CatastrophicEPO

BlueEssentials Catastrophic 1

BlueCross BlueShield of South Carolina

Starting at

$218

/month before subsidy

Key facts

BlueEssentials Catastrophic 1 is a 2025 Catastrophic EPO health insurance plan from BlueCross BlueShield of South Carolina, sold on the ACA Marketplace in South Carolina under plan ID 26065SC0390001. The monthly premium starts at $218 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $9,200 ($18,400 for a family), and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
26065SC0390001
Plan year
2025
State
South Carolina
Metal level
Catastrophic
Plan type
EPO
HSA-eligible
No

Individual Deductible

$9,200

Family: $18,400

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

0%

You pay after deductible

Network Type

EPO

SCN001

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

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
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

$9,260

your estimated cost

Deductible
$9,200
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$5,300

your estimated cost

Deductible
$5,200
Copays
$80
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
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

This Catastrophic 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 $9,200 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

$985/month

Annual Premium

$2,616

OOP Maximum

$9,200

💡 What this means:

With a $9,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $9,200 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 Catastrophic 1

How much does BlueEssentials Catastrophic 1 cost per month?

BlueEssentials Catastrophic 1 from BlueCross BlueShield of South Carolina starts at $218 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 Catastrophic 1?

The individual medical deductible is $9,200, and the family deductible is $18,400. 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 Catastrophic 1?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is BlueEssentials Catastrophic 1 HSA-eligible?

No. BlueEssentials Catastrophic 1 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 Catastrophic 1 use?

BlueEssentials Catastrophic 1 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.