Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Silver · PPO · Blue Cross and Blue Shield of Louisiana · Louisiana
At age 40 it costs between $994.22 and $1,080.75 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 | $3,300 | $9,900 | $40 | $15 Copay after deductible |
| up to 150% of the federal poverty level | $100 | $1,800 | $5 | $7 Copay after deductible |
| 150% to 200% | $800 | $3,100 | $20 | $15 Copay after deductible |
| 200% to 250% | $3,300 | $7,500 | $40 | $15 Copay after deductible |
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 | 97176LA0340010 |
|---|---|
| Insurer | Blue Cross and Blue Shield of Louisiana |
| Metal level | Silver |
| Plan type | PPO |
| Deductible (individual) | $3,300 |
| Deductible (family) | $9,900 |
| Drug deductible | $500 |
| Most you could pay in a year | $9,900 |
| Family maximum | $19,800 |
| Primary care visit | $40 |
| Specialist visit | $65 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $15 Copay after deductible |
| Preferred brand drugs | 20% Coinsurance after deductible |
| Specialty drugs | 20% 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
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 | $777.95 | $882.97 | $994.22 | $1,389.42 | $2,111.36 |
| Lafourche Parish | $777.95 | $882.97 | $994.22 | $1,389.42 | $2,111.36 |
| Terrebonne Parish | $777.95 | $882.97 | $994.22 | $1,389.42 | $2,111.36 |
| Allen Parish | $786.98 | $893.22 | $1,005.76 | $1,405.55 | $2,135.86 |
| Beauregard Parish | $786.98 | $893.22 | $1,005.76 | $1,405.55 | $2,135.86 |
| Calcasieu Parish | $786.98 | $893.22 | $1,005.76 | $1,405.55 | $2,135.86 |
| Cameron Parish | $786.98 | $893.22 | $1,005.76 | $1,405.55 | $2,135.86 |
| Jefferson Davis Parish | $786.98 | $893.22 | $1,005.76 | $1,405.55 | $2,135.86 |
| Acadia Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Evangeline Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Iberia Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Lafayette Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Saint Landry Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Saint Martin Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Saint Mary Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Vermilion Parish | $794.50 | $901.76 | $1,015.37 | $1,418.98 | $2,156.27 |
| Avoyelles Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Caldwell Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Catahoula Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Concordia Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| East Carroll Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Franklin Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Grant Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Jackson Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| LaSalle Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Lincoln Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Madison Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Morehouse Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Ouachita Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Rapides Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Richland Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Tensas Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Union Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Vernon Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| West Carroll Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Winn Parish | $820.08 | $930.79 | $1,048.06 | $1,464.66 | $2,225.70 |
| Jefferson Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Orleans Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Plaquemines Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Saint Bernard Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Saint Charles Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Saint James Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Saint Tammany Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| St John The Baptist Parish | $828.36 | $940.19 | $1,058.64 | $1,479.45 | $2,248.17 |
| Bienville Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Bossier Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Caddo Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Claiborne Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| De Soto Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Natchitoches Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Red River Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Sabine Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Webster Parish | $836.63 | $949.58 | $1,069.21 | $1,494.22 | $2,270.61 |
| Ascension Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| East Baton Rouge Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| East Feliciana Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Iberville Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Livingston Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Pointe Coupee Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Saint Helena Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Tangipahoa Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| Washington Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| West Baton Rouge Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
| West Feliciana Parish | $845.66 | $959.82 | $1,080.75 | $1,510.35 | $2,295.12 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.