Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
Premera Blue Cross Preferred Bronze
Premera Blue Cross · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $6,800
- Family deductible
- $13,600
- Ind. OOP max
- $9,600
- Family OOP max
- $19,200
Other cost-sharing reduction variants for this plan:
More Premera Blue Cross plans in WA
Monthly premiums by age
Rating Area 4 — the lowest-priced of the 8 areas this plan covers. Premiums differ by area.
| Age | Individual |
|---|---|
| Under 15 | $526 |
| 21 | $688 |
| 30 | $781 |
| 40 | $879 |
| 50 | $1,228 |
| 60 | $1,867 |
| 64 and over | $2,063 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $50.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $100.00 Copay after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 40.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 40.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 40.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $100.00 Copay after deductible |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $35.00 |
| Non-Preferred Brand Drugs | 45.00% Coinsurance after deductible |
| Preferred Brand Drugs | 40.00% Coinsurance after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 40.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $75.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Acupuncture | 40.00% Coinsurance after deductible |
| Chemotherapy | 40.00% Coinsurance after deductible |
| Chiropractic Care | 40.00% Coinsurance after deductible |
| Cosmetic Surgery | 40.00% Coinsurance after deductible |
| Delivery and All Inpatient Services for Maternity Care | 40.00% Coinsurance after deductible |
| Dental Anesthesia | 40.00% Coinsurance after deductible |
| Diabetes Care Management | No charge |
| Diabetes Education | No charge |
| Dialysis | 40.00% Coinsurance after deductible |
| Durable Medical Equipment | 40.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 40.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | 40.00% Coinsurance after deductible |
| Habilitation Services | $100.00 Copay after deductible |
| Hearing Aids | 40.00% |
| Hearing Exams | $100.00 Copay after deductible |
| Home Health Care Services | 40.00% Coinsurance after deductible |
| Hospice Services | 40.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 40.00% Coinsurance after deductible |
| Infertility Treatment | 40.00% Coinsurance after deductible |
| Infusion Therapy | 40.00% Coinsurance after deductible |
| Inherited Metabolic Disorder - PKU | 40.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 40.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 40.00% Coinsurance after deductible |
| Long-Term/Custodial Nursing Home Care | 40.00% Coinsurance after deductible |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $50.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 40.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | $100.00 Copay after deductible |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 40.00% Coinsurance after deductible |
| Radiation | 40.00% Coinsurance after deductible |
| Reconstructive Surgery | 40.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $100.00 Copay after deductible |
| Rehabilitative Speech Therapy | $100.00 Copay after deductible |
| Routine Eye Exam for Children | $30.00 |
| Routine Foot Care | $50.00 |
| Skilled Nursing Facility | 40.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 40.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $75.00 |
| Transplant | 40.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 40.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 40.00% Coinsurance after deductible |
Service area
This plan covers 24 geographic areas.
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