SimpliveraCoverage Companion

HMO Copayment 30 Child Only, Silver, ST, INN, HMO Network

CDPHP · 2026 plan year

SilverChild-only plan — for enrollees under 21
Ind. medical deductible
$0
Rx deductible (separate)
Not listed
Family deductible
$0
Ind. OOP max
$1,275
Family OOP max
$2,550

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Only children can enroll in this plan, so its premium is a child’s premium. It is not counted in the cheapest or “from” prices we quote for adults.

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan87% AV Level Silver PlanLimited Cost Sharing Plan VariationStandard Silver On Exchange Plan

More CDPHP plans in NY

HDHMO HSA Qualified 40 Bronze, ST, INN, HMO Network, Dep29HDHMO HSA Qualified 40 Child Only, Bronze, ST, INN, HMO NetworkHDHMO HSA Qualified 40 Bronze, ST, INN, HMO Network, Dep25HMO Copayment 30, Silver, ST, INN, HMO Network, Dep25HDHMO HSA Qualified 45, Bronze, NS, INN, HMO Network, Dep29, Adult Vision, Lasik, Wellness

Live premium estimate

$

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