GoldPPO

Rocky Mountain PPO Gold

Mountain Health CO-OP

Starting at

$786

/month before subsidy

Key facts

Rocky Mountain PPO Gold is a 2027 Gold PPO health insurance plan from Mountain Health CO-OP, sold on the ACA Marketplace in Montana under plan ID 32225MT0150007. The monthly premium starts at $786 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($4,000 for a family), and the individual out-of-pocket maximum is $7,000 ($14,000 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
32225MT0150007
Plan year
2027
State
Montana
Metal level
Gold
Plan type
PPO
HSA-eligible
No

Individual Deductible

$2,000

Family: $4,000

Out-of-Pocket Max

$7,000

Family: $14,000

Coinsurance

30%

You pay after deductible

Network Type

PPO

MTN003

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

Medical Services

Primary Care Visit$40.00
Specialist Visit$80.00
Urgent Care$80.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs$250.00
Specialty Drugs$300.00
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

$5,270

your estimated cost

Deductible
$2,000
Copays
$10
Coinsurance
$3,200

Managing type 2 diabetes

A year of routine care

$1,520

your estimated cost

Deductible
$900
Copays
$600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,630

your estimated cost

Deductible
$2,000
Copays
$600
Coinsurance
$30
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 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

$1,369/month

Annual Premium

$9,432

OOP Maximum

$7,000

💡 What this means:

With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $7,000 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 Rocky Mountain PPO Gold

How much does Rocky Mountain PPO Gold cost per month?

Rocky Mountain PPO Gold from Mountain Health CO-OP starts at $786 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 Rocky Mountain PPO Gold?

The individual medical deductible is $2,000, and the family deductible is $4,000. 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 Rocky Mountain PPO Gold?

The most you would pay in a year for covered in-network care is $7,000 for an individual and $14,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Rocky Mountain PPO Gold HSA-eligible?

No. Rocky Mountain PPO Gold 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 Rocky Mountain PPO Gold use?

Rocky Mountain PPO Gold 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.