Obamacare 2023 Rates for Rockingham County
Obamacare > Rates > North Carolina > Rockingham County
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Obamacare > Rates > North Carolina > Rockingham County
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Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Simple | $0 Deductible | 3 Free PCP | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$540.34 $613.29 $690.55 $965.05 $1,466.48 |
$953.70 $1,026.65 $1,103.91 $1,378.41 |
$1,367.06 $1,440.01 $1,517.27 $1,791.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,080.68 $1,226.58 $1,381.10 $1,930.10 $2,932.96 |
$1,494.04 $1,639.94 $1,794.46 $2,343.46 |
$1,907.40 $2,053.30 $2,207.82 $2,756.82 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$500.28 $567.82 $639.36 $893.50 $1,357.76 |
$882.99 $950.53 $1,022.07 $1,276.21 |
$1,265.70 $1,333.24 $1,404.78 $1,658.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,000.56 $1,135.64 $1,278.72 $1,787.00 $2,715.52 |
$1,383.27 $1,518.35 $1,661.43 $2,169.71 |
$1,765.98 $1,901.06 $2,044.14 $2,552.42 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$520.20 $590.43 $664.82 $929.08 $1,411.82 |
$918.15 $988.38 $1,062.77 $1,327.03 |
$1,316.10 $1,386.33 $1,460.72 $1,724.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,040.40 $1,180.86 $1,329.64 $1,858.16 $2,823.64 |
$1,438.35 $1,578.81 $1,727.59 $2,256.11 |
$1,836.30 $1,976.76 $2,125.54 $2,654.06 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$365.18 $414.48 $466.70 $652.21 $991.10 |
$644.54 $693.84 $746.06 $931.57 |
$923.90 $973.20 $1,025.42 $1,210.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730.36 $828.96 $933.40 $1,304.42 $1,982.20 |
$1,009.72 $1,108.32 $1,212.76 $1,583.78 |
$1,289.08 $1,387.68 $1,492.12 $1,863.14 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$513.97 $583.36 $656.85 $917.95 $1,394.91 |
$907.16 $976.55 $1,050.04 $1,311.14 |
$1,300.35 $1,369.74 $1,443.23 $1,704.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,027.94 $1,166.72 $1,313.70 $1,835.90 $2,789.82 |
$1,421.13 $1,559.91 $1,706.89 $2,229.09 |
$1,814.32 $1,953.10 $2,100.08 $2,622.28 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$528.32 $599.64 $675.19 $943.58 $1,433.86 |
$932.48 $1,003.80 $1,079.35 $1,347.74 |
$1,336.64 $1,407.96 $1,483.51 $1,751.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,056.64 $1,199.28 $1,350.38 $1,887.16 $2,867.72 |
$1,460.80 $1,603.44 $1,754.54 $2,291.32 |
$1,864.96 $2,007.60 $2,158.70 $2,695.48 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7500 | HSA Eligible | Integrated | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$383.21 $434.94 $489.74 $684.41 $1,040.03 |
$676.37 $728.10 $782.90 $977.57 |
$969.53 $1,021.26 $1,076.06 $1,270.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.42 $869.88 $979.48 $1,368.82 $2,080.06 |
$1,059.58 $1,163.04 $1,272.64 $1,661.98 |
$1,352.74 $1,456.20 $1,565.80 $1,955.14 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(PPO) Blue Advantage Catastrophic 9100 | 3 PCP $35 | Integrated | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$268.34 $304.57 $342.94 $479.26 $728.27 |
$473.62 $509.85 $548.22 $684.54 |
$678.90 $715.13 $753.50 $889.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$536.68 $609.14 $685.88 $958.52 $1,456.54 |
$741.96 $814.42 $891.16 $1,163.80 |
$947.24 $1,019.70 $1,096.44 $1,369.08 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$522.31 $592.82 $667.51 $932.85 $1,417.55 |
$921.88 $992.39 $1,067.08 $1,332.42 |
$1,321.45 $1,391.96 $1,466.65 $1,731.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,044.62 $1,185.64 $1,335.02 $1,865.70 $2,835.10 |
