2026 data Public-data reference. official source

East Baton Rouge, Louisiana Health Insurance

Open-data reference.

59 ACA plans from 5 issuers - Plan year 2026

East Baton Rouge, Louisiana offers 59 ACA marketplace plans from 5 issuers for plan year 2026. Bronze plans start at $348/mo and Silver plans start at $502/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$640
Avg Silver Premium/mo
$508
Benchmark Premium/mo
+30.5%
Year-over-Year Change
$4,924
Avg Deductible

What the Numbers Say About East Baton Rouge

East Baton Rouge, Louisiana has 59 ACA marketplace plans offered by 5 issuers for plan year 2026. The average Silver-tier premium comes in at $640/mo for a 27-year-old non-tobacco user, with the lowest Silver at $502 and the highest at $903. Bronze plans start at $348/mo, useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $508/mo, the figure used to calculate your Advance Premium Tax Credit (the federal subsidy). Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $4,924 and the average out-of-pocket maximum is $9,323 - numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in East Baton Rouge shifted by +30.5%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 5 issuers active in East Baton Rouge, consumers have meaningful competition to pressure premiums lower. EPO is the most common network type in East Baton Rouge, with POS and HMO and PPO rounding out the alternatives. This page is informational only and is not insurance, medical, or tax advice, verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

5 plans
$450/mo avg
$348 - $588

Silver

20 plans
$640/mo avg
$502 - $903

Gold

18 plans
$649/mo avg
$536 - $904

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in East Baton Rouge is $508/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

59

Plan year 2026

Issuers in market

5

Competitive market

Benchmark Silver

$508 /mo

Sets your subsidy ceiling

Avg deductible

$4,924

Across all metal tiers

East Baton Rouge ACA plans by premium and deductible

Each marker is the East Baton Rouge average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.

Source: CMS Marketplace Public Use Files for East Baton Rouge, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Source: CMS Marketplace Public Use Files for East Baton Rouge, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 4 data points. 0200040006000800010000 400450500550600650700 Monthly premium ($, age 27) Avg annual deductible ($) Bronze (5 plans)Expanded Bronze (16 plans)Silver (20 plans)Gold (18 plans)
Source: CMS Marketplace Public Use Files for East Baton Rouge, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Issuers in East Baton Rouge

Issuer Plans Avg Premium (Age 27)
Ambetter from Louisiana Healthcare Connections 16 $505/mo
HMO Louisiana 14 $518/mo
UnitedHealthcare 13 $646/mo
AmeriHealth Caritas Next 8 $527/mo
Blue Cross and Blue Shield of Louisiana 8 $791/mo

