Bronze Simple 2 Guided Care HMO $9150 10%

Oscar Health Plan of Georgia · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $9,150
Family deductible: $18,300
Ind. OOP max: $10,150
Family OOP max: $20,300

Other cost-sharing reduction variants for this plan:

Standard Expanded Bronze On Exchange Plan Zero Cost Sharing Plan Variation

More Oscar Health Plan of Georgia plans in GA

Bronze Elite Saver Plus HMO $0 $50 Silver Simple HMO $5000 $20 Bronze Classic Saver Plus HMO $8000 $0 Bronze Classic 4700 HMO $4700 $70

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	10.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	10.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	10.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	10.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	10.00% Coinsurance after deductible
Urgent Care Centers or Facilities	10.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$3.00
Non-Preferred Brand Drugs	10.00% Coinsurance after deductible
Preferred Brand Drugs	10.00% Coinsurance after deductible
Specialty Drugs	10.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	10.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	10.00% Coinsurance after deductible

Other

Benefit	In-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	10.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	10.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	10.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	10.00% Coinsurance after deductible
Chiropractic Care	10.00% Coinsurance after deductible
Cosmetic Surgery	10.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	10.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	10.00% Coinsurance after deductible
Dialysis	10.00% Coinsurance after deductible
Durable Medical Equipment	10.00% Coinsurance after deductible
Emergency Transportation/Ambulance	10.00% Coinsurance after deductible
Eye Glasses for Children	50.00%
Habilitation Services	10.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	10.00% Coinsurance after deductible
Hospice Services	10.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	10.00% Coinsurance after deductible
Infertility Treatment	10.00% Coinsurance after deductible
Infusion Therapy	10.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	10.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	10.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	10.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	10.00% Coinsurance after deductible
Outpatient Rehabilitation Services	10.00% Coinsurance after deductible
Prenatal and Postnatal Care	No charge
Private-Duty Nursing	Not covered
Prosthetic Devices	10.00% Coinsurance after deductible
Radiation	10.00% Coinsurance after deductible
Reconstructive Surgery	10.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	10.00% Coinsurance after deductible
Rehabilitative Speech Therapy	10.00% Coinsurance after deductible
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	10.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	10.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	10.00% Coinsurance after deductible
Transplant	10.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	10.00% Coinsurance after deductible
Weight Loss Programs	10.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	10.00% Coinsurance after deductible

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