Bronze Elite + PCP Saver Plus
Expanded Bronze · EPO · Oscar Insurance Company · Texas
At age 40 it costs between $452.42 and $597.89 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 20069TX0100005 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $6,500 |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | $40 |
| Specialist visit | $130 |
| Emergency room | $2,500 |
| Inpatient stay | $3,000 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $125 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-672-2755 |
Where it is sold, and what it costs there
47 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Milam County | $354.02 | $401.80 | $452.42 | $632.26 | $960.78 |
| Austin County | $385.99 | $438.09 | $493.29 | $689.37 | $1,047.56 |
| Brazoria County | $385.99 | $438.09 | $493.29 | $689.37 | $1,047.56 |
| Fort Bend County | $385.99 | $438.09 | $493.29 | $689.37 | $1,047.56 |
| Waller County | $385.99 | $438.09 | $493.29 | $689.37 | $1,047.56 |
| Hidalgo County | $388.51 | $440.95 | $496.51 | $693.87 | $1,054.40 |
| Atascosa County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Bandera County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Bexar County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Comal County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Gonzales County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Guadalupe County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Kendall County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| La Salle County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Medina County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| Wilson County | $390.83 | $443.58 | $499.47 | $698.01 | $1,060.69 |
| McMullen County | $391.53 | $444.38 | $500.36 | $699.25 | $1,062.58 |
| Cameron County | $392.87 | $445.90 | $502.08 | $701.65 | $1,066.22 |
| Kenedy County | $392.87 | $445.90 | $502.08 | $701.65 | $1,066.22 |
| Willacy County | $392.87 | $445.90 | $502.08 | $701.65 | $1,066.22 |
| El Paso County | $396.70 | $450.24 | $506.96 | $708.48 | $1,076.61 |
| Hudspeth County | $396.70 | $450.24 | $506.96 | $708.48 | $1,076.61 |
| Galveston County | $398.63 | $452.43 | $509.43 | $711.93 | $1,081.84 |
| Harris County | $398.63 | $452.43 | $509.43 | $711.93 | $1,081.84 |
| Cooke County | $406.44 | $461.30 | $519.42 | $725.88 | $1,103.05 |
| Collin County | $407.66 | $462.69 | $520.98 | $728.07 | $1,106.37 |
| Dallas County | $407.66 | $462.69 | $520.98 | $728.07 | $1,106.37 |
| Ellis County | $407.66 | $462.69 | $520.98 | $728.07 | $1,106.37 |
| Rockwall County | $407.66 | $462.69 | $520.98 | $728.07 | $1,106.37 |
| Jack County | $411.19 | $466.69 | $525.49 | $734.37 | $1,115.95 |
| Liberty County | $412.76 | $468.47 | $527.49 | $737.17 | $1,120.20 |
| Montgomery County | $412.76 | $468.47 | $527.49 | $737.17 | $1,120.20 |
| Walker County | $412.76 | $468.47 | $527.49 | $737.17 | $1,120.20 |
| Denton County | $442.29 | $501.99 | $565.24 | $789.92 | $1,200.36 |
| Parker County | $442.29 | $501.99 | $565.24 | $789.92 | $1,200.36 |
| Tarrant County | $442.29 | $501.99 | $565.24 | $789.92 | $1,200.36 |
| Wise County | $442.29 | $501.99 | $565.24 | $789.92 | $1,200.36 |
| Bastrop County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Blanco County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Burnet County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Caldwell County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Hays County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Lee County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Llano County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Travis County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| Williamson County | $455.95 | $517.49 | $582.69 | $814.31 | $1,237.43 |
| San Jacinto County | $467.84 | $530.99 | $597.89 | $835.55 | $1,269.69 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.