Obamacare 2023 Rates for Brevard County
Obamacare > Rates > Florida > Brevard County
ADVERTISEMENT
Obamacare > Rates > Florida > Brevard County
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$624.80 $709.15 $798.49 $1,115.89 $1,695.71 |
$1,102.77 $1,187.12 $1,276.46 $1,593.86 |
$1,580.74 $1,665.09 $1,754.43 $2,071.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,249.60 $1,418.30 $1,596.98 $2,231.78 $3,391.42 |
$1,727.57 $1,896.27 $2,074.95 $2,709.75 |
$2,205.54 $2,374.24 $2,552.92 $3,187.72 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.22 $458.79 $516.59 $721.94 $1,097.05 |
$713.45 $768.02 $825.82 $1,031.17 |
$1,022.68 $1,077.25 $1,135.05 $1,340.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.44 $917.58 $1,033.18 $1,443.88 $2,194.10 |
$1,117.67 $1,226.81 $1,342.41 $1,753.11 |
$1,426.90 $1,536.04 $1,651.64 $2,062.34 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$628.23 $713.04 $802.88 $1,122.02 $1,705.02 |
$1,108.83 $1,193.64 $1,283.48 $1,602.62 |
$1,589.43 $1,674.24 $1,764.08 $2,083.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,256.46 $1,426.08 $1,605.76 $2,244.04 $3,410.04 |
$1,737.06 $1,906.68 $2,086.36 $2,724.64 |
$2,217.66 $2,387.28 $2,566.96 $3,205.24 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$790.59 $897.32 $1,010.37 $1,411.99 $2,145.66 |
$1,395.39 $1,502.12 $1,615.17 $2,016.79 |
$2,000.19 $2,106.92 $2,219.97 $2,621.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,581.18 $1,794.64 $2,020.74 $2,823.98 $4,291.32 |
$2,185.98 $2,399.44 $2,625.54 $3,428.78 |
$2,790.78 $3,004.24 $3,230.34 $4,033.58 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.05 $477.89 $538.10 $752.00 $1,142.73 |
$743.15 $799.99 $860.20 $1,074.10 |
$1,065.25 $1,122.09 $1,182.30 $1,396.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.10 $955.78 $1,076.20 $1,504.00 $2,285.46 |
$1,164.20 $1,277.88 $1,398.30 $1,826.10 |
$1,486.30 $1,599.98 $1,720.40 $2,148.20 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$828.39 $940.22 $1,058.68 $1,479.50 $2,248.25 |
$1,462.11 $1,573.94 $1,692.40 $2,113.22 |
$2,095.83 $2,207.66 $2,326.12 $2,746.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,656.78 $1,880.44 $2,117.36 $2,959.00 $4,496.50 |
$2,290.50 $2,514.16 $2,751.08 $3,592.72 |
$2,924.22 $3,147.88 $3,384.80 $4,226.44 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.48 $665.65 $749.52 $1,047.45 $1,591.71 |
$1,035.14 $1,114.31 $1,198.18 $1,496.11 |
$1,483.80 $1,562.97 $1,646.84 $1,944.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,172.96 $1,331.30 $1,499.04 $2,094.90 $3,183.42 |
$1,621.62 $1,779.96 $1,947.70 $2,543.56 |
$2,070.28 $2,228.62 $2,396.36 $2,992.22 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$678.97 $770.63 $867.72 $1,212.64 $1,842.72 |
$1,198.38 $1,290.04 $1,387.13 $1,732.05 |
$1,717.79 $1,809.45 $1,906.54 $2,251.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,357.94 $1,541.26 $1,735.44 $2,425.28 $3,685.44 |
$1,877.35 $2,060.67 $2,254.85 $2,944.69 |
$2,396.76 $2,580.08 $2,774.26 $3,464.10 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.32 $464.58 $523.11 $731.05 $1,110.89 |
$722.45 $777.71 $836.24 $1,044.18 |
$1,035.58 $1,090.84 $1,149.37 $1,357.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.64 $929.16 $1,046.22 $1,462.10 $2,221.78 |
$1,131.77 $1,242.29 $1,359.35 $1,775.23 |
$1,444.90 $1,555.42 $1,672.48 $2,088.36 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$656.90 $745.58 $839.52 $1,173.22 $1,782.83 |
$1,159.43 $1,248.11 $1,342.05 $1,675.75 |
$1,661.96 $1,750.64 $1,844.58 $2,178.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,313.80 $1,491.16 $1,679.04 $2,346.44 $3,565.66 |
$1,816.33 $1,993.69 $2,181.57 $2,848.97 |
$2,318.86 $2,496.22 $2,684.10 $3,351.50 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.93 $506.13 $569.90 $796.43 $1,210.25 |
$787.07 $847.27 $911.04 $1,137.57 |
$1,128.21 $1,188.41 $1,252.18 $1,478.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.86 $1,012.26 $1,139.80 $1,592.86 $2,420.50 |
$1,233.00 $1,353.40 $1,480.94 $1,934.00 |
$1,574.14 $1,694.54 $1,822.08 $2,275.14 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.36 $438.52 $493.77 $690.04 $1,048.58 |
$681.93 $734.09 $789.34 $985.61 |
$977.50 $1,029.66 $1,084.91 $1,281.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.72 $877.04 $987.54 $1,380.08 $2,097.16 |
$1,068.29 $1,172.61 $1,283.11 $1,675.65 |
$1,363.86 $1,468.18 $1,578.68 $1,971.22 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.34 $471.41 $530.80 $741.80 $1,127.23 |
$733.08 $789.15 $848.54 $1,059.54 |
$1,050.82 $1,106.89 $1,166.28 $1,377.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.68 $942.82 $1,061.60 $1,483.60 $2,254.46 |
$1,148.42 $1,260.56 $1,379.34 $1,801.34 |
$1,466.16 $1,578.30 $1,697.08 $2,119.08 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$618.42 $701.91 $790.34 $1,104.50 $1,678.39 |
$1,091.51 $1,175.00 $1,263.43 $1,577.59 |
$1,564.60 $1,648.09 $1,736.52 $2,050.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,236.84 $1,403.82 $1,580.68 $2,209.00 $3,356.78 |
$1,709.93 $1,876.91 $2,053.77 $2,682.09 |
$2,183.02 $2,350.00 $2,526.86 $3,155.18 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$631.19 $716.40 $806.66 $1,127.31 $1,713.05 |
$1,114.05 $1,199.26 $1,289.52 $1,610.17 |
$1,596.91 $1,682.12 $1,772.38 $2,093.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,262.38 $1,432.80 $1,613.32 $2,254.62 $3,426.10 |
$1,745.24 $1,915.66 $2,096.18 $2,737.48 |
$2,228.10 $2,398.52 $2,579.04 $3,220.34 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$826.31 $937.86 $1,056.02 $1,475.79 $2,242.61 |
$1,458.44 $1,569.99 $1,688.15 $2,107.92 |
$2,090.57 $2,202.12 $2,320.28 $2,740.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,652.62 $1,875.72 $2,112.04 $2,951.58 $4,485.22 |
$2,284.75 $2,507.85 $2,744.17 $3,583.71 |
$2,916.88 $3,139.98 $3,376.30 $4,215.84 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2319 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.15 $496.17 $558.68 $780.75 $1,186.43 |
$771.57 $830.59 $893.10 $1,115.17 |
$1,105.99 $1,165.01 $1,227.52 $1,449.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.30 $992.34 $1,117.36 $1,561.50 $2,372.86 |
$1,208.72 $1,326.76 $1,451.78 $1,895.92 |
$1,543.14 $1,661.18 $1,786.20 $2,230.34 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.56 $463.72 $522.14 $729.69 $1,108.83 |
$721.11 $776.27 $834.69 $1,042.24 |
$1,033.66 $1,088.82 $1,147.24 $1,354.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.12 $927.44 $1,044.28 $1,459.38 $2,217.66 |
$1,129.67 $1,239.99 $1,356.83 $1,771.93 |
$1,442.22 $1,552.54 $1,669.38 $2,084.48 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.62 $349.15 $393.14 $549.41 $834.88 |
$542.95 $584.48 $628.47 $784.74 |
$778.28 $819.81 $863.80 $1,020.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.24 $698.30 $786.28 $1,098.82 $1,669.76 |
$850.57 $933.63 $1,021.61 $1,334.15 |
$1,085.90 $1,168.96 $1,256.94 $1,569.48 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.29 $462.27 $520.52 $727.42 $1,105.39 |
$718.87 $773.85 $832.10 $1,039.00 |
$1,030.45 $1,085.43 $1,143.68 $1,350.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.58 $924.54 $1,041.04 $1,454.84 $2,210.78 |
$1,126.16 $1,236.12 $1,352.62 $1,766.42 |
$1,437.74 $1,547.70 $1,664.20 $2,078.00 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.80 $586.57 $660.47 $923.00 $1,402.60 |
$912.15 $981.92 $1,055.82 $1,318.35 |
$1,307.50 $1,377.27 $1,451.17 $1,713.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.60 $1,173.14 $1,320.94 $1,846.00 $2,805.20 |
$1,428.95 $1,568.49 $1,716.29 $2,241.35 |
$1,824.30 $1,963.84 $2,111.64 $2,636.70 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.76 $360.66 $406.10 $567.52 $862.40 |
$560.85 $603.75 $649.19 $810.61 |
$803.94 $846.84 $892.28 $1,053.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.52 $721.32 $812.20 $1,135.04 $1,724.80 |
$878.61 $964.41 $1,055.29 $1,378.13 |
$1,121.70 $1,207.50 $1,298.38 $1,621.22 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$540.83 $613.84 $691.18 $965.92 $1,467.81 |
$954.56 $1,027.57 $1,104.91 $1,379.65 |
$1,368.29 $1,441.30 $1,518.64 $1,793.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,081.66 $1,227.68 $1,382.36 $1,931.84 $2,935.62 |
$1,495.39 $1,641.41 $1,796.09 $2,345.57 |
$1,909.12 $2,055.14 $2,209.82 $2,759.30 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.33 $433.94 $488.62 $682.84 $1,037.64 |
$674.81 $726.42 $781.10 $975.32 |
$967.29 $1,018.90 $1,073.58 $1,267.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.66 $867.88 $977.24 $1,365.68 $2,075.28 |
$1,057.14 $1,160.36 $1,269.72 $1,658.16 |
$1,349.62 $1,452.84 $1,562.20 $1,950.64 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.12 $512.02 $576.53 $805.70 $1,224.34 |
$796.23 $857.13 $921.64 $1,150.81 |
$1,141.34 $1,202.24 $1,266.75 $1,495.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.24 $1,024.04 $1,153.06 $1,611.40 $2,448.68 |
$1,247.35 $1,369.15 $1,498.17 $1,956.51 |
$1,592.46 $1,714.26 $1,843.28 $2,301.62 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.94 $352.92 $397.38 $555.34 $843.89 |
$548.81 $590.79 $635.25 $793.21 |
$786.68 $828.66 $873.12 $1,031.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.88 $705.84 $794.76 $1,110.68 $1,687.78 |
$859.75 $943.71 $1,032.63 $1,348.55 |
$1,097.62 $1,181.58 $1,270.50 $1,586.42 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.42 $495.34 $557.74 $779.45 $1,184.44 |
$770.28 $829.20 $891.60 $1,113.31 |
$1,104.14 $1,163.06 $1,225.46 $1,447.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.84 $990.68 $1,115.48 $1,558.90 $2,368.88 |
$1,206.70 $1,324.54 $1,449.34 $1,892.76 |
$1,540.56 $1,658.40 $1,783.20 $2,226.62 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.68 $382.13 $430.28 $601.31 $913.75 |
$594.24 $639.69 $687.84 $858.87 |
