Tennessee health plan · 2026

SoloCare Silver EPO $6500 DED 10013 · 29854TN0010013

Alliant Health Plans offers this marketplace health insurance plan (Plan ID 29854TN0010013) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Silver Plan type: EPO CSR: 94% AV Level Silver Plan Issuer: Alliant Health Plans
Telehealth Data pending HSA eligible No Dental Not listed Vision Child

CMS AV Calculator output: 94.95% (5.05% member share on average). Learn about AV methodology.

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$438 – $1716

Before subsidies

Estimate after subsidies

Deductible

$0

$0 per group

See deductible details

Max out-of-pocket

$1,000

$2000 per group

Review MOOP rules

Office visits

Primary care $0.00
Specialist $35.00
HSA Not eligible

Drug tiers

Generic $0.00
Preferred brand $15.00

View formulary tiers

$600 / mo before subsidies

≈ $7195 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1900 / mo before subsidies

≈ $22801 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$2301 / mo before subsidies

≈ $27614 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1462 / mo before subsidies

≈ $17549 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

40.00%

Durable Medical Equipment

40.00%

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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Tennessee). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • 94% AV Level Silver Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

40.00%

Durable Medical Equipment

40.00%

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Tennessee 10445
PCPs in Tennessee 1631
Telehealth support Data pending
Nationwide providers 90696
10,445 doctors statewide 1,631 PCPs 64 OB/GYN
Providers Tennessee All US states
All 10445 90696
PCP 1631 6076
Allergy 7 22
OB/GYN 64 216
Dentists 16 35

Drug coverage overview

5,226 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
GENERIC 2,758
NON-PREFERRED-BRAND 1,403
SPECIALTY 1,061
9 4
Prior authorization Drugs
Required 1,130
Not Required 4,096
Step therapy Drugs
Required 72
Not Required 5,154
Quantity limits Drugs
Has Limit 1,913
No Limit 3,313

Customer highlights

What stands out for members

  • Issuer: Alliant Health Plans · Plan ID 29854TN0010013 · 2026 filing.
  • Disease management programs available: Diabetes.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 29854TN0010013-06 (94% AV Silver Plan ) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

$0.00

Diabetes Education

40.00%

Home Health Care Services

40.00%

Laboratory Outpatient and Professional Services

40.00%

Other Practitioner Office Visit (Nurse, Physician Assistant)

$0.00

Preventive Care/Screening/Immunization

No Charge

Primary Care Visit to Treat an Injury or Illness

$0.00

Rehabilitative Occupational and Rehabilitative Physical Therapy

40.00%

Rehabilitative Speech Therapy

40.00%

Specialist Visit

$35.00

Urgent Care Centers or Facilities

$75.00

X-rays and Diagnostic Imaging

40.00%

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

40.00%

Delivery and All Inpatient Services for Maternity Care

40.00%

Dialysis

40.00%

Durable Medical Equipment

40.00%

Emergency Room Services

40.00%

Emergency Transportation/Ambulance

40.00%

Hospice Services

40.00%

Inpatient Hospital Services (e.g., Hospital Stay)

40.00%

Inpatient Physician and Surgical Services

40.00%

Mental/Behavioral Health Inpatient Services

40.00%

Mental/Behavioral Health Outpatient Services

$0.00

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

40.00%

Outpatient Rehabilitation Services

40.00%

Outpatient Surgery Physician/Surgical Services

40.00%

Radiation

40.00%

Skilled Nursing Facility

40.00%

Substance Abuse Disorder Inpatient Services

40.00%

Substance Abuse Disorder Outpatient Services

$0.00

Transplant

40.00%

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Hearing Aids

40.00%

Major Dental Care - Child

Coverage details pending

Prenatal and Postnatal Care

$0.00

Routine Eye Exam for Children

40.00%

Well Baby Visits and Care

No Charge

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$0.00

Non-Preferred Brand Drugs

40.00%

Preferred Brand Drugs

$15.00

Specialty Drugs

50.00%

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

40.00%

Basic Dental Care - Adult

Coverage details pending

Dental Check-Up for Children

Coverage details pending

Infusion Therapy

40.00%

Major Dental Care - Adult

Coverage details pending

Nutritional Counseling

40.00%

Orthodontia - Adult

Coverage details pending

Orthodontia - Child

Coverage details pending

Prosthetic Devices

40.00%

Routine Dental Services (Adult)

Coverage details pending

Weight Loss Programs

40.00%

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Acupuncture

Coverage details pending

Allergy Testing

40.00%

Bariatric Surgery

Coverage details pending

Cosmetic Surgery

40.00%

Eye Glasses for Children

40.00%

Habilitation Services

40.00%

Imaging (CT/PET Scans, MRIs)

40.00%

Infertility Treatment

Coverage details pending

Long-Term/Custodial Nursing Home Care

Coverage details pending

Private-Duty Nursing

Coverage details pending

Reconstructive Surgery

40.00%

Routine Eye Exam (Adult)

Coverage details pending

Routine Foot Care

Coverage details pending

Treatment for Temporomandibular Joint Disorders

40.00%

Variant attributes

SoloCare Silver EPO $6500 DED 10013 · Variant 29854TN0010013-06

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

94% AV Level Silver Plan

HIOS Product ID

29854TN001

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

29854TN0010013-06

Plan Marketing Name

SoloCare Silver EPO $6500 DED 10013

Plan Variant Marketing Name

SoloCare Silver EPO $0 DED 10013-06

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

29854

Issuer Marketplace Marketing Name

Alliant Health Plans, Inc.

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

TNN001

Out of Country Coverage

No

Out of Country Coverage Description

Coverage is available for emergency situations

Out of Service Area Coverage

No

Out of Service Area Coverage Description

In-Network providers available in certain Tennessee counties that border Georgia. Verify participating providers at AlliantPlans.com

Service Area ID

TNS001

State Code

TN

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.949535841

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$1,000

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$400

SBC Scenario, Having Diabetes, Copayment

$300

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$900

SBC Scenario, Treatment of a Simple Fracture, Copayment

$100

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

40.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$2000 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$1000 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$1,000

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

TNF007

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$20

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Diabetes

EHB Percent of Total Premium

1

First Tier Utilization

100%

Import Date

10/15/2025

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

No

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

EPO

QHP/Non QHP

Both

Source Name

HIOS

Plan ID

29854TN0010013

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group

$0 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person

$0 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$0

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

No

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Tennessee?

SoloCare Silver EPO $6500 DED 10013 (29854TN0010013) is a Silver EPO from Alliant Health Plans in Tennessee for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does SoloCare Silver EPO $6500 DED 10013 support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is SoloCare Silver EPO $6500 DED 10013 HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental coverage is not listed for this plan.

Vision add-ons: Child.

Does SoloCare Silver EPO $6500 DED 10013 support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with SoloCare Silver EPO $6500 DED 10013?

The issuer lists disease management resources for: Diabetes.

Is there out-of-country coverage for SoloCare Silver EPO $6500 DED 10013?

No, out-of-country services are not covered for this plan. Details: Coverage is available for emergency situations

Does SoloCare Silver EPO $6500 DED 10013 cover care outside the service area?

No, the issuer indicates out-of-service-area care is not covered except for emergencies. Details: In-Network providers available in certain Tennessee counties that border Georgia. Verify participating providers at AlliantPlans.com

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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