$1,444.19 $1,585.21 $1,734.59 $2,265.27 |
$1,843.76 $1,984.78 $2,134.16 $2,664.84 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 5500 | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$385.91 $438.01 $493.19 $689.24 $1,047.36 |
$681.13 $733.23 $788.41 $984.46 |
$976.35 $1,028.45 $1,083.63 $1,279.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$771.82 $876.02 $986.38 $1,378.48 $2,094.72 |
$1,067.04 $1,171.24 $1,281.60 $1,673.70 |
$1,362.26 $1,466.46 $1,576.82 $1,968.92 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze 9100 | Integrated | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$365.88 $415.27 $467.59 $653.46 $993.00 |
$645.78 $695.17 $747.49 $933.36 |
$925.68 $975.07 $1,027.39 $1,213.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$731.76 $830.54 $935.18 $1,306.92 $1,986.00 |
$1,011.66 $1,110.44 $1,215.08 $1,586.82 |
$1,291.56 $1,390.34 $1,494.98 $1,866.72 |
Toc - Plan #12 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold Standard 2000 | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$512.08 $581.21 $654.44 $914.57 $1,389.79 |
$903.82 $972.95 $1,046.18 $1,306.31 |
$1,295.56 $1,364.69 $1,437.92 $1,698.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,024.16 $1,162.42 $1,308.88 $1,829.14 $2,779.58 |
$1,415.90 $1,554.16 $1,700.62 $2,220.88 |
$1,807.64 $1,945.90 $2,092.36 $2,612.62 |
Toc - Plan #13 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver Standard 5800 | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$518.04 $587.98 $662.06 $925.22 $1,405.96 |
$914.34 $984.28 $1,058.36 $1,321.52 |
$1,310.64 $1,380.58 $1,454.66 $1,717.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,036.08 $1,175.96 $1,324.12 $1,850.44 $2,811.92 |
$1,432.38 $1,572.26 $1,720.42 $2,246.74 |
$1,828.68 $1,968.56 $2,116.72 $2,643.04 |
Toc - Plan #14 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze Standard 7500 | Nationwide Doctors |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$365.62 $414.98 $467.26 $653.00 $992.29 |
$645.32 $694.68 $746.96 $932.70 |
$925.02 $974.38 $1,026.66 $1,212.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$731.24 $829.96 $934.52 $1,306.00 $1,984.58 |
$1,010.94 $1,109.66 $1,214.22 $1,585.70 |
$1,290.64 $1,389.36 $1,493.92 $1,865.40 |
ADVERTISEMENT
AmeriHealth Caritas NextLocal: 1-984-245-3613 | Toll Free: 1-833-613-2262 | TTY: 1-844-214-2471 |
Toc - Plan #15 AmeriHealth Caritas Next | ||||||||||||||||||||
Bronze
(HMO) AmeriHealth Caritas Next Bronze + Free Telemedicine + Free Preventive Care + Healthy Rewards |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$241.79 $274.43 $309.00 $431.83 $656.21 |
$426.76 $459.40 $493.97 $616.80 |
$611.73 $644.37 $678.94 $801.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$483.58 $548.86 $618.00 $863.66 $1,312.42 |
$668.55 $733.83 $802.97 $1,048.63 |
$853.52 $918.80 $987.94 $1,233.60 |
Toc - Plan #16 AmeriHealth Caritas Next | ||||||||||||||||||||
Expanded Bronze
(HMO) AmeriHealth Caritas Next Expanded Bronze + Free Telemedicine + Free Preventive Care + Healthy Rewards |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$272.24 $308.99 $347.92 $486.22 $738.86 |
$480.51 $517.26 $556.19 $694.49 |
$688.78 $725.53 $764.46 $902.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$544.48 $617.98 $695.84 $972.44 $1,477.72 |
$752.75 $826.25 $904.11 $1,180.71 |
$961.02 $1,034.52 $1,112.38 $1,388.98 |
Toc - Plan #17 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AmeriHealth Caritas Next Silver + Free Telemedicine + Free Preventive Care + Healthy Rewards |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$370.96 $421.04 $474.08 $662.53 $1,006.77 |
