GoldPPO

Premera Blue Cross Alaska One Gold

Premera Blue Cross Blue Shield of Alaska

Starting at

$912

/month before subsidy

Key facts

Premera Blue Cross Alaska One Gold is a 2026 Gold PPO health insurance plan from Premera Blue Cross Blue Shield of Alaska, sold on the ACA Marketplace in Alaska under plan ID 38344AK1080001. The monthly premium starts at $912 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,500 ($3,000 for a family), and the individual out-of-pocket maximum is $6,300 ($12,600 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
38344AK1080001
Plan year
2026
State
Alaska
Metal level
Gold
Plan type
PPO
HSA-eligible
No

Individual Deductible

$1,500

Family: $3,000

Out-of-Pocket Max

$6,300

Family: $12,600

Coinsurance

30%

You pay after deductible

Network Type

PPO

AKN002

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

Medical Services

Primary Care Visit$30.00
Specialist Visit$60.00
Urgent Care$60.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$15.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs40.00% 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

$4,870

your estimated cost

Deductible
$1,500
Copays
$10
Coinsurance
$3,300

Managing type 2 diabetes

A year of routine care

$1,820

your estimated cost

Deductible
$200
Copays
$1,600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,100

your estimated cost

Deductible
$1,500
Copays
$300
Coinsurance
$300
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 Premera Blue Cross Blue Shield of Alaska. 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

$1,437/month

Annual Premium

$10,944

OOP Maximum

$6,300

💡 What this means:

With a $1,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $6,300 total. Then insurance covers everything else for the year.

More plans from Premera Blue Cross Blue Shield of Alaska in Alaska

View all Marketplace plans in Alaska

Frequently asked questions about Premera Blue Cross Alaska One Gold

How much does Premera Blue Cross Alaska One Gold cost per month?

Premera Blue Cross Alaska One Gold from Premera Blue Cross Blue Shield of Alaska starts at $912 per month before any subsidy in Alaska. 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 Premera Blue Cross Alaska One Gold?

The individual medical deductible is $1,500, and the family deductible is $3,000. 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 Premera Blue Cross Alaska One Gold?

The most you would pay in a year for covered in-network care is $6,300 for an individual and $12,600 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Premera Blue Cross Alaska One Gold HSA-eligible?

No. Premera Blue Cross Alaska One 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 Premera Blue Cross Alaska One Gold use?

Premera Blue Cross Alaska One 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.