Bronze Simple Diabetes
Expanded Bronze · EPO · Oscar Insurance Company · Missouri
At age 40 it costs between $440.54 and $540.49 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 | 69512MO0010055 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | $50 |
| Specialist visit | $150 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 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 | $344.72 | $391.25 | $440.54 | $615.66 | $935.55 |
| Saint Charles County | $344.72 | $391.25 | $440.54 | $615.66 | $935.55 |
| Saint Louis County | $344.72 | $391.25 | $440.54 | $615.66 | $935.55 |
| Saint Louis City | $344.72 | $391.25 | $440.54 | $615.66 | $935.55 |
| Warren County | $344.72 | $391.25 | $440.54 | $615.66 | $935.55 |
| Cass County | $362.20 | $411.09 | $462.88 | $646.88 | $982.99 |
| Clay County | $362.20 | $411.09 | $462.88 | $646.88 | $982.99 |
| Jackson County | $362.20 | $411.09 | $462.88 | $646.88 | $982.99 |
| Platte County | $362.20 | $411.09 | $462.88 | $646.88 | $982.99 |
| Clinton County | $397.66 | $451.33 | $508.20 | $710.20 | $1,079.22 |
| Ray County | $397.66 | $451.33 | $508.20 | $710.20 | $1,079.22 |
| Bates County | $422.93 | $480.01 | $540.49 | $755.33 | $1,147.79 |
| Henry County | $422.93 | $480.01 | $540.49 | $755.33 | $1,147.79 |
| Johnson County | $422.93 | $480.01 | $540.49 | $755.33 | $1,147.79 |
| Lafayette County | $422.93 | $480.01 | $540.49 | $755.33 | $1,147.79 |
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.