Premera Blue Cross Cascade Bronze

Premera Blue Cross · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$7,000
Family deductible
$14,000
Ind. OOP max
$11,800
Family OOP max
$23,600

Compare with other Expanded Bronze plans in WA

Side by side: deductibles, out-of-pocket limits and copays.

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.

AgeIndividual
Under 15$512
21$670
30$760
40$856
50$1,196
60$1,817
64 and over$2,009

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$45.00

Specialist

BenefitIn-network
Specialist Visit$100.00

Hospital

BenefitIn-network
Emergency Room Services40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services40.00% Coinsurance after deductible
Urgent Care Centers or Facilities$100.00

Pharmacy

BenefitIn-network
Generic Drugs$32.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs40.00% Coinsurance after deductible
Specialty Drugs40.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$45.00

Other

BenefitIn-network
Hearing Aids40.00%
Hearing Exams$45.00
Home Health Care Services$50.00
Hospice Services$50.00
Eye Glasses for ChildrenNo charge
Gender Affirming Care40.00% Coinsurance after deductible
Habilitation Services40.00% Coinsurance after deductible
Abortion for Which Public Funding is ProhibitedNo charge
Acupuncture$45.00
Chemotherapy40.00% Coinsurance after deductible
Chiropractic Care$45.00
Cosmetic Surgery40.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care40.00% Coinsurance after deductible
Dental Anesthesia40.00% Coinsurance after deductible
Diabetes Care ManagementNo charge
Diabetes EducationNo charge
Dialysis40.00% Coinsurance after deductible
Durable Medical Equipment40.00% Coinsurance after deductible
Emergency Transportation/Ambulance40.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)40.00% Coinsurance after deductible
Infertility Treatment40.00% Coinsurance after deductible
Infusion Therapy40.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKU40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services40.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care40.00% Coinsurance after deductible
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$45.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40.00% Coinsurance after deductible
Outpatient Rehabilitation Services40.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Prosthetic Devices40.00% Coinsurance after deductible
Radiation40.00% Coinsurance after deductible
Reconstructive Surgery40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy40.00% Coinsurance after deductible
Rehabilitative Speech Therapy40.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$45.00
Skilled Nursing Facility40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$45.00
Transplant40.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders40.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging40.00% Coinsurance after deductible

Service area

This plan covers 24 geographic areas.

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