Oklahoma health plan · 2026

Bronze Elite + PCP Saver Plus · 91908OK0010005

Oscar Insurance Company offers this marketplace health insurance plan (Plan ID 91908OK0010005) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Expanded Bronze Plan type: PPO CSR: Limited Cost Sharing Plan Variation Issuer: Oscar Insurance Company
Telehealth Data pending HSA eligible Yes Dental Not listed Vision Child
Pay / Manage Plan View issuer site

CMS AV Calculator output: 64.60% (35.40% member share on average). Learn about AV methodology.

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$299 – $1249

Before subsidies

Estimate after subsidies

Deductible

N/A

N/A

See deductible details

Max out-of-pocket

$10,150

$20300 per group

Review MOOP rules

Office visits

Primary care $50.00
Specialist $125.00
HSA Eligible

Drug tiers

Generic $3.00
Preferred brand $100.00 Copay after deductible

View formulary tiers

$410 / mo before subsidies

≈ $4914 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1363 / mo before subsidies

≈ $16356 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$1635 / mo before subsidies

≈ $19624 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$1064 / mo before subsidies

≈ $12769 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

0.00%

Emergency Room Services

$2,000.00

Durable Medical Equipment

50.00%

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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Oklahoma). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Limited Cost Sharing Plan Variation plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

0.00%

Emergency Room Services

$2,000.00

Durable Medical Equipment

50.00%

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 91908OK0010005
Coverage year 2026
State Oklahoma
Issuer Oscar Insurance Company
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 91908OK0010005-03
Available variants

Standard Off Exchange Plan · 91908OK0010005-00

Standard On Exchange Plan · 91908OK0010005-01

Open to Indians below 300% FPL · 91908OK0010005-02

Open to Indians above 300% FPL · 91908OK0010005-03
Last plan update Tue, 28 Oct 2025 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Oklahoma 6668
PCPs in Oklahoma 411
Telehealth support Data pending
Nationwide providers 69603
6,668 doctors statewide 411 PCPs 10 OB/GYN

Provider network(s)

Providers Oklahoma All US states
All 6668 69603
PCP 411 1058
Allergy 7 10
OB/GYN 10 23
Dentists N/A 2

Drug coverage overview

3,991 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
GENERIC 2,196
NON-PREFERRED-BRAND 603
SPECIALTY-DRUGS 583
PREFERRED-GENERIC 320
ZERO-COST-SHARE-PREVENTIVE-DRUGS 214
NONPREFERRED-SPECIALTY-DRUGS 75
Prior authorization Drugs
Required 868
Not Required 3,123
Step therapy Drugs
Required 19
Not Required 3,972
Quantity limits Drugs
Has Limit 1,426
No Limit 2,565

Customer highlights

What stands out for members

  • Issuer: Oscar Insurance Company · Plan ID 91908OK0010005 · 2026 filing.
  • Disease management programs available: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 91908OK0010005-03 (Open to Indians above 300% FPL) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Diabetes Education

$0.00
Tier 1 in-network $0.00
Out-of-network 50.00% Coinsurance after deductible

Home Health Care Services

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Limit: 30.0 Visit(s) per Benefit Period

Exclusions: We do not pay Home Health Care Benefits for Dietician services, except as specified for diabetes self- management training; Homemaker services; Maintenance therapy; Speech Therapy; Durable Medical Equipment; Food or home - delivered meals; Intravenous drug, fluid, or nutritional therapy, except when you have received Preauthorization from the Plan for these services.

Laboratory Outpatient and Professional Services

$50.00
Tier 1 in-network $50.00
Out-of-network 50.00% Coinsurance after deductible

Other Practitioner Office Visit (Nurse, Physician Assistant)

$50.00
Tier 1 in-network $50.00
Out-of-network 50.00% Coinsurance after deductible

Preventive Care/Screening/Immunization

0.00%
Tier 1 in-network 0.00%
Out-of-network 50.00% Coinsurance after deductible

Primary Care Visit to Treat an Injury or Illness

$50.00
Tier 1 in-network $50.00
Out-of-network 50.00% Coinsurance after deductible

Cost share applies to both in-person and telemedicine services.

