Louisiana health plan · 2026

Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible · 97176LA0390002

Louisiana Health Service & Indemnity Company offers this marketplace plan (Plan ID 97176LA0390002). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Metal level: High Plan type: PPO CSR: Standard High Off Exchange Plan Issuer: Louisiana Health Service & Indemnity Company
Telehealth Data pending HSA eligible Check with issuer Dental Adult/Child Vision Not listed
View issuer site

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 10 Mar 2026 06:40 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$21 – $31

Before subsidies

Estimate after subsidies

Deductible

N/A

N/A

See deductible details

Max out-of-pocket

N/A

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

$22 / mo before subsidies

≈ $265 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$82 / mo before subsidies

≈ $987 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$105 / mo before subsidies

≈ $1257 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$52 / mo before subsidies

≈ $624 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits
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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Louisiana). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Standard High Off Exchange Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 97176LA0390002
Coverage year 2026
State Louisiana
Issuer Louisiana Health Service & Indemnity Company
Marketing materials View marketing kit
Variant ID 97176LA0390002-00
Available variants

Standard Off Exchange Plan · 97176LA0390002-00

Standard On Exchange Plan · 97176LA0390002-01
Last plan update Wed, 15 Oct 2025 00:00 GMT
Last HealthPorta import Tue, 10 Mar 2026 06:40 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 10 Mar 2026 06:40 GMT).

All providers in Louisiana 27494
PCPs in Louisiana 3335
Telehealth support Data pending
Nationwide providers 78712
27,494 doctors statewide 3,335 PCPs 123 OB/GYN

Provider network(s)

  • NOT-APPLICABLE
Providers Louisiana All US states
All 27494 78712
PCP 3335 3678
Allergy 9 13
OB/GYN 123 137
Dentists 596 651

Drug coverage overview

0 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Prior authorization Drugs
Required 0
Not Required 0
Step therapy Drugs
Required 0
Not Required 0
Quantity limits Drugs
Has Limit 0
No Limit 0

Customer highlights

What stands out for members

  • Issuer: Louisiana Health Service & Indemnity Company · Plan ID 97176LA0390002 · 2026 filing.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 97176LA0390002-00 (Standard Off Exchange Plan) currently displayed.
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Benefits

Covered services & limitations

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

20.00% Coinsurance after deductible
Tier 1 in-network 20.00% Coinsurance after deductible
Out-of-network 20.00% Coinsurance after deductible

Amalgam Restorations (Metal Fillings) and Resin-Based Composite Restorations (White Fillings), Endodontics, Periodontics, Oral Surgery, Adjustments and Repairs of Prosthodontics and Other Prosthodontic Services (including Relining and Rebasing of Dentures). No waiting period applies. OON coinsurance, member is responsible for any difference between the charge and the paid amount

Major Dental Care - Child

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 50.00% Coinsurance after deductible

Inlays, Onlays and Crowns are limited to one per tooth every 60 months. Prosthetic Dentures are limited to one every 60 months. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

20.00%
Tier 1 in-network 20.00%
Out-of-network 20.00%

Emergency Palliative Treatment. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Accidental Dental - Child

No Charge, No Charge
Tier 1 in-network No Charge, No Charge
Out-of-network No Charge, No Charge

Emergency Palliative Treatment. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Basic Dental Care - Adult

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 50.00% Coinsurance after deductible

Amalgam Restorations (Metal Fillings) and Resin-Based Composite Restorations (White Fillings), Endodontics (6-month waiting period applies). Periodontics and Oral Surgery (12-month waiting period applies). OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Dental Check-Up for Children

No Charge
Tier 1 in-network No Charge
Out-of-network No Charge

Limit: 1.0 Visit(s) per 6 Months

One periodic, limited problem-focused, or comprehensive oral exam every 6 months. Oral cleanings (Prophylaxis) limited to one every 6 months. One additional cleaning during the Policy Year will be allowed for Members that are under the care of a medical professional during pregnancy. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Major Dental Care - Adult

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 50.00% Coinsurance after deductible

Inlays, Onlays and Crowns are limited to one per tooth every 60 months. 12-month waiting period applies. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Orthodontia - Adult

Coverage details pending

Not Covered

Orthodontia - Child

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 50.00% Coinsurance after deductible

All orthodontic services require Authorization, a written plan of care, and must be rendered by a Provider. Orthodontic treatment must be considered medically necessary. Orthodontic services for cosmetic purposes are not covered. No waiting period applies. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Routine Dental Services (Adult)

No Charge
Tier 1 in-network No Charge
Out-of-network No Charge

Oral Cleanings (Prophylaxis) limited to two every 12 months. One additional cleaning during the Policy Year will be allowed for Members that are under the care of a medical professional during pregnancy. Two periodic or comprehensive oral exams every 12 months. OON coinsurance, member is responsible for any difference between the charge and the paid amount.

Variant attributes

Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible · Variant 97176LA0390002-00

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

Standard High Off Exchange Plan

HIOS Product ID

97176LA039

Metal Level

High

Plan ID (Standard Component ID with Variant)

97176LA0390002-00

Plan Marketing Name

Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible

Plan Variant Marketing Name

Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

97176

Issuer Marketplace Marketing Name

Blue Cross and Blue Shield of Louisiana

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

Yes

Network ID

LAN002

Out of Country Coverage

No

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Coverage available for covered benefits

Service Area ID

LAS002

State Code

LA

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out

Not Applicable

Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group

$700 per group

Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person

$350 per person

Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual

$350

Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Plan Brochure

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

Yes

EHB Apportionment for Pediatric Dental

1

First Tier Utilization

100%

Import Date

10/15/2025

Guaranteed Rate

Guaranteed Rate

New/Existing Plan

Existing

Medical EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Medical EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Medical EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Medical EHB Deductible, In Network (Tier 1), Family Per Group

per group not applicable

Medical EHB Deductible, In Network (Tier 1), Family Per Person

per person not applicable

Medical EHB Deductible, In Network (Tier 1), Individual

$75

Medical EHB Deductible, Out of Network, Family Per Group

per group not applicable

Medical EHB Deductible, Out of Network, Family Per Person

per person not applicable

Medical EHB Deductible, Out of Network, Individual

Not Applicable

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

PPO

QHP/Non QHP

Both

Source Name

HIOS

Plan ID

97176LA0390002

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Louisiana?

Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible (97176LA0390002) is a High PPO from Louisiana Health Service & Indemnity Company in Louisiana for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental add-ons: Adult, Child.

Vision coverage is not listed for this plan.

Does Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Is there out-of-country coverage for Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible?

No, out-of-country services are not covered for this plan.

Does Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Coverage available for covered benefits

How do I enroll in or manage payments for Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible?

Use the issuer portal https://www.lablue.com/individual-bluedental-brochure2026 to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

Disclaimer: Based on the Tue, 10 Mar 2026 06:40 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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