Oscar Health

Bronze Simple Chronic Care CKM

Find a doctor in this plan Summary of Benefits (PDF)

Plan ID91908OK0020002

Plan year2027Sold on HealthCare.gov

Plan typeHMONo referral needed

Metal levelExpanded BronzeWorks with an HSA

Sold in12 countiesof 77 in Oklahoma

Deductible$5,500$11,000 family

Out-of-pocket max$12,000$24,000 family

Primary care visit$50in network

Generic drugs$4per prescription

7,603 Oklahoma doctors and facilities in this plan's network · Directory updated Nov 5, 2026 · Monthly premiums are not shown: they depend on age, county and income. NPI Profile does not sell insurance; HealthCare.gov lists premiums and handles enrollment.

Find a doctor in this plan

Where do you want to see a doctor?

What you pay with this plan

In-network costs for one person, from the CMS plan files for 2027. "After deductible" means you pay the full cost until you reach the $5,500 deductible.

Doctor visits

Primary care visit: $50
Specialist visit: $150
Nurse practitioner or PA visit: $50
Preventive care and vaccines: Free
Urgent care: $40

Prescription drugs

Generic drugs: $4
Preferred brand drugs: $75 after deductible
Non-preferred brand drugs: 50% after deductible
Specialty drugs: 50% after deductible

Tests and imaging

Lab work: $75
X-rays: 50% after deductible
MRI, CT and PET scans: 50% after deductible

Emergencies and hospital

Emergency room: 50% after deductible
Ambulance: 50% after deductible
Hospital stay: 50% after deductible
Outpatient surgery (facility): 50% after deductible

Mental health

Therapy and counseling visits: $50
Inpatient mental health care: 50% after deductible

Pregnancy

Prenatal and postnatal care: Free
Delivery and hospital stay: 50% after deductible

Other care

Physical and occupational therapyLimit: 25 visits a benefit period: 50% after deductible
Chiropractic care: $50
Eye exam for childrenLimit: 1 exam a year: Free
Glasses for childrenLimit: 1 item a year: Free
Adult dental: Not covered

$8,100Having a baby (CMS example)

$4,900Managing type 2 diabetes for a year

$2,800A simple fracture

Every service in the plan file (67)

Service	You pay	Limits and notes
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	50% after deductible
Acupuncture	Not covered
Allergy Testing	$150
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	50% after deductible
Chiropractic Care	$50
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	50% after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	Free
Dialysis	50% after deductible
Durable Medical Equipment	50% after deductible
Emergency Room Services	50% after deductible
Emergency Transportation/Ambulance	50% after deductible
Eye Glasses for Children	Free	1 item a year
Generic Drugs	$4
Habilitation Services	50% after deductible	25 visits a benefit period
Hearing Aids	50% after deductible
Home Health Care Services	50% after deductible	30 visits a benefit period We do not pay Home Health Care Benefits for Dietician services, except as specified for diabetes self- management training; Homemaker services; Maintenance therapy; Speech Therapy; Durable Medical Equipment; Food or home--delivered
Hospice Services	50% after deductible
Imaging (CT/PET Scans, MRIs)	50% after deductible
Infertility Treatment	Not covered
Infusion Therapy	50% after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50% after deductible
Inpatient Physician and Surgical Services	50% after deductible
Laboratory Outpatient and Professional Services	$75
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Mental/Behavioral Health Inpatient Services	50% after deductible
Mental/Behavioral Health Outpatient Services	$50
Non-Preferred Brand Drugs	50% after deductible
Nutritional Counseling	Free
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$50
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50% after deductible
Outpatient Rehabilitation Services	50% after deductible	30 days a benefit period
Outpatient Surgery Physician/Surgical Services	50% after deductible
Preferred Brand Drugs	$75 after deductible
Prenatal and Postnatal Care	Free
Preventive Care/Screening/Immunization	Free
Primary Care Visit to Treat an Injury or Illness	$50
Private-Duty Nursing	50% after deductible	85 visits a benefit period
Prosthetic Devices	50% after deductible
Radiation	50% after deductible
Reconstructive Surgery	50% after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	50% after deductible	25 visits a benefit period
Rehabilitative Speech Therapy	50% after deductible	25 visits a benefit period
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	Free	1 exam a year
Routine Foot Care	Not covered
Skilled Nursing Facility	50% after deductible	30 days a benefit period No Benefits are available: Once you can no longer improve from treatment; or for Custodial Care, or care for someone’s convenience.
Specialist Visit	$150
Specialty Drugs	50% after deductible
Substance Abuse Disorder Inpatient Services	50% after deductible
Substance Abuse Disorder Outpatient Services	$50
Transplant	50% after deductible	Exclusions and Limitations Applicable to Organ/Tissue/Bone Marrow Transplants: - The transplant must meet the criteria established by the Plan for assessing and performing organ or tissue transplants, or Bone Marrow Transplant procedures, as set forth in the
Treatment for Temporomandibular Joint Disorders	Not covered
Urgent Care Centers or Facilities	$40
Weight Loss Programs	Not covered
Well Baby Visits and Care	Free
X-rays and Diagnostic Imaging	50% after deductible