Rehabilitative Occupational and Rehabilitative Physical Therapy

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Limit: 25.0 Visit(s) per Benefit Period

Maximum of 25 Outpatient visits for Physical Therapy, Occupational Therapy and Speech Therapy (combined).

Rehabilitative Speech Therapy

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Limit: 25.0 Visit(s) per Benefit Period

Maximum of 25 Outpatient visits for Physical Therapy, Occupational Therapy and Speech Therapy (combined).

Specialist Visit

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Cost share applies to both in-person and telemedicine services.

Urgent Care Centers or Facilities

$75.00
Tier 1 in-network $75.00
Out-of-network 50.00% Coinsurance after deductible

Virtual urgent care services provided by Oscar-designated virtual care providers are covered in full.

X-rays and Diagnostic Imaging

$150.00
Tier 1 in-network $150.00
Out-of-network 50.00% Coinsurance after deductible

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Delivery and All Inpatient Services for Maternity Care

$3,000.00
Tier 1 in-network $3,000.00
Out-of-network 50.00% Coinsurance after deductible

The per day copayment will apply for a maximum of two (2) days.

Dialysis

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Durable Medical Equipment

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Emergency Room Services

$2,000.00
Tier 1 in-network $2,000.00
Out-of-network $2,000.00

Emergency Transportation/Ambulance

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00%

Hospice Services

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Inpatient Hospital Services (e.g., Hospital Stay)

$3000.00 Copay per Day
Tier 1 in-network $3000.00 Copay per Day
Out-of-network 50.00% Coinsurance after deductible

The per day copayment will apply for a maximum of two (2) days.

Inpatient Physician and Surgical Services

$350.00
Tier 1 in-network $350.00
Out-of-network 50.00% Coinsurance after deductible

Mental/Behavioral Health Inpatient Services

$3000.00 Copay per Day
Tier 1 in-network $3000.00 Copay per Day
Out-of-network 50.00% Coinsurance after deductible

The per day copayment will apply for a maximum of two (2) days. Benefits for the treatment of Mental Illness include treatments for drug addiction, substance abuse and alcoholism.

Mental/Behavioral Health Outpatient Services

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Benefits for the treatment of Mental Illness include treatments for drug addiction, substance abuse and alcoholism. The cost sharing that displays applies to outpatient office visits only. All other outpatient services, such as Partial Hospitalization and Intensive Outpatient Program, may be subject to additional cost sharing. Please refer to the plan policy documents for detailed information.

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

$1,200.00
Tier 1 in-network $1,200.00
Out-of-network 50.00% Coinsurance after deductible

Outpatient Rehabilitation Services

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Limit: 30.0 Days per Benefit Period

Outpatient Surgery Physician/Surgical Services

$350.00
Tier 1 in-network $350.00
Out-of-network 50.00% Coinsurance after deductible

Radiation

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Skilled Nursing Facility

$3000.00 Copay per Day
Tier 1 in-network $3000.00 Copay per Day
Out-of-network 50.00% Coinsurance after deductible

Limit: 30.0 Days per Benefit Period

The per day copayment will apply for a maximum of two (2) days.

Exclusions: No Benefits are available: Once you can no longer improve from treatment; or for Custodial Care, or care for someone's convenience.

Substance Abuse Disorder Inpatient Services

$3000.00 Copay per Day
Tier 1 in-network $3000.00 Copay per Day
Out-of-network 50.00% Coinsurance after deductible

The per day copayment will apply for a maximum of two (2) days. Benefits for the treatment of Mental Illness include treatments for drug addiction, substance abuse and alcoholism.

Substance Abuse Disorder Outpatient Services

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Benefits for the treatment of Mental Illness include treatments for drug addiction, substance abuse and alcoholism. The cost sharing that displays applies to outpatient office visits only. All other outpatient services, such as Partial Hospitalization and Intensive Outpatient Program, may be subject to additional cost sharing. Please refer to the plan policy documents for detailed information.

