Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits
Gold · POS · HMO Louisiana · Louisiana
At age 40 it costs between $714.22 and $778.49 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 19636LA0220005 |
|---|---|
| Insurer | HMO Louisiana |
| Metal level | Gold |
| Plan type | POS |
| Deductible (individual) | $1,000 |
| Deductible (family) | $3,000 |
| Drug deductible | $500 |
| Most you could pay in a year | $9,700 |
| Family maximum | $19,400 |
| Primary care visit | $40 |
| Specialist visit | $60 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $7 Copay after deductible |
| Preferred brand drugs | 20% Coinsurance after deductible |
| Specialty drugs | 20% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-392-4087 · TTY 1-800-392-4087 |
Where it is sold, and what it costs there
64 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Assumption Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Jefferson Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Lafourche Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Orleans Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Plaquemines Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Saint Bernard Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Saint Charles Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Saint James Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Saint Tammany Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| St John The Baptist Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Terrebonne Parish | $558.86 | $634.31 | $714.22 | $998.12 | $1,516.75 |
| Bienville Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Bossier Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Caddo Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Claiborne Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| De Soto Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Natchitoches Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Red River Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Sabine Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Webster Parish | $572.83 | $650.16 | $732.08 | $1,023.07 | $1,554.66 |
| Allen Parish | $584.56 | $663.48 | $747.07 | $1,044.02 | $1,586.50 |
| Beauregard Parish | $584.56 | $663.48 | $747.07 | $1,044.02 | $1,586.50 |
| Calcasieu Parish | $584.56 | $663.48 | $747.07 | $1,044.02 | $1,586.50 |
| Cameron Parish | $584.56 | $663.48 | $747.07 | $1,044.02 | $1,586.50 |
| Jefferson Davis Parish | $584.56 | $663.48 | $747.07 | $1,044.02 | $1,586.50 |
| Acadia Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Evangeline Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Iberia Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Lafayette Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Saint Landry Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Saint Martin Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Saint Mary Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Vermilion Parish | $590.15 | $669.82 | $754.21 | $1,054.01 | $1,601.67 |
| Ascension Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| East Baton Rouge Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| East Feliciana Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Iberville Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Livingston Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Pointe Coupee Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Saint Helena Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Tangipahoa Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Washington Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| West Baton Rouge Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| West Feliciana Parish | $596.86 | $677.44 | $762.79 | $1,065.99 | $1,619.88 |
| Avoyelles Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Caldwell Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Catahoula Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Concordia Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| East Carroll Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Franklin Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Grant Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Jackson Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| LaSalle Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Lincoln Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Madison Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Morehouse Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Ouachita Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Rapides Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Richland Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Tensas Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Union Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Vernon Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| West Carroll Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
| Winn Parish | $609.15 | $691.39 | $778.49 | $1,087.94 | $1,653.23 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.