GoldHMO

AZ Blue StandardHealth Gold Neighborhood

Blue Cross Blue Shield of Arizona

Starting at

$1312

/month before subsidy

Key facts

AZ Blue StandardHealth Gold Neighborhood is a 2026 Gold HMO health insurance plan from Blue Cross Blue Shield of Arizona, sold on the ACA Marketplace in Arizona under plan ID 53901AZ1420126. The monthly premium starts at $1,312 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($4,000 for a family), and the individual out-of-pocket maximum is $8,200 ($16,400 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.

Plan ID
53901AZ1420126
Plan year
2026
State
Arizona
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$2,000

Family: $4,000

Out-of-Pocket Max

$8,200

Family: $16,400

Coinsurance

25%

You pay after deductible

Network Type

HMO

AZN002

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$45.00
Emergency Room25.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$15.00
Brand Name Drugs$60.00
Specialty Drugs$250.00
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
Not rated

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

$4,110

your estimated cost

Deductible
$2,000
Copays
$70
Coinsurance
$1,990

Managing type 2 diabetes

A year of routine care

$1,170

your estimated cost

Deductible
$170
Copays
$980
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,260

your estimated cost

Deductible
$2,000
Copays
$250
Coinsurance
$10
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 Blue Cross Blue Shield of Arizona. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold HMO 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

$1,995/month

Annual Premium

$15,744

OOP Maximum

$8,200

💡 What this means:

With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,200 total. Then insurance covers everything else for the year.

More plans from Blue Cross Blue Shield of Arizona in Arizona

View all Marketplace plans in Arizona

Frequently asked questions about AZ Blue StandardHealth Gold Neighborhood

How much does AZ Blue StandardHealth Gold Neighborhood cost per month?

AZ Blue StandardHealth Gold Neighborhood from Blue Cross Blue Shield of Arizona starts at $1,312 per month before any subsidy in Arizona. 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 AZ Blue StandardHealth Gold Neighborhood?

The individual medical deductible is $2,000, and the family deductible is $4,000. 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 AZ Blue StandardHealth Gold Neighborhood?

The most you would pay in a year for covered in-network care is $8,200 for an individual and $16,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is AZ Blue StandardHealth Gold Neighborhood HSA-eligible?

No. AZ Blue StandardHealth Gold Neighborhood 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 AZ Blue StandardHealth Gold Neighborhood use?

AZ Blue StandardHealth Gold Neighborhood is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

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.