$654.74 $704.82 $757.86 $946.31 |
$938.52 $988.60 $1,041.64 $1,230.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741.92 $842.08 $948.16 $1,325.06 $2,013.54 |
$1,025.70 $1,125.86 $1,231.94 $1,608.84 |
$1,309.48 $1,409.64 $1,515.72 $1,892.62 |
Toc - Plan #18 AmeriHealth Caritas Next | ||||||||||||||||||||
Gold
(HMO) AmeriHealth Caritas Next Gold + Free Telemedicine + Free Preventive Care + Healthy Rewards |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$455.35 $516.82 $581.94 $813.25 $1,235.81 |
$803.69 $865.16 $930.28 $1,161.59 |
$1,152.03 $1,213.50 $1,278.62 $1,509.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$910.70 $1,033.64 $1,163.88 $1,626.50 $2,471.62 |
$1,259.04 $1,381.98 $1,512.22 $1,974.84 |
$1,607.38 $1,730.32 $1,860.56 $2,323.18 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-833-705-2175 | Toll Free: 1-833-705-2175 |
Toc - Plan #19 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$589.00 $668.50 $752.72 $1,051.93 $1,598.51 |
$1,039.57 $1,119.07 $1,203.29 $1,502.50 |
$1,490.14 $1,569.64 $1,653.86 $1,953.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,178.00 $1,337.00 $1,505.44 $2,103.86 $3,197.02 |
$1,628.57 $1,787.57 $1,956.01 $2,554.43 |
$2,079.14 $2,238.14 $2,406.58 $3,005.00 |
Toc - Plan #20 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$755.60 $857.60 $965.65 $1,349.49 $2,050.68 |
$1,333.63 $1,435.63 $1,543.68 $1,927.52 |
$1,911.66 $2,013.66 $2,121.71 $2,505.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,511.20 $1,715.20 $1,931.30 $2,698.98 $4,101.36 |
$2,089.23 $2,293.23 $2,509.33 $3,277.01 |
$2,667.26 $2,871.26 $3,087.36 $3,855.04 |
Toc - Plan #21 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$781.82 $887.36 $999.16 $1,396.32 $2,121.84 |
$1,379.91 $1,485.45 $1,597.25 $1,994.41 |
$1,978.00 $2,083.54 $2,195.34 $2,592.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,563.64 $1,774.72 $1,998.32 $2,792.64 $4,243.68 |
$2,161.73 $2,372.81 $2,596.41 $3,390.73 |
$2,759.82 $2,970.90 $3,194.50 $3,988.82 |
Toc - Plan #22 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.98 $669.61 $753.98 $1,053.68 $1,601.17 |
$1,041.31 $1,120.94 $1,205.31 $1,505.01 |
$1,492.64 $1,572.27 $1,656.64 $1,956.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,179.96 $1,339.22 $1,507.96 $2,107.36 $3,202.34 |
$1,631.29 $1,790.55 $1,959.29 $2,558.69 |
$2,082.62 $2,241.88 $2,410.62 $3,010.02 |
Toc - Plan #23 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$746.46 $847.22 $953.97 $1,333.16 $2,025.87 |
$1,317.50 $1,418.26 $1,525.01 $1,904.20 |
$1,888.54 $1,989.30 $2,096.05 $2,475.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,492.92 $1,694.44 $1,907.94 $2,666.32 $4,051.74 |
$2,063.96 $2,265.48 $2,478.98 $3,237.36 |
$2,635.00 $2,836.52 $3,050.02 $3,808.40 |
Toc - Plan #24 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$760.21 $862.83 $971.54 $1,357.72 $2,063.19 |
$1,341.77 $1,444.39 $1,553.10 $1,939.28 |
$1,923.33 $2,025.95 $2,134.66 $2,520.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,520.42 $1,725.66 $1,943.08 $2,715.44 $4,126.38 |
$2,101.98 $2,307.22 $2,524.64 $3,297.00 |
$2,683.54 $2,888.78 $3,106.20 $3,878.56 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$647.26 $734.64 $827.20 $1,156.01 $1,756.67 |
$1,142.42 $1,229.80 $1,322.36 $1,651.17 |
$1,637.58 $1,724.96 $1,817.52 $2,146.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,294.52 $1,469.28 $1,654.40 $2,312.02 $3,513.34 |
$1,789.68 $1,964.44 $2,149.56 $2,807.18 |
