GoldPPOHSA Eligible

BlueExtend PPO HD Gold 1

BlueCross BlueShield of South Carolina

Starting at

$648

/month before subsidy

Key facts

BlueExtend PPO HD Gold 1 is a 2026 Gold PPO health insurance plan from BlueCross BlueShield of South Carolina, sold on the ACA Marketplace in South Carolina under plan ID 26065SC0750001. The monthly premium starts at $648 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,400 ($6,800 for a family), and the individual out-of-pocket maximum is $3,400 ($6,800 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
26065SC0750001
Plan year
2026
State
South Carolina
Metal level
Gold
Plan type
PPO
HSA-eligible
Yes

Individual Deductible

$3,400

Family: $6,800

Out-of-Pocket Max

$3,400

Family: $6,800

Coinsurance

0%

You pay after deductible

Network Type

PPO

SCN001

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

Medical Services

Primary Care Visit0.00% Coinsurance after deductible
Specialist Visit0.00% Coinsurance after deductible
Urgent Care0.00% Coinsurance after deductible
Emergency Room0.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs0.00% Coinsurance after deductible
Brand Name Drugs0.00% Coinsurance after deductible
Specialty Drugs0.00% Coinsurance after deductible
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

$3,460

your estimated cost

Deductible
$3,400
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$3,420

your estimated cost

Deductible
$3,400
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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Official Plan Documents
Published by BlueCross BlueShield of South Carolina. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold PPO 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

$931/month

Annual Premium

$7,776

OOP Maximum

$3,400

💡 What this means:

With a $3,400 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $3,400 total. Then insurance covers everything else for the year.

More plans from BlueCross BlueShield of South Carolina in South Carolina

View all Marketplace plans in South Carolina

Frequently asked questions about BlueExtend PPO HD Gold 1

How much does BlueExtend PPO HD Gold 1 cost per month?

BlueExtend PPO HD Gold 1 from BlueCross BlueShield of South Carolina starts at $648 per month before any subsidy in South Carolina. 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 BlueExtend PPO HD Gold 1?

The individual medical deductible is $3,400, and the family deductible is $6,800. 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 BlueExtend PPO HD Gold 1?

The most you would pay in a year for covered in-network care is $3,400 for an individual and $6,800 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is BlueExtend PPO HD Gold 1 HSA-eligible?

Yes. BlueExtend PPO HD Gold 1 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 BlueExtend PPO HD Gold 1 use?

BlueExtend PPO HD Gold 1 is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

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.