Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

Name: Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Brand: HMO Louisiana

Bronze · POS · HMO Louisiana · Louisiana

At age 40 it costs between $404.86 and $432.39 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	19636LA0590008
Insurer	HMO Louisiana
Metal level	Bronze
Plan type	POS
Deductible (individual)	$9,900
Deductible (family)	$21,200
Drug deductible	Included in the medical deductible
Most you could pay in a year	$10,600
Family maximum	$21,200
Primary care visit	10% Coinsurance after deductible
Specialist visit	10% Coinsurance after deductible
Emergency room	10% Coinsurance after deductible
Inpatient stay	10% Coinsurance after deductible
Generic drugs	10% Coinsurance after deductible
Preferred brand drugs	30% Coinsurance after deductible
Specialty drugs	30% 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

5 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
Jefferson Parish	$316.79	$359.56	$404.86	$565.79	$859.77
Orleans Parish	$316.79	$359.56	$404.86	$565.79	$859.77
Saint Bernard Parish	$316.79	$359.56	$404.86	$565.79	$859.77
Saint Tammany Parish	$316.79	$359.56	$404.86	$565.79	$859.77
Tangipahoa Parish	$338.33	$384	$432.39	$604.26	$918.23

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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When this plan’s price or benefits change.

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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.