$2,284.84 $2,459.60 $2,644.72 $3,302.34 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$639.01 $725.28 $816.65 $1,141.27 $1,734.27 |
$1,127.85 $1,214.12 $1,305.49 $1,630.11 |
$1,616.69 $1,702.96 $1,794.33 $2,118.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,278.02 $1,450.56 $1,633.30 $2,282.54 $3,468.54 |
$1,766.86 $1,939.40 $2,122.14 $2,771.38 |
$2,255.70 $2,428.24 $2,610.98 $3,260.22 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,350 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$637.98 $724.11 $815.34 $1,139.44 $1,731.48 |
$1,126.04 $1,212.17 $1,303.40 $1,627.50 |
$1,614.10 $1,700.23 $1,791.46 $2,115.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,275.96 $1,448.22 $1,630.68 $2,278.88 $3,462.96 |
$1,764.02 $1,936.28 $2,118.74 $2,766.94 |
$2,252.08 $2,424.34 $2,606.80 $3,255.00 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $7,500 Indiv Ded Saver ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.77 $511.62 $576.08 $805.07 $1,223.38 |
$795.61 $856.46 $920.92 $1,149.91 |
$1,140.45 $1,201.30 $1,265.76 $1,494.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.54 $1,023.24 $1,152.16 $1,610.14 $2,446.76 |
$1,246.38 $1,368.08 $1,497.00 $1,954.98 |
$1,591.22 $1,712.92 $1,841.84 $2,299.82 |
Toc - Plan #29 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$672.30 $763.06 $859.20 $1,200.73 $1,824.63 |
$1,186.61 $1,277.37 $1,373.51 $1,715.04 |
$1,700.92 $1,791.68 $1,887.82 $2,229.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,344.60 $1,526.12 $1,718.40 $2,401.46 $3,649.26 |
$1,858.91 $2,040.43 $2,232.71 $2,915.77 |
$2,373.22 $2,554.74 $2,747.02 $3,430.08 |
Toc - Plan #30 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$697.30 $791.44 $891.15 $1,245.38 $1,892.48 |
$1,230.74 $1,324.88 $1,424.59 $1,778.82 |
$1,764.18 $1,858.32 $1,958.03 $2,312.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,394.60 $1,582.88 $1,782.30 $2,490.76 $3,784.96 |
$1,928.04 $2,116.32 $2,315.74 $3,024.20 |
$2,461.48 $2,649.76 $2,849.18 $3,557.64 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.41 $544.13 $612.68 $856.22 $1,301.11 |
$846.16 $910.88 $979.43 $1,222.97 |
$1,212.91 $1,277.63 $1,346.18 $1,589.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$958.82 $1,088.26 $1,225.36 $1,712.44 $2,602.22 |
$1,325.57 $1,455.01 $1,592.11 $2,079.19 |
$1,692.32 $1,821.76 $1,958.86 $2,445.94 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$638.39 $724.57 $815.86 $1,140.16 $1,732.59 |
$1,126.76 $1,212.94 $1,304.23 $1,628.53 |
$1,615.13 $1,701.31 $1,792.60 $2,116.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,276.78 $1,449.14 $1,631.72 $2,280.32 $3,465.18 |
$1,765.15 $1,937.51 $2,120.09 $2,768.69 |
$2,253.52 $2,425.88 $2,608.46 $3,257.06 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $7,500 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.29 $517.89 $583.14 $814.94 $1,238.38 |
$805.35 $866.95 $932.20 $1,164.00 |
$1,154.41 $1,216.01 $1,281.26 $1,513.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$912.58 $1,035.78 $1,166.28 $1,629.88 $2,476.76 |
$1,261.64 $1,384.84 $1,515.34 $1,978.94 |
$1,610.70 $1,733.90 $1,864.40 $2,328.00 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$658.82 $747.77 $841.98 $1,176.66 $1,788.05 |
$1,162.82 $1,251.77 $1,345.98 $1,680.66 |
$1,666.82 $1,755.77 $1,849.98 $2,184.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,317.64 $1,495.54 $1,683.96 $2,353.32 $3,576.10 |
$1,821.64 $1,999.54 $2,187.96 $2,857.32 |
$2,325.64 $2,503.54 $2,691.96 $3,361.32 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$647.95 $735.42 $828.08 $1,157.23 $1,758.53 |
$1,143.63 $1,231.10 $1,323.76 $1,652.91 |
