SilverPPO

Silver AH

Arkansas Blue Cross and Blue Shield

Starting at

$804

/month before subsidy

Key facts

Silver AH is a 2026 Silver PPO health insurance plan from Arkansas Blue Cross and Blue Shield, sold on the ACA Marketplace in Arkansas under plan ID 75293AR1200004. The monthly premium starts at $804 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,350 ($12,700 for a family), and the individual out-of-pocket maximum is $6,550 ($13,100 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
75293AR1200004
Plan year
2026
State
Arkansas
Metal level
Silver
Plan type
PPO
HSA-eligible
No

Individual Deductible

$6,350

Family: $12,700

Out-of-Pocket Max

$6,550

Family: $13,100

Coinsurance

30%

You pay after deductible

Network Type

PPO

ARN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$30.00 Copay after deductible
Specialist Visit$45.00 Copay after deductible
Urgent Care$45.00 Copay after deductible
Emergency Room$200.00 Copay after deductible

Prescription Drugs

Generic Drugs$100.00
Brand Name Drugs$2,000.00
Specialty Drugs$6,550.00
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

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

$6,590

your estimated cost

Deductible
$4,650
Copays
$0
Coinsurance
$1,900

Managing type 2 diabetes

A year of routine care

$6,610

your estimated cost

Deductible
$6,350
Copays
$200
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,900

your estimated cost

Deductible
$1,900
Copays
$0
Coinsurance
$0
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 Arkansas Blue Cross and Blue Shield. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Silver PPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

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

$1,350/month

Annual Premium

$9,648

OOP Maximum

$6,550

💡 What this means:

With a $6,350 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $6,550 total. Then insurance covers everything else for the year.

More plans from Arkansas Blue Cross and Blue Shield in Arkansas

View all Marketplace plans in Arkansas

Frequently asked questions about Silver AH

How much does Silver AH cost per month?

Silver AH from Arkansas Blue Cross and Blue Shield starts at $804 per month before any subsidy in Arkansas. 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 Silver AH?

The individual medical deductible is $6,350, and the family deductible is $12,700. 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 Silver AH?

The most you would pay in a year for covered in-network care is $6,550 for an individual and $13,100 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Silver AH HSA-eligible?

No. Silver AH 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 Silver AH use?

Silver AH is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

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.