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Expanded_bronzePPOHSA Eligible

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)

Blue Cross Blue Shield of North Dakota

Starting at

$434

/month before subsidy

Key facts

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) is a 2026 Expanded_bronze PPO health insurance plan from Blue Cross Blue Shield of North Dakota, sold on the ACA Marketplace in North Dakota under plan ID 37160ND2410030. The monthly premium starts at $434 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
37160ND2410030
Plan year
2026
State
North Dakota
Metal level
Expanded_bronze
Plan type
PPO
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

PPO

NDN001

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

Medical Services

Primary Care Visit$50.00
Specialist Visit$135.00
Urgent Care$50.00
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$20.00
Brand Name Drugs$200.00
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.
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

$9,380

your estimated cost

Deductible
$6,000
Copays
$60
Coinsurance
$3,300

Managing type 2 diabetes

A year of routine care

$1,080

your estimated cost

Deductible
$200
Copays
$800
Coinsurance
$80

A simple fracture

ER visit + follow-up

$2,400

your estimated cost

Deductible
$2,100
Copays
$300
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 Blue Shield of North Dakota. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
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

$1,280/month

Annual Premium

$5,208

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 Blue Shield of North Dakota in North Dakota

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Frequently asked questions about BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)

How much does BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) cost per month?

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) from Blue Cross Blue Shield of North Dakota starts at $434 per month before any subsidy in North Dakota. 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 BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)?

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 BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)?

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 BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) HSA-eligible?

Yes. BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) 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 BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) use?

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) 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

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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.