BlueEssentials Silver 14 + Adult Vision
Starting at
$552
/month before subsidy
BlueEssentials Silver 14 + Adult Vision is a 2026 Silver EPO health insurance plan from BlueCross BlueShield of South Carolina, sold on the ACA Marketplace in South Carolina under plan ID 26065SC0380051. The monthly premium starts at $552 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,400 ($14,800 for a family), and the individual out-of-pocket maximum is $9,700 ($19,400 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 26065SC0380051
- Plan year
- 2026
- State
- South Carolina
- Metal level
- Silver
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$7,400
Family: $14,800
Out-of-Pocket Max
$9,700
Family: $19,400
Coinsurance
50%
You pay after deductible
Network Type
EPO
SCN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- 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
$9,760
your estimated cost
- Deductible
- $7,400
- Copays
- $0
- Coinsurance
- $2,300
Managing type 2 diabetes
A year of routine care
$4,420
your estimated cost
- Deductible
- $4,000
- Copays
- $400
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,700
your estimated cost
- Deductible
- $2,500
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.
Consider this plan if you:
- Visit the doctor a few times per year
- Take regular prescription medications
- Want moderate protection against high medical bills
- May qualify for Cost-Sharing Reductions (CSR) to lower deductibles
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,360/month
Annual Premium
$6,624
OOP Maximum
$9,700
💡 What this means:
With a $7,400 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $9,700 total. Then insurance covers everything else for the year.
More plans from BlueCross BlueShield of South Carolina in South Carolina
Frequently asked questions about BlueEssentials Silver 14 + Adult Vision
How much does BlueEssentials Silver 14 + Adult Vision cost per month?
BlueEssentials Silver 14 + Adult Vision from BlueCross BlueShield of South Carolina starts at $552 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 Silver 14 + Adult Vision?
The individual medical deductible is $7,400, and the family deductible is $14,800. 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 Silver 14 + Adult Vision?
The most you would pay in a year for covered in-network care is $9,700 for an individual and $19,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is BlueEssentials Silver 14 + Adult Vision HSA-eligible?
No. BlueEssentials Silver 14 + Adult Vision is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does BlueEssentials Silver 14 + Adult Vision use?
BlueEssentials Silver 14 + Adult Vision 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
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.