Bronze Elite $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 Benefits
Antidote Health of TX · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $12,000
- Family OOP max
- $24,000
Compare with other Expanded Bronze plans in TX
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Antidote Health of TX plans in TX
Monthly premiums by age
Rating Area 15 — the lowest-priced of the 7 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $291 | $291 |
| 21 | $381 | $438 |
| 30 | $432 | $497 |
| 40 | $487 | $559 |
| 50 | $680 | $782 |
| 60 | $1,033 | $1,188 |
| 64 and over | $1,142 | $1,313 |
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 | $75.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $150.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 60.00% |
| Inpatient Hospital Services (e.g., Hospital Stay) | 60.00% |
| Outpatient Surgery Physician/Surgical Services | 60.00% |
| Urgent Care Centers or Facilities | 60.00% |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $50.00 |
| Non-Preferred Brand Drugs | 60.00% |
| Preferred Brand Drugs | $200.00 |
| Specialty Drugs | 60.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 60.00% |
| Mental/Behavioral Health Outpatient Services | $75.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 60.00% |
| Acupuncture | Not covered |
| Allergy Testing | 60.00% |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chemotherapy | 60.00% |
| Chiropractic Care | 60.00% |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 60.00% |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | 60.00% |
| Dialysis | 60.00% |
| Durable Medical Equipment | 60.00% |
| Emergency Transportation/Ambulance | 60.00% |
| Eye Glasses for Children | No charge |
| Habilitation Services | $150.00 |
| Hearing Aids | 60.00% |
| Home Health Care Services | 60.00% |
| Hospice Services | 60.00% |
| Imaging (CT/PET Scans, MRIs) | 60.00% |
| Infertility Treatment | Not covered |
| Infusion Therapy | 60.00% |
| Inpatient Physician and Surgical Services | 60.00% |
| Laboratory Outpatient and Professional Services | $100.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | 60.00% |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $75.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 60.00% |
| Outpatient Rehabilitation Services | $150.00 |
| Prenatal and Postnatal Care | $150.00 |
| Private-Duty Nursing | 60.00% |
| Prosthetic Devices | 60.00% |
| Radiation | 60.00% |
| Reconstructive Surgery | 60.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $150.00 |
| Rehabilitative Speech Therapy | $150.00 |
| 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 | 60.00% |
| Substance Abuse Disorder Inpatient Services | 60.00% |
| Substance Abuse Disorder Outpatient Services | $75.00 |
| Transplant | 60.00% |
| Treatment for Temporomandibular Joint Disorders | 60.00% |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $150.00 |
Plan rules
Service area
This plan covers 18 geographic areas.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.