PlatinumEPO

Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards

Issuer 74289

Starting at

$

/month before subsidy

Key facts

Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards is a 2026 Platinum EPO health insurance plan from Issuer 74289, sold on the ACA Marketplace in New York under plan ID 74289NY2770003. The individual medical deductible is $0, and the individual out-of-pocket maximum is $2,000 ($2,000 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
74289NY2770003
Plan year
2026
State
New York
Metal level
Platinum
Plan type
EPO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$2,000

Family: $2,000

Coinsurance

0%

You pay after deductible

Network Type

EPO

NYN001

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 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.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$167/month

Annual Premium

$0

OOP Maximum

$2,000

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $2,000 total. Then insurance covers everything else for the year.

More plans from Issuer 74289 in New York

View all Marketplace plans in New York

Frequently asked questions about Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards

What is the deductible for Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards?

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 Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards?

The most you would pay in a year for covered in-network care is $2,000 for an individual and $2,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards HSA-eligible?

No. Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards 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 Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards use?

Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards 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

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.