Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental
Starting at
$999999
/month before subsidy
Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental is a 2026 Expanded_bronze EPO health insurance plan from Issuer 78124, sold on the ACA Marketplace in New York under plan ID 78124NY0950005. The monthly premium starts at $999,999 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,500 ($5,500 for a family), and the individual out-of-pocket maximum is $8,050 ($8,050 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
- 78124NY0950005
- Plan year
- 2026
- State
- New York
- Metal level
- Expanded_bronze
- Plan type
- EPO
- HSA-eligible
- Yes
Individual Deductible
$5,500
Family: $5,500
Out-of-Pocket Max
$8,050
Family: $8,050
Coinsurance
0%
You pay after deductible
Network Type
EPO
NYN011
Medical Services
Prescription Drugs
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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.
If you max out this year
$1,000,670/month
Annual Premium
$11,999,988
OOP Maximum
$8,050
💡 What this means:
With a $5,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $8,050 total. Then insurance covers everything else for the year.
More plans from Issuer 78124 in New York
- Base Catastrophic, ST, INN, Excellus BCBS EPO, Dep25, Pediatric Dentalfrom $456/mo
- Bronze Secure Plus 3, Expanded Bronze, NS, INN, Excellus BCBS EPO, Dep25, Adult/Family Dental, Adult Vision, Acupuncturefrom $768/mo
- Bronze Secure Plus 3, Expanded Bronze, NS, INN, Excellus BCBS EPO, Dep29, Adult/Family Dental, Adult Vision, Acupuncturefrom $783/mo
- Bronze Secure Plus 3, Expanded Bronze, NS, INN, Univera EPO Local, Dep25, Adult/Family Dental, Adult Vision, Acupuncturefrom $677/mo
- Bronze Secure Plus 3, Expanded Bronze, NS, INN, Univera EPO Local, Dep29, Adult/Family Dental, Adult Vision, Acupuncturefrom $690/mo
- Bronze Select, Expanded Bronze, NS, INN, Excellus BCBS EPO, Dep25, Adult/Family Dental, Adult Vision, Preventive Rx, Acupuncturefrom $833/mo
- Bronze Select, Expanded Bronze, NS, INN, Excellus BCBS EPO, Dep29, Adult/Family Dental, Adult Vision, Preventive Rx, Acupuncturefrom $849/mo
- Bronze Select, Expanded Bronze, NS, INN, Univera EPO Local, Dep25, Adult/Family Dental, Adult Vision, Preventive Rx, Acupuncturefrom $735/mo
Frequently asked questions about Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental
How much does Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental cost per month?
Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental from Issuer 78124 starts at $999,999 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 Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental?
The individual medical deductible is $5,500, and the family deductible is $5,500. 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 Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental?
The most you would pay in a year for covered in-network care is $8,050 for an individual and $8,050 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental HSA-eligible?
Yes. Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, 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 Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental use?
Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, 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
- 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
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.