my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP
Starting at
$1642
/month before subsidy
my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP is a 2026 Gold EPO health insurance plan from Issuer 40064, sold on the ACA Marketplace in New York under plan ID 40064NY0540002. The monthly premium starts at $1,642 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $7,900 ($7,900 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 40064NY0540002
- Plan year
- 2026
- State
- New York
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$0
Family: $0
Out-of-Pocket Max
$7,900
Family: $7,900
Coinsurance
30%
You pay after deductible
Network Type
EPO
NYN001
Medical Services
Prescription Drugs
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This Gold EPO 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.
If you max out this year
$2,300/month
Annual Premium
$19,704
OOP Maximum
$7,900
💡 What this means:
With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $7,900 total. Then insurance covers everything else for the year.
More plans from Issuer 40064 in New York
- my Blue Access EX Destination 65 Bronze + Adult Dental and Vision, Bronze, NS, INN, Blue Marketplace, Dep25, Family Dental, Family Vision, WPfrom $941/mo
- my Blue Access EX Destination 65 Bronze + Adult Dental and Vision, Bronze, NS, INN, Blue Marketplace, Dep25, Family Dental, Family Vision, WPfrom $822/mo
- my Blue Access EX Destination 65 Bronze + Adult Dental and Vision, Bronze, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WPfrom $943/mo
- my Blue Access EX Destination 65 Bronze + Adult Dental and Vision, Bronze, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WPfrom $823/mo
- my Blue Access EX Destination 65 Bronze, Bronze, NS, INN, Blue Marketplace, Dep25, Pediatric Dentalfrom $913/mo
- my Blue Access EX Destination 65 Bronze, Bronze, NS, INN, Blue Marketplace, Dep25, Pediatric Dentalfrom $793/mo
- my Blue Access EX Destination 65 Bronze, Bronze, NS, INN, Blue Marketplace, Dep29, Pediatric Dentalfrom $915/mo
- my Blue Access EX Destination 65 Bronze, Bronze, NS, INN, Blue Marketplace, Dep29, Pediatric Dentalfrom $795/mo
Frequently asked questions about my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP
How much does my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP cost per month?
my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP from Issuer 40064 starts at $1,642 per month before any subsidy in New York. 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 my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP?
The individual medical deductible is $0. 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 my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP?
The most you would pay in a year for covered in-network care is $7,900 for an individual and $7,900 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP HSA-eligible?
No. my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP 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 my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP use?
my Blue Access EX Destination 65 Gold + Adult Dental and Vision, Gold, NS, INN, Blue Marketplace, Dep29, Family Dental, Family Vision, WP is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.