$851.80 $897.25 $945.40 $1,116.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.36 $764.26 $860.56 $1,202.62 $1,827.50 |
$930.92 $1,021.82 $1,118.12 $1,460.18 |
$1,188.48 $1,279.38 $1,375.68 $1,717.74 |
Toc - Plan #29 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 2341S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.81 $331.20 $372.93 $521.17 $791.97 |
$515.04 $554.43 $596.16 $744.40 |
$738.27 $777.66 $819.39 $967.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.62 $662.40 $745.86 $1,042.34 $1,583.94 |
$806.85 $885.63 $969.09 $1,265.57 |
$1,030.08 $1,108.86 $1,192.32 $1,488.80 |
Toc - Plan #30 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.74 $356.09 $400.96 $560.34 $851.49 |
$553.75 $596.10 $640.97 $800.35 |
$793.76 $836.11 $880.98 $1,040.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.48 $712.18 $801.92 $1,120.68 $1,702.98 |
$867.49 $952.19 $1,041.93 $1,360.69 |
$1,107.50 $1,192.20 $1,281.94 $1,600.70 |
Toc - Plan #31 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.19 $457.62 $515.28 $720.10 $1,094.26 |
$711.63 $766.06 $823.72 $1,028.54 |
$1,020.07 $1,074.50 $1,132.16 $1,336.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.38 $915.24 $1,030.56 $1,440.20 $2,188.52 |
$1,114.82 $1,223.68 $1,339.00 $1,748.64 |
$1,423.26 $1,532.12 $1,647.44 $2,057.08 |
Toc - Plan #32 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.41 $476.03 $536.01 $749.07 $1,138.28 |
$740.26 $796.88 $856.86 $1,069.92 |
$1,061.11 $1,117.73 $1,177.71 $1,390.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.82 $952.06 $1,072.02 $1,498.14 $2,276.56 |
$1,159.67 $1,272.91 $1,392.87 $1,818.99 |
$1,480.52 $1,593.76 $1,713.72 $2,139.84 |
Toc - Plan #33 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$539.45 $612.28 $689.42 $963.46 $1,464.07 |
$952.13 $1,024.96 $1,102.10 $1,376.14 |
$1,364.81 $1,437.64 $1,514.78 $1,788.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,078.90 $1,224.56 $1,378.84 $1,926.92 $2,928.14 |
$1,491.58 $1,637.24 $1,791.52 $2,339.60 |
$1,904.26 $2,049.92 $2,204.20 $2,752.28 |
Toc - Plan #34 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2339 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.19 $374.77 $421.98 $589.72 $896.14 |
$582.79 $627.37 $674.58 $842.32 |
$835.39 $879.97 $927.18 $1,094.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.38 $749.54 $843.96 $1,179.44 $1,792.28 |
$912.98 $1,002.14 $1,096.56 $1,432.04 |
$1,165.58 $1,254.74 $1,349.16 $1,684.64 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #35 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.05 $414.32 $466.52 $651.95 $990.71 |
$644.30 $693.57 $745.77 $931.20 |
$923.55 $972.82 $1,025.02 $1,210.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.10 $828.64 $933.04 $1,303.90 $1,981.42 |
$1,009.35 $1,107.89 $1,212.29 $1,583.15 |
$1,288.60 $1,387.14 $1,491.54 $1,862.40 |
Toc - Plan #36 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.19 $308.92 $347.84 $486.11 $738.69 |
$480.41 $517.14 $556.06 $694.33 |
$688.63 $725.36 $764.28 $902.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.38 $617.84 $695.68 $972.22 $1,477.38 |
$752.60 $826.06 $903.90 $1,180.44 |
$960.82 $1,034.28 $1,112.12 $1,388.66 |
Toc - Plan #37 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.76 $340.21 $383.08 $535.35 $813.52 |
$529.07 $569.52 $612.39 $764.66 |
$758.38 $798.83 $841.70 $993.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.52 $680.42 $766.16 $1,070.70 $1,627.04 |
$828.83 $909.73 $995.47 $1,300.01 |
$1,058.14 $1,139.04 $1,224.78 $1,529.32 |
Toc - Plan #38 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.94 $418.74 $471.50 $658.91 $1,001.28 |
$651.17 $700.97 $753.73 $941.14 |
$933.40 $983.20 $1,035.96 $1,223.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.88 $837.48 $943.00 $1,317.82 $2,002.56 |
$1,020.11 $1,119.71 $1,225.23 $1,600.05 |
$1,302.34 $1,401.94 $1,507.46 $1,882.28 |
Toc - Plan #39 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.66 $332.16 $374.01 $522.68 $794.26 |
$516.54 $556.04 $597.89 $746.56 |
$740.42 $779.92 $821.77 $970.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.32 $664.32 $748.02 $1,045.36 $1,588.52 |
$809.20 $888.20 $971.90 $1,269.24 |
$1,033.08 $1,112.08 $1,195.78 $1,493.12 |
Toc - Plan #40 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.42 $380.69 $428.65 $599.04 $910.29 |
$592.01 $637.28 $685.24 $855.63 |
$848.60 $893.87 $941.83 $1,112.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.84 $761.38 $857.30 $1,198.08 $1,820.58 |
$927.43 $1,017.97 $1,113.89 $1,454.67 |
$1,184.02 $1,274.56 $1,370.48 $1,711.26 |
Toc - Plan #41 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.53 $413.73 $465.86 $651.03 $989.31 |
$643.39 $692.59 $744.72 $929.89 |
$922.25 $971.45 $1,023.58 $1,208.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.06 $827.46 $931.72 $1,302.06 $1,978.62 |
$1,007.92 $1,106.32 $1,210.58 $1,580.92 |
$1,286.78 $1,385.18 $1,489.44 $1,859.78 |
Toc - Plan #42 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.62 $417.24 $469.80 $656.55 $997.69 |
$648.84 $698.46 $751.02 $937.77 |
$930.06 $979.68 $1,032.24 $1,218.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.24 $834.48 $939.60 $1,313.10 $1,995.38 |
$1,016.46 $1,115.70 $1,220.82 $1,594.32 |
$1,297.68 $1,396.92 $1,502.04 $1,875.54 |
Toc - Plan #43 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.36 $395.37 $445.19 $622.15 $945.41 |
$614.84 $661.85 $711.67 $888.63 |
$881.32 $928.33 $978.15 $1,155.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.72 $790.74 $890.38 $1,244.30 $1,890.82 |
$963.20 $1,057.22 $1,156.86 $1,510.78 |
$1,229.68 $1,323.70 $1,423.34 $1,777.26 |
Toc - Plan #44 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.79 $419.70 $472.58 $660.42 $1,003.58 |
$652.67 $702.58 $755.46 $943.30 |
$935.55 $985.46 $1,038.34 $1,226.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.58 $839.40 $945.16 $1,320.84 $2,007.16 |
$1,022.46 $1,122.28 $1,228.04 $1,603.72 |
$1,305.34 $1,405.16 $1,510.92 $1,886.60 |
Toc - Plan #45 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.34 $460.04 $518.01 $723.91 $1,100.05 |
$715.41 $770.11 $828.08 $1,033.98 |
$1,025.48 $1,080.18 $1,138.15 $1,344.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.68 $920.08 $1,036.02 $1,447.82 $2,200.10 |
$1,120.75 $1,230.15 $1,346.09 $1,757.89 |
$1,430.82 $1,540.22 $1,656.16 $2,067.96 |
Toc - Plan #46 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.19 $325.94 $367.01 $512.90 $779.40 |
$506.88 $545.63 $586.70 $732.59 |
$726.57 $765.32 $806.39 $952.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.38 $651.88 $734.02 $1,025.80 $1,558.80 |
$794.07 $871.57 $953.71 $1,245.49 |
$1,013.76 $1,091.26 $1,173.40 $1,465.18 |
Toc - Plan #47 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.31 $413.48 $465.58 $650.64 $988.71 |
$643.00 $692.17 $744.27 $929.33 |
$921.69 $970.86 $1,022.96 $1,208.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.62 $826.96 $931.16 $1,301.28 $1,977.42 |
$1,007.31 $1,105.65 $1,209.85 $1,579.97 |
$1,286.00 $1,384.34 $1,488.54 $1,858.66 |
Toc - Plan #48 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.15 $387.20 $435.98 $609.28 $925.86 |
$602.12 $648.17 $696.95 $870.25 |
$863.09 $909.14 $957.92 $1,131.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.30 $774.40 $871.96 $1,218.56 $1,851.72 |
$943.27 $1,035.37 $1,132.93 $1,479.53 |
$1,204.24 $1,296.34 $1,393.90 $1,740.50 |
Toc - Plan #49 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.63 $434.27 $488.99 $683.36 $1,038.42 |
$675.33 $726.97 $781.69 $976.06 |
$968.03 $1,019.67 $1,074.39 $1,268.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.26 $868.54 $977.98 $1,366.72 $2,076.84 |
$1,057.96 $1,161.24 $1,270.68 $1,659.42 |
$1,350.66 $1,453.94 $1,563.38 $1,952.12 |
Toc - Plan #50 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.88 $352.83 $397.29 $555.21 $843.69 |
$548.69 $590.64 $635.10 $793.02 |
$786.50 $828.45 $872.91 $1,030.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.76 $705.66 $794.58 $1,110.42 $1,687.38 |
$859.57 $943.47 $1,032.39 $1,348.23 |
$1,097.38 $1,181.28 $1,270.20 $1,586.04 |
Toc - Plan #51 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.59 $429.68 $483.82 $676.14 $1,027.46 |
$668.20 $719.29 $773.43 $965.75 |
$957.81 $1,008.90 $1,063.04 $1,255.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.18 $859.36 $967.64 $1,352.28 $2,054.92 |
$1,046.79 $1,148.97 $1,257.25 $1,641.89 |
$1,336.40 $1,438.58 $1,546.86 $1,931.50 |
Toc - Plan #52 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.28 $320.38 $360.75 $504.14 $766.09 |
$498.22 $536.32 $576.69 $720.08 |
$714.16 $752.26 $792.63 $936.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564.56 $640.76 $721.50 $1,008.28 $1,532.18 |
$780.50 $856.70 $937.44 $1,224.22 |
$996.44 $1,072.64 $1,153.38 $1,440.16 |
Toc - Plan #53 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.05 $429.08 $483.14 $675.18 $1,026.01 |
$667.25 $718.28 $772.34 $964.38 |
$956.45 $1,007.48 $1,061.54 $1,253.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.10 $858.16 $966.28 $1,350.36 $2,052.02 |
$1,045.30 $1,147.36 $1,255.48 $1,639.56 |
$1,334.50 $1,436.56 $1,544.68 $1,928.76 |
Toc - Plan #54 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.50 $435.27 $490.11 $684.92 $1,040.80 |
$676.87 $728.64 $783.48 $978.29 |
$970.24 $1,022.01 $1,076.85 $1,271.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.00 $870.54 $980.22 $1,369.84 $2,081.60 |
$1,060.37 $1,163.91 $1,273.59 $1,663.21 |
$1,353.74 $1,457.28 $1,566.96 $1,956.58 |
Toc - Plan #55 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.37 $477.11 $537.22 $750.76 $1,140.86 |
$741.95 $798.69 $858.80 $1,072.34 |
$1,063.53 $1,120.27 $1,180.38 $1,393.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.74 $954.22 $1,074.44 $1,501.52 $2,281.72 |
