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Expanded_bronzeHMOHSA Eligible

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Antidote Health Plan of Arizona, Inc.

Starting at

$401

/month before subsidy

Key facts

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx is a 2026 Expanded_bronze HMO health insurance plan from Antidote Health Plan of Arizona, Inc., sold on the ACA Marketplace in Arizona under plan ID 68445AZ0600010. The monthly premium starts at $401 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,700 ($17,400 for a family), 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: 68445AZ0600010
Plan year: 2026
State: Arizona
Metal level: Expanded_bronze
Plan type: HMO
HSA-eligible: Yes

Individual Deductible

$8,700

Family: $17,400

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

50%

You pay after deductible

Network Type

HMO

AZN001

Cost Sharing

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

Medical Services

Primary Care Visit$0.00

Specialist Visit$100.00

Urgent Care50.00% Coinsurance after deductible

Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$35.00

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

$9,260

your estimated cost

Deductible: $8,000
Copays: $0
Coinsurance: $1,200

Managing type 2 diabetes

A year of routine care

$3,220

your estimated cost

Deductible: $900
Copays: $2,300
Coinsurance: $0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible: $2,500
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 Antidote Health Plan of Arizona, Inc.. These are the authoritative source for coverage details.

Summary of Benefits & Coverage (SBC)Standardized cost & coverage summary Plan BrochureFull plan details from the insurer Drug 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

$1,284/month

Annual Premium

$4,812

OOP Maximum

$10,600

💡 What this means:

With a $8,700 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 Antidote Health Plan of Arizona, Inc. in Arizona

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Frequently asked questions about Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

How much does Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx cost per month?

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx from Antidote Health Plan of Arizona, Inc. starts at $401 per month before any subsidy in Arizona. 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 Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx?

The individual medical deductible is $8,700, and the family deductible is $17,400. 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 Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx?

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 Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HSA-eligible?

Yes. Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx 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 Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx use?

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx 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

2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
How ACA subsidies work
Premium tax credits and who qualifies
The 2026 subsidy cliff
Why income near 400% FPL matters again this year

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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.