BronzePOSHSA Eligible

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

HMO Louisiana

Starting at

$424

/month before subsidy

Key facts

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible is a 2026 Bronze POS health insurance plan from HMO Louisiana, sold on the ACA Marketplace in Louisiana under plan ID 19636LA0230012. The monthly premium starts at $424 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $9,900 ($21,200 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 for a family). After the deductible, coinsurance is 10% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
19636LA0230012
Plan year
2026
State
Louisiana
Metal level
Bronze
Plan type
POS
HSA-eligible
Yes

Individual Deductible

$9,900

Family: $21,200

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

10%

You pay after deductible

Network Type

POS

LAN007

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

Medical Services

Primary Care Visit10.00% Coinsurance after deductible
Specialist Visit10.00% Coinsurance after deductible
Urgent Care10.00% Coinsurance after deductible
Emergency Room10.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs10.00% Coinsurance after deductible
Brand Name Drugs30.00% Coinsurance after deductible
Specialty Drugs30.00% 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

$10,230

your estimated cost

Deductible
$9,900
Copays
$0
Coinsurance
$270

Managing type 2 diabetes

A year of routine care

$3,300

your estimated cost

Deductible
$3,240
Copays
$0
Coinsurance
$0

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 Bronze POS plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $9,900 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

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

$1,307/month

Annual Premium

$5,088

OOP Maximum

$10,600

💡 What this means:

With a $9,900 deductible, you pay 100% of costs until you've spent that much. After that, you pay 10% (coinsurance) until you hit $10,600 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 Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

How much does Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible cost per month?

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible from HMO Louisiana starts at $424 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 Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible?

The individual medical deductible is $9,900, and the family deductible is $21,200. 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 Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible HSA-eligible?

Yes. Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible use?

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible 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.