Blue Advantage Bronze PPO℠ 202
Bronze · PPO · Blue Cross and Blue Shield of Oklahoma · Oklahoma
At age 40 it costs $575.09 a month before any subsidy.
What CMS publishes about it
| Plan ID | 87571OK0350094 |
|---|---|
| Insurer | Blue Cross and Blue Shield of Oklahoma |
| Metal level | Bronze |
| Plan type | PPO |
| Deductible (individual) | $6,800 |
| Deductible (family) | $13,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $50 |
| Specialist visit | 50% Coinsurance after deductible |
| Emergency room | $950 Copay with deductible and 50% Coinsurance after deductible |
| Inpatient stay | $400 Copay per Stay with deductible and 50% Coinsurance after deductible |
| Generic drugs | 20% Coinsurance after deductible |
| Preferred brand drugs | 30% Coinsurance after deductible |
| Specialty drugs | 45% 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 | 1-866-520-2507 · TTY 1-800-942-5837 |
Where it is sold, and what it costs there
60 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 |
|---|---|---|---|---|---|
| Adair County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Alfalfa County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Atoka County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Beaver County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Beckham County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Blaine County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Bryan County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Caddo County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Carter County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Cherokee County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Choctaw County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Cimarron County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Coal County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Cotton County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Craig County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Custer County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Delaware County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Dewey County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Ellis County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Garfield County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Garvin County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Grant County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Greer County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Harmon County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Harper County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Haskell County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Hughes County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Jackson County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Jefferson County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Johnston County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Kay County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Kingfisher County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Kiowa County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Latimer County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Love County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Major County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Marshall County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Mayes County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| McCurtain County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| McIntosh County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Murray County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Muskogee County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Noble County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Nowata County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Okfuskee County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Ottawa County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Payne County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Pittsburg County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Pontotoc County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Pottawatomie County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Pushmataha County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Roger Mills County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Seminole County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Stephens County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Texas County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Tillman County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Washington County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Washita County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Woods County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
| Woodward County | $449.99 | $510.74 | $575.09 | $803.68 | $1,221.27 |
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.