BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health®

BlueCross BlueShield of Tennessee · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $7,500
Family deductible: $15,000
Ind. OOP max: $10,000
Family OOP max: $20,000

Compare with other Expanded Bronze plans in TN

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

Bronze Classic StandardOscar Insurance Company · Deductible $7,500 · Out-of-pocket max $10,000
Connect Bronze 7500 Indiv Med DeductibleCigna Healthcare · Deductible $7,500 · Out-of-pocket max $10,150
Standard Expanded Bronze + Vision + Adult DentalAmbetter of Tennessee · Deductible $7,500 · Out-of-pocket max $10,000

Compare 4 plans Browse all Expanded Bronze plans in TN

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Bronze Off Exchange Plan Zero Cost Sharing Plan Variation

More BlueCross BlueShield of Tennessee plans in TN

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health ®BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health®BlueCross B15E $0 virtual care from Teladoc Health®BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health®

Monthly premiums by age

Rating Area 3

Age	Individual	Individual + tobacco
Under 15	$414	$414
21	$541	$622
30	$614	$706
40	$691	$795
50	$966	$1,111
60	$1,468	$1,689
64 and over	$1,623	$1,866

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

Hospital

Benefit	In-network
Emergency Room Services	50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$75.00

Pharmacy

Benefit	In-network
Generic Drugs	$25.00
Non-Preferred Brand Drugs	$100.00 Copay after deductible
Preferred Brand Drugs	$50.00 Copay after deductible
Specialty Drugs	$500.00 Copay after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$50.00

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	50.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	50.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	50.00%
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	50.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	50.00% Coinsurance after deductible
Dental Check-Up for Children	No charge
Diabetes Education	50.00% Coinsurance after deductible
Dialysis	50.00% Coinsurance after deductible
Durable Medical Equipment	50.00% Coinsurance after deductible
Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	50.00% Coinsurance after deductible
Habilitation Services	$50.00
Hearing Aids	50.00% Coinsurance after deductible
Home Health Care Services	50.00% Coinsurance after deductible
Hospice Services	50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	50.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	50.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	50.00%
Nutritional Counseling	50.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Outpatient Rehabilitation Services	50.00% Coinsurance after deductible
Prenatal and Postnatal Care	$50.00
Private-Duty Nursing	Not covered
Prosthetic Devices	50.00% Coinsurance after deductible
Radiation	50.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$50.00
Rehabilitative Speech Therapy	$50.00
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	No charge
Routine Foot Care	Not covered
Skilled Nursing Facility	50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$50.00
Transplant	50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	50.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	50.00% Coinsurance after deductible