$1,639.31 $1,726.78 $1,819.44 $2,148.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,295.90 $1,470.84 $1,656.16 $2,314.46 $3,517.06 |
$1,791.58 $1,966.52 $2,151.84 $2,810.14 |
$2,287.26 $2,462.20 $2,647.52 $3,305.82 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $2,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$632.66 $718.07 $808.54 $1,129.93 $1,717.03 |
$1,116.64 $1,202.05 $1,292.52 $1,613.91 |
$1,600.62 $1,686.03 $1,776.50 $2,097.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,265.32 $1,436.14 $1,617.08 $2,259.86 $3,434.06 |
$1,749.30 $1,920.12 $2,101.06 $2,743.84 |
$2,233.28 $2,404.10 $2,585.04 $3,227.82 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$667.04 $757.09 $852.48 $1,191.33 $1,810.35 |
$1,177.33 $1,267.38 $1,362.77 $1,701.62 |
$1,687.62 $1,777.67 $1,873.06 $2,211.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,334.08 $1,514.18 $1,704.96 $2,382.66 $3,620.70 |
$1,844.37 $2,024.47 $2,215.25 $2,892.95 |
$2,354.66 $2,534.76 $2,725.54 $3,403.24 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$636.21 $722.10 $813.07 $1,136.27 $1,726.67 |
$1,122.91 $1,208.80 $1,299.77 $1,622.97 |
$1,609.61 $1,695.50 $1,786.47 $2,109.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,272.42 $1,444.20 $1,626.14 $2,272.54 $3,453.34 |
$1,759.12 $1,930.90 $2,112.84 $2,759.24 |
$2,245.82 $2,417.60 $2,599.54 $3,245.94 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $9,100 Indiv Ded ($3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.01 $494.87 $557.22 $778.71 $1,183.33 |
$769.56 $828.42 $890.77 $1,112.26 |
$1,103.11 $1,161.97 $1,224.32 $1,445.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.02 $989.74 $1,114.44 $1,557.42 $2,366.66 |
$1,205.57 $1,323.29 $1,447.99 $1,890.97 |
$1,539.12 $1,656.84 $1,781.54 $2,224.52 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Indiv Ded (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.50 $493.16 $555.29 $776.02 $1,179.23 |
$766.89 $825.55 $887.68 $1,108.41 |
$1,099.28 $1,157.94 $1,220.07 $1,440.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.00 $986.32 $1,110.58 $1,552.04 $2,358.46 |
$1,201.39 $1,318.71 $1,442.97 $1,884.43 |
$1,533.78 $1,651.10 $1,775.36 $2,216.82 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Indiv Ded (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.04 $518.74 $584.10 $816.28 $1,240.41 |
$806.68 $868.38 $933.74 $1,165.92 |
$1,156.32 $1,218.02 $1,283.38 $1,515.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$914.08 $1,037.48 $1,168.20 $1,632.56 $2,480.82 |
$1,263.72 $1,387.12 $1,517.84 $1,982.20 |
$1,613.36 $1,736.76 $1,867.48 $2,331.84 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $6,350 Indiv Ded ($3 Generic Rx Pref Pharm, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.05 $505.13 $568.77 $794.86 $1,207.86 |
$785.51 $845.59 $909.23 $1,135.32 |
$1,125.97 $1,186.05 $1,249.69 $1,475.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890.10 $1,010.26 $1,137.54 $1,589.72 $2,415.72 |
$1,230.56 $1,350.72 $1,478.00 $1,930.18 |
$1,571.02 $1,691.18 $1,818.46 $2,270.64 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #43 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze: Aetna network of doctors & hospitals+ Low-cost MinuteClinic+ $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.79 $333.45 $375.46 $524.70 $797.33 |
$518.54 $558.20 $600.21 $749.45 |
$743.29 $782.95 $824.96 $974.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.58 $666.90 $750.92 $1,049.40 $1,594.66 |
$812.33 $891.65 $975.67 $1,274.15 |
$1,037.08 $1,116.40 $1,200.42 $1,498.90 |
