Expanded_bronzeHMOHSA Eligible

Bronze Simple

Oscar Health Plan, Inc.

Starting at

$570

/month before subsidy

Key facts

Bronze Simple is a 2027 Expanded_bronze HMO health insurance plan from Oscar Health Plan, Inc., sold on the ACA Marketplace in South Carolina under plan ID 59798SC0010021. The monthly premium starts at $570 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $9,150 ($18,300 for a family), and the individual out-of-pocket maximum is $12,000 ($24,000 for a family). After the deductible, coinsurance is 10% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
59798SC0010021
Plan year
2027
State
South Carolina
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$9,150

Family: $18,300

Out-of-Pocket Max

$12,000

Family: $24,000

Coinsurance

10%

You pay after deductible

Network Type

HMO

SCN001

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

Medical Services

Primary Care Visit10.00% Coinsurance after deductible
Specialist Visit10.00% Coinsurance after deductible
Urgent Care10.00% Coinsurance after deductible
Emergency Room10.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$4.00
Brand Name Drugs10.00% Coinsurance after deductible
Specialty Drugs10.00% 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

$9,350

your estimated cost

Deductible
$9,150
Copays
$0
Coinsurance
$200

Managing type 2 diabetes

A year of routine care

$5,190

your estimated cost

Deductible
$5,100
Copays
$90
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 Oscar Health Plan, Inc.. 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

$1,570/month

Annual Premium

$6,840

OOP Maximum

$12,000

💡 What this means:

With a $9,150 deductible, you pay 100% of costs until you've spent that much. After that, you pay 10% (coinsurance) until you hit $12,000 total. Then insurance covers everything else for the year.

More plans from Oscar Health Plan, Inc. in South Carolina

View all Marketplace plans in South Carolina

Frequently asked questions about Bronze Simple

How much does Bronze Simple cost per month?

Bronze Simple from Oscar Health Plan, Inc. starts at $570 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 Bronze Simple?

The individual medical deductible is $9,150, and the family deductible is $18,300. 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 Simple?

The most you would pay in a year for covered in-network care is $12,000 for an individual and $24,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Bronze Simple HSA-eligible?

Yes. Bronze Simple 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 Simple use?

Bronze Simple 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.