Blue POS Copay (PCP) 75/55 $2000 Standardized
Gold · POS · HMO Louisiana · Louisiana
At age 40 it costs between $746.88 and $814.09 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 | 19636LA0220019 |
|---|---|
| Insurer | HMO Louisiana |
| Metal level | Gold |
| Plan type | POS |
| Standardised design | Design 2 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,300 |
| Family maximum | $16,600 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $100 |
| 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 | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Jefferson Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Lafourche Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Orleans Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Plaquemines Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Saint Bernard Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Saint Charles Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Saint James Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Saint Tammany Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| St John The Baptist Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Terrebonne Parish | $584.41 | $663.31 | $746.88 | $1,043.76 | $1,586.09 |
| Bienville Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Bossier Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Caddo Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Claiborne Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| De Soto Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Natchitoches Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Red River Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Sabine Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Webster Parish | $599.02 | $679.89 | $765.55 | $1,069.85 | $1,625.74 |
| Allen Parish | $611.29 | $693.81 | $781.23 | $1,091.76 | $1,659.04 |
| Beauregard Parish | $611.29 | $693.81 | $781.23 | $1,091.76 | $1,659.04 |
| Calcasieu Parish | $611.29 | $693.81 | $781.23 | $1,091.76 | $1,659.04 |
| Cameron Parish | $611.29 | $693.81 | $781.23 | $1,091.76 | $1,659.04 |
| Jefferson Davis Parish | $611.29 | $693.81 | $781.23 | $1,091.76 | $1,659.04 |
| Acadia Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Evangeline Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Iberia Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Lafayette Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Saint Landry Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Saint Martin Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Saint Mary Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Vermilion Parish | $617.13 | $700.44 | $788.69 | $1,102.19 | $1,674.89 |
| Ascension Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| East Baton Rouge Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| East Feliciana Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Iberville Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Livingston Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Pointe Coupee Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Saint Helena Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Tangipahoa Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Washington Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| West Baton Rouge Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| West Feliciana Parish | $624.15 | $708.41 | $797.66 | $1,114.73 | $1,693.94 |
| Avoyelles Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Caldwell Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Catahoula Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Concordia Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| East Carroll Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Franklin Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Grant Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Jackson Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| LaSalle Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Lincoln Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Madison Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Morehouse Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Ouachita Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Rapides Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Richland Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Tensas Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Union Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Vernon Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| West Carroll Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Winn Parish | $637 | $723 | $814.09 | $1,137.68 | $1,728.82 |
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.