Blue Max Copay (PCP) 75/55 $2000 Standardized
Gold · PPO · Blue Cross and Blue Shield of Louisiana · Louisiana
At age 40 it costs between $1,014.54 and $1,102.85 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 | 97176LA0340022 |
|---|---|
| Insurer | Blue Cross and Blue Shield of Louisiana |
| Metal level | Gold |
| Plan type | PPO |
| Standardised design | Design 2 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,300 |
| Family maximum | $16,600 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $100 |
| 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 | $793.85 | $901.02 | $1,014.54 | $1,417.82 | $2,154.51 |
| Lafourche Parish | $793.85 | $901.02 | $1,014.54 | $1,417.82 | $2,154.51 |
| Terrebonne Parish | $793.85 | $901.02 | $1,014.54 | $1,417.82 | $2,154.51 |
| Allen Parish | $803.06 | $911.47 | $1,026.31 | $1,434.27 | $2,179.50 |
| Beauregard Parish | $803.06 | $911.47 | $1,026.31 | $1,434.27 | $2,179.50 |
| Calcasieu Parish | $803.06 | $911.47 | $1,026.31 | $1,434.27 | $2,179.50 |
| Cameron Parish | $803.06 | $911.47 | $1,026.31 | $1,434.27 | $2,179.50 |
| Jefferson Davis Parish | $803.06 | $911.47 | $1,026.31 | $1,434.27 | $2,179.50 |
| Acadia Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Evangeline Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Iberia Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Lafayette Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Saint Landry Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Saint Martin Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Saint Mary Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Vermilion Parish | $810.74 | $920.19 | $1,036.13 | $1,447.98 | $2,200.35 |
| Avoyelles Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Caldwell Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Catahoula Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Concordia Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| East Carroll Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Franklin Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Grant Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Jackson Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| LaSalle Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Lincoln Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Madison Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Morehouse Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Ouachita Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Rapides Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Richland Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Tensas Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Union Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Vernon Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| West Carroll Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Winn Parish | $836.84 | $949.81 | $1,069.48 | $1,494.60 | $2,271.18 |
| Jefferson Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Orleans Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Plaquemines Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Saint Bernard Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Saint Charles Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Saint James Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Saint Tammany Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| St John The Baptist Parish | $845.29 | $959.40 | $1,080.28 | $1,509.69 | $2,294.12 |
| Bienville Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Bossier Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Caddo Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Claiborne Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| De Soto Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Natchitoches Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Red River Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Sabine Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Webster Parish | $853.73 | $968.98 | $1,091.07 | $1,524.76 | $2,317.02 |
| Ascension Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| East Baton Rouge Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| East Feliciana Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Iberville Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Livingston Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Pointe Coupee Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Saint Helena Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Tangipahoa Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| Washington Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| West Baton Rouge Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
| West Feliciana Parish | $862.95 | $979.45 | $1,102.85 | $1,541.23 | $2,342.05 |
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.