Toc - Plan #44 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.36 $300.05 $337.86 $472.15 $717.48 |
$466.60 $502.29 $540.10 $674.39 |
$668.84 $704.53 $742.34 $876.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$528.72 $600.10 $675.72 $944.30 $1,434.96 |
$730.96 $802.34 $877.96 $1,146.54 |
$933.20 $1,004.58 $1,080.20 $1,348.78 |
Toc - Plan #45 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.56 $492.09 $554.09 $774.34 $1,176.68 |
$765.23 $823.76 $885.76 $1,106.01 |
$1,096.90 $1,155.43 $1,217.43 $1,437.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.12 $984.18 $1,108.18 $1,548.68 $2,353.36 |
$1,198.79 $1,315.85 $1,439.85 $1,880.35 |
$1,530.46 $1,647.52 $1,771.52 $2,212.02 |
Toc - Plan #46 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.86 $461.79 $519.97 $726.66 $1,104.23 |
$718.11 $773.04 $831.22 $1,037.91 |
$1,029.36 $1,084.29 $1,142.47 $1,349.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.72 $923.58 $1,039.94 $1,453.32 $2,208.46 |
$1,124.97 $1,234.83 $1,351.19 $1,764.57 |
$1,436.22 $1,546.08 $1,662.44 $2,075.82 |
Toc - Plan #47 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.18 $438.32 $493.54 $689.72 $1,048.10 |
$681.61 $733.75 $788.97 $985.15 |
$977.04 $1,029.18 $1,084.40 $1,280.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.36 $876.64 $987.08 $1,379.44 $2,096.20 |
$1,067.79 $1,172.07 $1,282.51 $1,674.87 |
$1,363.22 $1,467.50 $1,577.94 $1,970.30 |
Toc - Plan #48 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.00 $310.98 $350.17 $489.36 $743.62 |
$483.61 $520.59 $559.78 $698.97 |
$693.22 $730.20 $769.39 $908.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.00 $621.96 $700.34 $978.72 $1,487.24 |
$757.61 $831.57 $909.95 $1,188.33 |
$967.22 $1,041.18 $1,119.56 $1,397.94 |
Toc - Plan #49 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.57 $483.03 $543.88 $760.08 $1,155.01 |
$751.13 $808.59 $869.44 $1,085.64 |
$1,076.69 $1,134.15 $1,195.00 $1,411.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.14 $966.06 $1,087.76 $1,520.16 $2,310.02 |
$1,176.70 $1,291.62 $1,413.32 $1,845.72 |
$1,502.26 $1,617.18 $1,738.88 $2,171.28 |
Toc - Plan #50 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.46 $453.38 $510.51 $713.43 $1,084.13 |
$705.04 $758.96 $816.09 $1,019.01 |
$1,010.62 $1,064.54 $1,121.67 $1,324.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.92 $906.76 $1,021.02 $1,426.86 $2,168.26 |
$1,104.50 $1,212.34 $1,326.60 $1,732.44 |
$1,410.08 $1,517.92 $1,632.18 $2,038.02 |
Toc - Plan #51 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.15 $428.07 $482.00 $673.59 $1,023.59 |
$665.67 $716.59 $770.52 $962.11 |
$954.19 $1,005.11 $1,059.04 $1,250.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.30 $856.14 $964.00 $1,347.18 $2,047.18 |
$1,042.82 $1,144.66 $1,252.52 $1,635.70 |
$1,331.34 $1,433.18 $1,541.04 $1,924.22 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-465-5500 | Toll Free: 1-844-465-5500 | TTY: 1-800-659-2656 |
Toc - Plan #52 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$187.95 $213.32 $240.20 $335.68 $510.10 |
$331.73 $357.10 $383.98 $479.46 |
$475.51 $500.88 $527.76 $623.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$375.90 $426.64 $480.40 $671.36 $1,020.20 |
$519.68 $570.42 $624.18 $815.14 |
$663.46 $714.20 $767.96 $958.92 |
Toc - Plan #53 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.39 $279.65 $314.89 $440.05 $668.71 |
$434.88 $468.14 $503.38 $628.54 |
$623.37 $656.63 $691.87 $817.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.78 $559.30 $629.78 $880.10 $1,337.42 |
$681.27 $747.79 $818.27 $1,068.59 |
$869.76 $936.28 $1,006.76 $1,257.08 |
