GoldPOS

Blue Advantage Plus Gold℠ 803

Blue Cross and Blue Shield of Texas

Starting at

$860

/month before subsidy

Key facts

Blue Advantage Plus Gold℠ 803 is a 2026 Gold POS health insurance plan from Blue Cross and Blue Shield of Texas, sold on the ACA Marketplace in Texas under plan ID 33602TX0870296. The monthly premium starts at $860 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,400 ($4,800 for a family), and the individual out-of-pocket maximum is $10,400 ($20,800 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
33602TX0870296
Plan year
2026
State
Texas
Metal level
Gold
Plan type
POS
HSA-eligible
No

Individual Deductible

$2,400

Family: $4,800

Out-of-Pocket Max

$10,400

Family: $20,800

Coinsurance

30%

You pay after deductible

Network Type

POS

TXN009

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

Medical Services

Primary Care VisitNo Charge
Specialist Visit$35.00
Urgent Care$20.00
Emergency Room$1000.00 Copay with deductible

Prescription Drugs

Generic DrugsNo Charge
Brand Name Drugs35.00% Coinsurance after deductible
Specialty Drugs45.00% 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

$6,060

your estimated cost

Deductible
$2,400
Copays
$1,000
Coinsurance
$2,600

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

$2,600

your estimated cost

Deductible
$2,100
Copays
$500
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 Blue Cross and Blue Shield of Texas. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold POS 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

$1,727/month

Annual Premium

$10,320

OOP Maximum

$10,400

💡 What this means:

With a $2,400 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $10,400 total. Then insurance covers everything else for the year.

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

View all Marketplace plans in Texas

Frequently asked questions about Blue Advantage Plus Gold℠ 803

How much does Blue Advantage Plus Gold℠ 803 cost per month?

Blue Advantage Plus Gold℠ 803 from Blue Cross and Blue Shield of Texas starts at $860 per month before any subsidy in Texas. 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 Advantage Plus Gold℠ 803?

The individual medical deductible is $2,400, and the family deductible is $4,800. 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 Advantage Plus Gold℠ 803?

The most you would pay in a year for covered in-network care is $10,400 for an individual and $20,800 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Advantage Plus Gold℠ 803 HSA-eligible?

No. Blue Advantage Plus Gold℠ 803 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 Advantage Plus Gold℠ 803 use?

Blue Advantage Plus Gold℠ 803 is a POS plan. POS plans blend HMO and PPO features: you pick a primary care provider and can go out of network at a higher cost.

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.