Expanded_bronzeEPOHSA Eligible

BlueEssentials Bronze 4

BlueCross BlueShield of South Carolina

Starting at

$386

/month before subsidy

Key facts

BlueEssentials Bronze 4 is a 2026 Expanded_bronze EPO health insurance plan from BlueCross BlueShield of South Carolina, sold on the ACA Marketplace in South Carolina under plan ID 26065SC0380013. The monthly premium starts at $386 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,200 ($14,400 for a family), and the individual out-of-pocket maximum is $10,000 ($20,000 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
26065SC0380013
Plan year
2026
State
South Carolina
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$7,200

Family: $14,400

Out-of-Pocket Max

$10,000

Family: $20,000

Coinsurance

50%

You pay after deductible

Network Type

EPO

SCN001

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

Medical Services

Primary Care Visit$43.00
Specialist Visit$65.00
Urgent Care$60.00
Emergency Room$300.00 Copay with deductible

Prescription Drugs

Generic Drugs$29.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

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

$9,970

your estimated cost

Deductible
$7,200
Copays
$10
Coinsurance
$2,700

Managing type 2 diabetes

A year of routine care

$4,620

your estimated cost

Deductible
$4,000
Copays
$600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,700

your estimated cost

Deductible
$2,500
Copays
$200
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 BlueCross BlueShield of South Carolina. These are the authoritative source for coverage details.
Who This Plan Is Best For

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.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,219/month

Annual Premium

$4,632

OOP Maximum

$10,000

💡 What this means:

With a $7,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,000 total. Then insurance covers everything else for the year.

More plans from BlueCross BlueShield of South Carolina in South Carolina

View all Marketplace plans in South Carolina

Frequently asked questions about BlueEssentials Bronze 4

How much does BlueEssentials Bronze 4 cost per month?

BlueEssentials Bronze 4 from BlueCross BlueShield of South Carolina starts at $386 per month before any subsidy in South Carolina. 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 BlueEssentials Bronze 4?

The individual medical deductible is $7,200, and the family deductible is $14,400. 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 BlueEssentials Bronze 4?

The most you would pay in a year for covered in-network care is $10,000 for an individual and $20,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is BlueEssentials Bronze 4 HSA-eligible?

Yes. BlueEssentials Bronze 4 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 BlueEssentials Bronze 4 use?

BlueEssentials Bronze 4 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

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.