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.
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next · 2026 plan year
BronzeHSA eligible
- Ind. deductible
- $10,600
- Family deductible
- $21,200
- Ind. OOP max
- $10,600
- Family OOP max
- $21,200
Other cost-sharing reduction variants for this plan:
More AmeriHealth Caritas Next plans in LA
Monthly premiums by age
Rating Area 5
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $301 | $301 |
| 21 | $393 | $472 |
| 30 | $446 | $535 |
| 40 | $502 | $603 |
| 50 | $702 | $842 |
| 60 | $1,067 | $1,280 |
| 64 and over | $1,179 | $1,415 |
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 | $25.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | No Charge after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | No Charge after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | No Charge after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | $75.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Non-Preferred Brand Drugs | No Charge after deductible |
| Generic Drugs | $25.00 |
| Preferred Brand Drugs | No Charge after deductible |
| Specialty Drugs | No Charge after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | No Charge after deductible |
| Mental/Behavioral Health Outpatient Services | $25.00 |
Other
| Benefit | In-network |
|---|---|
| Newborn Hearing Screening | No charge |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | No Charge after deductible |
| Acupuncture | No Charge after deductible |
| Allergy Testing | No Charge after deductible |
| Attention Deficit Disorder | No Charge after deductible |
| Autism Spectrum Disorders | No Charge after deductible |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Cancer Monitoring Screening | No Charge after deductible |
| Cardiac Rehabilitation | No Charge after deductible |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | No Charge after deductible |
| Clinical Trials | No Charge after deductible |
| Congenital Anomaly, including Cleft Lip/Palate | No Charge after deductible |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | No Charge after deductible |
| Dental Anesthesia | No Charge after deductible |
| Dental Check-Up for Children | Not covered |
| Dental Services for Children with Severe Disabilities | No Charge after deductible |
| Diabetes Care Management | No Charge after deductible |
| Diabetes Education | No charge |
| Dialysis | No Charge after deductible |
| Doula | No Charge after deductible |
| Durable Medical Equipment | No Charge after deductible |
| Emergency Transportation/Ambulance | No Charge after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | Not covered |
| Habilitation Services | No Charge after deductible |
| Hearing Aids | No Charge after deductible |
| Home Health Care Services | No Charge after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | No Charge after deductible |
| Infertility Treatment | Not covered |
| Infusion Therapy | No Charge after deductible |
| Inherited Metabolic Disorder - PKU | No Charge after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | No Charge after deductible |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No Charge after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | No Charge after deductible |
| Outpatient Rehabilitation Services | No Charge after deductible |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | No Charge after deductible |
| Prosthetic Devices | No Charge after deductible |
| Pulmonary Rehabilitation | No Charge after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | No Charge after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | No Charge after deductible |
| Rehabilitative Speech Therapy | No Charge after deductible |
| Reversible Contraveptives | No Charge after deductible |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | No Charge after deductible |
| School Based Health Centers | No Charge after deductible |
| Skilled Nursing Facility | No Charge after deductible |
| Substance Abuse Disorder Inpatient Services | No Charge after deductible |
| Substance Abuse Disorder Outpatient Services | $25.00 Copay with deductible |
| Transplant | No Charge after deductible |
| Treatment for Temporomandibular Joint Disorders | Not covered |
| Weight Loss Programs | No charge |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | No Charge after deductible |
Service area
This plan covers 4 geographic areas.
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