$1,162.32 $1,275.80 $1,396.02 $1,823.10 |
$1,483.90 $1,597.38 $1,717.60 $2,144.68 |
Toc - Plan #56 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.52 $344.48 $387.89 $542.07 $823.72 |
$535.70 $576.66 $620.07 $774.25 |
$767.88 $808.84 $852.25 $1,006.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.04 $688.96 $775.78 $1,084.14 $1,647.44 |
$839.22 $921.14 $1,007.96 $1,316.32 |
$1,071.40 $1,153.32 $1,240.14 $1,548.50 |
Toc - Plan #57 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.86 $394.81 $444.55 $621.26 $944.06 |
$613.96 $660.91 $710.65 $887.36 |
$880.06 $927.01 $976.75 $1,153.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.72 $789.62 $889.10 $1,242.52 $1,888.12 |
$961.82 $1,055.72 $1,155.20 $1,508.62 |
$1,227.92 $1,321.82 $1,421.30 $1,774.72 |
Toc - Plan #58 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.26 $432.71 $487.23 $680.90 $1,034.70 |
$672.91 $724.36 $778.88 $972.55 |
$964.56 $1,016.01 $1,070.53 $1,264.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.52 $865.42 $974.46 $1,361.80 $2,069.40 |
$1,054.17 $1,157.07 $1,266.11 $1,653.45 |
$1,345.82 $1,448.72 $1,557.76 $1,945.10 |
Toc - Plan #59 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.28 $410.04 $461.70 $645.22 $980.48 |
$637.65 $686.41 $738.07 $921.59 |
$914.02 $962.78 $1,014.44 $1,197.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.56 $820.08 $923.40 $1,290.44 $1,960.96 |
$998.93 $1,096.45 $1,199.77 $1,566.81 |
$1,275.30 $1,372.82 $1,476.14 $1,843.18 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1490 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$647.99 $735.47 $828.13 $1,157.31 $1,758.64 |
$1,143.70 $1,231.18 $1,323.84 $1,653.02 |
$1,639.41 $1,726.89 $1,819.55 $2,148.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,295.98 $1,470.94 $1,656.26 $2,314.62 $3,517.28 |
$1,791.69 $1,966.65 $2,151.97 $2,810.33 |
$2,287.40 $2,462.36 $2,647.68 $3,306.04 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.32 $520.19 $585.73 $818.56 $1,243.88 |
$808.93 $870.80 $936.34 $1,169.17 |
$1,159.54 $1,221.41 $1,286.95 $1,519.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.64 $1,040.38 $1,171.46 $1,637.12 $2,487.76 |
$1,267.25 $1,390.99 $1,522.07 $1,987.73 |
$1,617.86 $1,741.60 $1,872.68 $2,338.34 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1498 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$663.24 $752.78 $847.62 $1,184.55 $1,800.03 |
$1,170.62 $1,260.16 $1,355.00 $1,691.93 |
$1,678.00 $1,767.54 $1,862.38 $2,199.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,326.48 $1,505.56 $1,695.24 $2,369.10 $3,600.06 |
$1,833.86 $2,012.94 $2,202.62 $2,876.48 |
$2,341.24 $2,520.32 $2,710.00 $3,383.86 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$777.30 $882.24 $993.39 $1,388.26 $2,109.59 |
$1,371.93 $1,476.87 $1,588.02 $1,982.89 |
$1,966.56 $2,071.50 $2,182.65 $2,577.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,554.60 $1,764.48 $1,986.78 $2,776.52 $4,219.18 |
$2,149.23 $2,359.11 $2,581.41 $3,371.15 |
$2,743.86 $2,953.74 $3,176.04 $3,965.78 |
Toc - Plan #64 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.79 $551.37 $620.84 $867.62 $1,318.43 |
$857.42 $923.00 $992.47 $1,239.25 |
$1,229.05 $1,294.63 $1,364.10 $1,610.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.58 $1,102.74 $1,241.68 $1,735.24 $2,636.86 |
$1,343.21 $1,474.37 $1,613.31 $2,106.87 |
$1,714.84 $1,846.00 $1,984.94 $2,478.50 |
Toc - Plan #65 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$826.34 $937.90 $1,056.06 $1,475.84 $2,242.69 |
$1,458.49 $1,570.05 $1,688.21 $2,107.99 |
$2,090.64 $2,202.20 $2,320.36 $2,740.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,652.68 $1,875.80 $2,112.12 $2,951.68 $4,485.38 |
$2,284.83 $2,507.95 $2,744.27 $3,583.83 |
$2,916.98 $3,140.10 $3,376.42 $4,215.98 |
Toc - Plan #66 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1477 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$597.66 $678.34 $763.81 $1,067.42 $1,622.05 |
$1,054.87 $1,135.55 $1,221.02 $1,524.63 |
$1,512.08 $1,592.76 $1,678.23 $1,981.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,195.32 $1,356.68 $1,527.62 $2,134.84 $3,244.10 |
$1,652.53 $1,813.89 $1,984.83 $2,592.05 |
$2,109.74 $2,271.10 $2,442.04 $3,049.26 |
Toc - Plan #67 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1565 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$729.09 $827.52 $931.78 $1,302.15 $1,978.75 |
$1,286.84 $1,385.27 $1,489.53 $1,859.90 |
$1,844.59 $1,943.02 $2,047.28 $2,417.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,458.18 $1,655.04 $1,863.56 $2,604.30 $3,957.50 |
$2,015.93 $2,212.79 $2,421.31 $3,162.05 |
$2,573.68 $2,770.54 $2,979.06 $3,719.80 |
Toc - Plan #68 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze (HSA) 1765 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.75 $526.36 $592.67 $828.26 $1,258.62 |
$818.52 $881.13 $947.44 $1,183.03 |
$1,173.29 $1,235.90 $1,302.21 $1,537.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.50 $1,052.72 $1,185.34 $1,656.52 $2,517.24 |
$1,282.27 $1,407.49 $1,540.11 $2,011.29 |
$1,637.04 $1,762.26 $1,894.88 $2,366.06 |
Toc - Plan #69 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1865 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$697.78 $791.98 $891.76 $1,246.24 $1,893.77 |
$1,231.58 $1,325.78 $1,425.56 $1,780.04 |
$1,765.38 $1,859.58 $1,959.36 $2,313.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,395.56 $1,583.96 $1,783.52 $2,492.48 $3,787.54 |
$1,929.36 $2,117.76 $2,317.32 $3,026.28 |
$2,463.16 $2,651.56 $2,851.12 $3,560.08 |
Toc - Plan #70 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2179 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.20 $598.37 $673.76 $941.58 $1,430.82 |
$930.51 $1,001.68 $1,077.07 $1,344.89 |
$1,333.82 $1,404.99 $1,480.38 $1,748.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.40 $1,196.74 $1,347.52 $1,883.16 $2,861.64 |
$1,457.71 $1,600.05 $1,750.83 $2,286.47 |
$1,861.02 $2,003.36 $2,154.14 $2,689.78 |
Toc - Plan #71 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2361S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.78 $491.21 $553.09 $772.95 $1,174.56 |
$763.86 $822.29 $884.17 $1,104.03 |
$1,094.94 $1,153.37 $1,215.25 $1,435.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$865.56 $982.42 $1,106.18 $1,545.90 $2,349.12 |
$1,196.64 $1,313.50 $1,437.26 $1,876.98 |
$1,527.72 $1,644.58 $1,768.34 $2,208.06 |
Toc - Plan #72 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2362S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$476.79 $541.16 $609.34 $851.55 $1,294.01 |
$841.53 $905.90 $974.08 $1,216.29 |
$1,206.27 $1,270.64 $1,338.82 $1,581.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$953.58 $1,082.32 $1,218.68 $1,703.10 $2,588.02 |
$1,318.32 $1,447.06 $1,583.42 $2,067.84 |
$1,683.06 $1,811.80 $1,948.16 $2,432.58 |
Toc - Plan #73 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2363S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$640.99 $727.52 $819.19 $1,144.81 $1,739.65 |
$1,131.35 $1,217.88 $1,309.55 $1,635.17 |
$1,621.71 $1,708.24 $1,799.91 $2,125.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,281.98 $1,455.04 $1,638.38 $2,289.62 $3,479.30 |
$1,772.34 $1,945.40 $2,128.74 $2,779.98 |
$2,262.70 $2,435.76 $2,619.10 $3,270.34 |
Toc - Plan #74 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2364S ($30 PCP Visit / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$660.84 $750.05 $844.55 $1,180.26 $1,793.52 |
$1,166.38 $1,255.59 $1,350.09 $1,685.80 |
$1,671.92 $1,761.13 $1,855.63 $2,191.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,321.68 $1,500.10 $1,689.10 $2,360.52 $3,587.04 |
$1,827.22 $2,005.64 $2,194.64 $2,866.06 |
$2,332.76 $2,511.18 $2,700.18 $3,371.60 |
Toc - Plan #75 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2365S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$824.07 $935.32 $1,053.16 $1,471.79 $2,236.53 |
$1,454.48 $1,565.73 $1,683.57 $2,102.20 |
$2,084.89 $2,196.14 $2,313.98 $2,732.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,648.14 $1,870.64 $2,106.32 $2,943.58 $4,473.06 |
$2,278.55 $2,501.05 $2,736.73 $3,573.99 |
$2,908.96 $3,131.46 $3,367.14 $4,204.40 |
Toc - Plan #76 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2379 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.83 $578.66 $651.56 $910.56 $1,383.68 |
$899.85 $968.68 $1,041.58 $1,300.58 |
$1,289.87 $1,358.70 $1,431.60 $1,690.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,019.66 $1,157.32 $1,303.12 $1,821.12 $2,767.36 |
$1,409.68 $1,547.34 $1,693.14 $2,211.14 |
$1,799.70 $1,937.36 $2,083.16 $2,601.16 |
ADVERTISEMENT
Health First Commercial Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771 |
Toc - Plan #77 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Gym Access HSA 1658 (HSA Qualified, $0 Preventive Care, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.27 $349.88 $393.97 $550.57 $836.64 |
$544.10 $585.71 $629.80 $786.40 |
$779.93 $821.54 $865.63 $1,022.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.54 $699.76 $787.94 $1,101.14 $1,673.28 |
$852.37 $935.59 $1,023.77 $1,336.97 |
$1,088.20 $1,171.42 $1,259.60 $1,572.80 |
Toc - Plan #78 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Gym Access 1664 (Primary Care & Specialist Copays, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.61 $429.72 $483.86 $676.20 $1,027.55 |
$668.25 $719.36 $773.50 $965.84 |
$957.89 $1,009.00 $1,063.14 $1,255.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.22 $859.44 $967.72 $1,352.40 $2,055.10 |
$1,046.86 $1,149.08 $1,257.36 $1,642.04 |
$1,336.50 $1,438.72 $1,547.00 $1,931.68 |
Toc - Plan #79 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Gym Access 1688 ($0 Preventive Care, $2 Tier 1 Perscriptions, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.88 $425.48 $479.09 $669.53 $1,017.41 |
