Bronze Simple Diabetes — full price in Wise County, Texas (2026)
Bronze Simple Diabetes (20069TX0100068), a expanded bronze plan from Oscar Insurance Company in Wise County, Texas, costs $542.62/month full price for a 40-year-old in 2026 — $1152.32 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 | $424.59 |
| 27 | $444.96 |
| 30 | $481.90 |
| 40 | $542.62 |
| 50 | $758.31 |
| 60 | $1152.32 |
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 $793.68/mo. This plan is $542.62/mo at 40 — a difference of $-251.06/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 expanded bronze plans in Wise County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | Oscar Insurance Company | $516.89 |
| Bronze Classic Standard | Oscar Insurance Company | $534.55 |
| Bronze Classic 4700 | Oscar Insurance Company | $540.98 |
| Bronze Simple Chronic Care CKM | Oscar Insurance Company | $551.71 |
| UHC Bronze Standard | UnitedHealthcare | $552.05 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100068 in FIPS 48497.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Wise County
Reviewed by Jason Burns, Editorial Steward.