Toc - Plan #54 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.87 $282.47 $318.05 $444.48 $675.43 |
$439.25 $472.85 $508.43 $634.86 |
$629.63 $663.23 $698.81 $825.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$497.74 $564.94 $636.10 $888.96 $1,350.86 |
$688.12 $755.32 $826.48 $1,079.34 |
$878.50 $945.70 $1,016.86 $1,269.72 |
Toc - Plan #55 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.09 $298.61 $336.23 $469.88 $714.03 |
$464.36 $499.88 $537.50 $671.15 |
$665.63 $701.15 $738.77 $872.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526.18 $597.22 $672.46 $939.76 $1,428.06 |
$727.45 $798.49 $873.73 $1,141.03 |
$928.72 $999.76 $1,075.00 $1,342.30 |
Toc - Plan #56 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.26 $389.60 $438.68 $613.06 $931.60 |
$605.85 $652.19 $701.27 $875.65 |
$868.44 $914.78 $963.86 $1,138.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.52 $779.20 $877.36 $1,226.12 $1,863.20 |
$949.11 $1,041.79 $1,139.95 $1,488.71 |
$1,211.70 $1,304.38 $1,402.54 $1,751.30 |
Toc - Plan #57 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.87 $409.59 $461.20 $644.52 $979.41 |
$636.94 $685.66 $737.27 $920.59 |
$913.01 $961.73 $1,013.34 $1,196.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.74 $819.18 $922.40 $1,289.04 $1,958.82 |
$997.81 $1,095.25 $1,198.47 $1,565.11 |
$1,273.88 $1,371.32 $1,474.54 $1,841.18 |
Toc - Plan #58 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.21 $279.45 $314.66 $439.74 $668.22 |
$434.56 $467.80 $503.01 $628.09 |
$622.91 $656.15 $691.36 $816.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.42 $558.90 $629.32 $879.48 $1,336.44 |
$680.77 $747.25 $817.67 $1,067.83 |
$869.12 $935.60 $1,006.02 $1,256.18 |
Toc - Plan #59 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.34 $399.91 $450.29 $629.28 $956.26 |
$621.88 $669.45 $719.83 $898.82 |
$891.42 $938.99 $989.37 $1,168.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.68 $799.82 $900.58 $1,258.56 $1,912.52 |
$974.22 $1,069.36 $1,170.12 $1,528.10 |
$1,243.76 $1,338.90 $1,439.66 $1,797.64 |
Toc - Plan #60 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.91 $425.52 $479.13 $669.58 $1,017.50 |
$661.71 $712.32 $765.93 $956.38 |
$948.51 $999.12 $1,052.73 $1,243.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.82 $851.04 $958.26 $1,339.16 $2,035.00 |
$1,036.62 $1,137.84 $1,245.06 $1,625.96 |
$1,323.42 $1,424.64 $1,531.86 $1,912.76 |
Toc - Plan #61 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.08 $279.30 $314.49 $439.50 $667.86 |
$434.33 $467.55 $502.74 $627.75 |
$622.58 $655.80 $690.99 $816.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.16 $558.60 $628.98 $879.00 $1,335.72 |
$680.41 $746.85 $817.23 $1,067.25 |
$868.66 $935.10 $1,005.48 $1,255.50 |
Toc - Plan #62 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.56 $282.11 $317.66 $443.92 $674.58 |
$438.71 $472.26 $507.81 $634.07 |
$628.86 $662.41 $697.96 $824.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$497.12 $564.22 $635.32 $887.84 $1,349.16 |
$687.27 $754.37 $825.47 $1,077.99 |
$877.42 $944.52 $1,015.62 $1,268.14 |
Toc - Plan #63 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245.90 $279.10 $314.26 $439.18 $667.38 |
$434.02 $467.22 $502.38 $627.30 |
$622.14 $655.34 $690.50 $815.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491.80 $558.20 $628.52 $878.36 $1,334.76 |
$679.92 $746.32 $816.64 $1,066.48 |
$868.04 $934.44 $1,004.76 $1,254.60 |
Toc - Plan #64 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.94 $389.24 $438.28 $612.50 $930.75 |
$605.29 $651.59 $700.63 $874.85 |