$661.66 $712.26 $765.87 $956.31 |
$948.44 $999.04 $1,052.65 $1,243.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.76 $850.96 $958.18 $1,339.06 $2,034.82 |
$1,036.54 $1,137.74 $1,244.96 $1,625.84 |
$1,323.32 $1,424.52 $1,531.74 $1,912.62 |
Toc - Plan #80 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access 1736 (Primary Care & Urgent Care Copay, 0% Coinsurance, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.78 $467.37 $526.25 $735.44 $1,117.57 |
$726.79 $782.38 $841.26 $1,050.45 |
$1,041.80 $1,097.39 $1,156.27 $1,365.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.56 $934.74 $1,052.50 $1,470.88 $2,235.14 |
$1,138.57 $1,249.75 $1,367.51 $1,785.89 |
$1,453.58 $1,564.76 $1,682.52 $2,100.90 |
Toc - Plan #81 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access 1740 (Low Copays, $0 Outpatient Labs, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.81 $452.65 $509.68 $712.28 $1,082.37 |
$703.90 $757.74 $814.77 $1,017.37 |
$1,008.99 $1,062.83 $1,119.86 $1,322.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.62 $905.30 $1,019.36 $1,424.56 $2,164.74 |
$1,102.71 $1,210.39 $1,324.45 $1,729.65 |
$1,407.80 $1,515.48 $1,629.54 $2,034.74 |
Toc - Plan #82 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.29 $477.03 $537.14 $750.64 $1,140.68 |
$741.81 $798.55 $858.66 $1,072.16 |
$1,063.33 $1,120.07 $1,180.18 $1,393.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.58 $954.06 $1,074.28 $1,501.28 $2,281.36 |
$1,162.10 $1,275.58 $1,395.80 $1,822.80 |
$1,483.62 $1,597.10 $1,717.32 $2,144.32 |
Toc - Plan #83 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Gym Access HSA 1744 (Low Deductible, Low Out of Pocket Maximum, HSA Qualified, $0 Preventive Care, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.87 $464.06 $522.53 $730.24 $1,109.66 |
$721.65 $776.84 $835.31 $1,043.02 |
$1,034.43 $1,089.62 $1,148.09 $1,355.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.74 $928.12 $1,045.06 $1,460.48 $2,219.32 |
$1,130.52 $1,240.90 $1,357.84 $1,773.26 |
$1,443.30 $1,553.68 $1,670.62 $2,086.04 |
Toc - Plan #84 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic Gym Access 1746 (Primary Care Copay, $0 Preventive Care, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$166.33 $188.78 $212.57 $297.06 $451.42 |
$293.57 $316.02 $339.81 $424.30 |
$420.81 $443.26 $467.05 $551.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$332.66 $377.56 $425.14 $594.12 $902.84 |
$459.90 $504.80 $552.38 $721.36 |
$587.14 $632.04 $679.62 $848.60 |
Toc - Plan #85 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Gym Access 1796 (Primary Care & Specialist Copays, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.51 $337.67 $380.22 $531.35 $807.44 |
$525.10 $565.26 $607.81 $758.94 |
$752.69 $792.85 $835.40 $986.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.02 $675.34 $760.44 $1,062.70 $1,614.88 |
$822.61 $902.93 $988.03 $1,290.29 |
$1,050.20 $1,130.52 $1,215.62 $1,517.88 |
Toc - Plan #86 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Gym Access 1656 (Primary Care & Urgent Care Copay, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access, Fitness Center Included) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.91 $354.02 $398.62 $557.07 $846.52 |
$550.52 $592.63 $637.23 $795.68 |
$789.13 $831.24 $875.84 $1,034.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.82 $708.04 $797.24 $1,114.14 $1,693.04 |
$862.43 $946.65 $1,035.85 $1,352.75 |
$1,101.04 $1,185.26 $1,274.46 $1,591.36 |
Toc - Plan #87 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 1750 (Unlimited Primary Care, Specialist & Urgent Care Copay Visits, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.97 $341.60 $384.64 $537.54 $816.84 |
$531.21 $571.84 $614.88 $767.78 |
$761.45 $802.08 $845.12 $998.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.94 $683.20 $769.28 $1,075.08 $1,633.68 |
$832.18 $913.44 $999.52 $1,305.32 |
$1,062.42 $1,143.68 $1,229.76 $1,535.56 |
Toc - Plan #88 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold 1770 (Low Primary Care, Specialist & Urgent Care Copay, $0 Preventive Care, $2 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.21 $453.10 $510.19 $712.99 $1,083.46 |
$704.61 $758.50 $815.59 $1,018.39 |
$1,010.01 $1,063.90 $1,120.99 $1,323.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.42 $906.20 $1,020.38 $1,425.98 $2,166.92 |
$1,103.82 $1,211.60 $1,325.78 $1,731.38 |
$1,409.22 $1,517.00 $1,631.18 $2,036.78 |
Toc - Plan #89 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Bronze
(HMO) Bronze 1774 ($0 Preventive Care, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.62 $328.72 $370.13 $517.26 $786.02 |
$511.18 $550.28 $591.69 $738.82 |
$732.74 $771.84 $813.25 $960.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.24 $657.44 $740.26 $1,034.52 $1,572.04 |
$800.80 $879.00 $961.82 $1,256.08 |
$1,022.36 $1,100.56 $1,183.38 $1,477.64 |
Toc - Plan #90 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze HSA 1794 (HSA Qualified, $0 Preventive Care, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.03 $346.21 $389.83 $544.79 $827.86 |
$538.38 $579.56 $623.18 $778.14 |
$771.73 $812.91 $856.53 $1,011.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.06 $692.42 $779.66 $1,089.58 $1,655.72 |
$843.41 $925.77 $1,013.01 $1,322.93 |
$1,076.76 $1,159.12 $1,246.36 $1,556.28 |
Toc - Plan #91 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver 1806 ($2,100 Deductible, $0 Preventive Care, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.11 $412.13 $464.06 $648.52 $985.48 |
$640.89 $689.91 $741.84 $926.30 |
$918.67 $967.69 $1,019.62 $1,204.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.22 $824.26 $928.12 $1,297.04 $1,970.96 |
$1,004.00 $1,102.04 $1,205.90 $1,574.82 |
$1,281.78 $1,379.82 $1,483.68 $1,852.60 |
Toc - Plan #92 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 1826 ($0 Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist, Urgent Care, Emergency Room & Hospitalization Copay, $0 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.78 $360.68 $406.12 $567.56 $862.46 |
$560.88 $603.78 $649.22 $810.66 |
$803.98 $846.88 $892.32 $1,053.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.56 $721.36 $812.24 $1,135.12 $1,724.92 |
$878.66 $964.46 $1,055.34 $1,378.22 |
$1,121.76 $1,207.56 $1,298.44 $1,621.32 |
Toc - Plan #93 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Bronze
(HMO) Bronze Standard 1827 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.83 $322.14 $362.73 $506.92 $770.31 |
$500.96 $539.27 $579.86 $724.05 |
$718.09 $756.40 $796.99 $941.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.66 $644.28 $725.46 $1,013.84 $1,540.62 |
$784.79 $861.41 $942.59 $1,230.97 |
$1,001.92 $1,078.54 $1,159.72 $1,448.10 |
Toc - Plan #94 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Standard 1828 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.20 $335.05 $377.27 $527.23 $801.18 |
$521.03 $560.88 $603.10 $753.06 |
$746.86 $786.71 $828.93 $978.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.40 $670.10 $754.54 $1,054.46 $1,602.36 |
$816.23 $895.93 $980.37 $1,280.29 |
$1,042.06 $1,121.76 $1,206.20 $1,506.12 |
Toc - Plan #95 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Standard 1829 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.99 $408.59 $460.06 $642.94 $977.01 |
$635.38 $683.98 $735.45 $918.33 |
$910.77 $959.37 $1,010.84 $1,193.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.98 $817.18 $920.12 $1,285.88 $1,954.02 |
$995.37 $1,092.57 $1,195.51 $1,561.27 |
$1,270.76 $1,367.96 $1,470.90 $1,836.66 |
Toc - Plan #96 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Standard 1833 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.96 $443.74 $499.65 $698.26 $1,061.07 |
$690.05 $742.83 $798.74 $997.35 |
$989.14 $1,041.92 $1,097.83 $1,296.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.92 $887.48 $999.30 $1,396.52 $2,122.14 |
$1,081.01 $1,186.57 $1,298.39 $1,695.61 |
$1,380.10 $1,485.66 $1,597.48 $1,994.70 |
Toc - Plan #97 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Value 1814 ($0 Preventive Care, High Value Network Savings, $3 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.48 $316.07 $355.89 $497.36 $755.79 |
$491.52 $529.11 $568.93 $710.40 |
$704.56 $742.15 $781.97 $923.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.96 $632.14 $711.78 $994.72 $1,511.58 |
$770.00 $845.18 $924.82 $1,207.76 |
$983.04 $1,058.22 $1,137.86 $1,420.80 |
Toc - Plan #98 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Value 1815 ($0 Preventive Care, $0 Virtual Primary Care, Virtual Specialist & Virtual Urgent Care Copays, High Value Network Savings, $3 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.92 $406.24 $457.42 $639.25 $971.40 |
$631.73 $680.05 $731.23 $913.06 |
$905.54 $953.86 $1,005.04 $1,186.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.84 $812.48 $914.84 $1,278.50 $1,942.80 |
$989.65 $1,086.29 $1,188.65 $1,552.31 |
$1,263.46 $1,360.10 $1,462.46 $1,826.12 |
Toc - Plan #99 Health First Commercial Plans, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Value 1819 ($1,600 Tier 1 Deductible, $0 Preventive Care, High Value Network Savings, $3 Tier 1 Prescriptions, Open Access) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-443-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.47 $435.24 $490.08 $684.88 $1,040.75 |
$676.83 $728.60 $783.44 $978.24 |
$970.19 $1,021.96 $1,076.80 $1,271.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.94 $870.48 $980.16 $1,369.76 $2,081.50 |
$1,060.30 $1,163.84 $1,273.52 $1,663.12 |
$1,353.66 $1,457.20 $1,566.88 $1,956.48 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #100 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.44 $340.98 $383.94 $536.56 $815.36 |
