Gold Simple
Starting at
$777
/month before subsidy
Gold Simple is a 2026 Gold EPO health insurance plan from Oscar Insurance Company, sold on the ACA Marketplace in Alabama under plan ID 17091AL0010009. The monthly premium starts at $777 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,300 ($6,600 for a family), and the individual out-of-pocket maximum is $9,950 ($19,900 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 17091AL0010009
- Plan year
- 2026
- State
- Alabama
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$3,300
Family: $6,600
Out-of-Pocket Max
$9,950
Family: $19,900
Coinsurance
20%
You pay after deductible
Network Type
EPO
ALN001
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$5,100
your estimated cost
- Deductible
- $3,500
- Copays
- $300
- Coinsurance
- $1,300
Managing type 2 diabetes
A year of routine care
$4,000
your estimated cost
- Deductible
- $3,500
- Copays
- $500
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,300
your estimated cost
- Deductible
- $2,100
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Gold EPO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,606/month
Annual Premium
$9,324
OOP Maximum
$9,950
💡 What this means:
With a $3,300 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,950 total. Then insurance covers everything else for the year.
More plans from Oscar Insurance Company in Alabama
Frequently asked questions about Gold Simple
How much does Gold Simple cost per month?
Gold Simple from Oscar Insurance Company starts at $777 per month before any subsidy in Alabama. 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 Gold Simple?
The individual medical deductible is $3,300, and the family deductible is $6,600. 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 Gold Simple?
The most you would pay in a year for covered in-network care is $9,950 for an individual and $19,900 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Gold Simple HSA-eligible?
No. Gold Simple 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 Gold Simple use?
Gold Simple 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.