Premera Blue Cross Preferred Gold 1500

Premera Blue Cross Blue Shield of Alaska · 2026 plan year

Gold
Ind. deductible
$1,500
Family deductible
$3,000
Ind. OOP max
$6,300
Family OOP max
$12,600

Compare with other Gold plans in AK

Side by side: deductibles, out-of-pocket limits and copays.

Other cost-sharing reduction variants for this plan:

More Premera Blue Cross Blue Shield of Alaska plans in AK

Monthly premiums by age

Rating Area 3 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$546$546
21$714$768
30$810$871
40$912$981
50$1,275$1,371
60$1,938$2,083
64 and over$2,142$2,303

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$30.00

Specialist

BenefitIn-network
Specialist Visit$60.00

Hospital

BenefitIn-network
Emergency Room Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$60.00
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$15.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$45.00
Specialty Drugs40.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$60.00

Other

BenefitIn-network
Abortion for Which Public Funding is Prohibited30.00% Coinsurance after deductible
Accidental Dental30.00% Coinsurance after deductible
Acupuncture$30.00
Allergy Testing30.00% Coinsurance after deductible
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - Child20.00% Coinsurance after deductible
Chemotherapy30.00% Coinsurance after deductible
Chiropractic Care$30.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo charge
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging30.00% Coinsurance after deductible
Habilitation Services$60.00 Copay after deductible
Hearing Aids20.00%
Hearing Exam$60.00
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services30.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child50.00% Coinsurance after deductible
Massage Therapy$60.00 Copay after deductible
Nutritional CounselingNo charge
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)$30.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$60.00 Copay after deductible
Premera-Designated Centers of Excellence ProgramNo charge
Prenatal and Postnatal Care30.00% Coinsurance after deductible
Private-Duty NursingNot covered
Prosthetic Devices30.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$60.00 Copay after deductible
Rehabilitative Speech Therapy$60.00 Copay after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for Children$30.00
Routine Foot Care30.00% Coinsurance after deductible
Skilled Nursing Facility30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$60.00
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 1 geographic area.

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