$530.27 $570.81 $613.77 $766.39 |
$760.10 $800.64 $843.60 $996.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.88 $681.96 $767.88 $1,073.12 $1,630.72 |
$830.71 $911.79 $997.71 $1,302.95 |
$1,060.54 $1,141.62 $1,227.54 $1,532.78 |
Toc - Plan #101 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.41 $330.74 $372.41 $520.44 $790.86 |
$514.33 $553.66 $595.33 $743.36 |
$737.25 $776.58 $818.25 $966.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.82 $661.48 $744.82 $1,040.88 $1,581.72 |
$805.74 $884.40 $967.74 $1,263.80 |
$1,028.66 $1,107.32 $1,190.66 $1,486.72 |
Toc - Plan #102 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.84 $402.73 $453.47 $633.73 $963.01 |
$626.28 $674.17 $724.91 $905.17 |
$897.72 $945.61 $996.35 $1,176.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.68 $805.46 $906.94 $1,267.46 $1,926.02 |
$981.12 $1,076.90 $1,178.38 $1,538.90 |
$1,252.56 $1,348.34 $1,449.82 $1,810.34 |
Toc - Plan #103 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.48 $447.72 $504.13 $704.52 $1,070.59 |
$696.25 $749.49 $805.90 $1,006.29 |
$998.02 $1,051.26 $1,107.67 $1,308.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.96 $895.44 $1,008.26 $1,409.04 $2,141.18 |
$1,090.73 $1,197.21 $1,310.03 $1,710.81 |
$1,392.50 $1,498.98 $1,611.80 $2,012.58 |
Toc - Plan #104 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.19 $445.12 $501.20 $700.43 $1,064.37 |
$692.21 $745.14 $801.22 $1,000.45 |
$992.23 $1,045.16 $1,101.24 $1,300.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.38 $890.24 $1,002.40 $1,400.86 $2,128.74 |
$1,084.40 $1,190.26 $1,302.42 $1,700.88 |
$1,384.42 $1,490.28 $1,602.44 $2,000.90 |
Toc - Plan #105 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.05 $448.37 $504.86 $705.55 $1,072.15 |
$697.26 $750.58 $807.07 $1,007.76 |
$999.47 $1,052.79 $1,109.28 $1,309.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.10 $896.74 $1,009.72 $1,411.10 $2,144.30 |
$1,092.31 $1,198.95 $1,311.93 $1,713.31 |
$1,394.52 $1,501.16 $1,614.14 $2,015.52 |
Toc - Plan #106 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$224.98 $255.34 $287.51 $401.79 $610.56 |
$397.08 $427.44 $459.61 $573.89 |
$569.18 $599.54 $631.71 $745.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$449.96 $510.68 $575.02 $803.58 $1,221.12 |
$622.06 $682.78 $747.12 $975.68 |
$794.16 $854.88 $919.22 $1,147.78 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+Specialist Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.92 $401.68 $452.29 $632.07 $960.50 |
$624.66 $672.42 $723.03 $902.81 |
$895.40 $943.16 $993.77 $1,173.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.84 $803.36 $904.58 $1,264.14 $1,921.00 |
$978.58 $1,074.10 $1,175.32 $1,534.88 |
$1,249.32 $1,344.84 $1,446.06 $1,805.62 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.65 $474.02 $533.75 $745.91 $1,133.48 |
$737.15 $793.52 $853.25 $1,065.41 |
$1,056.65 $1,113.02 $1,172.75 $1,384.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835.30 $948.04 $1,067.50 $1,491.82 $2,266.96 |
$1,154.80 $1,267.54 $1,387.00 $1,811.32 |
$1,474.30 $1,587.04 $1,706.50 $2,130.82 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.63 $353.69 $398.25 $556.55 $845.74 |
$550.02 $592.08 $636.64 $794.94 |
$788.41 $830.47 $875.03 $1,033.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.26 $707.38 $796.50 $1,113.10 $1,691.48 |
$861.65 $945.77 $1,034.89 $1,351.49 |
$1,100.04 $1,184.16 $1,273.28 $1,589.88 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.62 $444.47 $500.47 $699.41 $1,062.82 |
$691.20 $744.05 $800.05 $998.99 |
$990.78 $1,043.63 $1,099.63 $1,298.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.24 $888.94 $1,000.94 $1,398.82 $2,125.64 |
$1,082.82 $1,188.52 $1,300.52 $1,698.40 |
$1,382.40 $1,488.10 $1,600.10 $1,997.98 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.64 $453.58 $510.73 $713.74 $1,084.60 |
$705.36 $759.30 $816.45 $1,019.46 |
$1,011.08 $1,065.02 $1,122.17 $1,325.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.28 $907.16 $1,021.46 $1,427.48 $2,169.20 |
$1,105.00 $1,212.88 $1,327.18 $1,733.20 |
$1,410.72 $1,518.60 $1,632.90 $2,038.92 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.51 $456.84 $514.40 $718.87 $1,092.39 |
$710.42 $764.75 $822.31 $1,026.78 |
$1,018.33 $1,072.66 $1,130.22 $1,334.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.02 $913.68 $1,028.80 $1,437.74 $2,184.78 |
$1,112.93 $1,221.59 $1,336.71 $1,745.65 |
$1,420.84 $1,529.50 $1,644.62 $2,053.56 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.95 $351.78 $396.10 $553.55 $841.18 |
$547.05 $588.88 $633.20 $790.65 |
$784.15 $825.98 $870.30 $1,027.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.90 $703.56 $792.20 $1,107.10 $1,682.36 |
$857.00 $940.66 $1,029.30 $1,344.20 |
$1,094.10 $1,177.76 $1,266.40 $1,581.30 |
Toc - Plan #114 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.04 $362.10 $407.73 $569.80 $865.86 |
$563.10 $606.16 $651.79 $813.86 |
$807.16 $850.22 $895.85 $1,057.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.08 $724.20 $815.46 $1,139.60 $1,731.72 |
$882.14 $968.26 $1,059.52 $1,383.66 |
$1,126.20 $1,212.32 $1,303.58 $1,627.72 |
Toc - Plan #115 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.75 $441.23 $496.82 $694.30 $1,055.05 |
$686.14 $738.62 $794.21 $991.69 |
$983.53 $1,036.01 $1,091.60 $1,289.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.50 $882.46 $993.64 $1,388.60 $2,110.10 |
$1,074.89 $1,179.85 $1,291.03 $1,685.99 |
$1,372.28 $1,477.24 $1,588.42 $1,983.38 |
Toc - Plan #116 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.24 $458.80 $516.60 $721.95 $1,097.07 |
$713.47 $768.03 $825.83 $1,031.18 |
$1,022.70 $1,077.26 $1,135.06 $1,340.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.48 $917.60 $1,033.20 $1,443.90 $2,194.14 |
$1,117.71 $1,226.83 $1,342.43 $1,753.13 |
$1,426.94 $1,536.06 $1,651.66 $2,062.36 |
Toc - Plan #117 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.48 $447.72 $504.13 $704.52 $1,070.59 |
$696.25 $749.49 $805.90 $1,006.29 |
$998.02 $1,051.26 $1,107.67 $1,308.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.96 $895.44 $1,008.26 $1,409.04 $2,141.18 |
$1,090.73 $1,197.21 $1,310.03 $1,710.81 |
$1,392.50 $1,498.98 $1,611.80 $2,012.58 |
Toc - Plan #118 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.87 $519.67 $585.15 $817.74 $1,242.64 |
$808.13 $869.93 $935.41 $1,168.00 |
$1,158.39 $1,220.19 $1,285.67 $1,518.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.74 $1,039.34 $1,170.30 $1,635.48 $2,485.28 |
$1,266.00 $1,389.60 $1,520.56 $1,985.74 |
$1,616.26 $1,739.86 $1,870.82 $2,336.00 |
Toc - Plan #119 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.71 $486.57 $547.88 $765.66 $1,163.49 |
$756.67 $814.53 $875.84 $1,093.62 |
$1,084.63 $1,142.49 $1,203.80 $1,421.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.42 $973.14 $1,095.76 $1,531.32 $2,326.98 |
$1,185.38 $1,301.10 $1,423.72 $1,859.28 |
$1,513.34 $1,629.06 $1,751.68 $2,187.24 |
Toc - Plan #120 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.61 $392.26 $441.68 $617.25 $937.96 |
$610.00 $656.65 $706.07 $881.64 |
$874.39 $921.04 $970.46 $1,146.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.22 $784.52 $883.36 $1,234.50 $1,875.92 |
$955.61 $1,048.91 $1,147.75 $1,498.89 |
$1,220.00 $1,313.30 $1,412.14 $1,763.28 |
Toc - Plan #121 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.33 $446.42 $502.67 $702.48 $1,067.48 |
$694.22 $747.31 $803.56 $1,003.37 |
$995.11 $1,048.20 $1,104.45 $1,304.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.66 $892.84 $1,005.34 $1,404.96 $2,134.96 |
$1,087.55 $1,193.73 $1,306.23 $1,705.85 |
$1,388.44 $1,494.62 $1,607.12 $2,006.74 |
Toc - Plan #122 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.86 $358.49 $403.65 $564.10 $857.21 |
$557.48 $600.11 $645.27 $805.72 |
$799.10 $841.73 $886.89 $1,047.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.72 $716.98 $807.30 $1,128.20 $1,714.42 |
$873.34 $958.60 $1,048.92 $1,369.82 |
$1,114.96 $1,200.22 $1,290.54 $1,611.44 |
Toc - Plan #123 Oscar Insurance Company of Florida | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.94 $315.44 $355.19 $496.37 $754.29 |
$490.55 $528.05 $567.80 $708.98 |
$703.16 $740.66 $780.41 $921.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555.88 $630.88 $710.38 $992.74 $1,508.58 |
$768.49 $843.49 $922.99 $1,205.35 |
$981.10 $1,056.10 $1,135.60 $1,417.96 |
Toc - Plan #124 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.33 $441.87 $497.55 $695.32 $1,056.61 |
$687.16 $739.70 $795.38 $993.15 |
$984.99 $1,037.53 $1,093.21 $1,290.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.66 $883.74 $995.10 $1,390.64 $2,113.22 |
$1,076.49 $1,181.57 $1,292.93 $1,688.47 |
$1,374.32 $1,479.40 $1,590.76 $1,986.30 |
Toc - Plan #125 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.27 $452.03 $508.98 $711.30 $1,080.88 |
$702.94 $756.70 $813.65 $1,015.97 |
$1,007.61 $1,061.37 $1,118.32 $1,320.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.54 $904.06 $1,017.96 $1,422.60 $2,161.76 |
$1,101.21 $1,208.73 $1,322.63 $1,727.27 |
$1,405.88 $1,513.40 $1,627.30 $2,031.94 |
ADVERTISEMENT
Florida Health Care PlansLocal: 1-386-676-7110 | Toll Free: 1-800-232-0578 | TTY: 1-800-955-8771 |
Toc - Plan #126 Florida Health Care Plans | ||||||||||||||||||||
Catastrophic
(HMO) Gym Access IND Essential Plus Catastrophic HMO 36 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$216.49 $245.72 $276.67 $386.65 $587.55 |
$382.10 $411.33 $442.28 $552.26 |
$547.71 $576.94 $607.89 $717.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$432.98 $491.44 $553.34 $773.30 $1,175.10 |
$598.59 $657.05 $718.95 $938.91 |
$764.20 $822.66 $884.56 $1,104.52 |
Toc - Plan #127 Florida Health Care Plans | ||||||||||||||||||||