All Plans in East Baton Rouge

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
HMO Louisiana
Bronze POS $347.89 $424.24 $9,900 $10,600
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next
Bronze HMO $411.96 $502.36 $10,600 $10,600
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible
HMO Louisiana
Bronze POS $428.88 $523.01 $6,500 $10,600
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Bronze EPO $473.19 $577.04 $10,600 $10,600
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Cross and Blue Shield of Louisiana
Bronze PPO $587.53 $716.47 $6,700 $10,600
Community Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible
HMO Louisiana
Expanded Bronze POS $385.12 $469.64 $7,500 $10,000
Standard Expanded Bronze
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $390.49 $476.19 $7,500 $10,000
Everyday Bronze
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $390.82 $476.59 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $400.90 $488.89 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $401.24 $489.30 $8,450 $10,150
Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible
HMO Louisiana
Expanded Bronze POS $407.78 $497.27 $7,500 $10,000
AmeriHealth Caritas Next Bronze Signature + No Referrals
AmeriHealth Caritas Next
Expanded Bronze HMO $437.65 $533.70 $7,500 $10,000
AmeriHealth Caritas Next Bronze Premier + No Referrals
AmeriHealth Caritas Next
Expanded Bronze HMO $447.03 $545.14 $3,850 $10,600
Elite Bronze
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $456.66 $556.88 $0 $10,500
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible
HMO Louisiana
Expanded Bronze POS $462.33 $563.79 $7,500 $10,000
Elite Bronze + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Expanded Bronze EPO $468.84 $571.74 $0 $10,500
UHC Bronze Standard (No Referrals)
UnitedHealthcare
Expanded Bronze EPO $506.41 $617.55 $7,500 $10,000
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare
Expanded Bronze EPO $522.55 $637.23 $7,500 $10,000
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Expanded Bronze EPO $536.89 $654.72 $0 $10,600
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Cross and Blue Shield of Louisiana
Expanded Bronze PPO $627.88 $765.68 $7,500 $10,000
Blue Saver 60/40 $6100
Blue Cross and Blue Shield of Louisiana
Expanded Bronze PPO $672.35 $819.91 $6,100 $8,300
Standard Silver
Ambetter from Louisiana Healthcare Connections
Silver EPO $501.53 $611.59 $6,000 $8,900
Focused Silver
Ambetter from Louisiana Healthcare Connections
Silver EPO $508.07 $619.57 $6,300 $8,400
Standard Silver + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Silver EPO $514.90 $627.91 $6,000 $8,900
Community Blue 80/60 $3200 with 2 $0 PCP Virtual Visits
HMO Louisiana
Silver POS $518.79 $632.65 $3,200 $9,100
Focused Silver + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Silver EPO $521.62 $636.09 $6,300 $8,400
Community Blue Copay (PCP) 60/40 $6000 Standardized
HMO Louisiana
Silver POS $535.86 $653.47 $6,000 $8,900
Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR)
HMO Louisiana
Silver POS $549.31 $669.86 $3,200 $9,100
Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR)
HMO Louisiana
Silver POS $567.38 $691.90 $6,000 $8,900
AmeriHealth Caritas Next Silver Essential + No Referrals
AmeriHealth Caritas Next
Silver HMO $576.64 $703.19 $6,100 $9,000
AmeriHealth Caritas Next Silver Signature + No Referrals
AmeriHealth Caritas Next
Silver HMO $579.84 $707.10 $6,000 $8,900
AmeriHealth Caritas Next Silver Premier + No Referrals
AmeriHealth Caritas Next
Silver HMO $605.63 $738.54 $400 $10,200
Blue POS Copay (PCP) 60/40 $6000 Standardized
HMO Louisiana
Silver POS $643.29 $784.47 $6,000 $8,900
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver EPO $677.86 $826.63 $4,000 $10,600
UHC Silver Standard (No Referrals)
UnitedHealthcare
Silver EPO $683.38 $833.36 $6,000 $8,900
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver EPO $693.98 $846.29 $4,000 $10,600
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver EPO $713.67 $870.30 $0 $10,150
UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver EPO $729.79 $889.96 $0 $10,150
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Cross and Blue Shield of Louisiana
Silver PPO $886.25 $1,080.75 $3,300 $9,900
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Cross and Blue Shield of Louisiana
Silver PPO $892.93 $1,088.89 $6,000 $8,900
Blue Saver 90/70 $3400
Blue Cross and Blue Shield of Louisiana
Silver PPO $903.13 $1,101.34 $3,400 $8,300
Standard Gold
Ambetter from Louisiana Healthcare Connections
Gold EPO $535.59 $653.14 $2,000 $8,300
Community Blue Copay (PCP) 75/55 $2000 Standardized
HMO Louisiana
Gold POS $544.87 $664.44 $2,000 $8,300
Standard Gold + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Gold EPO $549.88 $670.56 $2,000 $8,300
Complete Gold
Ambetter from Louisiana Healthcare Connections
Gold EPO $570.59 $695.82 $1,450 $7,600
AmeriHealth Caritas Next Gold Signature + No Referrals
AmeriHealth Caritas Next
Gold HMO $575.07 $701.28 $2,000 $8,300
Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR)
HMO Louisiana
Gold POS $576.92 $703.54 $2,000 $8,300
AmeriHealth Caritas Next Gold Premier + No Referrals
AmeriHealth Caritas Next
Gold HMO $578.68 $705.68 $950 $8,500
Complete Gold + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Gold EPO $585.81 $714.37 $1,450 $7,600
Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits
HMO Louisiana
Gold POS $625.51 $762.79 $1,000 $9,700
Elite Gold
Ambetter from Louisiana Healthcare Connections
Gold EPO $630.08 $768.36 $0 $6,500
Elite Gold + Vision + Adult Dental
Ambetter from Louisiana Healthcare Connections
Gold EPO $646.88 $788.85 $0 $6,500
Blue POS Copay (PCP) 75/55 $2000 Standardized
HMO Louisiana
Gold POS $654.11 $797.66 $2,000 $8,300
UHC Gold Standard (No Referrals)
UnitedHealthcare
Gold EPO $695.33 $847.93 $2,000 $8,300
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold EPO $711.26 $867.35 $0 $9,250
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold EPO $717.56 $875.04 $950 $9,600
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Gold EPO $733.68 $894.70 $950 $9,600
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Cross and Blue Shield of Louisiana
Gold PPO $851.25 $1,038.07 $1,500 $9,900
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Cross and Blue Shield of Louisiana
Gold PPO $904.37 $1,102.85 $2,000 $8,300

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $527/mo $400 $815 20 5
2023 $541/mo $438 $684 27 5
2024 $526/mo $427 $663 21 4
2025 $516/mo $405 $681 18 4
2026 $640/mo $502 $903 20 5

Frequently Asked Questions

How many ACA plans are available in East Baton Rouge, LA?

There are 59 ACA marketplace plans available in East Baton Rouge from 5 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in East Baton Rouge?

The lowest-premium plan in East Baton Rouge starts at $348/mo (Bronze tier, age 27). Silver plans start at $502/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for East Baton Rouge?

The benchmark (second-lowest Silver) premium in East Baton Rouge is $508/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in East Baton Rouge?

Average premiums in East Baton Rouge changed by +30.5% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in East Baton Rouge?

The average annual deductible across all plans in East Baton Rouge is $4,924, and the average out-of-pocket maximum is $9,323. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in East Baton Rouge?

There are 5 insurance issuers offering ACA marketplace plans in East Baton Rouge, including Ambetter from Louisiana Healthcare Connections, HMO Louisiana, UnitedHealthcare, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer

This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

Counties With a Similar Benchmark Premium

The closest counties nationwide to East Baton Rouge, LA's $508/mo benchmark premium.

Data sources

Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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