SilverEPO

Silver 6500 Legacy

Regence BlueCross BlueShield of Oregon

Starting at

$510

/month before subsidy

Key facts

Silver 6500 Legacy is a 2026 Silver EPO health insurance plan from Regence BlueCross BlueShield of Oregon, sold on the ACA Marketplace in Oregon under plan ID 77969OR5280022. The monthly premium starts at $510 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,500 ($13,000 for a family), and the individual out-of-pocket maximum is $10,150 ($20,300 for a family). After the deductible, coinsurance is 10% for covered in-network care. The plan is not HSA-eligible.

Plan ID
77969OR5280022
Plan year
2026
State
Oregon
Metal level
Silver
Plan type
EPO
HSA-eligible
No

Individual Deductible

$6,500

Family: $13,000

Out-of-Pocket Max

$10,150

Family: $20,300

Coinsurance

10%

You pay after deductible

Network Type

EPO

ORN002

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

Medical Services

Primary Care Visit$10.00
Specialist Visit$55.00
Urgent Care$55.00
Emergency Room10.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$10.00
Brand Name Drugs40.00% Coinsurance 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.
4.0overall
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

$7,170

your estimated cost

Deductible
$6,500
Copays
$10
Coinsurance
$600

Managing type 2 diabetes

A year of routine care

$1,800

your estimated cost

Deductible
$900
Copays
$300
Coinsurance
$400

A simple fracture

ER visit + follow-up

$2,700

your estimated cost

Deductible
$2,500
Copays
$200
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.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by Regence BlueCross BlueShield of Oregon. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

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

$1,356/month

Annual Premium

$6,120

OOP Maximum

$10,150

💡 What this means:

With a $6,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 10% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from Regence BlueCross BlueShield of Oregon in Oregon

View all Marketplace plans in Oregon

Frequently asked questions about Silver 6500 Legacy

How much does Silver 6500 Legacy cost per month?

Silver 6500 Legacy from Regence BlueCross BlueShield of Oregon starts at $510 per month before any subsidy in Oregon. 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 Silver 6500 Legacy?

The individual medical deductible is $6,500, and the family deductible is $13,000. 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 Silver 6500 Legacy?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Silver 6500 Legacy HSA-eligible?

No. Silver 6500 Legacy is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Silver 6500 Legacy use?

Silver 6500 Legacy 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.