Blue POS Copay (PCP) 60/40 $6000 Standardized
Silver · POS · HMO Louisiana · Louisiana
At age 40 it costs between $734.52 and $800.63 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,400 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 19636LA0220018 |
|---|---|
| Insurer | HMO Louisiana |
| Metal level | Silver |
| Plan type | POS |
| Standardised design | Design 2 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $125 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 | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Jefferson Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Lafourche Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Orleans Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Plaquemines Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Saint Bernard Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Saint Charles Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Saint James Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Saint Tammany Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| St John The Baptist Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Terrebonne Parish | $574.74 | $652.33 | $734.52 | $1,026.49 | $1,559.84 |
| Bienville Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Bossier Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Caddo Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Claiborne Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| De Soto Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Natchitoches Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Red River Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Sabine Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Webster Parish | $589.11 | $668.64 | $752.88 | $1,052.15 | $1,598.84 |
| Allen Parish | $601.18 | $682.34 | $768.31 | $1,073.71 | $1,631.60 |
| Beauregard Parish | $601.18 | $682.34 | $768.31 | $1,073.71 | $1,631.60 |
| Calcasieu Parish | $601.18 | $682.34 | $768.31 | $1,073.71 | $1,631.60 |
| Cameron Parish | $601.18 | $682.34 | $768.31 | $1,073.71 | $1,631.60 |
| Jefferson Davis Parish | $601.18 | $682.34 | $768.31 | $1,073.71 | $1,631.60 |
| Acadia Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Evangeline Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Iberia Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Lafayette Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Saint Landry Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Saint Martin Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Saint Mary Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Vermilion Parish | $606.93 | $688.87 | $775.66 | $1,083.98 | $1,647.21 |
| Ascension Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| East Baton Rouge Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| East Feliciana Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Iberville Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Livingston Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Pointe Coupee Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Saint Helena Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Tangipahoa Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Washington Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| West Baton Rouge Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| West Feliciana Parish | $613.83 | $696.70 | $784.47 | $1,096.30 | $1,665.93 |
| Avoyelles Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Caldwell Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Catahoula Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Concordia Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| East Carroll Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Franklin Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Grant Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Jackson Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| LaSalle Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Lincoln Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Madison Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Morehouse Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Ouachita Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Rapides Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Richland Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Tensas Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Union Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Vernon Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| West Carroll Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
| Winn Parish | $626.47 | $711.04 | $800.63 | $1,118.88 | $1,700.24 |
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.