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Expanded_bronzeEPOHSA Eligible

Principal Bronze HSA + Vision + Adult Dental

Ambetter Health of Delaware

Starting at

$618

/month before subsidy

Key facts

Principal Bronze HSA + Vision + Adult Dental is a 2026 Expanded_bronze EPO health insurance plan from Ambetter Health of Delaware, sold on the ACA Marketplace in Delaware under plan ID 64004DE0100001. The monthly premium starts at $618 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,200 ($10,400 for a family), and the individual out-of-pocket maximum is $8,050 ($16,100 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
64004DE0100001
Plan year
2026
State
Delaware
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$5,200

Family: $10,400

Out-of-Pocket Max

$8,050

Family: $16,100

Coinsurance

50%

You pay after deductible

Network Type

EPO

DEN001

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

Medical Services

Primary Care Visit$60.00 Copay after deductible
Specialist Visit$100.00 Copay after deductible
Urgent Care$60.00 Copay after deductible
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$3.00 Copay after deductible
Brand Name Drugs45.00% 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

$8,160

your estimated cost

Deductible
$5,200
Copays
$0
Coinsurance
$2,900

Managing type 2 diabetes

A year of routine care

$5,430

your estimated cost

Deductible
$5,200
Copays
$200
Coinsurance
$10

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 Ambetter Health of Delaware. 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

$1,289/month

Annual Premium

$7,416

OOP Maximum

$8,050

💡 What this means:

With a $5,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $8,050 total. Then insurance covers everything else for the year.

More plans from Ambetter Health of Delaware in Delaware

View all Marketplace plans in Delaware

Frequently asked questions about Principal Bronze HSA + Vision + Adult Dental

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

Principal Bronze HSA + Vision + Adult Dental from Ambetter Health of Delaware starts at $618 per month before any subsidy in Delaware. 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 Principal Bronze HSA + Vision + Adult Dental?

The individual medical deductible is $5,200, and the family deductible is $10,400. 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 Principal Bronze HSA + Vision + Adult Dental?

The most you would pay in a year for covered in-network care is $8,050 for an individual and $16,100 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

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

Yes. Principal Bronze HSA + 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 Principal Bronze HSA + Vision + Adult Dental use?

Principal Bronze HSA + Vision + Adult Dental 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

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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.