Core Standard Expanded Bronze HSA
Expanded Bronze · EPO · PacificSource Health Plans · Montana
At age 40 it costs between $530 and $570 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 | 23603MT0380003 |
|---|---|
| Insurer | PacificSource Health Plans |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay 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 | 1-888-977-9299 |
Where it is sold, and what it costs there
56 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 |
|---|---|---|---|---|---|
| Carbon County | $415 | $471 | $530 | $741 | $1,126 |
| Musselshell County | $415 | $471 | $530 | $741 | $1,126 |
| Stillwater County | $415 | $471 | $530 | $741 | $1,126 |
| Sweet Grass County | $415 | $471 | $530 | $741 | $1,126 |
| Yellowstone County | $415 | $471 | $530 | $741 | $1,126 |
| Flathead County | $441 | $501 | $564 | $788 | $1,198 |
| Lake County | $441 | $501 | $564 | $788 | $1,198 |
| Missoula County | $441 | $501 | $564 | $788 | $1,198 |
| Beaverhead County | $446 | $506 | $570 | $796 | $1,210 |
| Big Horn County | $446 | $506 | $570 | $796 | $1,210 |
| Blaine County | $446 | $506 | $570 | $796 | $1,210 |
| Broadwater County | $446 | $506 | $570 | $796 | $1,210 |
| Carter County | $446 | $506 | $570 | $796 | $1,210 |
| Cascade County | $446 | $506 | $570 | $796 | $1,210 |
| Chouteau County | $446 | $506 | $570 | $796 | $1,210 |
| Custer County | $446 | $506 | $570 | $796 | $1,210 |
| Daniels County | $446 | $506 | $570 | $796 | $1,210 |
| Dawson County | $446 | $506 | $570 | $796 | $1,210 |
| Deer Lodge County | $446 | $506 | $570 | $796 | $1,210 |
| Fallon County | $446 | $506 | $570 | $796 | $1,210 |
| Fergus County | $446 | $506 | $570 | $796 | $1,210 |
| Gallatin County | $446 | $506 | $570 | $796 | $1,210 |
| Garfield County | $446 | $506 | $570 | $796 | $1,210 |
| Glacier County | $446 | $506 | $570 | $796 | $1,210 |
| Golden Valley County | $446 | $506 | $570 | $796 | $1,210 |
| Granite County | $446 | $506 | $570 | $796 | $1,210 |
| Hill County | $446 | $506 | $570 | $796 | $1,210 |
| Jefferson County | $446 | $506 | $570 | $796 | $1,210 |
| Judith Basin County | $446 | $506 | $570 | $796 | $1,210 |
| Lewis and Clark County | $446 | $506 | $570 | $796 | $1,210 |
| Liberty County | $446 | $506 | $570 | $796 | $1,210 |
| Lincoln County | $446 | $506 | $570 | $796 | $1,210 |
| Madison County | $446 | $506 | $570 | $796 | $1,210 |
| McCone County | $446 | $506 | $570 | $796 | $1,210 |
| Meagher County | $446 | $506 | $570 | $796 | $1,210 |
| Mineral County | $446 | $506 | $570 | $796 | $1,210 |
| Park County | $446 | $506 | $570 | $796 | $1,210 |
| Petroleum County | $446 | $506 | $570 | $796 | $1,210 |
| Phillips County | $446 | $506 | $570 | $796 | $1,210 |
| Pondera County | $446 | $506 | $570 | $796 | $1,210 |
| Powder River County | $446 | $506 | $570 | $796 | $1,210 |
| Powell County | $446 | $506 | $570 | $796 | $1,210 |
| Prairie County | $446 | $506 | $570 | $796 | $1,210 |
| Ravalli County | $446 | $506 | $570 | $796 | $1,210 |
| Richland County | $446 | $506 | $570 | $796 | $1,210 |
| Roosevelt County | $446 | $506 | $570 | $796 | $1,210 |
| Rosebud County | $446 | $506 | $570 | $796 | $1,210 |
| Sanders County | $446 | $506 | $570 | $796 | $1,210 |
| Sheridan County | $446 | $506 | $570 | $796 | $1,210 |
| Silver Bow County | $446 | $506 | $570 | $796 | $1,210 |
| Teton County | $446 | $506 | $570 | $796 | $1,210 |
| Toole County | $446 | $506 | $570 | $796 | $1,210 |
| Treasure County | $446 | $506 | $570 | $796 | $1,210 |
| Valley County | $446 | $506 | $570 | $796 | $1,210 |
| Wheatland County | $446 | $506 | $570 | $796 | $1,210 |
| Wibaux County | $446 | $506 | $570 | $796 | $1,210 |
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.