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Bronze
HMO
HSA eligible

Bronze Simple Chronic Care CKM

Oscar Health Plan, Inc. · Mississippi Marketplace plan for 2026

What you pay before the plan starts sharing costs

Deductible (individual)

$5,500

$11,000 for a family

Out-of-pocket maximum (individual)

$10,150

$20,300 for a family

The out-of-pocket maximum is the most you can pay in a year for covered in-network care. After you reach it, the plan pays everything else.

What you pay for common care

In-network cost sharing for common services on Bronze Simple Chronic Care CKM, 2026
ServiceYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$50
Specialist Visit$150
Emergency Room Services50% Coinsurance after deductible
Generic Drugs$3
Preferred Brand Drugs$75 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50% Coinsurance after deductible
Laboratory Outpatient and Professional Services$75
X-rays and Diagnostic Imaging50% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$50

Where this plan is sold in Mississippi

Available in 5 of the rating areas we cover. Premiums differ by area, so check the one you live in.

Benton CountyJackson Metro Area (Mississippi)Lafayette CountyMemphis Metro Area (Mississippi Side)Panola County

Everything Bronze Simple Chronic Care CKM covers

Covered benefits and in-network cost sharing for Bronze Simple Chronic Care CKM
BenefitYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$50
Specialist Visit$150
Other Practitioner Office Visit Nurse Physician Assistant$50
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)50% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services50% Coinsurance after deductible
Hospice Services50% Coinsurance after deductible
Urgent Care Centers Or Facilities$200
Home Health Care Services50% Coinsurance after deductible
Emergency Room Services50% Coinsurance after deductible
Emergency Transportation/Ambulance50% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50% Coinsurance after deductible
Inpatient Physician and Surgical Services50% Coinsurance after deductible
Skilled Nursing Facility50% Coinsurance after deductible
Prenatal And Postnatal CareNo Charge
Delivery And All Inpatient Services For Maternity Care50% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$50
Mental/Behavioral Health Inpatient Services50% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$50
Substance Abuse Disorder Inpatient Services50% Coinsurance after deductible
Generic DrugsLimit: 30 treatments per month$3
Preferred Brand DrugsLimit: 30 treatments per month$75 Copay after deductible
Non-Preferred Brand Drugs50% Coinsurance after deductible
Specialty DrugsLimit: 30 treatments per month50% Coinsurance after deductible
Outpatient Rehabilitation ServicesLimit: 36 visits per year50% Coinsurance after deductible
Habilitation Services50% Coinsurance after deductible
Chiropractic CareLimit: 20 visits per year$150
Durable Medical Equipment50% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)50% Coinsurance after deductible
Preventive Care/Screening/ImmunizationNo Charge
Routine Foot CareLimit: 1 visits per year$150
Routine Eye Exam for ChildrenLimit: 1 exams per benefit periodNo Charge
Eye Glasses for ChildrenLimit: 1 items per benefit period50%
Rehabilitative Speech TherapyLimit: 20 visits per year50% Coinsurance after deductible
Rehabilitative Occupational And Rehabilitative Physical TherapyLimit: 20 days per year50% Coinsurance after deductible
Well Baby Visits And CareNo Charge
Laboratory Outpatient and Professional Services$75
X-rays and Diagnostic Imaging50% Coinsurance after deductible
Transplant50% Coinsurance after deductible
Accidental Dental50% Coinsurance after deductible
Dialysis50% Coinsurance after deductible
Allergy Testing$150
Chemotherapy50% Coinsurance after deductible
Radiation50% Coinsurance after deductible
Diabetes EducationLimit: 1 visits per yearNo Charge
Prosthetic Devices50% Coinsurance after deductible
Infusion Therapy50% Coinsurance after deductible
Treatment For Temporomandibular Joint DisordersLimit: 5000 dollars per lifetime50% Coinsurance after deductible
Reconstructive Surgery50% Coinsurance after deductible

Not covered by this plan

  • Routine Dental Services (Adult)
  • Infertility Treatment
  • Long Term Custodial Nursing Home Care
  • Private-Duty Nursing
  • Routine Eye Exam (Adult)
  • Bariatric Surgery
  • Cosmetic Surgery
  • Hearing Aids
  • Acupuncture
  • Weight Loss Programs
  • Dental Check-Up for Children
  • Basic Dental Care - Child
  • Orthodontia - Child
  • Major Dental Care - Child
  • Basic Dental Care - Adult
  • Orthodontia - Adult
  • Major Dental Care - Adult
  • Abortion Services
  • Nutritional Counseling

Official plan documents

What this page does not show

No premium and no subsidy estimate. Both depend on your age, household size, income and county, not on the plan, so any figure here would be wrong for almost everyone. Check what you would actually pay for Bronze Simple Chronic Care CKM in your area:

See your price for this planEstimate your subsidy

Coverage and cost sharing come from the official Marketplace record for plan 20635MS0010003, 2026 plan year. Always confirm against the Summary of Benefits before enrolling.

Plans shown based on input. Not insurance advice. Policymage is not a licensed broker or agent.