Blue Preferred Gold PPO℠ 901
Gold · PPO · Blue Cross and Blue Shield of Montana · Montana
At age 40 it costs $786.85 a month before any subsidy.
What CMS publishes about it
| Plan ID | 30751MT0550105 |
|---|---|
| Insurer | Blue Cross and Blue Shield of Montana |
| Metal level | Gold |
| Plan type | PPO |
| Deductible (individual) | $1,400 |
| Deductible (family) | $2,800 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | No Charge |
| Specialist visit | $40 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | No Charge |
| Preferred brand drugs | 30% Coinsurance after deductible |
| Specialty drugs | 45% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| 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 | 1-855-258-8471 · TTY 1-855-258-8471 |
Where it is sold, and what it costs there
38 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 |
|---|---|---|---|---|---|
| Beaverhead County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Big Horn County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Blaine County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Carter County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Custer County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Daniels County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Dawson County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Fallon County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Fergus County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Garfield County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Glacier County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Golden Valley County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Granite County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Hill County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Liberty County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Lincoln County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Madison County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| McCone County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Meagher County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Mineral County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Park County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Petroleum County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Phillips County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Pondera County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Powder River County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Powell County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Prairie County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Ravalli County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Richland County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Roosevelt County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Rosebud County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Sanders County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Sheridan County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Toole County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Treasure County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Valley County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Wheatland County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
| Wibaux County | $615.69 | $698.81 | $786.85 | $1,099.62 | $1,670.98 |
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.