Expanded_bronzeHMOHSA Eligible

Blue Advantage Bronze HMO℠ 204

Blue Cross and Blue Shield of Texas

Starting at

$582

/month before subsidy

Key facts

Blue Advantage Bronze HMO℠ 204 is a 2026 Expanded_bronze HMO health insurance plan from Blue Cross and Blue Shield of Texas, sold on the ACA Marketplace in Texas under plan ID 33602TX0460713. The monthly premium starts at $582 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,000 ($12,000 for a family), and the individual out-of-pocket maximum is $10,150 ($20,300 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
33602TX0460713
Plan year
2026
State
Texas
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$6,000

Family: $12,000

Out-of-Pocket Max

$10,150

Family: $20,300

Coinsurance

50%

You pay after deductible

Network Type

HMO

TXN009

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

Medical Services

Primary Care Visit$45.00
Specialist Visit50.00% Coinsurance after deductible
Urgent Care$60.00
Emergency Room$1000.00 Copay with deductible

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs35.00% Coinsurance after deductible
Specialty Drugs45.00% 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.
3.0overall
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

$9,860

your estimated cost

Deductible
$6,000
Copays
$1,000
Coinsurance
$2,800

Managing type 2 diabetes

A year of routine care

$2,020

your estimated cost

Deductible
$1,200
Copays
$800
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,400
Copays
$400
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 Blue Cross and Blue Shield of Texas. 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

$1,428/month

Annual Premium

$6,984

OOP Maximum

$10,150

💡 What this means:

With a $6,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from Blue Cross and Blue Shield of Texas in Texas

View all Marketplace plans in Texas

Frequently asked questions about Blue Advantage Bronze HMO℠ 204

How much does Blue Advantage Bronze HMO℠ 204 cost per month?

Blue Advantage Bronze HMO℠ 204 from Blue Cross and Blue Shield of Texas starts at $582 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 Blue Advantage Bronze HMO℠ 204?

The individual medical deductible is $6,000, and the family deductible is $12,000. 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 Blue Advantage Bronze HMO℠ 204?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Advantage Bronze HMO℠ 204 HSA-eligible?

Yes. Blue Advantage Bronze HMO℠ 204 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 Blue Advantage Bronze HMO℠ 204 use?

Blue Advantage Bronze HMO℠ 204 is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

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.