Expanded_bronzeHMOHSA Eligible

CommunityCare Bronze IH223

CommunityCare

Starting at

$493

/month before subsidy

Key facts

CommunityCare Bronze IH223 is a 2026 Expanded_bronze HMO health insurance plan from CommunityCare, sold on the ACA Marketplace in Oklahoma under plan ID 98905OK0130045. The monthly premium starts at $493 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,000 ($14,100 for a family), and the individual out-of-pocket maximum is $7,500 ($15,000 for a family). After the deductible, coinsurance is 60% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
98905OK0130045
Plan year
2026
State
Oklahoma
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$5,000

Family: $14,100

Out-of-Pocket Max

$7,500

Family: $15,000

Coinsurance

60%

You pay after deductible

Network Type

HMO

OKN001

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

Medical Services

Primary Care Visit60.00% Coinsurance after deductible
Specialist Visit60.00% Coinsurance after deductible
Urgent Care60.00% Coinsurance after deductible
Emergency Room60.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs50.00% Coinsurance after deductible
Brand Name Drugs60.00% Coinsurance after deductible
Specialty Drugs60.00% 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.
2.0overall
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

$7,580

your estimated cost

Deductible
$5,000
Copays
$0
Coinsurance
$2,500

Managing type 2 diabetes

A year of routine care

$5,060

your estimated cost

Deductible
$5,000
Copays
$0
Coinsurance
$40

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
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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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

$1,118/month

Annual Premium

$5,916

OOP Maximum

$7,500

💡 What this means:

With a $5,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 60% (coinsurance) until you hit $7,500 total. Then insurance covers everything else for the year.

More plans from CommunityCare in Oklahoma

View all Marketplace plans in Oklahoma

Frequently asked questions about CommunityCare Bronze IH223

How much does CommunityCare Bronze IH223 cost per month?

CommunityCare Bronze IH223 from CommunityCare starts at $493 per month before any subsidy in Oklahoma. 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 CommunityCare Bronze IH223?

The individual medical deductible is $5,000, and the family deductible is $14,100. 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 CommunityCare Bronze IH223?

The most you would pay in a year for covered in-network care is $7,500 for an individual and $15,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is CommunityCare Bronze IH223 HSA-eligible?

Yes. CommunityCare Bronze IH223 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 CommunityCare Bronze IH223 use?

CommunityCare Bronze IH223 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

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.