CatastrophicPPOHSA Eligible

Peak PPO Catastrophic

Mountain Health CO-OP

Starting at

$312

/month before subsidy

Key facts

Peak PPO Catastrophic is a 2026 Catastrophic PPO health insurance plan from Mountain Health CO-OP, sold on the ACA Marketplace in Montana under plan ID 32225MT0090006. The monthly premium starts at $312 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $10,600 ($21,200 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 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
32225MT0090006
Plan year
2026
State
Montana
Metal level
Catastrophic
Plan type
PPO
HSA-eligible
Yes

Individual Deductible

$10,600

Family: $21,200

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

0%

You pay after deductible

Network Type

PPO

MTN001

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
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

$10,660

your estimated cost

Deductible
$10,600
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$2,120

your estimated cost

Deductible
$2,100
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 Mountain Health CO-OP. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Catastrophic PPO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $10,600 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

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

$1,195/month

Annual Premium

$3,744

OOP Maximum

$10,600

💡 What this means:

With a $10,600 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Mountain Health CO-OP in Montana

View all Marketplace plans in Montana

Frequently asked questions about Peak PPO Catastrophic

How much does Peak PPO Catastrophic cost per month?

Peak PPO Catastrophic from Mountain Health CO-OP starts at $312 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 Peak PPO Catastrophic?

The individual medical deductible is $10,600, and the family deductible is $21,200. 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 Peak PPO Catastrophic?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Peak PPO Catastrophic HSA-eligible?

Yes. Peak PPO Catastrophic 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 Peak PPO Catastrophic use?

Peak PPO Catastrophic 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.