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Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits

Antidote Health of TX

Starting at

$410

/month before subsidy

Key facts

Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits is a 2027 Bronze EPO health insurance plan from Antidote Health of TX, sold on the ACA Marketplace in Texas under plan ID 11819TX0030060. The monthly premium starts at $410 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,700 ($17,400 for a family), and the individual out-of-pocket maximum is $12,000 ($24,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID: 11819TX0030060
Plan year: 2027
State: Texas
Metal level: Bronze
Plan type: EPO
HSA-eligible: Yes

Individual Deductible

$8,700

Family: $17,400

Out-of-Pocket Max

$12,000

Family: $24,000

Coinsurance

50%

You pay after deductible

Network Type

EPO

TXN001

Cost Sharing

What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$75.00

Specialist Visit$150.00

Urgent Care50.00% Coinsurance after deductible

Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$50.00

Brand Name Drugs50.00% Coinsurance after deductible

Specialty Drugs50.00% Coinsurance after deductible

What you'd typically pay

Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$10,030

your estimated cost

Deductible: $8,700
Copays: $700
Coinsurance: $630

Managing type 2 diabetes

A year of routine care

$1,520

your estimated cost

Deductible: $120
Copays: $1,400
Coinsurance: $0

A simple fracture

ER visit + follow-up

$2,600

your estimated cost

Deductible: $2,500
Copays: $100
Coinsurance: $0

Is your medication or doctor covered?

Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.

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Official Plan Documents

Published by Antidote Health of TX. These are the authoritative source for coverage details.

Summary of Benefits & Coverage (SBC)Standardized cost & coverage summary Plan BrochureFull plan details from the insurer Drug FormularyCovered prescriptions & drug tiers

Who This Plan Is Best For

This Bronze EPO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

Rarely visit the doctor beyond annual checkups
Have savings to cover the $8,700 deductible if needed
Primarily need coverage for unexpected emergencies
Want to minimize monthly healthcare expenses

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost

What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,410/month

Annual Premium

$4,920

OOP Maximum

$12,000

💡 What this means:

With a $8,700 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $12,000 total. Then insurance covers everything else for the year.

More plans from Antidote Health of TX in Texas

View all Marketplace plans in Texas

Frequently asked questions about Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits

How much does Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits cost per month?

Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits from Antidote Health of TX starts at $410 per month before any subsidy in Texas. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits?

The individual medical deductible is $8,700, and the family deductible is $17,400. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits?

The most you would pay in a year for covered in-network care is $12,000 for an individual and $24,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits HSA-eligible?

Yes. Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits use?

Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual Visits is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
How ACA subsidies work
Premium tax credits and who qualifies
The 2026 subsidy cliff
Why income near 400% FPL matters again this year
The SLCSP benchmark
The Silver plan that sets your subsidy and Form 1095-A

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Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.