Elite Bronze + Vision + Adult Dental
Expanded Bronze · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $541.16 and $651.39 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 | 62505OK0130006 |
|---|---|
| Insurer | Ambetter of Oklahoma |
| Metal level | Expanded Bronze |
| Plan type | PPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $3,800 |
| Most you could pay in a year | $10,500 |
| Family maximum | $21,000 |
| Primary care visit | $60 |
| Specialist visit | $120 |
| Emergency room | $2,500 |
| Inpatient stay | 50% |
| Generic drugs | $3 |
| Preferred brand drugs | $195 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 95.75% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-492-0679 |
Where it is sold, and what it costs there
43 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 |
|---|---|---|---|---|---|
| Canadian County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| Cleveland County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| Lincoln County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| Logan County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| McClain County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| Oklahoma County | $423.45 | $480.61 | $541.16 | $756.27 | $1,149.22 |
| Creek County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Okmulgee County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Osage County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Rogers County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Tulsa County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Wagoner County | $427.26 | $484.92 | $546.02 | $763.06 | $1,159.55 |
| Adair County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Alfalfa County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Atoka County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Blaine County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Caddo County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Carter County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Cherokee County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Choctaw County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Cotton County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Dewey County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Garvin County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Grant County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Greer County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Haskell County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Johnston County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Kingfisher County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Love County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Major County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Mayes County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| McIntosh County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Muskogee County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Okfuskee County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Payne County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Pontotoc County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Pottawatomie County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Pushmataha County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Seminole County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Woods County | $441.61 | $501.22 | $564.36 | $788.70 | $1,198.50 |
| Comanche County | $495 | $561.82 | $632.60 | $884.06 | $1,343.42 |
| Le Flore County | $509.70 | $578.50 | $651.39 | $910.31 | $1,383.31 |
| Sequoyah County | $509.70 | $578.50 | $651.39 | $910.31 | $1,383.31 |
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.