QHP Index

Core Silver 3500

Silver · EPO · PacificSource Health Plans · Montana

At age 40 it costs between $746 and $802 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 isDeductibleMost you could pay in a yearPrimary careGeneric drugs
Above 250%, or not applied for$3,500$10,600$30$15
up to 150% of the federal poverty level$300$850$20$15
150% to 200%$700$2,850$20$15
200% to 250%$3,500$8,450$25$15

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 ID23603MT0380004
InsurerPacificSource Health Plans
Metal levelSilver
Plan typeEPO
Deductible (individual)$3,500
Deductible (family)$7,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,600
Family maximum$21,200
Primary care visit$30
Specialist visit$60
Emergency room30% Coinsurance after deductible
Inpatient stay30% Coinsurance after deductible
Generic drugs$15
Preferred brand drugs$30 Copay after deductible
Specialty drugs$250 Copay after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-977-9299

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.

CountyAt 21At 30At 40At 50At 60
Carbon County $584$663 $746$1,043 $1,584
Musselshell County $584$663 $746$1,043 $1,584
Stillwater County $584$663 $746$1,043 $1,584
Sweet Grass County $584$663 $746$1,043 $1,584
Yellowstone County $584$663 $746$1,043 $1,584
Flathead County $621$705 $794$1,109 $1,686
Lake County $621$705 $794$1,109 $1,686
Missoula County $621$705 $794$1,109 $1,686
Beaverhead County $627$712 $802$1,120 $1,702
Big Horn County $627$712 $802$1,120 $1,702
Blaine County $627$712 $802$1,120 $1,702
Broadwater County $627$712 $802$1,120 $1,702
Carter County $627$712 $802$1,120 $1,702
Cascade County $627$712 $802$1,120 $1,702
Chouteau County $627$712 $802$1,120 $1,702
Custer County $627$712 $802$1,120 $1,702
Daniels County $627$712 $802$1,120 $1,702
Dawson County $627$712 $802$1,120 $1,702
Deer Lodge County $627$712 $802$1,120 $1,702
Fallon County $627$712 $802$1,120 $1,702
Fergus County $627$712 $802$1,120 $1,702
Gallatin County $627$712 $802$1,120 $1,702
Garfield County $627$712 $802$1,120 $1,702
Glacier County $627$712 $802$1,120 $1,702
Golden Valley County $627$712 $802$1,120 $1,702
Granite County $627$712 $802$1,120 $1,702
Hill County $627$712 $802$1,120 $1,702
Jefferson County $627$712 $802$1,120 $1,702
Judith Basin County $627$712 $802$1,120 $1,702
Lewis and Clark County $627$712 $802$1,120 $1,702
Liberty County $627$712 $802$1,120 $1,702
Lincoln County $627$712 $802$1,120 $1,702
Madison County $627$712 $802$1,120 $1,702
McCone County $627$712 $802$1,120 $1,702
Meagher County $627$712 $802$1,120 $1,702
Mineral County $627$712 $802$1,120 $1,702
Park County $627$712 $802$1,120 $1,702
Petroleum County $627$712 $802$1,120 $1,702
Phillips County $627$712 $802$1,120 $1,702
Pondera County $627$712 $802$1,120 $1,702
Powder River County $627$712 $802$1,120 $1,702
Powell County $627$712 $802$1,120 $1,702
Prairie County $627$712 $802$1,120 $1,702
Ravalli County $627$712 $802$1,120 $1,702
Richland County $627$712 $802$1,120 $1,702
Roosevelt County $627$712 $802$1,120 $1,702
Rosebud County $627$712 $802$1,120 $1,702
Sanders County $627$712 $802$1,120 $1,702
Sheridan County $627$712 $802$1,120 $1,702
Silver Bow County $627$712 $802$1,120 $1,702
Teton County $627$712 $802$1,120 $1,702
Toole County $627$712 $802$1,120 $1,702
Treasure County $627$712 $802$1,120 $1,702
Valley County $627$712 $802$1,120 $1,702
Wheatland County $627$712 $802$1,120 $1,702
Wibaux County $627$712 $802$1,120 $1,702

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.