Expanded_bronzePPOHSA Eligible

Bronze PPO Standard Pathway HSA

Issuer 86545

Starting at

$599

/month before subsidy

Key facts

Bronze PPO Standard Pathway HSA is a 2026 Expanded_bronze PPO health insurance plan from Issuer 86545, sold on the ACA Marketplace in Connecticut under plan ID 86545CT1330009. The monthly premium starts at $599 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,500 ($6,500 for a family), and the individual out-of-pocket maximum is $7,225 ($7,225 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
86545CT1330009
Plan year
2026
State
Connecticut
Metal level
Expanded_bronze
Plan type
PPO
HSA-eligible
Yes

Individual Deductible

$6,500

Family: $6,500

Out-of-Pocket Max

$7,225

Family: $7,225

Coinsurance

20%

You pay after deductible

Network Type

PPO

CTN002

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

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

$1,201/month

Annual Premium

$7,188

OOP Maximum

$7,225

💡 What this means:

With a $6,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $7,225 total. Then insurance covers everything else for the year.

More plans from Issuer 86545 in Connecticut

View all Marketplace plans in Connecticut

Frequently asked questions about Bronze PPO Standard Pathway HSA

How much does Bronze PPO Standard Pathway HSA cost per month?

Bronze PPO Standard Pathway HSA from Issuer 86545 starts at $599 per month before any subsidy in Connecticut. 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 PPO Standard Pathway HSA?

The individual medical deductible is $6,500, and the family deductible is $6,500. 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 PPO Standard Pathway HSA?

The most you would pay in a year for covered in-network care is $7,225 for an individual and $7,225 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Bronze PPO Standard Pathway HSA HSA-eligible?

Yes. Bronze PPO Standard Pathway HSA 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 PPO Standard Pathway HSA use?

Bronze PPO Standard Pathway HSA is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

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.