Focused Silver
Silver · EPO · Ambetter from Louisiana Healthcare Connections · Louisiana
At age 40 it costs between $573.74 and $681.36 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 | $6,300 | $8,400 | $40 | $3 |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $0 | $3,350 | $20 | $3 |
| 200% to 250% | $5,150 | $7,200 | $35 | $3 |
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 | 90787LA0010005 |
|---|---|
| Insurer | Ambetter from Louisiana Healthcare Connections |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $6,300 |
| Deductible (family) | $12,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,400 |
| Family maximum | $16,800 |
| Primary care visit | $40 |
| Specialist visit | $85 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| Specialty drugs | 50% 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 | 1-833-635-0450 · TTY 1-833-635-0450 |
Where it is sold, and what it costs there
22 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 |
|---|---|---|---|---|---|
| Bossier Parish | $448.94 | $509.54 | $573.74 | $801.80 | $1,218.41 |
| Caddo Parish | $448.94 | $509.54 | $573.74 | $801.80 | $1,218.41 |
| Jefferson Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Orleans Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Plaquemines Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Saint Bernard Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Saint Charles Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Saint Tammany Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| St John The Baptist Parish | $461.48 | $523.77 | $589.76 | $824.19 | $1,252.44 |
| Ascension Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| East Baton Rouge Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| East Feliciana Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| Iberville Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| Pointe Coupee Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| Saint Helena Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| Washington Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| West Baton Rouge Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| West Feliciana Parish | $484.81 | $550.24 | $619.57 | $865.85 | $1,315.74 |
| Beauregard Parish | $533.16 | $605.12 | $681.36 | $952.20 | $1,446.96 |
| Calcasieu Parish | $533.16 | $605.12 | $681.36 | $952.20 | $1,446.96 |
| Cameron Parish | $533.16 | $605.12 | $681.36 | $952.20 | $1,446.96 |
| Jefferson Davis Parish | $533.16 | $605.12 | $681.36 | $952.20 | $1,446.96 |
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.