Oregon health plan · 2026

Regence Standard Bronze Plan Legacy · 77969OR5290009

Regence BlueCross BlueShield of Oregon offers this marketplace health insurance plan (Plan ID 77969OR5290009) 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: EPO CSR: Standard Bronze On Exchange Plan Issuer: Regence BlueCross BlueShield of Oregon
Telehealth Data pending HSA eligible Yes Dental Not listed Vision Child

CMS AV Calculator output: 64.68% (35.32% 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

$230 – $1386

Before subsidies

Estimate after subsidies

Deductible

$9,200

$18400 per group

See deductible details

Max out-of-pocket

$9,200

$18400 per group

Review MOOP rules

Office visits

Primary care $50.00
Specialist $150.00
HSA Eligible

Drug tiers

Generic $25.00
Preferred brand 0.00% Coinsurance after deductible

View formulary tiers

$388 / mo before subsidies

≈ $4656 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.

$1240 / mo before subsidies

≈ $14877 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.

$1509 / mo before subsidies

≈ $18113 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.

$946 / mo before subsidies

≈ $11357 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

No Charge

Emergency Room Services

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

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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 Oregon). 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.
  • Standard Bronze On Exchange Plan 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

No Charge

Emergency Room Services

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

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 77969OR5290009
Coverage year 2026
State Oregon
Issuer Regence BlueCross BlueShield of Oregon
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 77969OR5290009-01
Available variants

Standard Off Exchange Plan · 77969OR5290009-00

Standard On Exchange Plan · 77969OR5290009-01

Open to Indians below 300% FPL · 77969OR5290009-02

Open to Indians above 300% FPL · 77969OR5290009-03

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 Oregon 29931
PCPs in Oregon 3084
Telehealth support Data pending
Nationwide providers 37815
29,931 doctors statewide 3,084 PCPs 135 OB/GYN
Providers Oregon All US states
All 29931 37815
PCP 3084 3610
Allergy 16 16
OB/GYN 135 159
Dentists 895 1080

Drug coverage overview

3,748 drugs tracked

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

Tier Covered drugs
GENERIC 2,473
NON-PREFERRED-BRAND 734
SPECIALTY 540
PREFERRED-GENERIC 1
Prior authorization Drugs
Required 413
Not Required 3,335
Step therapy Drugs
Required 0
Not Required 3,748
Quantity limits Drugs
Has Limit 972
No Limit 2,776

Customer highlights

What stands out for members

  • Issuer: Regence BlueCross BlueShield of Oregon · Plan ID 77969OR5290009 · 2026 filing.
  • Disease management programs available: Heart Disease, Low Back Pain, Pain Management, Pregnancy.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 77969OR5290009-01 (Standard On Exchange Plan) currently displayed.
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Benefits

Covered services & limitations

Everyday care

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

Chiropractic Care

$50.00

Diabetes Education

0.00% Coinsurance after deductible

Home Health Care Services

0.00% Coinsurance after deductible

Laboratory Outpatient and Professional Services

0.00% Coinsurance after deductible

Other Practitioner Office Visit (Nurse, Physician Assistant)

