SilverPOS

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits

HMO Louisiana

Starting at

$711

/month before subsidy

Key facts

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits is a 2026 Silver POS health insurance plan from HMO Louisiana, sold on the ACA Marketplace in Louisiana under plan ID 19636LA0220014. The monthly premium starts at $711 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,200 ($9,600 for a family), and the individual out-of-pocket maximum is $9,100 ($18,200 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
19636LA0220014
Plan year
2026
State
Louisiana
Metal level
Silver
Plan type
POS
HSA-eligible
No

Individual Deductible

$3,200

Family: $9,600

Out-of-Pocket Max

$9,100

Family: $18,200

Coinsurance

20%

You pay after deductible

Network Type

POS

LAN005

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

Medical Services

Primary Care Visit20.00% Coinsurance after deductible
Specialist Visit20.00% Coinsurance after deductible
Urgent Care20.00% Coinsurance after deductible
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs20.00% Coinsurance after deductible
Brand Name Drugs40.00% Coinsurance after deductible
Specialty Drugs40.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
3.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$5,140

your estimated cost

Deductible
$3,200
Copays
$0
Coinsurance
$1,880

Managing type 2 diabetes

A year of routine care

$3,280

your estimated cost

Deductible
$3,200
Copays
$0
Coinsurance
$20

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
Coinsurance
$0
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 POS 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

$1,469/month

Annual Premium

$8,532

OOP Maximum

$9,100

💡 What this means:

With a $3,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,100 total. Then insurance covers everything else for the year.

More plans from HMO Louisiana in Louisiana

View all Marketplace plans in Louisiana

Frequently asked questions about Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits

How much does Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits cost per month?

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits from HMO Louisiana starts at $711 per month before any subsidy in Louisiana. 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 Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits?

The individual medical deductible is $3,200, and the family deductible is $9,600. 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 Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits?

The most you would pay in a year for covered in-network care is $9,100 for an individual and $18,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits HSA-eligible?

No. Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits 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 Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits use?

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits is a POS plan. POS plans blend HMO and PPO features: you pick a primary care provider and can go out of network at a higher cost.

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.