Bronze Elite + PCP Saver Plus
Expanded Bronze · EPO · Oscar Insurance Company · Tennessee
At age 40 it costs between $552.31 and $649.13 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 | 23552TN0020005 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $7,000 |
| Most you could pay in a year | $9,900 |
| Family maximum | $19,800 |
| Primary care visit | $40 |
| Specialist visit | $130 |
| Emergency room | $2,000 |
| Inpatient stay | $3,000 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $100 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 · TTY 1-855-672-2755 |
Where it is sold, and what it costs there
46 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 |
|---|---|---|---|---|---|
| Fayette County | $432.18 | $490.51 | $552.31 | $771.85 | $1,172.90 |
| Haywood County | $432.18 | $490.51 | $552.31 | $771.85 | $1,172.90 |
| Lauderdale County | $432.18 | $490.51 | $552.31 | $771.85 | $1,172.90 |
| Shelby County | $432.18 | $490.51 | $552.31 | $771.85 | $1,172.90 |
| Tipton County | $432.18 | $490.51 | $552.31 | $771.85 | $1,172.90 |
| Benton County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Carroll County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Chester County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Crockett County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Decatur County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Dyer County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Gibson County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Hardeman County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Hardin County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Henderson County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Henry County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Lake County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Madison County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| McNairy County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Obion County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Weakley County | $483.90 | $549.22 | $618.41 | $864.23 | $1,313.28 |
| Cheatham County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Davidson County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Montgomery County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Robertson County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Rutherford County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Sumner County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Trousdale County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Williamson County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Wilson County | $489.48 | $555.55 | $625.55 | $874.20 | $1,328.43 |
| Bedford County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Coffee County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Dickson County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Giles County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Hickman County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Houston County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Humphreys County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Lawrence County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Lewis County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Lincoln County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Marshall County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Maury County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Moore County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Perry County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Stewart County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
| Wayne County | $507.93 | $576.49 | $649.13 | $907.15 | $1,378.51 |
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.