$50.00

Preventive Care/Screening/Immunization

No Charge

Primary Care Visit to Treat an Injury or Illness

$50.00

Rehabilitative Occupational and Rehabilitative Physical Therapy

$50.00

Rehabilitative Speech Therapy

$50.00

Specialist Visit

$150.00

Telehealth - Primary Care

$50.00

Telehealth - Specialist

$150.00

Urgent Care Centers or Facilities

$100.00

X-rays and Diagnostic Imaging

0.00% Coinsurance after deductible

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

0.00% Coinsurance after deductible

Delivery and All Inpatient Services for Maternity Care

0.00% Coinsurance after deductible

Dialysis

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

Emergency Room Services

0.00% Coinsurance after deductible

Emergency Transportation/Ambulance

0.00% Coinsurance after deductible

Hospice Services

0.00% Coinsurance after deductible

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

0.00% Coinsurance after deductible

Inpatient Physician and Surgical Services

0.00% Coinsurance after deductible

Mental/Behavioral Health Inpatient Services

0.00% Coinsurance after deductible

Mental/Behavioral Health Outpatient Services

$50.00

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

0.00% Coinsurance after deductible

Outpatient Rehabilitation Services

$50.00

Outpatient Surgery Physician/Surgical Services

0.00% Coinsurance after deductible

Radiation

0.00% Coinsurance after deductible

Skilled Nursing Facility

0.00% Coinsurance after deductible

Substance Abuse Disorder Inpatient Services

0.00% Coinsurance after deductible

Substance Abuse Disorder Outpatient Services

$50.00

Transplant

0.00% Coinsurance after deductible

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Hearing Aids

0.00%

Major Dental Care - Child

Coverage details pending

Prenatal and Postnatal Care

0.00% Coinsurance after deductible

Routine Eye Exam for Children

No Charge

Well Baby Visits and Care

No Charge

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$25.00

Non-Preferred Brand Drugs

0.00% Coinsurance after deductible

Preferred Brand Drugs

0.00% Coinsurance after deductible

Specialty Drugs

0.00% Coinsurance after deductible

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

0.00% Coinsurance after deductible

Basic Dental Care - Adult

Coverage details pending

Dental Check-Up for Children

Coverage details pending

Hormone Replacement Therapy (HRT)

Coverage details pending

Infusion Therapy

0.00% Coinsurance after deductible

Major Dental Care - Adult

Coverage details pending

Nutritional Counseling

0.00% Coinsurance after deductible

Orthodontia - Adult

Coverage details pending

Orthodontia - Child

Coverage details pending

Prosthetic Devices

0.00% Coinsurance after deductible

Routine Dental Services (Adult)

Coverage details pending

Weight Loss Programs

Coverage details pending

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

No Charge

Acupuncture

$50.00

Allergy Testing

0.00% Coinsurance after deductible

Bariatric Surgery

Coverage details pending

Cosmetic Surgery

0.00% Coinsurance after deductible

Eye Glasses for Children

No Charge

Gender Affirming Care

Coverage details pending

Habilitation Services

$50.00

Imaging (CT/PET Scans, MRIs)

0.00% Coinsurance after deductible

Infertility Treatment

Coverage details pending

Long-Term/Custodial Nursing Home Care

Coverage details pending

Private-Duty Nursing

Coverage details pending

Reconstructive Surgery

0.00% Coinsurance after deductible

Routine Eye Exam (Adult)

Coverage details pending

Routine Foot Care

0.00% Coinsurance after deductible

Treatment for Temporomandibular Joint Disorders

Coverage details pending

Variant attributes

Regence Standard Bronze Plan Legacy · Variant 77969OR5290009-01

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

Standard Bronze On Exchange Plan

HIOS Product ID

77969OR529

Metal Level

Expanded Bronze

Plan ID (Standard Component ID with Variant)

77969OR5290009-01

Plan Marketing Name

Regence Standard Bronze Plan Legacy

Plan Variant Marketing Name

Regence Standard Bronze Plan Legacy

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

77969

Issuer Marketplace Marketing Name

Regence BlueCross BlueShield of Oregon

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

ORN002

Out of Country Coverage

No

Out of Service Area Coverage

No

Service Area ID

ORS002

State Code

OR

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.6467614778559581

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$9,200

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$600

SBC Scenario, Having Diabetes, Deductible

$900

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$500

SBC Scenario, Treatment of a Simple Fracture, Deductible

$2,100

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

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

0.00%

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

$18400 per group

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

$9200 per person

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

$9,200

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

ORF026

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$200

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

3

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Design 3

Disease Management Programs Offered

Heart Disease, Low Back Pain, Pain Management, Pregnancy

EHB Percent of Total Premium

0.998

First Tier Utilization

100%

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

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

EPO

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

77969OR5290009

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

per group not applicable

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

per person not applicable

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

Not Applicable

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

$18400 per group

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

$9200 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$9,200

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

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 Oregon?

Regence Standard Bronze Plan Legacy (77969OR5290009) is a Expanded Bronze EPO from Regence BlueCross BlueShield of Oregon in Oregon 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 Regence Standard Bronze Plan Legacy 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 Regence Standard Bronze Plan Legacy 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 Regence Standard Bronze Plan Legacy 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 Regence Standard Bronze Plan Legacy?

The issuer lists disease management resources for: Heart Disease, Low Back Pain, Pain Management, Pregnancy.

Is there out-of-country coverage for Regence Standard Bronze Plan Legacy?

No, out-of-country services are not covered for this plan.

Does Regence Standard Bronze Plan Legacy cover care outside the service area?

No, the issuer indicates out-of-service-area care is not covered except for emergencies.

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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