Premera Blue Cross Preferred Bronze 5800 HSA

Premera Blue Cross Blue Shield of Alaska · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $5,800
Family deductible: $11,600
Ind. OOP max: $8,000
Family OOP max: $16,000

Compare with other Expanded Bronze plans in AK

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

Moda Select Alaska Bronze HDHP 5500Moda Health Plan, Inc. · Deductible $5,500 · Out-of-pocket max $8,050
Moda Select Alaska Bronze 6500Moda Health Plan, Inc. · Deductible $6,500 · Out-of-pocket max $9,000
Moda Select Alaska Standard BronzeModa Health Plan, Inc. · Deductible $7,500 · Out-of-pocket max $10,000

Compare 4 plans Browse all Expanded Bronze plans in AK

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Zero Cost Sharing Plan Variation

More Premera Blue Cross Blue Shield of Alaska plans in AK

Premera Blue Cross Standard Bronze II Premera Blue Cross Preferred Silver 4500 Premera Blue Cross Standard Silver Premera Blue Cross Preferred Gold 1500 Premera Blue Cross Preferred Bronze 6350

Monthly premiums by age

Rating Area 3 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$427	$427
21	$558	$600
30	$633	$681
40	$713	$767
50	$997	$1,071
60	$1,514	$1,628
64 and over	$1,674	$1,799

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	35.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	35.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	35.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	35.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	35.00% Coinsurance after deductible
Urgent Care Centers or Facilities	35.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	35.00% Coinsurance after deductible
Non-Preferred Brand Drugs	35.00% Coinsurance after deductible
Preferred Brand Drugs	35.00% Coinsurance after deductible
Specialty Drugs	40.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	35.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	35.00% Coinsurance after deductible

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	35.00% Coinsurance after deductible
Accidental Dental	35.00% Coinsurance after deductible
Acupuncture	35.00% Coinsurance after deductible
Allergy Testing	35.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	20.00% Coinsurance after deductible
Chemotherapy	35.00% Coinsurance after deductible
Chiropractic Care	35.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	35.00% Coinsurance after deductible
Dental Check-Up for Children	10.00%
Diabetes Education	No charge
Dialysis	35.00% Coinsurance after deductible
Durable Medical Equipment	35.00% Coinsurance after deductible
Emergency Transportation/Ambulance	35.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	35.00% Coinsurance after deductible
Hearing Aids	20.00% Coinsurance after deductible
Premera-Designated Centers of Excellence Program	No Charge after deductible
Hearing Exam	35.00% Coinsurance after deductible
Home Health Care Services	35.00% Coinsurance after deductible
Hospice Services	35.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	35.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	35.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	35.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	35.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	50.00% Coinsurance after deductible
Massage Therapy	35.00% Coinsurance after deductible
Nutritional Counseling	No charge
Orthodontia - Adult	Not covered
Orthodontia - Child	50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	35.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	35.00% Coinsurance after deductible
Outpatient Rehabilitation Services	35.00% Coinsurance after deductible
Prenatal and Postnatal Care	35.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	35.00% Coinsurance after deductible
Radiation	35.00% Coinsurance after deductible
Reconstructive Surgery	35.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	35.00% Coinsurance after deductible
Rehabilitative Speech Therapy	35.00% Coinsurance after deductible
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	35.00%
Routine Foot Care	35.00% Coinsurance after deductible
Skilled Nursing Facility	35.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	35.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	35.00% Coinsurance after deductible
Transplant	35.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	35.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	35.00% Coinsurance after deductible