Catastrophic
(POS) Gym Access IND Essential Plus Catastrophic POS 37 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233.81 $265.37 $298.81 $417.58 $634.56 |
$412.67 $444.23 $477.67 $596.44 |
$591.53 $623.09 $656.53 $775.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$467.62 $530.74 $597.62 $835.16 $1,269.12 |
$646.48 $709.60 $776.48 $1,014.02 |
$825.34 $888.46 $955.34 $1,192.88 |
Toc - Plan #128 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Essential Plus Silver HMO 53 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.54 $434.18 $488.89 $683.22 $1,038.21 |
$675.18 $726.82 $781.53 $975.86 |
$967.82 $1,019.46 $1,074.17 $1,268.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.08 $868.36 $977.78 $1,366.44 $2,076.42 |
$1,057.72 $1,161.00 $1,270.42 $1,659.08 |
$1,350.36 $1,453.64 $1,563.06 $1,951.72 |
Toc - Plan #129 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Essential Plus Gold HMO 63 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.07 $475.64 $535.57 $748.46 $1,137.36 |
$739.66 $796.23 $856.16 $1,069.05 |
$1,060.25 $1,116.82 $1,176.75 $1,389.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.14 $951.28 $1,071.14 $1,496.92 $2,274.72 |
$1,158.73 $1,271.87 $1,391.73 $1,817.51 |
$1,479.32 $1,592.46 $1,712.32 $2,138.10 |
Toc - Plan #130 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Essential Plus Platinum HMO 65 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$573.61 $651.05 $733.07 $1,024.47 $1,556.78 |
$1,012.42 $1,089.86 $1,171.88 $1,463.28 |
$1,451.23 $1,528.67 $1,610.69 $1,902.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,147.22 $1,302.10 $1,466.14 $2,048.94 $3,113.56 |
$1,586.03 $1,740.91 $1,904.95 $2,487.75 |
$2,024.84 $2,179.72 $2,343.76 $2,926.56 |
Toc - Plan #131 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Essential Plus Silver POS 54 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.21 $447.43 $503.80 $704.06 $1,069.89 |
$695.78 $749.00 $805.37 $1,005.63 |
$997.35 $1,050.57 $1,106.94 $1,307.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.42 $894.86 $1,007.60 $1,408.12 $2,139.78 |
$1,089.99 $1,196.43 $1,309.17 $1,709.69 |
$1,391.56 $1,498.00 $1,610.74 $2,011.26 |
Toc - Plan #132 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$568.93 $645.74 $727.09 $1,016.11 $1,544.08 |
$1,004.16 $1,080.97 $1,162.32 $1,451.34 |
$1,439.39 $1,516.20 $1,597.55 $1,886.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,137.86 $1,291.48 $1,454.18 $2,032.22 $3,088.16 |
$1,573.09 $1,726.71 $1,889.41 $2,467.45 |
$2,008.32 $2,161.94 $2,324.64 $2,902.68 |
Toc - Plan #133 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$614.44 $697.39 $785.25 $1,097.39 $1,667.59 |
$1,084.49 $1,167.44 $1,255.30 $1,567.44 |
$1,554.54 $1,637.49 $1,725.35 $2,037.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,228.88 $1,394.78 $1,570.50 $2,194.78 $3,335.18 |
$1,698.93 $1,864.83 $2,040.55 $2,664.83 |
$2,168.98 $2,334.88 $2,510.60 $3,134.88 |
Toc - Plan #134 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO 55001 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.43 $480.59 $541.14 $756.25 $1,149.19 |
$747.35 $804.51 $865.06 $1,080.17 |
$1,071.27 $1,128.43 $1,188.98 $1,404.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.86 $961.18 $1,082.28 $1,512.50 $2,298.38 |
$1,170.78 $1,285.10 $1,406.20 $1,836.42 |
$1,494.70 $1,609.02 $1,730.12 $2,160.34 |
Toc - Plan #135 Florida Health Care Plans | ||||||||||||||||||||
Gold
(POS) Gym Access IND Gold POS 55001 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.30 $519.04 $584.43 $816.74 $1,241.11 |
$807.13 $868.87 $934.26 $1,166.57 |
$1,156.96 $1,218.70 $1,284.09 $1,516.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$914.60 $1,038.08 $1,168.86 $1,633.48 $2,482.22 |
$1,264.43 $1,387.91 $1,518.69 $1,983.31 |
$1,614.26 $1,737.74 $1,868.52 $2,333.14 |
Toc - Plan #136 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO 4500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.67 $478.60 $538.89 $753.10 $1,144.41 |
$744.25 $801.18 $861.47 $1,075.68 |
$1,066.83 $1,123.76 $1,184.05 $1,398.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.34 $957.20 $1,077.78 $1,506.20 $2,288.82 |
$1,165.92 $1,279.78 $1,400.36 $1,828.78 |
$1,488.50 $1,602.36 $1,722.94 $2,151.36 |
Toc - Plan #137 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO HSA 5065 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.97 $334.79 $376.97 $526.82 $800.55 |
$520.62 $560.44 $602.62 $752.47 |
$746.27 $786.09 $828.27 $978.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.94 $669.58 $753.94 $1,053.64 $1,601.10 |
$815.59 $895.23 $979.59 $1,279.29 |
$1,041.24 $1,120.88 $1,205.24 $1,504.94 |
Toc - Plan #138 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO HSA 6060 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.92 $332.46 $374.35 $523.16 $794.98 |
$517.00 $556.54 $598.43 $747.24 |
$741.08 $780.62 $822.51 $971.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.84 $664.92 $748.70 $1,046.32 $1,589.96 |
$809.92 $889.00 $972.78 $1,270.40 |
$1,034.00 $1,113.08 $1,196.86 $1,494.48 |
Toc - Plan #139 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO BC 3841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.39 $346.62 $390.29 $545.43 $828.83 |
$539.01 $580.24 $623.91 $779.05 |
$772.63 $813.86 $857.53 $1,012.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.78 $693.24 $780.58 $1,090.86 $1,657.66 |
$844.40 $926.86 $1,014.20 $1,324.48 |
$1,078.02 $1,160.48 $1,247.82 $1,558.10 |
Toc - Plan #140 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(POS) Gym Access IND Bronze POS BC 3841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.82 $374.35 $421.51 $589.06 $895.13 |
$582.13 $626.66 $673.82 $841.37 |
$834.44 $878.97 $926.13 $1,093.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.64 $748.70 $843.02 $1,178.12 $1,790.26 |
$911.95 $1,001.01 $1,095.33 $1,430.43 |
$1,164.26 $1,253.32 $1,347.64 $1,682.74 |
Toc - Plan #141 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO BC 0941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.78 $420.84 $473.86 $662.21 $1,006.30 |
$654.43 $704.49 $757.51 $945.86 |
$938.08 $988.14 $1,041.16 $1,229.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.56 $841.68 $947.72 $1,324.42 $2,012.60 |
$1,025.21 $1,125.33 $1,231.37 $1,608.07 |
$1,308.86 $1,408.98 $1,515.02 $1,891.72 |
Toc - Plan #142 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Silver POS BC 0941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.45 $454.51 $511.78 $715.20 $1,086.82 |
$706.79 $760.85 $818.12 $1,021.54 |
$1,013.13 $1,067.19 $1,124.46 $1,327.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.90 $909.02 $1,023.56 $1,430.40 $2,173.64 |
$1,107.24 $1,215.36 $1,329.90 $1,736.74 |
$1,413.58 $1,521.70 $1,636.24 $2,043.08 |
Toc - Plan #143 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO BC 7741 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.31 $416.90 $469.42 $656.02 $996.88 |
$648.30 $697.89 $750.41 $937.01 |
$929.29 $978.88 $1,031.40 $1,218.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.62 $833.80 $938.84 $1,312.04 $1,993.76 |
$1,015.61 $1,114.79 $1,219.83 $1,593.03 |
$1,296.60 $1,395.78 $1,500.82 $1,874.02 |
Toc - Plan #144 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Silver POS BC 7741 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.69 $450.24 $506.97 $708.49 $1,076.62 |
$700.16 $753.71 $810.44 $1,011.96 |
$1,003.63 $1,057.18 $1,113.91 $1,315.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.38 $900.48 $1,013.94 $1,416.98 $2,153.24 |
$1,096.85 $1,203.95 $1,317.41 $1,720.45 |
$1,400.32 $1,507.42 $1,620.88 $2,023.92 |
Toc - Plan #145 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO BC 5651 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.93 $499.32 $562.23 $785.71 $1,193.97 |
$776.48 $835.87 $898.78 $1,122.26 |
$1,113.03 $1,172.42 $1,235.33 $1,458.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.86 $998.64 $1,124.46 $1,571.42 $2,387.94 |
$1,216.41 $1,335.19 $1,461.01 $1,907.97 |
$1,552.96 $1,671.74 $1,797.56 $2,244.52 |
Toc - Plan #146 Florida Health Care Plans | ||||||||||||||||||||
Gold
(POS) Gym Access IND Gold POS BC 5651 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.27 $539.43 $607.40 $848.83 $1,289.88 |
$838.85 $903.01 $970.98 $1,212.41 |
$1,202.43 $1,266.59 $1,334.56 $1,575.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.54 $1,078.86 $1,214.80 $1,697.66 $2,579.76 |
$1,314.12 $1,442.44 $1,578.38 $2,061.24 |
$1,677.70 $1,806.02 $1,941.96 $2,424.82 |
Toc - Plan #147 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO BC 5841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$565.33 $641.65 $722.49 $1,009.68 $1,534.31 |
$997.81 $1,074.13 $1,154.97 $1,442.16 |
$1,430.29 $1,506.61 $1,587.45 $1,874.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,130.66 $1,283.30 $1,444.98 $2,019.36 $3,068.62 |
$1,563.14 $1,715.78 $1,877.46 $2,451.84 |
$1,995.62 $2,148.26 $2,309.94 $2,884.32 |
Toc - Plan #148 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS BC 5841 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$610.56 $692.99 $780.30 $1,090.46 $1,657.06 |
$1,077.64 $1,160.07 $1,247.38 $1,557.54 |
$1,544.72 $1,627.15 $1,714.46 $2,024.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,221.12 $1,385.98 $1,560.60 $2,180.92 $3,314.12 |
$1,688.20 $1,853.06 $2,027.68 $2,648.00 |
$2,155.28 $2,320.14 $2,494.76 $3,115.08 |
Toc - Plan #149 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO BC 1941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$583.84 $662.66 $746.15 $1,042.74 $1,584.54 |
$1,030.48 $1,109.30 $1,192.79 $1,489.38 |
$1,477.12 $1,555.94 $1,639.43 $1,936.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,167.68 $1,325.32 $1,492.30 $2,085.48 $3,169.08 |
$1,614.32 $1,771.96 $1,938.94 $2,532.12 |