Transplant

$3,000.00
Tier 1 in-network $3,000.00
Out-of-network 50.00% Coinsurance after deductible

Exclusions: Exclusions and Limitations Applicable to Organ/Tissue/Bone Marrow Transplants: -The transplant must meet the criteria established by the Plan for assessing and performing organ or tissue transplants, or Bone Marrow Transplant procedures, as set forth in the Plan's written medical policies. - In addition to the Exclusions set forth elsewhere in this Certificate, no Benefits will be provided for the following organ or tissue transplants or Bone Marrow Transplants or related services: Adrenal to brain transplants; Allogeneic islet cell transplants; High-Dose Chemotherapy or High-Dose Radiation Therapy if the associated autologous or allogeneic Bone Marrow Transplant, stem cell or progenitor cell treatment, or rescue is not a Covered Service; Small bowel transplants using a living donor; Any organ or tissue transplant or Bone Marrow Transplant from a non- human donor or for the use of non-human organs for extracorporeal support and/or maintenance; Any artificial device for transplantation/implantation, except in limited instances as reflected in the Plan's written medical policies; Any organ or tissue transplant or Bone Marrow Transplant procedure which the Plan considers to be Experimental, Investigational and/or Unproven in nature; Expenses related to the purchase, evaluation, Procurement Services or transplant procedure if the organ or tissue or bone marrow or stem cells or progenitor cells are sold rather than donated to the Subscriber recipient; All services, provided directly for or relative to any organ or tissue transplant, or Bone Marrow Transplant procedure which is not specifically listed as a Covered Service in this Certificate. - The transplant must be performed in and by a Provider that meets the criteria established by the Plan for assessing and selecting Providers in the performance of organ or tissue transplants or Bone Marrow Transplant procedures.

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Hearing Aids

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

One hearing aid per ear every 48 months.

Major Dental Care - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Prenatal and Postnatal Care

0.00%
Tier 1 in-network 0.00%
Out-of-network 50.00% Coinsurance after deductible

Routine Eye Exam for Children

$0.00
Tier 1 in-network $0.00
Out-of-network 50.00% Coinsurance after deductible

Limit: 1.0 Exam(s) per Year

Well Baby Visits and Care

0.00%
Tier 1 in-network 0.00%
Out-of-network 50.00% Coinsurance after deductible

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$3.00
Tier 1 in-network $3.00
Tier 2 in-network $30.00
Out-of-network 100.00%

Non-Preferred Brand Drugs

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 100.00%

Preferred Brand Drugs

$100.00 Copay after deductible
Tier 1 in-network $100.00 Copay after deductible
Out-of-network 100.00%

Specialty Drugs

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 100.00%

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

$350.00
Tier 1 in-network $350.00
Out-of-network 50.00% Coinsurance after deductible

Basic Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Dental Check-Up for Children

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Infusion Therapy

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Covered under Outpatient Therapy Services.

Major Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Nutritional Counseling

$50.00
Tier 1 in-network $50.00
Out-of-network 50.00% Coinsurance after deductible

Diabetes self-management training and training related to medical nutrition therapy.

Orthodontia - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Orthodontia - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Prosthetic Devices

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Routine Dental Services (Adult)

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Weight Loss Programs

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Acupuncture

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Allergy Testing

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Issuer clarifies this is a covered benefit but stipulated under the Medical Policy and not written in the member materials.

Bariatric Surgery

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Cosmetic Surgery

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Eye Glasses for Children

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Limit: 1.0 Item(s) per Year

Habilitation Services

$125.00
Tier 1 in-network $125.00
Out-of-network 50.00% Coinsurance after deductible

Limit: 25.0 Visit(s) per Benefit Period

Imaging (CT/PET Scans, MRIs)

$750.00
Tier 1 in-network $750.00
Out-of-network 50.00% Coinsurance after deductible

Infertility Treatment

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Long-Term/Custodial Nursing Home Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Private-Duty Nursing

50.00%
Tier 1 in-network 50.00%
Out-of-network 50.00% Coinsurance after deductible

Limit: 85.0 Visit(s) per Benefit Period

Pre-authorization required.

Reconstructive Surgery

$3,000.00
Tier 1 in-network $3,000.00
Out-of-network 50.00% Coinsurance after deductible

Breast reconstruction or implantation or removal of breast prostheses is a Covered Service only when performed solely and directly as a result of mastectomy which is Medically Necessary.

