Bronze Elite + PCP Saver
Expanded Bronze · EPO · Oscar Insurance Company · Kansas
At age 40 it costs between $484.18 and $522.53 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 | 43490KS0010005 |
|---|---|
| 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 | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $50 |
| Specialist visit | $125 |
| 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 | 99.92% |
| 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
16 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 |
|---|---|---|---|---|---|
| Anderson County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Atchison County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Douglas County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Franklin County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Jackson County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Jefferson County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Linn County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Osage County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Shawnee County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Wabaunsee County | $378.87 | $430.01 | $484.18 | $676.64 | $1,028.23 |
| Johnson County | $382.62 | $434.26 | $488.98 | $683.34 | $1,038.41 |
| Miami County | $382.62 | $434.26 | $488.98 | $683.34 | $1,038.41 |
| Wyandotte County | $382.62 | $434.26 | $488.98 | $683.34 | $1,038.41 |
| Allen County | $393.96 | $447.14 | $503.47 | $703.60 | $1,069.19 |
| Woodson County | $393.96 | $447.14 | $503.47 | $703.60 | $1,069.19 |
| Morris County | $408.88 | $464.07 | $522.53 | $730.24 | $1,109.67 |
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.