Silver Pharmacy Coverage
Prescriptions can be even cheaper at the Silver level.Pharmacy Copays for 2026
For Silver 70, 73 and 87 plans, once you’ve spent a certain amount for the year at the pharmacy, you’ll pay a discounted flat rate for prescriptions. With the Silver 94 plan, you never have to meet a deductible first — you’ll always pay the “after deductible” cost.
Deductible Amounts for 2026
$0 to $50
Individual
$0 to $100
Family
Tier 1: Generic Prescriptions
$3 to $19
After Deductible
(if applicable)
(if applicable)
Tier 2: Preferred Prescriptions
Full Cost
Before Deductible
(Silver 70, 73 and 87 only)
(Silver 70, 73 and 87 only)
$10 to $60
After Deductible
(if applicable)
(if applicable)
Tier 3: Non-Preferred Prescriptions
Full Cost
Before Deductible
(Silver 70, 73 and 87 only)
(Silver 70, 73 and 87 only)
$15 to $90
After Deductible
(if applicable)
(if applicable)
Tier 4: Specialty Prescriptions
Full Cost
Before Deductible
(Silver 70, 73 and 87 only)
(Silver 70, 73 and 87 only)
10% to 20%
of Bill After Deductible
(if applicable)
(if applicable)
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Interested in a Silver plan?
If this sounds like a good fit, check out our Silver plans or apply now.
Things to Know
Need help applying?
You can get help from a certified enrollment counselor right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.
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