Routine Eye Exam (Adult)

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Routine Foot Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Treatment for Temporomandibular Joint Disorders

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Variant attributes

Bronze Elite + PCP Saver Plus · Variant 91908OK0010005-03

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

Limited Cost Sharing Plan Variation

HIOS Product ID

91908OK001

Metal Level

Expanded Bronze

Plan ID (Standard Component ID with Variant)

91908OK0010005-03

Plan Marketing Name

Bronze Elite + PCP Saver Plus

Plan Variant Marketing Name

Bronze Elite + PCP Saver Plus

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

91908

Issuer Marketplace Marketing Name

Oscar Insurance Company

Market Coverage

Individual

Multiple In Network Tiers

Yes

National Network

No

Network ID

OKN001

Out of Country Coverage

Yes

Out of Country Coverage Description

Emergency Services Only

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Emergency and Urgent Services Only

Service Area ID

OKS001

State Code

OK

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.6460308533776871

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

50.00%

Drug EHB Deductible, In Network (Tier 2), Default Coinsurance

50.00%

Inpatient Copayment Maximum Days

2

Medical Drug Deductibles Integrated

No

Medical Drug Maximum Out of Pocket Integrated

Yes

Medical EHB Deductible, In Network (Tier 1), Default Coinsurance

50.00%

Medical EHB Deductible, In Network (Tier 2), Default Coinsurance

50.00%

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$0

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$0

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$20300 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$10150 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$10,150

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Group

$20300 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Person

$10150 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Individual

$10,150

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

OKF001

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$0

SBC Scenario, Having Diabetes, Limit

$0

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Drug EHB Deductible, In Network (Tier 1), Family Per Group

$15000 per group

Drug EHB Deductible, In Network (Tier 1), Family Per Person

$7500 per person

Drug EHB Deductible, In Network (Tier 1), Individual

$7,500

Drug EHB Deductible, In Network (Tier 2), Family Per Group

$15000 per group

Drug EHB Deductible, In Network (Tier 2), Family Per Person

$7500 per person

Drug EHB Deductible, In Network (Tier 2), Individual

$7,500

Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Drug EHB Deductible, Out of Network, Individual

Not Applicable

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol

EHB Percent of Total Premium

1

First Tier Utilization

44%

Import Date

10/28/2025

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

Yes

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Medical EHB Deductible, Combined In/Out of Network, Family Per Group

$1000 per group

Medical EHB Deductible, Combined In/Out of Network, Family Per Person

$500 per person

Medical EHB Deductible, Combined In/Out of Network, Individual

$500

Medical EHB Deductible, In Network (Tier 1), Family Per Group

$0 per group

Medical EHB Deductible, In Network (Tier 1), Family Per Person

$0 per person

Medical EHB Deductible, In Network (Tier 1), Individual

$0

Medical EHB Deductible, In Network (Tier 2), Family Per Group

$0 per group

Medical EHB Deductible, In Network (Tier 2), Family Per Person

$0 per person

Medical EHB Deductible, In Network (Tier 2), Individual

$0

Medical EHB Deductible, Out of Network, Family Per Group

$1000 per group

Medical EHB Deductible, Out of Network, Family Per Person

$500 per person

Medical EHB Deductible, Out of Network, Individual

$500

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

PPO

QHP/Non QHP

Both

Second Tier Utilization

56%

Source Name

HIOS

Plan ID

91908OK0010005

Unique Plan Design

No

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Oklahoma?

Bronze Elite + PCP Saver Plus (91908OK0010005) is a Expanded Bronze PPO from Oscar Insurance Company in Oklahoma for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Bronze Elite + PCP Saver Plus support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Bronze Elite + PCP Saver Plus HSA-eligible and does it include dental or vision coverage?

It is HSA-eligible, so you can pair it with a Health Savings Account to lower taxes.

Dental coverage is not listed for this plan.

Vision add-ons: Child.

Does Bronze Elite + PCP Saver Plus support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with Bronze Elite + PCP Saver Plus?

The issuer lists disease management resources for: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol.

Is there out-of-country coverage for Bronze Elite + PCP Saver Plus?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Emergency Services Only

Does Bronze Elite + PCP Saver Plus cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Emergency and Urgent Services Only

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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