$867.64 $913.94 $962.98 $1,137.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.88 $778.48 $876.56 $1,225.00 $1,861.50 |
$948.23 $1,040.83 $1,138.91 $1,487.35 |
$1,210.58 $1,303.18 $1,401.26 $1,749.70 |
Toc - Plan #65 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.12 $393.98 $443.61 $619.95 $942.07 |
$612.66 $659.52 $709.15 $885.49 |
$878.20 $925.06 $974.69 $1,151.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.24 $787.96 $887.22 $1,239.90 $1,884.14 |
$959.78 $1,053.50 $1,152.76 $1,505.44 |
$1,225.32 $1,319.04 $1,418.30 $1,770.98 |
Toc - Plan #66 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Zero Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.28 $402.10 $452.76 $632.74 $961.51 |
$625.30 $673.12 $723.78 $903.76 |
$896.32 $944.14 $994.80 $1,174.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.56 $804.20 $905.52 $1,265.48 $1,923.02 |
$979.58 $1,075.22 $1,176.54 $1,536.50 |
$1,250.60 $1,346.24 $1,447.56 $1,807.52 |
Toc - Plan #67 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.03 $399.55 $449.90 $628.73 $955.41 |
$621.33 $668.85 $719.20 $898.03 |
$890.63 $938.15 $988.50 $1,167.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.06 $799.10 $899.80 $1,257.46 $1,910.82 |
$973.36 $1,068.40 $1,169.10 $1,526.76 |
$1,242.66 $1,337.70 $1,438.40 $1,796.06 |
Toc - Plan #68 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.56 $409.24 $460.80 $643.96 $978.56 |
$636.39 $685.07 $736.63 $919.79 |
$912.22 $960.90 $1,012.46 $1,195.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.12 $818.48 $921.60 $1,287.92 $1,957.12 |
$996.95 $1,094.31 $1,197.43 $1,563.75 |
$1,272.78 $1,370.14 $1,473.26 $1,839.58 |
Toc - Plan #69 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.60 $425.17 $478.73 $669.03 $1,016.65 |
$661.17 $711.74 $765.30 $955.60 |
$947.74 $998.31 $1,051.87 $1,242.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.20 $850.34 $957.46 $1,338.06 $2,033.30 |
$1,035.77 $1,136.91 $1,244.03 $1,624.63 |
$1,322.34 $1,423.48 $1,530.60 $1,911.20 |
Toc - Plan #70 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Standard Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.08 $279.30 $314.49 $439.50 $667.86 |
$434.33 $467.55 $502.74 $627.75 |
$622.58 $655.80 $690.99 $816.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.16 $558.60 $628.98 $879.00 $1,335.72 |
$680.41 $746.85 $817.23 $1,067.25 |
$868.66 $935.10 $1,005.48 $1,255.50 |
Toc - Plan #71 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.74 $277.78 $312.77 $437.10 $664.21 |
$431.96 $465.00 $499.99 $624.32 |
$619.18 $652.22 $687.21 $811.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$489.48 $555.56 $625.54 $874.20 $1,328.42 |
$676.70 $742.78 $812.76 $1,061.42 |
$863.92 $930.00 $999.98 $1,248.64 |
Toc - Plan #72 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.23 $386.16 $434.81 $607.65 $923.39 |
$600.51 $646.44 $695.09 $867.93 |
$860.79 $906.72 $955.37 $1,128.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.46 $772.32 $869.62 $1,215.30 $1,846.78 |
$940.74 $1,032.60 $1,129.90 $1,475.58 |
$1,201.02 $1,292.88 $1,390.18 $1,735.86 |
Toc - Plan #73 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.03 $423.38 $476.73 $666.22 $1,012.39 |
$658.40 $708.75 $762.10 $951.59 |
$943.77 $994.12 $1,047.47 $1,236.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.06 $846.76 $953.46 $1,332.44 $2,024.78 |
$1,031.43 $1,132.13 $1,238.83 $1,617.81 |
$1,316.80 $1,417.50 $1,524.20 $1,903.18 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Rockingham County here.
Rockingham County is in “Rating Area 7” of North Carolina.
Currently, there are 73 plans offered in Rating Area 7.