Bronze Simple Diabetes — full price in Kenedy County, Texas (2026)
Bronze Simple Diabetes (20069TX0100068), a expanded bronze plan from Oscar Insurance Company in Kenedy County, Texas, costs $481.98/month full price for a 40-year-old in 2026 — $1023.55 at 60, with a $5,500 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20069TX0100068 · Issuer: Oscar Insurance Company · 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 | $377.15 |
| 27 | $395.24 |
| 30 | $428.05 |
| 40 | $481.98 |
| 50 | $673.57 |
| 60 | $1023.55 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,500
- Family deductible: $11,000
- 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 $686.75/mo. This plan is $481.98/mo at 40 — a difference of $-204.77/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.
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Other expanded bronze plans in Kenedy County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CHRISTUS Standard Expanded Bronze ($0 Virtual Urgent Care) | CHRISTUS Health Plan | $436.17 |
| Blue Advantage Bronze HMO℠ Standard | Blue Cross and Blue Shield of Texas | $440.07 |
| Blue Advantage Bronze HMO℠ 204 | Blue Cross and Blue Shield of Texas | $440.56 |
| CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) | CHRISTUS Health Plan | $441.94 |
| CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) | CHRISTUS Health Plan | $442.05 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100068 in FIPS 48261.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Kenedy County
Reviewed by Jason Burns, Editorial Steward.