Bronze Simple Chronic Care CKM
Expanded Bronze · EPO · Oscar Insurance Company · Texas
At age 40 it costs between $441.59 and $583.58 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 | 20069TX0100059 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | $50 |
| Specialist visit | $150 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 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 | $345.55 | $392.18 | $441.59 | $617.13 | $937.78 |
| Austin County | $376.76 | $427.61 | $481.48 | $672.87 | $1,022.49 |
| Brazoria County | $376.76 | $427.61 | $481.48 | $672.87 | $1,022.49 |
| Fort Bend County | $376.76 | $427.61 | $481.48 | $672.87 | $1,022.49 |
| Waller County | $376.76 | $427.61 | $481.48 | $672.87 | $1,022.49 |
| Hidalgo County | $379.22 | $430.40 | $484.63 | $677.26 | $1,029.16 |
| Atascosa County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Bandera County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Bexar County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Comal County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Gonzales County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Guadalupe County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Kendall County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| La Salle County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Medina County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| Wilson County | $381.48 | $432.97 | $487.52 | $681.30 | $1,035.31 |
| McMullen County | $382.16 | $433.74 | $488.39 | $682.52 | $1,037.16 |
| Cameron County | $383.47 | $435.23 | $490.06 | $684.86 | $1,040.71 |
| Kenedy County | $383.47 | $435.23 | $490.06 | $684.86 | $1,040.71 |
| Willacy County | $383.47 | $435.23 | $490.06 | $684.86 | $1,040.71 |
| El Paso County | $387.20 | $439.46 | $494.83 | $691.53 | $1,050.84 |
| Hudspeth County | $387.20 | $439.46 | $494.83 | $691.53 | $1,050.84 |
| Galveston County | $389.09 | $441.60 | $497.24 | $694.89 | $1,055.96 |
| Harris County | $389.09 | $441.60 | $497.24 | $694.89 | $1,055.96 |
| Cooke County | $396.71 | $450.26 | $506.99 | $708.51 | $1,076.65 |
| Collin County | $397.91 | $451.61 | $508.51 | $710.64 | $1,079.89 |
| Dallas County | $397.91 | $451.61 | $508.51 | $710.64 | $1,079.89 |
| Ellis County | $397.91 | $451.61 | $508.51 | $710.64 | $1,079.89 |
| Rockwall County | $397.91 | $451.61 | $508.51 | $710.64 | $1,079.89 |
| Jack County | $401.35 | $455.52 | $512.91 | $716.80 | $1,089.24 |
| Liberty County | $402.88 | $457.26 | $514.87 | $719.53 | $1,093.39 |
| Montgomery County | $402.88 | $457.26 | $514.87 | $719.53 | $1,093.39 |
| Walker County | $402.88 | $457.26 | $514.87 | $719.53 | $1,093.39 |
| Denton County | $431.71 | $489.98 | $551.71 | $771.02 | $1,171.63 |
| Parker County | $431.71 | $489.98 | $551.71 | $771.02 | $1,171.63 |
| Tarrant County | $431.71 | $489.98 | $551.71 | $771.02 | $1,171.63 |
| Wise County | $431.71 | $489.98 | $551.71 | $771.02 | $1,171.63 |
| Bastrop County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Blanco County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Burnet County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Caldwell County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Hays County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Lee County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Llano County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Travis County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| Williamson County | $445.04 | $505.11 | $568.75 | $794.83 | $1,207.81 |
| San Jacinto County | $456.64 | $518.28 | $583.58 | $815.55 | $1,239.31 |
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.