Balance by Medica Bronze Premier
Starting at
$425
/month before subsidy
Balance by Medica Bronze Premier is a 2026 Expanded_bronze PPO health insurance plan from Medica, sold on the ACA Marketplace in Oklahoma under plan ID 21333OK0060051. The monthly premium starts at $425 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($4,000 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 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
- 21333OK0060051
- Plan year
- 2026
- State
- Oklahoma
- Metal level
- Expanded_bronze
- Plan type
- PPO
- HSA-eligible
- Yes
Individual Deductible
$2,000
Family: $4,000
Out-of-Pocket Max
$10,600
Family: $21,200
Coinsurance
50%
You pay after deductible
Network Type
PPO
OKN006
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Not rated
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$6,670
your estimated cost
- Deductible
- $2,000
- Copays
- $10
- Coinsurance
- $4,600
Managing type 2 diabetes
A year of routine care
$2,100
your estimated cost
- Deductible
- $1,100
- Copays
- $1,000
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,500
your estimated cost
- Deductible
- $2,000
- Copays
- $200
- Coinsurance
- $300
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Review the plan details above to determine if this plan fits your healthcare needs and budget.
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,308/month
Annual Premium
$5,100
OOP Maximum
$10,600
💡 What this means:
With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.
More plans from Medica in Oklahoma
- Balance by Medica Bronze $0 Copay PCP Visitsfrom $403/mo
- Balance by Medica Expanded Bronze Standardfrom $411/mo
- Harmony by Medica Bronze $0 Copay PCP Visitsfrom $455/mo
- Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Examfrom $646/mo
- Harmony by Medica Bronze Premierfrom $480/mo
- Harmony by Medica Bronze Premier + Adult Eye Examfrom $682/mo
- Harmony by Medica Expanded Bronze Standardfrom $464/mo
- Harmony by Medica Expanded Bronze Standard + Adult Eye Examfrom $659/mo
Frequently asked questions about Balance by Medica Bronze Premier
How much does Balance by Medica Bronze Premier cost per month?
Balance by Medica Bronze Premier from Medica starts at $425 per month before any subsidy in Oklahoma. 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 Balance by Medica Bronze Premier?
The individual medical deductible is $2,000, and the family deductible is $4,000. 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 Balance by Medica Bronze Premier?
The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Balance by Medica Bronze Premier HSA-eligible?
Yes. Balance by Medica Bronze Premier 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 Balance by Medica Bronze Premier use?
Balance by Medica Bronze Premier is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.
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
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.