2026 data Public-data reference. official source

Santa Cruz, Arizona Health Insurance

Open-data reference.

62 ACA plans from 5 issuers — Plan year 2026

Santa Cruz, Arizona offers 62 ACA marketplace plans from 5 issuers for plan year 2026. Bronze plans start at $364/mo and Silver plans start at $359/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$457
Avg Silver Premium/mo
$368
Benchmark Premium/mo
+37.9%
Year-over-Year Change
$5,405
Avg Deductible

What the Numbers Say About Santa Cruz

Santa Cruz, Arizona has 62 ACA marketplace plans offered by 5 issuers for plan year 2026. The average Silver-tier premium comes in at $457/mo for a 27-year-old non-tobacco user, with the lowest Silver at $359 and the highest at $569. Bronze plans start at $364/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $368/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,405 and the average out-of-pocket maximum is $9,025 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Santa Cruz shifted by +37.9%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 5 issuers active in Santa Cruz, consumers have meaningful competition to pressure premiums lower. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

1 plan
$364/mo avg
$364 — $364

Silver

22 plans
$457/mo avg
$359 — $569

Gold

19 plans
$539/mo avg
$423 — $696

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Santa Cruz is $368/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

62

Plan year

Issuers in market

5

Competitive market

Benchmark Silver

$368 /mo

Sets your subsidy ceiling

Avg deductible

$5,405

Across all metal tiers

Santa Cruz ACA plans by premium and deductible

Each marker is the Santa Cruz average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.

Source: CMS Marketplace PUF for Santa Cruz, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Santa Cruz, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Santa Cruz

Issuer Plans Avg Premium (Age 27)
Oscar Health Plan, Inc. 17 $395/mo
Ambetter from Arizona Complete Health 16 $475/mo
UnitedHealthcare 14 $479/mo
Blue Cross Blue Shield of Arizona 10 $550/mo
Imperial Insurance Companies, Inc. 5 $377/mo

