GoldHMO

Gold 1 Low Cost Generic Drugs

Issuer 19722

Starting at

$465

/month before subsidy

Key facts

Gold 1 Low Cost Generic Drugs is a 2026 Gold HMO health insurance plan from Issuer 19722, sold on the ACA Marketplace in New Mexico under plan ID 19722NM0010001. The monthly premium starts at $465 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,550 ($1,550 for a family), and the individual out-of-pocket maximum is $8,100 ($8,100 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.

Plan ID
19722NM0010001
Plan year
2026
State
New Mexico
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,550

Family: $1,550

Out-of-Pocket Max

$8,100

Family: $8,100

Coinsurance

25%

You pay after deductible

Network Type

HMO

NMN001

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 Gold HMO 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.

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

If you max out this year

$1,140/month

Annual Premium

$5,580

OOP Maximum

$8,100

💡 What this means:

With a $1,550 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,100 total. Then insurance covers everything else for the year.

More plans from Issuer 19722 in New Mexico

View all Marketplace plans in New Mexico

Frequently asked questions about Gold 1 Low Cost Generic Drugs

How much does Gold 1 Low Cost Generic Drugs cost per month?

Gold 1 Low Cost Generic Drugs from Issuer 19722 starts at $465 per month before any subsidy in New Mexico. 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 1 Low Cost Generic Drugs?

The individual medical deductible is $1,550, and the family deductible is $1,550. 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 1 Low Cost Generic Drugs?

The most you would pay in a year for covered in-network care is $8,100 for an individual and $8,100 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Gold 1 Low Cost Generic Drugs HSA-eligible?

No. Gold 1 Low Cost Generic Drugs 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 1 Low Cost Generic Drugs use?

Gold 1 Low Cost Generic Drugs is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

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.