$2,060.96 $2,218.60 $2,385.58 $2,978.76 |
Toc - Plan #150 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS BC 1941 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$630.55 $715.67 $805.84 $1,126.16 $1,711.31 |
$1,112.92 $1,198.04 $1,288.21 $1,608.53 |
$1,595.29 $1,680.41 $1,770.58 $2,090.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,261.10 $1,431.34 $1,611.68 $2,252.32 $3,422.62 |
$1,743.47 $1,913.71 $2,094.05 $2,734.69 |
$2,225.84 $2,396.08 $2,576.42 $3,217.06 |
Toc - Plan #151 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO 91 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$579.51 $657.74 $740.61 $1,035.00 $1,572.79 |
$1,022.84 $1,101.07 $1,183.94 $1,478.33 |
$1,466.17 $1,544.40 $1,627.27 $1,921.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,159.02 $1,315.48 $1,481.22 $2,070.00 $3,145.58 |
$1,602.35 $1,758.81 $1,924.55 $2,513.33 |
$2,045.68 $2,202.14 $2,367.88 $2,956.66 |
Toc - Plan #152 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze Standardized HMO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.22 $346.42 $390.07 $545.12 $828.37 |
$538.71 $579.91 $623.56 $778.61 |
$772.20 $813.40 $857.05 $1,012.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.44 $692.84 $780.14 $1,090.24 $1,656.74 |
$843.93 $926.33 $1,013.63 $1,323.73 |
$1,077.42 $1,159.82 $1,247.12 $1,557.22 |
Toc - Plan #153 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver Standardized HMO 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.81 $461.73 $519.90 $726.56 $1,104.08 |
$718.02 $772.94 $831.11 $1,037.77 |
$1,029.23 $1,084.15 $1,142.32 $1,348.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.62 $923.46 $1,039.80 $1,453.12 $2,208.16 |
$1,124.83 $1,234.67 $1,351.01 $1,764.33 |
$1,436.04 $1,545.88 $1,662.22 $2,075.54 |
Toc - Plan #154 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO 1340 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.33 $329.52 $371.04 $518.53 $787.96 |
$512.43 $551.62 $593.14 $740.63 |
$734.53 $773.72 $815.24 $962.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.66 $659.04 $742.08 $1,037.06 $1,575.92 |
$802.76 $881.14 $964.18 $1,259.16 |
$1,024.86 $1,103.24 $1,186.28 $1,481.26 |
Toc - Plan #155 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO 1041 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.72 $341.32 $384.32 $537.09 $816.15 |
$530.77 $571.37 $614.37 $767.14 |
$760.82 $801.42 $844.42 $997.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.44 $682.64 $768.64 $1,074.18 $1,632.30 |
$831.49 $912.69 $998.69 $1,304.23 |
$1,061.54 $1,142.74 $1,228.74 $1,534.28 |
Toc - Plan #156 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(POS) Gym Access IND Bronze POS 1042 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.78 $368.63 $415.07 $580.06 $881.45 |
$573.24 $617.09 $663.53 $828.52 |
$821.70 $865.55 $911.99 $1,076.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.56 $737.26 $830.14 $1,160.12 $1,762.90 |
$898.02 $985.72 $1,078.60 $1,408.58 |
$1,146.48 $1,234.18 $1,327.06 $1,657.04 |
Toc - Plan #157 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO H.S.A 9010 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.51 $442.09 $497.79 $695.66 $1,057.13 |
$687.49 $740.07 $795.77 $993.64 |
$985.47 $1,038.05 $1,093.75 $1,291.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.02 $884.18 $995.58 $1,391.32 $2,114.26 |
$1,077.00 $1,182.16 $1,293.56 $1,689.30 |
$1,374.98 $1,480.14 $1,591.54 $1,987.28 |
Toc - Plan #158 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO OA 1211 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.25 $377.10 $424.62 $593.40 $901.73 |
$586.42 $631.27 $678.79 $847.57 |
$840.59 $885.44 $932.96 $1,101.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.50 $754.20 $849.24 $1,186.80 $1,803.46 |
$918.67 $1,008.37 $1,103.41 $1,440.97 |
$1,172.84 $1,262.54 $1,357.58 $1,695.14 |
Toc - Plan #159 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO OA 1009 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.85 $448.15 $504.62 $705.20 $1,071.62 |
$696.91 $750.21 $806.68 $1,007.26 |
$998.97 $1,052.27 $1,108.74 $1,309.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.70 $896.30 $1,009.24 $1,410.40 $2,143.24 |
$1,091.76 $1,198.36 $1,311.30 $1,712.46 |
$1,393.82 $1,500.42 $1,613.36 $2,014.52 |
Toc - Plan #160 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO OA 0928 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.81 $350.50 $394.66 $551.53 $838.11 |
$545.05 $586.74 $630.90 $787.77 |
$781.29 $822.98 $867.14 $1,024.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$617.62 $701.00 $789.32 $1,103.06 $1,676.22 |
$853.86 $937.24 $1,025.56 $1,339.30 |
$1,090.10 $1,173.48 $1,261.80 $1,575.54 |
Toc - Plan #161 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO OA 28 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.37 $505.49 $569.18 $795.43 $1,208.73 |
$786.08 $846.20 $909.89 $1,136.14 |
$1,126.79 $1,186.91 $1,250.60 $1,476.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890.74 $1,010.98 $1,138.36 $1,590.86 $2,417.46 |
$1,231.45 $1,351.69 $1,479.07 $1,931.57 |
$1,572.16 $1,692.40 $1,819.78 $2,272.28 |
Toc - Plan #162 Florida Health Care Plans | ||||||||||||||||||||
Bronze
(HMO) Gym Access IND Bronze HMO OA Standard 2440 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.48 $325.15 $366.12 $511.65 $777.51 |
$505.64 $544.31 $585.28 $730.81 |
$724.80 $763.47 $804.44 $949.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.96 $650.30 $732.24 $1,023.30 $1,555.02 |
$792.12 $869.46 $951.40 $1,242.46 |
$1,011.28 $1,088.62 $1,170.56 $1,461.62 |
Toc - Plan #163 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Gym Access IND Bronze HMO OA Standard 2450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.57 $345.69 $389.24 $543.96 $826.60 |
$537.57 $578.69 $622.24 $776.96 |
$770.57 $811.69 $855.24 $1,009.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.14 $691.38 $778.48 $1,087.92 $1,653.20 |
$842.14 $924.38 $1,011.48 $1,320.92 |
$1,075.14 $1,157.38 $1,244.48 $1,553.92 |
Toc - Plan #164 Florida Health Care Plans | ||||||||||||||||||||
Silver
(HMO) Gym Access IND Silver HMO OA Standard 1440 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.80 $415.18 $467.49 $653.32 $992.78 |
$645.64 $695.02 $747.33 $933.16 |
$925.48 $974.86 $1,027.17 $1,213.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.60 $830.36 $934.98 $1,306.64 $1,985.56 |
$1,011.44 $1,110.20 $1,214.82 $1,586.48 |
$1,291.28 $1,390.04 $1,494.66 $1,866.32 |
Toc - Plan #165 Florida Health Care Plans | ||||||||||||||||||||
Gold
(HMO) Gym Access IND Gold HMO OA Standard 3450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.96 $446.01 $502.20 $701.83 $1,066.49 |
$693.57 $746.62 $802.81 $1,002.44 |
$994.18 $1,047.23 $1,103.42 $1,303.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.92 $892.02 $1,004.40 $1,403.66 $2,132.98 |
$1,086.53 $1,192.63 $1,305.01 $1,704.27 |
$1,387.14 $1,493.24 $1,605.62 $2,004.88 |
Toc - Plan #166 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(HMO) Gym Access IND Platinum HMO OA Standard 4450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$570.01 $646.96 $728.47 $1,018.04 $1,547.01 |
$1,006.07 $1,083.02 $1,164.53 $1,454.10 |
$1,442.13 $1,519.08 $1,600.59 $1,890.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,140.02 $1,293.92 $1,456.94 $2,036.08 $3,094.02 |
$1,576.08 $1,729.98 $1,893.00 $2,472.14 |
$2,012.14 $2,166.04 $2,329.06 $2,908.20 |
Toc - Plan #167 Florida Health Care Plans | ||||||||||||||||||||
Expanded Bronze
(POS) Gym Access IND Bronze POS OA Standard 2450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.94 $373.35 $420.39 $587.49 $892.74 |
$580.58 $624.99 $672.03 $839.13 |
$832.22 $876.63 $923.67 $1,090.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657.88 $746.70 $840.78 $1,174.98 $1,785.48 |
$909.52 $998.34 $1,092.42 $1,426.62 |
$1,161.16 $1,249.98 $1,344.06 $1,678.26 |
Toc - Plan #168 Florida Health Care Plans | ||||||||||||||||||||
Silver
(POS) Gym Access IND Silver POS OA Standard 1440 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.07 $448.40 $504.90 $705.60 $1,072.22 |
$697.30 $750.63 $807.13 $1,007.83 |
$999.53 $1,052.86 $1,109.36 $1,310.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.14 $896.80 $1,009.80 $1,411.20 $2,144.44 |
$1,092.37 $1,199.03 $1,312.03 $1,713.43 |
$1,394.60 $1,501.26 $1,614.26 $2,015.66 |
Toc - Plan #169 Florida Health Care Plans | ||||||||||||||||||||
Gold
(POS) Gym Access IND Gold POS OA Standard 3450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.40 $481.69 $542.38 $757.98 $1,151.82 |
$749.07 $806.36 $867.05 $1,082.65 |
$1,073.74 $1,131.03 $1,191.72 $1,407.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848.80 $963.38 $1,084.76 $1,515.96 $2,303.64 |
$1,173.47 $1,288.05 $1,409.43 $1,840.63 |
$1,498.14 $1,612.72 $1,734.10 $2,165.30 |
Toc - Plan #170 Florida Health Care Plans | ||||||||||||||||||||
Platinum
(POS) Gym Access IND Platinum POS OA Standard 4450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-232-0578
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$615.61 $698.72 $786.75 $1,099.48 $1,670.77 |
$1,086.55 $1,169.66 $1,257.69 $1,570.42 |
$1,557.49 $1,640.60 $1,728.63 $2,041.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,231.22 $1,397.44 $1,573.50 $2,198.96 $3,341.54 |
$1,702.16 $1,868.38 $2,044.44 $2,669.90 |
$2,173.10 $2,339.32 $2,515.38 $3,140.84 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #171 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,150 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.27 $496.30 $558.83 $780.96 $1,186.75 |
$771.78 $830.81 $893.34 $1,115.47 |
$1,106.29 $1,165.32 $1,227.85 $1,449.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.54 $992.60 $1,117.66 $1,561.92 $2,373.50 |
