SilverEPO

BCBSVT Vermont Preferred Silver Plan

Issuer 13627

Starting at

$1498

/month before subsidy

Key facts

BCBSVT Vermont Preferred Silver Plan is a 2026 Silver EPO health insurance plan from Issuer 13627, sold on the ACA Marketplace in Vermont under plan ID 13627VT0380006. The monthly premium starts at $1,498 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,750 ($7,500 for a family), and the individual out-of-pocket maximum is $9,250 ($10,150 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
13627VT0380006
Plan year
2026
State
Vermont
Metal level
Silver
Plan type
EPO
HSA-eligible
No

Individual Deductible

$3,750

Family: $7,500

Out-of-Pocket Max

$9,250

Family: $10,150

Coinsurance

0%

You pay after deductible

Network Type

EPO

VTN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$2,269/month

Annual Premium

$17,976

OOP Maximum

$9,250

💡 What this means:

With a $3,750 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $9,250 total. Then insurance covers everything else for the year.

More plans from Issuer 13627 in Vermont

View all Marketplace plans in Vermont

Frequently asked questions about BCBSVT Vermont Preferred Silver Plan

How much does BCBSVT Vermont Preferred Silver Plan cost per month?

BCBSVT Vermont Preferred Silver Plan from Issuer 13627 starts at $1,498 per month before any subsidy in Vermont. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for BCBSVT Vermont Preferred Silver Plan?

The individual medical deductible is $3,750, and the family deductible is $7,500. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for BCBSVT Vermont Preferred Silver Plan?

The most you would pay in a year for covered in-network care is $9,250 for an individual and $10,150 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is BCBSVT Vermont Preferred Silver Plan HSA-eligible?

No. BCBSVT Vermont Preferred Silver Plan is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does BCBSVT Vermont Preferred Silver Plan use?

BCBSVT Vermont Preferred Silver Plan is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.