Expanded_bronzePPOHSA Eligible

Elite Bronze + Vision + Adult Dental

Ambetter from Arkansas Health & Wellness

Starting at

$606

/month before subsidy

Key facts

Elite Bronze + Vision + Adult Dental is a 2026 Expanded_bronze PPO health insurance plan from Ambetter from Arkansas Health & Wellness, sold on the ACA Marketplace in Arkansas under plan ID 62141AR0100026. The monthly premium starts at $606 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 $10,500 ($21,000 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
62141AR0100026
Plan year
2026
State
Arkansas
Metal level
Expanded_bronze
Plan type
PPO
HSA-eligible
Yes

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,500

Family: $21,000

Coinsurance

50%

You pay after deductible

Network Type

PPO

ARN001

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

Medical Services

Primary Care Visit$50.00
Specialist Visit$115.00
Urgent Care$60.00
Emergency Room$2,500.00

Prescription Drugs

Generic Drugs$3.00
Brand Name Drugs$250.00 Copay after deductible
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

$5,060

your estimated cost

Deductible
$0
Copays
$600
Coinsurance
$4,400

Managing type 2 diabetes

A year of routine care

$3,820

your estimated cost

Deductible
$0
Copays
$3,400
Coinsurance
$400

A simple fracture

ER visit + follow-up

$2,000

your estimated cost

Deductible
$0
Copays
$1,100
Coinsurance
$900
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 Ambetter from Arkansas Health & Wellness. 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

$1,481/month

Annual Premium

$7,272

OOP Maximum

$10,500

💡 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 $10,500 total. Then insurance covers everything else for the year.

More plans from Ambetter from Arkansas Health & Wellness in Arkansas

View all Marketplace plans in Arkansas

Frequently asked questions about Elite Bronze + Vision + Adult Dental

How much does Elite Bronze + Vision + Adult Dental cost per month?

Elite Bronze + Vision + Adult Dental from Ambetter from Arkansas Health & Wellness starts at $606 per month before any subsidy in Arkansas. 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 Elite Bronze + Vision + Adult Dental?

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 Elite Bronze + Vision + Adult Dental?

The most you would pay in a year for covered in-network care is $10,500 for an individual and $21,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Elite Bronze + Vision + Adult Dental HSA-eligible?

Yes. Elite Bronze + Vision + Adult Dental 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 Elite Bronze + Vision + Adult Dental use?

Elite Bronze + Vision + Adult Dental 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

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.