Find Your 2026 ACA Health Plan
Compare Blue Cross Blue Shield of Illinois ACA plans available in your area. Enter your ZIP code to see plans and pricing - no contact info required.
MyBlue Plus POS Bronze Plans
MyBlue Plus is a newer network, launched in 2025 after discontinuing BlueFocus Care HMO. This new network offers a low-cost solution for cost-conscious members who purchase health insurance through state and federal marketplaces. Highlights of MyBlue Plus POS include:
- Claims processing and health care management through Blue Cross and Blue Shield of Illinois
- Primary care provider election assigned at the individual provider level
- Referrals required to access in-network benefits, except for PCP services
- Out-of-network benefit to provide additional access to care
- Service area: Cook, DuPage, Kane, Kankakee and Will counties
All Bronze plans offer the same set of essential health benefits, quality and amount of care.
Below is a summary of the three MyBlue Plus POS Bronze Plan Options. See toggles below for each plan detail or download the available plan summaries.
- MyBlue Plus Bronze 903 – $4,000 individual deductible
- MyBlue Plus Bronze 912 – $1,500 individual deductible
- MyBlue Plus Bronze Standard – Rx Copays – $7,500 individual deductible
Compare the features, options and costs of Bronze® plans to find the one that’s right for you.Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Illinois family.
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Deductibles
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Overall Deductible Individual/Family | $4,000 / $8,000 | $1,500 / $3,000 | $7,500 / $15,000 |
| Are there services covered before you meet deductible | Yes. | Yes. | Yes. |
| Are there other deductibles for specific services | No. | No. | No. |
| Out-of-pocket limit Individual/Family** | $9,500 / $19,000 | $10,000 / $20,000 | $10,000 / $20,000 |
| Will you pay less if you use network provider? | Yes. | Yes. | Yes. |
| Referral to see a specialist? | Yes. | Yes. | Yes |
**Premiums, balance billing & health care this plan doesn’t cover are not included in the out-of-pocket limit
Office Visit / Testing
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Primary Care for injury/illness | $20/visit | $30/visit | $50/visit |
| Specialist visit | 50% | $140/visit | $100/visit |
| Preventative care/screening | No Charge | No Charge | No Charge |
| Diagnostic test (xray, blood) Freestanding / Hospital | 50% | $250/test | 50% |
| Imaging (CT/PET/MRI) Freestanding / Hospital | 50% | $450/test | 50% |
Generic / Brand / Specialty Drug Comparison
If you need Drugs to treat your illness or condition. For information on whether or not deductibles apply, please download the plan summaries
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Generic Drugs (Preferred) | No Charge | $40/$120 | $25 / $75 |
| Generic Drugs (Non Preferred) | 10% | $150/$450 | $25 / $75 |
| Brand drugs (Preferred) | 20% | 35% | $50 / $150 |
| Brand Drugs Non Preferred | 35% | 40% | $100/$300 |
| Specialty Drugs Preferred | 45% | 45% | $500 |
| Specialty Drugs Non Preferred | 50% | 50% | $500 |
Outpatient Surgery / Emergency Comparison
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Facility Fee | $600/visit + 50% | $750/visit + 50% | 50% |
| Facility fee Hospital | NA | NA | NA |
| Physician/surgeon Fee | $200/visit + 50% | $400/visit | 50% |
| Emergency Room Care | 50% | 50% | 50% |
| Emergency Medical Transportation | 50% | 50% | 50% |
| Urgent Care | $60/visit | $150/visit | $75/visit |
Hospital Stay / Health Services / Pregnancy
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Facility Fee for hospital stay | 50% coinsurance | 50% | 50% |
| Physician/surgeon Fees | 50% | 50% | 50% |
| Mental health, behavioral health, or substance abuse services: Outpatient | 50% | $30 office / 50% other | 50% office / 50% other |
| Mental health, behavioral health, or substance abuse services: Inpatient | 50% | 50% | 50% |
| If you are pregnant – office visit | Primary: $20 / Specialist: 50% | Primary: $30 / Specialist: $140 | Primary: $50 / Specialist: $100 |
| Childbirth/delivery/professional services | 50% | 50% | 50% |
| Childbirth/delivery facility services | 50% | 50% | 50% |
Help recovering / other special needs
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Home Health Care | 50% | 50% | 50% |
| Rehabilitation Services | 50% | 50% | $50/visit |
| Habilitation services | 50% | 50% | $50/visit |
| Skilled nursing care | 50% | $600/day | 50% |
| Durable medical equipment | 50% | 50% | 50% |
| Hospice services | 50% | 50% | 50% |
Childrens Dental / Eye care
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Children’s eye exam | No Charge | No Charge | No Charge |
| Children’s Glasses | No Charge | No Charge | No Charge |
| Children’s Dental check-up | Not Covered | Not Covered | Not Covered |
Excluded & Other Covered Services
Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of any other excluded services.)
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Acupuncture | Not Covered | Not Covered | Not Covered |
| Dental Care (Adult) | Not Covered | Not Covered | Not Covered |
| Long-term Care | Not Covered | Not Covered | Not Covered |
| Non-emergency care when traveling outside of US | Not Covered | Not Covered | Not Covered |
| Weight loss programs | Not Covered | Not Covered | Not Covered |
Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)
| 903 | 912 | Bronze Standard Select Rx Copays | |
| Abortion care | Covered | Covered | Covered |
| Bariatric surgery | Covered | Covered | Covered |
| Chiropractic care | Covered | Covered | Covered |
| Cosmetic surgery | Covered | Covered | Covered |
| Hearing aids | Covered | Covered | Covered |
| Infertility treatment | Covered | Covered | Covered |
| Private-duty nursing | Covered | Covered | Covered |
| Routine Foot Care | Covered | Covered | Covered |
| Routine eye care (Adult) | Covered | Covered | Covered |
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