Signature Silver SC
Ambetter from Absolute Total Care · 2027 plan year
- Ind. deductible
- $6,400
- Family deductible
- $12,800
- Ind. OOP max
- $10,300
- Family OOP max
- $20,600
This plan in 2026
For 2027, members of Standard Silver who don't choose another plan are moved into this plan in some counties.
Compare 2026 vs 2027Other cost-sharing reduction variants for this plan:
Your price after subsidy
An estimate of the premium tax credit for your household and what this plan would cost you after it.
Prices and the benchmark plan depend on where you live.
You, your spouse if you file jointly, and anyone you claim as a dependent — even if they don't need coverage.
Your whole household's modified adjusted gross income (MAGI): roughly adjusted gross income plus untaxed Social Security, tax-exempt interest and foreign income.
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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 | No charge |
| 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 | No charge |
Other
| Benefit | In-network |
|---|---|
| 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 | $80.00 |
| 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 | Not covered |
| 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 | Not covered |
| 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 |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 40.00% Coinsurance after deductible |
Check your doctors and drugs before you enroll
We don't check this plan's provider network or drug list. Search its directory and drug list on HealthCare.gov, your state's marketplace, or the insurer's site, then call your doctor's office to confirm they take this exact plan. How to check
Open enrollment for 2027 is open now
On HealthCare.gov, enroll by December 15 for coverage that starts January 1; the deadline is January 15. State-run exchanges set their own dates. Leave your email and we may write with updates. No schedule, no spam.