How much does a private PPO cost?

The monthly premium for a private ACA-compliant PPO varies by age, ZIP code, tobacco status, and metal tier, and is quoted at full price when bought off-exchange because no Marketplace price adjustment is applied (HealthCare.gov Glossary — Premium).

Reviewed by Jason Burns, Editor & Steward · Last verified 2026-07-19

What it means

  • Broader PPO networks typically carry higher premiums than narrow-network HMOs or EPOs.
  • Gold and Platinum PPOs cost more per month but have lower deductibles.

Action steps

  1. Get quotes from two or three carriers for the same metal tier and network.
  2. Include the plan's deductible and expected medical use in the total-cost comparison.

Risks & deadlines

  • Off-exchange PPO enrollment is limited to Open Enrollment or a Special Enrollment Period.

Sources

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Phone consultations only — 1-866-254-9580. Private Health Insurance Direct Questions is an educational question directory for full-price, off-exchange private health insurance buyers. It is not medical, legal, tax, or benefits advice.

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