HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO
Starting at
$1156
/month before subsidy
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO is a 2026 Gold PPO health insurance plan from Blue Cross and Blue Shield of Nebraska, sold on the ACA Marketplace in Nebraska under plan ID 29678NE1600016. The monthly premium starts at $1,156 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,000 ($2,000 for a family), and the individual out-of-pocket maximum is $5,500 ($11,000 for a family). After the deductible, coinsurance is 35% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 29678NE1600016
- Plan year
- 2026
- State
- Nebraska
- Metal level
- Gold
- Plan type
- PPO
- HSA-eligible
- No
Individual Deductible
$1,000
Family: $2,000
Out-of-Pocket Max
$5,500
Family: $11,000
Coinsurance
35%
You pay after deductible
Network Type
PPO
NEN001
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$5,070
your estimated cost
- Deductible
- $1,000
- Copays
- $10
- Coinsurance
- $4,000
Managing type 2 diabetes
A year of routine care
$1,570
your estimated cost
- Deductible
- $300
- Copays
- $1,200
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$1,700
your estimated cost
- Deductible
- $1,000
- Copays
- $300
- Coinsurance
- $400
Enter your ZIP code first to search nearby doctors.
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.
If you max out this year
$1,614/month
Annual Premium
$13,872
OOP Maximum
$5,500
💡 What this means:
With a $1,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 35% (coinsurance) until you hit $5,500 total. Then insurance covers everything else for the year.
More plans from Blue Cross and Blue Shield of Nebraska in Nebraska
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Bluefrom $774/mo
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPOfrom $750/mo
- HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Visionfrom $494/mo
- HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Visionfrom $583/mo
- HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Visionfrom $571/mo
- HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Visionfrom $631/mo
- HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Visionfrom $608/mo
- HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Visionfrom $664/mo
Frequently asked questions about HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO
How much does HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO cost per month?
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO from Blue Cross and Blue Shield of Nebraska starts at $1,156 per month before any subsidy in Nebraska. 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 HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO?
The individual medical deductible is $1,000, 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 HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO?
The most you would pay in a year for covered in-network care is $5,500 for an individual and $11,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO HSA-eligible?
No. HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO 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 HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO use?
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.