All Plans in Santa Cruz

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
UHC Bronze Essential ($0 Virtual Urgent Care)
UnitedHealthcare
Bronze HMO $364.06 $443.96 $10,600 $10,600
Imperial Standard Bronze
Imperial Insurance Companies, Inc.
Expanded Bronze HMO $307.64 $375.16 $7,500 $10,000
Bronze Simple
Oscar Health Plan, Inc.
Expanded Bronze HMO $317.73 $387.46 $9,000 $10,600
Bronze Classic Standard
Oscar Health Plan, Inc.
Expanded Bronze HMO $333.24 $406.38 $7,500 $10,000
Buena Salud Bronce Simple Para Diabetes
Oscar Health Plan, Inc.
Expanded Bronze HMO $338.88 $413.26 $5,500 $10,150
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Oscar Health Plan, Inc.
Expanded Bronze HMO $339.84 $414.43 $5,500 $10,150
Bronze Simple Chronic Care CKM
Oscar Health Plan, Inc.
Expanded Bronze HMO $345.46 $421.27 $5,500 $10,150
Bronze Elite + PCP Saver Plus
Oscar Health Plan, Inc.
Expanded Bronze HMO $356.99 $435.34 $0 $10,150
UHC Bronze Standard
UnitedHealthcare
Expanded Bronze HMO $383.27 $467.39 $7,500 $10,000
Everyday Bronze
Ambetter from Arizona Complete Health
Expanded Bronze HMO $384.65 $469.07 $8,450 $10,150
Standard Expanded Bronze
Ambetter from Arizona Complete Health
Expanded Bronze HMO $386.27 $471.04 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter from Arizona Complete Health
Expanded Bronze HMO $394.72 $481.35 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter from Arizona Complete Health
Expanded Bronze HMO $396.38 $483.37 $7,500 $10,000
UHC Bronze Standard+ (Dental + Vision)
UnitedHealthcare
Expanded Bronze HMO $398.71 $486.22 $7,500 $10,000
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UnitedHealthcare
Expanded Bronze HMO $403.48 $492.03 $0 $10,600
Choice Bronze HSA
Ambetter from Arizona Complete Health
Expanded Bronze HMO $417.62 $509.28 $7,250 $7,250
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UnitedHealthcare
Expanded Bronze HMO $418.93 $510.87 $0 $10,600
AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)
Blue Cross Blue Shield of Arizona
Expanded Bronze HMO $419.33 $511.36 $10,150 $10,150
Choice Bronze HSA + Vision + Adult Dental
Ambetter from Arizona Complete Health
Expanded Bronze HMO $428.56 $522.61 $7,250 $7,250
AZ Blue StandardHealth Bronze Focus
Blue Cross Blue Shield of Arizona
Expanded Bronze HMO $447.20 $545.34 $7,500 $10,000
AZ Blue Portfolio Bronze HSA Focus
Blue Cross Blue Shield of Arizona
Expanded Bronze HMO $499.73 $609.41 $7,100 $7,100
Imperial Standard Silver
Imperial Insurance Companies, Inc.
Silver HMO $358.97 $437.75 $6,000 $8,900
Imperial Preferred Silver
Imperial Insurance Companies, Inc.
Silver HMO $368.14 $448.94 $7,500 $9,500
Silver Simple PCP Saver
Oscar Health Plan, Inc.
Silver HMO $402.28 $490.56 $5,750 $9,400
Silver Classic Standard
Oscar Health Plan, Inc.
Silver HMO $402.66 $491.03 $6,000 $8,900
Silver Simple Diabetes
Oscar Health Plan, Inc.
Silver HMO $408.39 $498.01 $6,500 $10,000
AZ Blue ACA StandardHealth Silver with Health Choice
Blue Cross Blue Shield of Arizona
Silver HMO $410.63 $500.75 $6,000 $8,900
Silver Simple Chronic Care CKM
Oscar Health Plan, Inc.
Silver HMO $411.98 $502.39 $5,900 $10,150
Silver Simple Specialist Saver with COPD
Oscar Health Plan, Inc.
Silver HMO $412.63 $503.19 $6,500 $9,600
Silver Simple Women's Health with Menopause Benefits
Oscar Health Plan, Inc.
Silver HMO $414.00 $504.86 $6,000 $10,150
Silver Elite Saver Plus
Oscar Health Plan, Inc.
Silver HMO $435.31 $530.85 $0 $8,500
Standard Silver
Ambetter from Arizona Complete Health
Silver HMO $467.49 $570.09 $6,000 $8,900
Complete Silver
Ambetter from Arizona Complete Health
Silver HMO $472.57 $576.28 $5,950 $8,850
UHC Silver Standard
UnitedHealthcare
Silver HMO $477.92 $582.81 $6,000 $8,900
UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UnitedHealthcare
Silver HMO $479.13 $584.28 $4,500 $10,150
Standard Silver + Vision + Adult Dental
Ambetter from Arizona Complete Health
Silver HMO $479.73 $585.02 $6,000 $8,900
Complete Silver + Vision + Adult Dental
Ambetter from Arizona Complete Health
Silver HMO $484.94 $591.36 $5,950 $8,850
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UnitedHealthcare
Silver HMO $490.73 $598.42 $0 $10,600
UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UnitedHealthcare
Silver HMO $494.41 $602.91 $4,500 $10,150
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UnitedHealthcare
Silver HMO $506.01 $617.06 $0 $10,600
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)
Blue Cross Blue Shield of Arizona
Silver HMO $552.92 $674.26 $7,200 $7,200
AZ Blue StandardHealth Silver Focus
Blue Cross Blue Shield of Arizona
Silver HMO $563.18 $686.78 $6,000 $8,900
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)
Blue Cross Blue Shield of Arizona
Silver HMO $568.81 $693.64 $7,500 $9,200
Imperial Standard Gold
Imperial Insurance Companies, Inc.
Gold HMO $423.27 $516.16 $2,000 $8,200
Imperial Preferred Gold
Imperial Insurance Companies, Inc.
Gold HMO $428.91 $523.04 $1,000 $8,000
Gold Simple
Oscar Health Plan, Inc.
Gold HMO $443.04 $540.27 $3,300 $9,950
Gold Classic Standard
Oscar Health Plan, Inc.
Gold HMO $446.01 $543.89 $2,000 $8,200
Gold Simple Diabetes
Oscar Health Plan, Inc.
Gold HMO $448.29 $546.67 $2,000 $9,800
Gold Classic
Oscar Health Plan, Inc.
Gold HMO $452.14 $551.37 $3,500 $7,750
Standard Gold
Ambetter from Arizona Complete Health
Gold HMO $511.15 $623.33 $2,000 $8,200
Standard Gold + Vision + Adult Dental
Ambetter from Arizona Complete Health
Gold HMO $524.54 $639.65 $2,000 $8,200
Complete Gold
Ambetter from Arizona Complete Health
Gold HMO $533.08 $650.07 $1,450 $7,500
Complete Gold + Vision + Adult Dental
Ambetter from Arizona Complete Health
Gold HMO $547.03 $667.09 $1,450 $7,500
UHC Gold Standard
UnitedHealthcare
Gold HMO $558.05 $680.52 $2,000 $8,200
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx)
UnitedHealthcare
Gold HMO $565.14 $689.17 $1,250 $8,000
Elite Gold
Ambetter from Arizona Complete Health
Gold HMO $575.51 $701.81 $0 $6,500
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision)
UnitedHealthcare
Gold HMO $580.58 $708.00 $1,250 $8,000
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)
UnitedHealthcare
Gold HMO $580.89 $708.38 $0 $7,800
Elite Gold + Vision + Adult Dental
Ambetter from Arizona Complete Health
Gold HMO $590.57 $720.18 $0 $6,500
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)
Blue Cross Blue Shield of Arizona
Gold HMO $660.90 $805.94 $4,800 $4,800
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)
Blue Cross Blue Shield of Arizona
Gold HMO $680.93 $830.37 $1,475 $8,000
AZ Blue StandardHealth Gold Focus
Blue Cross Blue Shield of Arizona
Gold HMO $695.83 $848.54 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $326/mo $287 $454 19 2
2023 $342/mo $290 $449 19 2
2024 $335/mo $251 $449 23 4
2025 $342/mo $264 $489 18 4
2026 $457/mo $359 $569 22 5

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Frequently Asked Questions

How many ACA plans are available in Santa Cruz, AZ?

There are 62 ACA marketplace plans available in Santa Cruz from 5 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Santa Cruz?

The lowest-premium plan in Santa Cruz starts at $364/mo (Bronze tier, age 27). Silver plans start at $359/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Santa Cruz?

The benchmark (second-lowest Silver) premium in Santa Cruz is $368/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Santa Cruz?

Average premiums in Santa Cruz changed by +37.9% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Santa Cruz?

The average annual deductible across all plans in Santa Cruz is $5,405, and the average out-of-pocket maximum is $9,025. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Santa Cruz?

There are 5 insurance issuers offering ACA marketplace plans in Santa Cruz, including Oscar Health Plan, Inc., Ambetter from Arizona Complete Health, UnitedHealthcare, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

All federal data sources used on this page

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Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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