GoldPPO

Gold Value

Arkansas Blue Cross and Blue Shield

Starting at

$666

/month before subsidy

Key facts

Gold Value is a 2026 Gold PPO health insurance plan from Arkansas Blue Cross and Blue Shield, sold on the ACA Marketplace in Arkansas under plan ID 75293AR1200030. The monthly premium starts at $666 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 $6,300 ($12,600 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.

Plan ID
75293AR1200030
Plan year
2026
State
Arkansas
Metal level
Gold
Plan type
PPO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$6,300

Family: $12,600

Coinsurance

50%

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$40.00
Specialist Visit$80.00
Urgent Care$70.00
Emergency Room50.00%

Prescription Drugs

Generic Drugs$30.00
Brand Name Drugs$1,500.00
Specialty Drugs$4,900.00
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

$6,370

your estimated cost

Deductible
$0
Copays
$30
Coinsurance
$6,300

Managing type 2 diabetes

A year of routine care

$6,800

your estimated cost

Deductible
$0
Copays
$5,500
Coinsurance
$800

A simple fracture

ER visit + follow-up

$1,400

your estimated cost

Deductible
$0
Copays
$400
Coinsurance
$1,000
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 Gold PPO 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

$1,191/month

Annual Premium

$7,992

OOP Maximum

$6,300

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $6,300 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 Gold Value

How much does Gold Value cost per month?

Gold Value from Arkansas Blue Cross and Blue Shield starts at $666 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 Gold Value?

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 Gold Value?

The most you would pay in a year for covered in-network care is $6,300 for an individual and $12,600 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Gold Value HSA-eligible?

No. Gold Value 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 Value use?

Gold Value 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.