MyBlue Bronze HMO℠ 904 — full price in Mayes County, Oklahoma (2026)
MyBlue Bronze HMO℠ 904 (87571OK0510086), a bronze plan from Blue Cross and Blue Shield of Oklahoma in Mayes County, Oklahoma, costs $521.94/month full price for a 40-year-old in 2026 — $1108.40 at 60, with a $4,500 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 87571OK0510086 · Issuer: Blue Cross and Blue Shield of Oklahoma · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $408.40 |
| 27 | $428.00 |
| 30 | $463.53 |
| 40 | $521.94 |
| 50 | $729.40 |
| 60 | $1108.40 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $4,500
- Family deductible: $9,000
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $592.30/mo. This plan is $521.94/mo at 40 — a difference of $-70.36/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other bronze plans in Mayes County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| MyBlue Bronze HMO℠ 902 | Blue Cross and Blue Shield of Oklahoma | $483.14 |
| UHC Bronze Essential (No Referrals) | UnitedHealthcare | $548.97 |
| Blue Advantage Bronze PPO℠ 202 | Blue Cross and Blue Shield of Oklahoma | $575.09 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 87571OK0510086 in FIPS 40097.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Mayes County
Reviewed by Jason Burns, Editorial Steward.