PolicymagePolicymage
Silver
HMO
Standardized plan

Standard Silver

Ambetter Health · Mississippi Marketplace plan for 2026

What you pay before the plan starts sharing costs

Deductible (individual)

$6,000

$12,000 for a family

Out-of-pocket maximum (individual)

$8,900

$17,800 for a family

The out-of-pocket maximum is the most you can pay in a year for covered in-network care. After you reach it, the plan pays everything else.

What you pay for common care

In-network cost sharing for common services on Standard Silver, 2026
ServiceYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$40
Specialist Visit$80
Emergency Room Services40% Coinsurance after deductible
Generic Drugs$20
Preferred Brand Drugs$40
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Laboratory Outpatient and Professional Services40% Coinsurance after deductible
X-rays and Diagnostic Imaging40% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$40

Where this plan is sold in Mississippi

Available in 13 of the rating areas we cover. Premiums differ by area, so check the one you live in.

Benton CountyColumbus Area (Northeast Mississippi)Hattiesburg Area (South Mississippi)Jackson Metro Area (Mississippi)Lafayette CountyMemphis Metro Area (Mississippi Side)Mississippi (Northeast & Southern Rural Counties)Mississippi Delta & Central CountiesMississippi Gulf Coast (Biloxi & Gulfport)Natchez & Starkville Area (Mississippi)Panola CountySouth Central Mississippi (Copiah & Simpson Counties)Tupelo Area (Northeast Mississippi)

Everything Standard Silver covers

Covered benefits and in-network cost sharing for Standard Silver
BenefitYou pay (in-network)
Routine Eye Exam for ChildrenLimit: 1 exams per yearNo Charge
Eye Glasses for ChildrenLimit: 1 items per yearNo Charge
Transplant40% Coinsurance after deductible
Accidental Dental40% Coinsurance after deductible
Dialysis40% Coinsurance after deductible
Allergy Testing$80
Chemotherapy40% Coinsurance after deductible
Radiation40% Coinsurance after deductible
Diabetes Education$80
Prosthetic Devices40% Coinsurance after deductible
Infusion Therapy40% Coinsurance after deductible
Treatment For Temporomandibular Joint Disorders40% Coinsurance after deductible
Nutritional Counseling$80
Generic Drugs$20
Preferred Brand Drugs$40
Non-Preferred Brand Drugs$80 Copay after deductible
Specialty Drugs$350 Copay after deductible
Outpatient Rehabilitation ServicesLimit: 20 visits per year$40
Rehabilitative Speech TherapyLimit: 20 visits per year$40
Laboratory Outpatient and Professional Services40% Coinsurance after deductible
X-rays and Diagnostic Imaging40% Coinsurance after deductible
Rehabilitative Occupational And Rehabilitative Physical TherapyLimit: 20 visits per year$40
Habilitation ServicesLimit: 20 visits per year$40
Well Baby Visits And CareNo Charge
Chiropractic CareLimit: 20 visits per year$80
Durable Medical Equipment40% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)40% Coinsurance after deductible
Preventive Care/Screening/ImmunizationNo Charge
Routine Foot Care$80
Primary Care Visit to Treat an Injury or Illness$40
Specialist Visit$80
Other Practitioner Office Visit Nurse Physician Assistant$40
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services40% Coinsurance after deductible
Hospice Services40% Coinsurance after deductible
Urgent Care Centers Or Facilities$60
Home Health Care Services40% Coinsurance after deductible
Emergency Room Services40% Coinsurance after deductible
Emergency Transportation/Ambulance40% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Inpatient Physician and Surgical Services40% Coinsurance after deductible
Skilled Nursing FacilityLimit: 60 days per year40% Coinsurance after deductible
Prenatal And Postnatal Care$40
Delivery And All Inpatient Services For Maternity Care40% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$40
Mental/Behavioral Health Inpatient Services40% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$40
Substance Abuse Disorder Inpatient Services40% Coinsurance after deductible
Reconstructive Surgery40% Coinsurance after deductible

Not covered by this plan

  • Weight Loss Programs
  • Orthodontia - Adult
  • Major Dental Care - Adult
  • Dental Check-Up for Children
  • Abortion Services
  • Basic Dental Care - Child
  • Orthodontia - Child
  • Major Dental Care - Child
  • Basic Dental Care - Adult
  • Hearing Aids
  • Acupuncture
  • Routine Dental Services (Adult)
  • Infertility Treatment
  • Long Term Custodial Nursing Home Care
  • Private-Duty Nursing
  • Routine Eye Exam (Adult)
  • Bariatric Surgery
  • Cosmetic Surgery

Official plan documents

What this page does not show

No premium and no subsidy estimate. Both depend on your age, household size, income and county, not on the plan, so any figure here would be wrong for almost everyone. Check what you would actually pay for Standard Silver in your area:

See your price for this planEstimate your subsidy

Coverage and cost sharing come from the official Marketplace record for plan 90714MS0010064, 2026 plan year. Always confirm against the Summary of Benefits before enrolling.

Plans shown based on input. Not insurance advice. Policymage is not a licensed broker or agent.