Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Expanded Bronze · POS · HMO Louisiana · Louisiana
At age 40 it costs between $527.90 and $575.41 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 | 19636LA0220017 |
|---|---|
| Insurer | HMO Louisiana |
| Metal level | Expanded Bronze |
| Plan type | POS |
| Standardised design | Design 2 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $150 Copay 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 | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Jefferson Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Lafourche Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Orleans Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Plaquemines Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Saint Bernard Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Saint Charles Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Saint James Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Saint Tammany Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| St John The Baptist Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Terrebonne Parish | $413.07 | $468.83 | $527.90 | $737.74 | $1,121.07 |
| Bienville Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Bossier Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Caddo Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Claiborne Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| De Soto Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Natchitoches Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Red River Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Sabine Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Webster Parish | $423.39 | $480.55 | $541.09 | $756.17 | $1,149.08 |
| Allen Parish | $432.07 | $490.40 | $552.19 | $771.68 | $1,172.64 |
| Beauregard Parish | $432.07 | $490.40 | $552.19 | $771.68 | $1,172.64 |
| Calcasieu Parish | $432.07 | $490.40 | $552.19 | $771.68 | $1,172.64 |
| Cameron Parish | $432.07 | $490.40 | $552.19 | $771.68 | $1,172.64 |
| Jefferson Davis Parish | $432.07 | $490.40 | $552.19 | $771.68 | $1,172.64 |
| Acadia Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Evangeline Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Iberia Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Lafayette Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Saint Landry Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Saint Martin Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Saint Mary Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Vermilion Parish | $436.20 | $495.09 | $557.46 | $779.05 | $1,183.85 |
| Ascension Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| East Baton Rouge Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| East Feliciana Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Iberville Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Livingston Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Pointe Coupee Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Saint Helena Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Tangipahoa Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Washington Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| West Baton Rouge Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| West Feliciana Parish | $441.15 | $500.71 | $563.79 | $787.89 | $1,197.28 |
| Avoyelles Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Caldwell Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Catahoula Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Concordia Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| East Carroll Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Franklin Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Grant Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Jackson Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| LaSalle Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Lincoln Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Madison Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Morehouse Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Ouachita Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Rapides Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Richland Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Tensas Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Union Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Vernon Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| West Carroll Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
| Winn Parish | $450.24 | $511.02 | $575.41 | $804.13 | $1,221.95 |
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.