How this plan works

HMO: You pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies.

Referral for specialists: Not required
Coinsurance: 50% after the deductible
Works with an HSA: Yes
Network: Individual Oklahoma HMO (OKN002)
Sold in: 12 Oklahoma counties

Summary of Benefits and Coverage (PDF) Plan brochure Covered drugs (formulary)

Other Oscar Health plans on the same network

The same doctors and hospitals, with different costs.

Plan	Metal	Deductible	Out-of-pocket max
Bronze Elite + PCP Saver Plus HMO	Expanded Bronze	$0	$12,000
Gold Classic Standard HMO	Gold	$2,500	$8,600
Bronze Simple Breathe Easy with Enhanced COPD Benefits HMO	Expanded Bronze	$5,500	$12,000
Bronze Simple Diabetes HMO	Expanded Bronze	$5,500	$12,000
Silver Simple PCP Saver HMO	Silver	$5,750	$10,000
Silver Simple Women's Health with Menopause Benefits HMO	Silver	$6,000	$10,600
Silver Simple Breathe Easy with Enhanced COPD Benefits HMO	Silver	$6,200	$10,300
Silver Classic Standard HMO	Silver	$6,400	$10,300
Silver Simple Chronic Care CKM HMO	Silver	$6,500	$10,500
Silver Simple Diabetes HMO	Silver	$6,500	$10,600
Bronze Classic Standard HMO	Expanded Bronze	$7,500	$12,000
Silver Core Plan HMO	Silver	$9,000	$10,300
Bronze Simple HMO	Expanded Bronze	$9,150	$12,000

Compare all 93 Oklahoma plans

Questions about Bronze Simple Chronic Care CKM

Does Bronze Simple Chronic Care CKM cover my doctor?

Use "Find a doctor in this plan" on this page: choose the city, then the kind of doctor. The list shows providers Oscar Health lists in this plan's network for 2027. Directories can be out of date, so call the office to confirm before your visit.

What kind of plan is Bronze Simple Chronic Care CKM?

It is an HMO plan: you pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies. It is a Expanded Bronze plan and works with a health savings account (HSA).

How much is a doctor visit with Bronze Simple Chronic Care CKM?

A primary care visit costs $50. A specialist visit costs $150. These are in-network costs for one person. "After deductible" means you pay the full cost until you reach the $5,500 deductible.

Where is Bronze Simple Chronic Care CKM sold?

It is sold to people who live in 12 Oklahoma counties, through HealthCare.gov. Oscar Health's directory can also list providers outside these counties, such as pharmacies and specialists, but the plan itself is only for people who live in its area.

Why is there no monthly premium on this page?

Premiums depend on your age, county, household size and income, and most people get a subsidy, so a single price would mislead. HealthCare.gov shows the price for your household.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.

Source	What it provides here	Source date
CMS Marketplace public use files (Plan Attributes, Benefits and Cost Sharing, Service Area)	This plan's costs, covered services, coverage examples and the counties where it is sold	Plan year 2027
Oscar Health's provider directory	The doctors and facilities listed in this plan's network. Only providers with an address in Oklahoma are counted.	Updated November 5, 2026
NPPES NPI registry	Provider names, practice addresses and primary specialties	Matched November 8, 2026

Costs are for the standard version of the plan, for one person, in network. People who qualify for cost-sharing reductions pay less.
Monthly premiums are not shown: they depend on age, county, household and income. HealthCare.gov lists them for your household.
Confirm costs in the plan documents and with the insurer, and confirm with the doctor's office that they take this plan.