Bronze Simple Diabetes
Expanded Bronze · EPO · Oscar Insurance Company · Texas
At age 40 it costs between $434.32 and $573.96 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 | 20069TX0100068 |
|---|---|
| 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 | $339.85 | $385.72 | $434.32 | $606.95 | $922.33 |
| Austin County | $370.55 | $420.56 | $473.55 | $661.78 | $1,005.64 |
| Brazoria County | $370.55 | $420.56 | $473.55 | $661.78 | $1,005.64 |
| Fort Bend County | $370.55 | $420.56 | $473.55 | $661.78 | $1,005.64 |
| Waller County | $370.55 | $420.56 | $473.55 | $661.78 | $1,005.64 |
| Hidalgo County | $372.97 | $423.30 | $476.64 | $666.10 | $1,012.20 |
| Atascosa County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Bandera County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Bexar County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Comal County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Gonzales County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Guadalupe County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Kendall County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| La Salle County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Medina County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| Wilson County | $375.19 | $425.83 | $479.48 | $670.07 | $1,018.24 |
| McMullen County | $375.86 | $426.59 | $480.34 | $671.27 | $1,020.06 |
| Cameron County | $377.15 | $428.05 | $481.98 | $673.57 | $1,023.55 |
| Kenedy County | $377.15 | $428.05 | $481.98 | $673.57 | $1,023.55 |
| Willacy County | $377.15 | $428.05 | $481.98 | $673.57 | $1,023.55 |
| El Paso County | $380.82 | $432.22 | $486.68 | $680.13 | $1,033.52 |
| Hudspeth County | $380.82 | $432.22 | $486.68 | $680.13 | $1,033.52 |
| Galveston County | $382.67 | $434.32 | $489.04 | $683.44 | $1,038.55 |
| Harris County | $382.67 | $434.32 | $489.04 | $683.44 | $1,038.55 |
| Cooke County | $390.17 | $442.84 | $498.63 | $696.83 | $1,058.90 |
| Collin County | $391.35 | $444.17 | $500.13 | $698.93 | $1,062.09 |
| Dallas County | $391.35 | $444.17 | $500.13 | $698.93 | $1,062.09 |
| Ellis County | $391.35 | $444.17 | $500.13 | $698.93 | $1,062.09 |
| Rockwall County | $391.35 | $444.17 | $500.13 | $698.93 | $1,062.09 |
| Jack County | $394.74 | $448.01 | $504.46 | $704.98 | $1,071.29 |
| Liberty County | $396.24 | $449.72 | $506.38 | $707.67 | $1,075.37 |
| Montgomery County | $396.24 | $449.72 | $506.38 | $707.67 | $1,075.37 |
| Walker County | $396.24 | $449.72 | $506.38 | $707.67 | $1,075.37 |
| Denton County | $424.59 | $481.90 | $542.62 | $758.31 | $1,152.32 |
| Parker County | $424.59 | $481.90 | $542.62 | $758.31 | $1,152.32 |
| Tarrant County | $424.59 | $481.90 | $542.62 | $758.31 | $1,152.32 |
| Wise County | $424.59 | $481.90 | $542.62 | $758.31 | $1,152.32 |
| Bastrop County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Blanco County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Burnet County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Caldwell County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Hays County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Lee County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Llano County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Travis County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| Williamson County | $437.71 | $496.78 | $559.38 | $781.72 | $1,187.91 |
| San Jacinto County | $449.12 | $509.74 | $573.96 | $802.11 | $1,218.88 |
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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When this plan’s price or benefits change.
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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.