Bronze Elite + PCP Saver Plus
Expanded Bronze · EPO · Oscar Insurance Company · Missouri
At age 40 it costs between $448.74 and $550.54 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 | 69512MO0010005 |
|---|---|
| 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 | $2,500 |
| Inpatient stay | $3,000 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $125 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
15 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 |
|---|---|---|---|---|---|
| Lincoln County | $351.14 | $398.53 | $448.74 | $627.11 | $952.96 |
| Saint Charles County | $351.14 | $398.53 | $448.74 | $627.11 | $952.96 |
| Saint Louis County | $351.14 | $398.53 | $448.74 | $627.11 | $952.96 |
| Saint Louis City | $351.14 | $398.53 | $448.74 | $627.11 | $952.96 |
| Warren County | $351.14 | $398.53 | $448.74 | $627.11 | $952.96 |
| Cass County | $368.94 | $418.74 | $471.49 | $658.91 | $1,001.28 |
| Clay County | $368.94 | $418.74 | $471.49 | $658.91 | $1,001.28 |
| Jackson County | $368.94 | $418.74 | $471.49 | $658.91 | $1,001.28 |
| Platte County | $368.94 | $418.74 | $471.49 | $658.91 | $1,001.28 |
| Clinton County | $405.06 | $459.73 | $517.65 | $723.41 | $1,099.29 |
| Ray County | $405.06 | $459.73 | $517.65 | $723.41 | $1,099.29 |
| Bates County | $430.79 | $488.94 | $550.54 | $769.38 | $1,169.14 |
| Henry County | $430.79 | $488.94 | $550.54 | $769.38 | $1,169.14 |
| Johnson County | $430.79 | $488.94 | $550.54 | $769.38 | $1,169.14 |
| Lafayette County | $430.79 | $488.94 | $550.54 | $769.38 | $1,169.14 |
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.
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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.