Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards
Starting at
$1267
/month before subsidy
Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards is a 2026 Gold EPO health insurance plan from Issuer 74289, sold on the ACA Marketplace in New York under plan ID 74289NY2770021. The monthly premium starts at $1,267 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,500 ($1,500 for a family), and the individual out-of-pocket maximum is $7,200 ($7,200 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 74289NY2770021
- Plan year
- 2026
- State
- New York
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$1,500
Family: $1,500
Out-of-Pocket Max
$7,200
Family: $7,200
Coinsurance
20%
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
$1,867/month
Annual Premium
$15,204
OOP Maximum
$7,200
💡 What this means:
With a $1,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $7,200 total. Then insurance covers everything else for the year.
More plans from Issuer 74289 in New York
- Bronze Classic, Bronze, Child-Only, ST, INN, Circle, Wellness Rewards
- Bronze Classic, Bronze, ST, INN, Circle, Dep25, Wellness Rewardsfrom $813/mo
- Bronze Classic, Bronze, ST, INN, Circle, Dep29, Wellness Rewardsfrom $817/mo
- Silver Classic, Silver, Child-Only, ST, INN, Circle, Wellness Rewards
- Silver Classic, Silver, ST, INN, Circle, Dep25, Wellness Rewardsfrom $1067/mo
- Silver Classic, Silver, ST, INN, Circle, Dep29, Wellness Rewardsfrom $1073/mo
- Silver Simple PCP Saver, Silver, NS, INN, Circle, Dep25, Wellness Rewardsfrom $1037/mo
- Silver Simple PCP Saver, Silver, NS, INN, Circle, Dep29, Wellness Rewardsfrom $1043/mo
Frequently asked questions about Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards
How much does Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards cost per month?
Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards from Issuer 74289 starts at $1,267 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 Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards?
The individual medical deductible is $1,500, and the family deductible is $1,500. 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 Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards?
The most you would pay in a year for covered in-network care is $7,200 for an individual and $7,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards HSA-eligible?
No. Gold Simple, Gold, NS, INN, Circle, Dep29, 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 Gold Simple, Gold, NS, INN, Circle, Dep29, Wellness Rewards use?
Gold Simple, Gold, NS, INN, Circle, Dep29, 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
- 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.