

Benefit	In-network
Specialist Visit	$80.00

Hospital

Benefit	In-network
Emergency Room Services	40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	40.00% Coinsurance after deductible
Mental/Behavioral Health Emergency Room	40.00% Coinsurance after deductible
Mental/Behavioral Health Urgent Care	$40.00
Outpatient Surgery Physician/Surgical Services	40.00% Coinsurance after deductible
Substance Use Disorder Emergency Room	40.00% Coinsurance after deductible
Substance Use Disorder Urgent Care	$40.00
Urgent Care Centers or Facilities	$60.00

Pharmacy

Benefit	In-network
Generic Drugs	$20.00
Non-Preferred Brand Drugs	$80.00 Copay after deductible
Preferred Brand Drugs	$40.00
Specialty Drugs	$350.00 Copay after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Mental/Behavioral Health ER Physician Fee	40.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services	40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Other Services	40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$40.00
Substance Use Disorder Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Substance Use Disorder ER Physician Fee	40.00% Coinsurance after deductible
Substance Use Disorder Outpatient Other Services	40.00% Coinsurance after deductible

Other

Benefit	In-network
Weight Loss Programs	Not covered
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	40.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	$80.00
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	40.00% Coinsurance after deductible
Chiropractic Care	40.00%
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	40.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	$80.00
Dialysis	40.00% Coinsurance after deductible
Durable Medical Equipment	40.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	$40.00
Hearing Aids	40.00% Coinsurance after deductible
Home Health Care Services	40.00% Coinsurance after deductible
Hospice Services	40.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	40.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	40.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	$80.00
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$40.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	40.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$40.00
Prenatal and Postnatal Care	$40.00
Private-Duty Nursing	40.00% Coinsurance after deductible
Prosthetic Devices	40.00% Coinsurance after deductible
Radiation	40.00% Coinsurance after deductible
Reconstructive Surgery	40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$40.00
Rehabilitative Speech Therapy	$40.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	No charge
Routine Foot Care	$80.00
Skilled Nursing Facility	40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$40.00
Transplant	40.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	40.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	40.00% Coinsurance after deductible