GoldEPO

Gold Classic PCP Saver

Issuer 23818

Starting at

$769

/month before subsidy

Key facts

Gold Classic PCP Saver is a 2026 Gold EPO health insurance plan from Issuer 23818, sold on the ACA Marketplace in New Jersey under plan ID 23818NJ0010007. The monthly premium starts at $769 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($2,000 for a family), and the individual out-of-pocket maximum is $7,300 ($7,300 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
23818NJ0010007
Plan year
2026
State
New Jersey
Metal level
Gold
Plan type
EPO
HSA-eligible
No

Individual Deductible

$2,000

Family: $2,000

Out-of-Pocket Max

$7,300

Family: $7,300

Coinsurance

20%

You pay after deductible

Network Type

EPO

NJN001

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 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.

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

If you max out this year

$1,377/month

Annual Premium

$9,228

OOP Maximum

$7,300

💡 What this means:

With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $7,300 total. Then insurance covers everything else for the year.

More plans from Issuer 23818 in New Jersey

View all Marketplace plans in New Jersey

Frequently asked questions about Gold Classic PCP Saver

How much does Gold Classic PCP Saver cost per month?

Gold Classic PCP Saver from Issuer 23818 starts at $769 per month before any subsidy in New Jersey. 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 Classic PCP Saver?

The individual medical deductible is $2,000, and the family deductible is $2,000. 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 Classic PCP Saver?

The most you would pay in a year for covered in-network care is $7,300 for an individual and $7,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Gold Classic PCP Saver HSA-eligible?

No. Gold Classic PCP Saver 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 Classic PCP Saver use?

Gold Classic PCP Saver 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.