Bronze Simple Breathe Easy with Enhanced COPD Benefits
Expanded Bronze · EPO · Oscar Insurance Company · Texas
At age 40 it costs between $413.72 and $546.74 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 | 20069TX0100064 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $9,000 |
| Deductible (family) | $18,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | 40% Coinsurance after deductible |
| Specialist visit | 40% Coinsurance after deductible |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% 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 | $323.73 | $367.43 | $413.72 | $578.17 | $878.59 |
| Austin County | $352.98 | $400.62 | $451.09 | $630.40 | $957.95 |
| Brazoria County | $352.98 | $400.62 | $451.09 | $630.40 | $957.95 |
| Fort Bend County | $352.98 | $400.62 | $451.09 | $630.40 | $957.95 |
| Waller County | $352.98 | $400.62 | $451.09 | $630.40 | $957.95 |
| Hidalgo County | $355.28 | $403.23 | $454.03 | $634.51 | $964.20 |
| Atascosa County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Bandera County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Bexar County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Comal County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Gonzales County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Guadalupe County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Kendall County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| La Salle County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Medina County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| Wilson County | $357.40 | $405.64 | $456.74 | $638.30 | $969.96 |
| McMullen County | $358.04 | $406.36 | $457.56 | $639.44 | $971.69 |
| Cameron County | $359.26 | $407.75 | $459.13 | $641.63 | $975.01 |
| Kenedy County | $359.26 | $407.75 | $459.13 | $641.63 | $975.01 |
| Willacy County | $359.26 | $407.75 | $459.13 | $641.63 | $975.01 |
| El Paso County | $362.76 | $411.72 | $463.60 | $647.88 | $984.51 |
| Hudspeth County | $362.76 | $411.72 | $463.60 | $647.88 | $984.51 |
| Galveston County | $364.53 | $413.73 | $465.85 | $651.03 | $989.30 |
| Harris County | $364.53 | $413.73 | $465.85 | $651.03 | $989.30 |
| Cooke County | $371.67 | $421.84 | $474.98 | $663.79 | $1,008.69 |
| Collin County | $372.79 | $423.11 | $476.41 | $665.79 | $1,011.73 |
| Dallas County | $372.79 | $423.11 | $476.41 | $665.79 | $1,011.73 |
| Ellis County | $372.79 | $423.11 | $476.41 | $665.79 | $1,011.73 |
| Rockwall County | $372.79 | $423.11 | $476.41 | $665.79 | $1,011.73 |
| Jack County | $376.02 | $426.77 | $480.54 | $671.55 | $1,020.48 |
| Liberty County | $377.45 | $428.40 | $482.37 | $674.11 | $1,024.38 |
| Montgomery County | $377.45 | $428.40 | $482.37 | $674.11 | $1,024.38 |
| Walker County | $377.45 | $428.40 | $482.37 | $674.11 | $1,024.38 |
| Denton County | $404.46 | $459.05 | $516.89 | $722.35 | $1,097.68 |
| Parker County | $404.46 | $459.05 | $516.89 | $722.35 | $1,097.68 |
| Tarrant County | $404.46 | $459.05 | $516.89 | $722.35 | $1,097.68 |
| Wise County | $404.46 | $459.05 | $516.89 | $722.35 | $1,097.68 |
| Bastrop County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Blanco County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Burnet County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Caldwell County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Hays County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Lee County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Llano County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Travis County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| Williamson County | $416.95 | $473.23 | $532.85 | $744.65 | $1,131.57 |
| San Jacinto County | $427.82 | $485.57 | $546.74 | $764.07 | $1,161.08 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.