CatastrophicEPOHSA Eligible

Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental

Issuer 78124

Starting at

$456

/month before subsidy

Key facts

Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental is a 2026 Catastrophic EPO health insurance plan from Issuer 78124, sold on the ACA Marketplace in New York under plan ID 78124NY0910001. The monthly premium starts at $456 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $10,600 ($10,600 for a family), and the individual out-of-pocket maximum is $10,600 ($10,600 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
78124NY0910001
Plan year
2026
State
New York
Metal level
Catastrophic
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$10,600

Family: $10,600

Out-of-Pocket Max

$10,600

Family: $10,600

Coinsurance

0%

You pay after deductible

Network Type

EPO

NYN005

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

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
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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Who This Plan Is Best For

This Catastrophic EPO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $10,600 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

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

$1,339/month

Annual Premium

$5,472

OOP Maximum

$10,600

💡 What this means:

With a $10,600 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Issuer 78124 in New York

View all Marketplace plans in New York

Frequently asked questions about Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental

How much does Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental cost per month?

Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental from Issuer 78124 starts at $456 per month before any subsidy in New York. 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 Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental?

The individual medical deductible is $10,600, and the family deductible is $10,600. 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 Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $10,600 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental HSA-eligible?

Yes. Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric 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 Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dental use?

Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric 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

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.