SilverPPO

Blue Choice Preferred Silver PPO 801

Issuer 36096

Starting at

$1075

/month before subsidy

Key facts

Blue Choice Preferred Silver PPO 801 is a 2026 Silver PPO health insurance plan from Issuer 36096, sold on the ACA Marketplace in Illinois under plan ID 36096IL0990370. The monthly premium starts at $1,075 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $4,300 ($4,300 for a family), and the individual out-of-pocket maximum is $10,150 ($10,150 for a family). After the deductible, coinsurance is 40% for covered in-network care. The plan is not HSA-eligible.

Plan ID
36096IL0990370
Plan year
2026
State
Illinois
Metal level
Silver
Plan type
PPO
HSA-eligible
No

Individual Deductible

$4,300

Family: $4,300

Out-of-Pocket Max

$10,150

Family: $10,150

Coinsurance

40%

You pay after deductible

Network Type

PPO

ILN009

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

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
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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Who This Plan Is Best For

This Silver PPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

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

$1,921/month

Annual Premium

$12,900

OOP Maximum

$10,150

💡 What this means:

With a $4,300 deductible, you pay 100% of costs until you've spent that much. After that, you pay 40% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from Issuer 36096 in Illinois

View all Marketplace plans in Illinois

Frequently asked questions about Blue Choice Preferred Silver PPO 801

How much does Blue Choice Preferred Silver PPO 801 cost per month?

Blue Choice Preferred Silver PPO 801 from Issuer 36096 starts at $1,075 per month before any subsidy in Illinois. 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 Choice Preferred Silver PPO 801?

The individual medical deductible is $4,300, and the family deductible is $4,300. 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 Choice Preferred Silver PPO 801?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $10,150 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Choice Preferred Silver PPO 801 HSA-eligible?

No. Blue Choice Preferred Silver PPO 801 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 Choice Preferred Silver PPO 801 use?

Blue Choice Preferred Silver PPO 801 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.