Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits
Silver · POS · HMO Louisiana · Louisiana
At age 40 it costs between $711.13 and $775.13 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $3,200 | $9,100 | 20% Coinsurance after deductible | 20% Coinsurance after deductible |
| up to 150% of the federal poverty level | $0 | $1,900 | 10% | 10% |
| 150% to 200% | $800 | $3,350 | 10% Coinsurance after deductible | 10% Coinsurance after deductible |
| 200% to 250% | $2,200 | $8,100 | 20% Coinsurance after deductible | 20% Coinsurance after deductible |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 19636LA0220014 |
|---|---|
| Insurer | HMO Louisiana |
| Metal level | Silver |
| Plan type | POS |
| Deductible (individual) | $3,200 |
| Deductible (family) | $9,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,100 |
| Family maximum | $18,200 |
| Primary care visit | 20% Coinsurance after deductible |
| Specialist visit | 20% Coinsurance after deductible |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | 20% Coinsurance after deductible |
| Preferred brand drugs | 40% Coinsurance after deductible |
| Specialty drugs | 40% 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
56 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 | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Lafourche Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Plaquemines Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Saint Charles Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Saint James Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| St John The Baptist Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Terrebonne Parish | $556.44 | $631.56 | $711.13 | $993.80 | $1,510.18 |
| Bienville Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Bossier Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Caddo Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Claiborne Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| De Soto Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Natchitoches Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Red River Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Sabine Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Webster Parish | $570.35 | $647.35 | $728.91 | $1,018.65 | $1,547.93 |
| Allen Parish | $582.04 | $660.62 | $743.85 | $1,039.52 | $1,579.66 |
| Beauregard Parish | $582.04 | $660.62 | $743.85 | $1,039.52 | $1,579.66 |
| Calcasieu Parish | $582.04 | $660.62 | $743.85 | $1,039.52 | $1,579.66 |
| Cameron Parish | $582.04 | $660.62 | $743.85 | $1,039.52 | $1,579.66 |
| Jefferson Davis Parish | $582.04 | $660.62 | $743.85 | $1,039.52 | $1,579.66 |
| Acadia Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Evangeline Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Iberia Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Lafayette Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Saint Landry Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Saint Martin Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Saint Mary Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| Vermilion Parish | $587.60 | $666.93 | $750.95 | $1,049.45 | $1,594.75 |
| East Feliciana Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Iberville Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Pointe Coupee Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Saint Helena Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Tangipahoa Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Washington Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| West Feliciana Parish | $594.28 | $674.51 | $759.49 | $1,061.38 | $1,612.88 |
| Avoyelles Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Caldwell Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Catahoula Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Concordia Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| East Carroll Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Franklin Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Grant Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Jackson Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| LaSalle Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Lincoln Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Madison Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Morehouse Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Ouachita Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Rapides Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Richland Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Tensas Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Union Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Vernon Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| West Carroll Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
| Winn Parish | $606.52 | $688.40 | $775.13 | $1,083.24 | $1,646.10 |
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.