my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental
Starting at
$1696
/month before subsidy
my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental is a 2026 Platinum EPO health insurance plan from Issuer 40064, sold on the ACA Marketplace in New York under plan ID 40064NY0590004. The monthly premium starts at $1,696 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 $5,000 ($5,000 for a family). After the deductible, coinsurance is 10% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 40064NY0590004
- Plan year
- 2026
- State
- New York
- Metal level
- Platinum
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$0
Family: $0
Out-of-Pocket Max
$5,000
Family: $5,000
Coinsurance
10%
You pay after deductible
Network Type
EPO
NYN001
Medical Services
Prescription Drugs
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This Platinum 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
$2,113/month
Annual Premium
$20,352
OOP Maximum
$5,000
💡 What this means:
With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 10% (coinsurance) until you hit $5,000 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 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental
How much does my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental cost per month?
my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental from Issuer 40064 starts at $1,696 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 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental?
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 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental?
The most you would pay in a year for covered in-network care is $5,000 for an individual and $5,000 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 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental HSA-eligible?
No. my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental 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 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental use?
my Blue Access EX Destination 65 Platinum, Platinum, NS, INN, Blue Marketplace, Dep29, Pediatric Dental 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.