SilverPOS

MyBlue Plus Silver Standard - Select Rx Copays

Issuer 36096

Starting at

$594

/month before subsidy

Key facts

MyBlue Plus Silver Standard - Select Rx Copays is a 2026 Silver POS health insurance plan from Issuer 36096, sold on the ACA Marketplace in Illinois under plan ID 36096IL1380009. The monthly premium starts at $594 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,000 ($6,000 for a family), and the individual out-of-pocket maximum is $8,900 ($8,900 for a family). After the deductible, coinsurance is 40% for covered in-network care. The plan is not HSA-eligible.

Plan ID
36096IL1380009
Plan year
2026
State
Illinois
Metal level
Silver
Plan type
POS
HSA-eligible
No

Individual Deductible

$6,000

Family: $6,000

Out-of-Pocket Max

$8,900

Family: $8,900

Coinsurance

40%

You pay after deductible

Network Type

POS

ILN003

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 POS 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

$1,336/month

Annual Premium

$7,128

OOP Maximum

$8,900

💡 What this means:

With a $6,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 40% (coinsurance) until you hit $8,900 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 MyBlue Plus Silver Standard - Select Rx Copays

How much does MyBlue Plus Silver Standard - Select Rx Copays cost per month?

MyBlue Plus Silver Standard - Select Rx Copays from Issuer 36096 starts at $594 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 MyBlue Plus Silver Standard - Select Rx Copays?

The individual medical deductible is $6,000, and the family deductible is $6,000. 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 MyBlue Plus Silver Standard - Select Rx Copays?

The most you would pay in a year for covered in-network care is $8,900 for an individual and $8,900 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is MyBlue Plus Silver Standard - Select Rx Copays HSA-eligible?

No. MyBlue Plus Silver Standard - Select Rx Copays 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 MyBlue Plus Silver Standard - Select Rx Copays use?

MyBlue Plus Silver Standard - Select Rx Copays 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.