HeartlandBlue Silver $0 PCP Visit 4500 Premier Select BlueChoice — full price in Sarpy County, Nebraska (2026)
HeartlandBlue Silver $0 PCP Visit 4500 Premier Select BlueChoice (29678NE1460008), a silver plan from Blue Cross and Blue Shield of Nebraska in Sarpy County, Nebraska, costs $789.99/month full price for a 40-year-old in 2026 — $1677.64 at 60, with a $4,500 deductible and $9,500 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29678NE1460008 · Issuer: Blue Cross and Blue Shield of Nebraska · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $618.14 |
| 27 | $647.81 |
| 30 | $701.59 |
| 40 | $789.99 |
| 50 | $1104.00 |
| 60 | $1677.64 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $4,500
- Family deductible: $9,000
- Individual out-of-pocket max: $9,500
- Family out-of-pocket max: $19,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $641.88/mo. This plan is $789.99/mo at 40 — a difference of $148.11/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Sarpy County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| HeartlandBlue Silver Standard 6000 Blueprint Health | Blue Cross and Blue Shield of Nebraska | $640.10 |
| HeartlandBlue Silver $0 PCP Visit 4500 Blueprint Health | Blue Cross and Blue Shield of Nebraska | $641.88 |
| HeartlandBlue Silver 4000 Blueprint Health | Blue Cross and Blue Shield of Nebraska | $655.07 |
| HeartlandBlue Silver HSA 5500 Blueprint Health w/ Adult Vision | Blue Cross and Blue Shield of Nebraska | $679.19 |
| Standard Silver | Ambetter Health | $712.21 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29678NE1460008 in FIPS 31153.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sarpy County
Reviewed by Jason Burns, Editorial Steward.