GoldPPO

Blue Preferred Gold PPO℠ 901

Blue Cross and Blue Shield of Montana

Starting at

$854

/month before subsidy

Key facts

Blue Preferred Gold PPO℠ 901 is a 2026 Gold PPO health insurance plan from Blue Cross and Blue Shield of Montana, sold on the ACA Marketplace in Montana under plan ID 30751MT0550104. The monthly premium starts at $854 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,400 ($2,800 for a family), and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
30751MT0550104
Plan year
2026
State
Montana
Metal level
Gold
Plan type
PPO
HSA-eligible
No

Individual Deductible

$1,400

Family: $2,800

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

30%

You pay after deductible

Network Type

PPO

MTN009

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

Medical Services

Primary Care Visit$0.00
Specialist Visit$40.00
Urgent Care$60.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$0.00
Brand Name Drugs35.00% Coinsurance after deductible
Specialty Drugs45.00% 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

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

$4,760

your estimated cost

Deductible
$1,400
Copays
$0
Coinsurance
$3,300

Managing type 2 diabetes

A year of routine care

$1,320

your estimated cost

Deductible
$900
Copays
$400
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,800

your estimated cost

Deductible
$1,400
Copays
$100
Coinsurance
$300
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 Blue Cross and Blue Shield of Montana. 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

$1,621/month

Annual Premium

$10,248

OOP Maximum

$9,200

💡 What this means:

With a $1,400 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.

More plans from Blue Cross and Blue Shield of Montana in Montana

View all Marketplace plans in Montana

Frequently asked questions about Blue Preferred Gold PPO℠ 901

How much does Blue Preferred Gold PPO℠ 901 cost per month?

Blue Preferred Gold PPO℠ 901 from Blue Cross and Blue Shield of Montana starts at $854 per month before any subsidy in Montana. 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 Blue Preferred Gold PPO℠ 901?

The individual medical deductible is $1,400, and the family deductible is $2,800. 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 Blue Preferred Gold PPO℠ 901?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Preferred Gold PPO℠ 901 HSA-eligible?

No. Blue Preferred Gold PPO℠ 901 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 Blue Preferred Gold PPO℠ 901 use?

Blue Preferred Gold PPO℠ 901 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.