Expanded_bronzeEPOHSA Eligible

Bronze Elite + PCP Saver Plus

Oscar Insurance Company

Starting at

$627

/month before subsidy

Key facts

Bronze Elite + PCP Saver Plus is a 2026 Expanded_bronze EPO health insurance plan from Oscar Insurance Company, sold on the ACA Marketplace in Nebraska under plan ID 57424NE0010005. The monthly premium starts at $627 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $10,600 ($21,200 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
57424NE0010005
Plan year
2026
State
Nebraska
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

50%

You pay after deductible

Network Type

EPO

NEN001

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

Medical Services

Primary Care Visit$50.00
Specialist Visit$125.00
Urgent Care$75.00
Emergency Room$2,500.00

Prescription Drugs

Generic Drugs$3.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
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

$4,200

your estimated cost

Deductible
$0
Copays
$4,200
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$4,800

your estimated cost

Deductible
$4,200
Copays
$600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,200

your estimated cost

Deductible
$0
Copays
$2,100
Coinsurance
$100
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 Oscar Insurance Company. 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

$1,510/month

Annual Premium

$7,524

OOP Maximum

$10,600

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Oscar Insurance Company in Nebraska

View all Marketplace plans in Nebraska

Frequently asked questions about Bronze Elite + PCP Saver Plus

How much does Bronze Elite + PCP Saver Plus cost per month?

Bronze Elite + PCP Saver Plus from Oscar Insurance Company starts at $627 per month before any subsidy in Nebraska. 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 Bronze Elite + PCP Saver Plus?

The individual medical deductible is $0. 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 Bronze Elite + PCP Saver Plus?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Bronze Elite + PCP Saver Plus HSA-eligible?

Yes. Bronze Elite + PCP Saver Plus 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 Bronze Elite + PCP Saver Plus use?

Bronze Elite + PCP Saver Plus 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.