MyBlue Gold HMO℠ 804 — full price in Pawnee County, Oklahoma (2026)
MyBlue Gold HMO℠ 804 (87571OK0510073), a gold plan from Blue Cross and Blue Shield of Oklahoma in Pawnee County, Oklahoma, costs $674.94/month full price for a 40-year-old in 2026 — $1433.32 at 60, with a $1,000 deductible and $10,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 87571OK0510073 · Issuer: Blue Cross and Blue Shield of Oklahoma · 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 | $528.12 |
| 27 | $553.47 |
| 30 | $599.42 |
| 40 | $674.94 |
| 50 | $943.22 |
| 60 | $1433.32 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,000
- Family deductible: $2,000
- Individual out-of-pocket max: $10,600
- Family out-of-pocket max: $21,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $636.43/mo. This plan is $674.94/mo at 40 — a difference of $38.51/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 gold plans in Pawnee County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| CommunityCare Gold L21 | CommunityCare | $635.02 |
| CommunityCare Gold Standardized | CommunityCare | $635.53 |
| CommunityCare Gold IH221 | CommunityCare | $638.94 |
| MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) | Mending Health | $696.37 |
| MyBlue Gold HMO℠ 704 | Blue Cross and Blue Shield of Oklahoma | $715.10 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 87571OK0510073 in FIPS 40117.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Pawnee County
Reviewed by Jason Burns, Editorial Steward.