$1,209.05 $1,327.11 $1,452.17 $1,896.43 |
$1,543.56 $1,661.62 $1,786.68 $2,230.94 |
Toc - Plan #172 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,200 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.22 $495.11 $557.49 $779.09 $1,183.90 |
$769.93 $828.82 $891.20 $1,112.80 |
$1,103.64 $1,162.53 $1,224.91 $1,446.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.44 $990.22 $1,114.98 $1,558.18 $2,367.80 |
$1,206.15 $1,323.93 $1,448.69 $1,891.89 |
$1,539.86 $1,657.64 $1,782.40 $2,225.60 |
Toc - Plan #173 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.38 $443.08 $498.91 $697.22 $1,059.49 |
$689.02 $741.72 $797.55 $995.86 |
$987.66 $1,040.36 $1,096.19 $1,294.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.76 $886.16 $997.82 $1,394.44 $2,118.98 |
$1,079.40 $1,184.80 $1,296.46 $1,693.08 |
$1,378.04 $1,483.44 $1,595.10 $1,991.72 |
Toc - Plan #174 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,800 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.87 $430.02 $484.20 $676.67 $1,028.26 |
$668.71 $719.86 $774.04 $966.51 |
$958.55 $1,009.70 $1,063.88 $1,256.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.74 $860.04 $968.40 $1,353.34 $2,056.52 |
$1,047.58 $1,149.88 $1,258.24 $1,643.18 |
$1,337.42 $1,439.72 $1,548.08 $1,933.02 |
Toc - Plan #175 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,400 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.29 $441.85 $497.52 $695.28 $1,056.54 |
$687.10 $739.66 $795.33 $993.09 |
$984.91 $1,037.47 $1,093.14 $1,290.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.58 $883.70 $995.04 $1,390.56 $2,113.08 |
$1,076.39 $1,181.51 $1,292.85 $1,688.37 |
$1,374.20 $1,479.32 $1,590.66 $1,986.18 |
Toc - Plan #176 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.12 $441.65 $497.29 $694.96 $1,056.06 |
$686.79 $739.32 $794.96 $992.63 |
$984.46 $1,036.99 $1,092.63 $1,290.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.24 $883.30 $994.58 $1,389.92 $2,112.12 |
$1,075.91 $1,180.97 $1,292.25 $1,687.59 |
$1,373.58 $1,478.64 $1,589.92 $1,985.26 |
Toc - Plan #177 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,400 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.39 $430.61 $484.86 $677.59 $1,029.66 |
$669.62 $720.84 $775.09 $967.82 |
$959.85 $1,011.07 $1,065.32 $1,258.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.78 $861.22 $969.72 $1,355.18 $2,059.32 |
$1,049.01 $1,151.45 $1,259.95 $1,645.41 |
$1,339.24 $1,441.68 $1,550.18 $1,935.64 |
Toc - Plan #178 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $9,100 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.85 $344.87 $388.32 $542.68 $824.65 |
$536.29 $577.31 $620.76 $775.12 |
$768.73 $809.75 $853.20 $1,007.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.70 $689.74 $776.64 $1,085.36 $1,649.30 |
$840.14 $922.18 $1,009.08 $1,317.80 |
$1,072.58 $1,154.62 $1,241.52 $1,550.24 |
Toc - Plan #179 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.61 $353.68 $398.24 $556.53 $845.71 |
$549.99 $592.06 $636.62 $794.91 |
$788.37 $830.44 $875.00 $1,033.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.22 $707.36 $796.48 $1,113.06 $1,691.42 |
$861.60 $945.74 $1,034.86 $1,351.44 |
$1,099.98 $1,184.12 $1,273.24 $1,589.82 |
Toc - Plan #180 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.22 $344.16 $387.52 $541.55 $822.94 |
$535.18 $576.12 $619.48 $773.51 |
$767.14 $808.08 $851.44 $1,005.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.44 $688.32 $775.04 $1,083.10 $1,645.88 |
$838.40 $920.28 $1,007.00 $1,315.06 |
$1,070.36 $1,152.24 $1,238.96 $1,547.02 |
Toc - Plan #181 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.85 $527.61 $594.08 $830.22 $1,261.61 |
$820.46 $883.22 $949.69 $1,185.83 |
$1,176.07 $1,238.83 $1,305.30 $1,541.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$929.70 $1,055.22 $1,188.16 $1,660.44 $2,523.22 |
$1,285.31 $1,410.83 $1,543.77 $2,016.05 |
$1,640.92 $1,766.44 $1,899.38 $2,371.66 |
Toc - Plan #182 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.14 $527.94 $594.45 $830.74 $1,262.39 |
$820.97 $883.77 $950.28 $1,186.57 |
$1,176.80 $1,239.60 $1,306.11 $1,542.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$930.28 $1,055.88 $1,188.90 $1,661.48 $2,524.78 |
$1,286.11 $1,411.71 $1,544.73 $2,017.31 |
$1,641.94 $1,767.54 $1,900.56 $2,373.14 |
Toc - Plan #183 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.49 $504.49 $568.05 $793.85 $1,206.33 |
$784.52 $844.52 $908.08 $1,133.88 |
$1,124.55 $1,184.55 $1,248.11 $1,473.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.98 $1,008.98 $1,136.10 $1,587.70 $2,412.66 |
$1,229.01 $1,349.01 $1,476.13 $1,927.73 |
$1,569.04 $1,689.04 $1,816.16 $2,267.76 |
Toc - Plan #184 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.74 $443.49 $499.36 $697.86 $1,060.46 |
$689.65 $742.40 $798.27 $996.77 |
$988.56 $1,041.31 $1,097.18 $1,295.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.48 $886.98 $998.72 $1,395.72 $2,120.92 |
$1,080.39 $1,185.89 $1,297.63 $1,694.63 |
$1,379.30 $1,484.80 $1,596.54 $1,993.54 |
Toc - Plan #185 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.07 $463.16 $521.51 $728.81 $1,107.49 |
$720.24 $775.33 $833.68 $1,040.98 |
$1,032.41 $1,087.50 $1,145.85 $1,353.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.14 $926.32 $1,043.02 $1,457.62 $2,214.98 |
$1,128.31 $1,238.49 $1,355.19 $1,769.79 |
$1,440.48 $1,550.66 $1,667.36 $2,081.96 |
Toc - Plan #186 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.00 $465.35 $523.98 $732.25 $1,112.73 |
$723.65 $779.00 $837.63 $1,045.90 |
$1,037.30 $1,092.65 $1,151.28 $1,359.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.00 $930.70 $1,047.96 $1,464.50 $2,225.46 |
$1,133.65 $1,244.35 $1,361.61 $1,778.15 |
$1,447.30 $1,558.00 $1,675.26 $2,091.80 |
Toc - Plan #187 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.07 $443.86 $499.78 $698.44 $1,061.35 |
$690.24 $743.03 $798.95 $997.61 |
$989.41 $1,042.20 $1,098.12 $1,296.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.14 $887.72 $999.56 $1,396.88 $2,122.70 |
$1,081.31 $1,186.89 $1,298.73 $1,696.05 |
$1,380.48 $1,486.06 $1,597.90 $1,995.22 |
Toc - Plan #188 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $6,350 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.47 $343.31 $386.56 $540.21 $820.91 |
$533.86 $574.70 $617.95 $771.60 |
$765.25 $806.09 $849.34 $1,002.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.94 $686.62 $773.12 $1,080.42 $1,641.82 |
$836.33 $918.01 $1,004.51 $1,311.81 |
$1,067.72 $1,149.40 $1,235.90 $1,543.20 |
Toc - Plan #189 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.46 $355.77 $400.60 $559.83 $850.72 |
$553.25 $595.56 $640.39 $799.62 |
$793.04 $835.35 $880.18 $1,039.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.92 $711.54 $801.20 $1,119.66 $1,701.44 |
$866.71 $951.33 $1,040.99 $1,359.45 |
$1,106.50 $1,191.12 $1,280.78 $1,599.24 |
Toc - Plan #190 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$296.29 $336.29 $378.65 $529.17 $804.12 |
$522.95 $562.95 $605.31 $755.83 |
$749.61 $789.61 $831.97 $982.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$592.58 $672.58 $757.30 $1,058.34 $1,608.24 |
$819.24 $899.24 $983.96 $1,285.00 |
$1,045.90 $1,125.90 $1,210.62 $1,511.66 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #191 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.71 $332.21 $374.07 $522.76 $794.38 |
$516.62 $556.12 $597.98 $746.67 |
$740.53 $780.03 $821.89 $970.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.42 $664.42 $748.14 $1,045.52 $1,588.76 |
$809.33 $888.33 $972.05 $1,269.43 |
$1,033.24 $1,112.24 $1,195.96 $1,493.34 |
Toc - Plan #192 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.21 $419.04 $471.84 $659.39 $1,002.01 |
$651.65 $701.48 $754.28 $941.83 |
$934.09 $983.92 $1,036.72 $1,224.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.42 $838.08 $943.68 $1,318.78 $2,004.02 |
$1,020.86 $1,120.52 $1,226.12 $1,601.22 |
$1,303.30 $1,402.96 $1,508.56 $1,883.66 |
Toc - Plan #193 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.89 $413.01 $465.04 $649.90 $987.58 |
$642.26 $691.38 $743.41 $928.27 |
$920.63 $969.75 $1,021.78 $1,206.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.78 $826.02 $930.08 $1,299.80 $1,975.16 |
$1,006.15 $1,104.39 $1,208.45 $1,578.17 |
$1,284.52 $1,382.76 $1,486.82 $1,856.54 |
Toc - Plan #194 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Virtual Access Basic Bronze - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.37 $343.17 $386.41 $540.01 $820.59 |
$533.67 $574.47 $617.71 $771.31 |
$764.97 $805.77 $849.01 $1,002.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.74 $686.34 $772.82 $1,080.02 $1,641.18 |
$836.04 $917.64 $1,004.12 $1,311.32 |
$1,067.34 $1,148.94 $1,235.42 $1,542.62 |
Toc - Plan #195 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Virtual Access Basic Silver - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.57 $435.34 $490.19 $685.04 $1,040.98 |
$676.99 $728.76 $783.61 $978.46 |
$970.41 $1,022.18 $1,077.03 $1,271.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.14 $870.68 $980.38 $1,370.08 $2,081.96 |
$1,060.56 $1,164.10 $1,273.80 $1,663.50 |
$1,353.98 $1,457.52 $1,567.22 $1,956.92 |
Toc - Plan #196 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Virtual Access Basic Gold - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.19 $407.67 $459.03 $641.50 $974.82 |
$633.96 $682.44 $733.80 $916.27 |
$908.73 $957.21 $1,008.57 $1,191.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.38 $815.34 $918.06 $1,283.00 $1,949.64 |
$993.15 $1,090.11 $1,192.83 $1,557.77 |
$1,267.92 $1,364.88 $1,467.60 $1,832.54 |
‡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 Brevard County here.
Brevard County is in “Rating Area 5” of Florida.
Currently, there are 196 plans offered in Rating Area 5.