Obamacare 2023 Rates for Liberty County
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Obamacare > Rates > Florida > Liberty County
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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 $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$615.91 $699.06 $787.13 $1,100.02 $1,671.58 |
$1,087.08 $1,170.23 $1,258.30 $1,571.19 |
$1,558.25 $1,641.40 $1,729.47 $2,042.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,231.82 $1,398.12 $1,574.26 $2,200.04 $3,343.16 |
$1,702.99 $1,869.29 $2,045.43 $2,671.21 |
$2,174.16 $2,340.46 $2,516.60 $3,142.38 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$398.47 $452.26 $509.24 $711.67 $1,081.45 |
$703.30 $757.09 $814.07 $1,016.50 |
$1,008.13 $1,061.92 $1,118.90 $1,321.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$796.94 $904.52 $1,018.48 $1,423.34 $2,162.90 |
$1,101.77 $1,209.35 $1,323.31 $1,728.17 |
$1,406.60 $1,514.18 $1,628.14 $2,033.00 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$619.29 $702.89 $791.45 $1,106.05 $1,680.75 |
$1,093.05 $1,176.65 $1,265.21 $1,579.81 |
$1,566.81 $1,650.41 $1,738.97 $2,053.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,238.58 $1,405.78 $1,582.90 $2,212.10 $3,361.50 |
$1,712.34 $1,879.54 $2,056.66 $2,685.86 |
$2,186.10 $2,353.30 $2,530.42 $3,159.62 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$779.34 $884.55 $996.00 $1,391.90 $2,115.13 |
$1,375.54 $1,480.75 $1,592.20 $1,988.10 |
$1,971.74 $2,076.95 $2,188.40 $2,584.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,558.68 $1,769.10 $1,992.00 $2,783.80 $4,230.26 |
$2,154.88 $2,365.30 $2,588.20 $3,380.00 |
$2,751.08 $2,961.50 $3,184.40 $3,976.20 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$415.06 $471.09 $530.45 $741.30 $1,126.47 |
$732.58 $788.61 $847.97 $1,058.82 |
$1,050.10 $1,106.13 $1,165.49 $1,376.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$830.12 $942.18 $1,060.90 $1,482.60 $2,252.94 |
$1,147.64 $1,259.70 $1,378.42 $1,800.12 |
$1,465.16 $1,577.22 $1,695.94 $2,117.64 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$816.60 $926.84 $1,043.61 $1,458.45 $2,216.25 |
$1,441.30 $1,551.54 $1,668.31 $2,083.15 |
$2,066.00 $2,176.24 $2,293.01 $2,707.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,633.20 $1,853.68 $2,087.22 $2,916.90 $4,432.50 |
$2,257.90 $2,478.38 $2,711.92 $3,541.60 |
$2,882.60 $3,103.08 $3,336.62 $4,166.30 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$578.13 $656.18 $738.85 $1,032.54 $1,569.04 |
$1,020.40 $1,098.45 $1,181.12 $1,474.81 |
$1,462.67 $1,540.72 $1,623.39 $1,917.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,156.26 $1,312.36 $1,477.70 $2,065.08 $3,138.08 |
$1,598.53 $1,754.63 $1,919.97 $2,507.35 |
$2,040.80 $2,196.90 $2,362.24 $2,949.62 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$669.31 $759.67 $855.38 $1,195.39 $1,816.51 |
$1,181.33 $1,271.69 $1,367.40 $1,707.41 |
$1,693.35 $1,783.71 $1,879.42 $2,219.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,338.62 $1,519.34 $1,710.76 $2,390.78 $3,633.02 |
$1,850.64 $2,031.36 $2,222.78 $2,902.80 |
$2,362.66 $2,543.38 $2,734.80 $3,414.82 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$403.49 $457.96 $515.66 $720.63 $1,095.07 |
$712.16 $766.63 $824.33 $1,029.30 |
$1,020.83 $1,075.30 $1,133.00 $1,337.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$806.98 $915.92 $1,031.32 $1,441.26 $2,190.14 |
$1,115.65 $1,224.59 $1,339.99 $1,749.93 |
$1,424.32 $1,533.26 $1,648.66 $2,058.60 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$647.55 $734.97 $827.57 $1,156.52 $1,757.45 |
$1,142.93 $1,230.35 $1,322.95 $1,651.90 |
$1,638.31 $1,725.73 $1,818.33 $2,147.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,295.10 $1,469.94 $1,655.14 $2,313.04 $3,514.90 |
$1,790.48 $1,965.32 $2,150.52 $2,808.42 |
$2,285.86 $2,460.70 $2,645.90 $3,303.80 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$439.58 $498.92 $561.78 $785.09 $1,193.02 |
$775.86 $835.20 $898.06 $1,121.37 |
$1,112.14 $1,171.48 $1,234.34 $1,457.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$879.16 $997.84 $1,123.56 $1,570.18 $2,386.04 |
$1,215.44 $1,334.12 $1,459.84 $1,906.46 |
$1,551.72 $1,670.40 $1,796.12 $2,242.74 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$380.86 $432.28 $486.74 $680.22 $1,033.65 |
$672.22 $723.64 $778.10 $971.58 |
$963.58 $1,015.00 $1,069.46 $1,262.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$761.72 $864.56 $973.48 $1,360.44 $2,067.30 |
$1,053.08 $1,155.92 $1,264.84 $1,651.80 |
$1,344.44 $1,447.28 $1,556.20 $1,943.16 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$409.43 $464.70 $523.25 $731.24 $1,111.19 |
$722.64 $777.91 $836.46 $1,044.45 |
$1,035.85 $1,091.12 $1,149.67 $1,357.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$818.86 $929.40 $1,046.50 $1,462.48 $2,222.38 |
$1,132.07 $1,242.61 $1,359.71 $1,775.69 |
$1,445.28 $1,555.82 $1,672.92 $2,088.90 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$609.62 $691.92 $779.09 $1,088.78 $1,654.51 |
$1,075.98 $1,158.28 $1,245.45 $1,555.14 |
$1,542.34 $1,624.64 $1,711.81 $2,021.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,219.24 $1,383.84 $1,558.18 $2,177.56 $3,309.02 |
$1,685.60 $1,850.20 $2,024.54 $2,643.92 |
$2,151.96 $2,316.56 $2,490.90 $3,110.28 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$622.21 $706.21 $795.18 $1,111.27 $1,688.68 |
$1,098.20 $1,182.20 $1,271.17 $1,587.26 |
$1,574.19 $1,658.19 $1,747.16 $2,063.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,244.42 $1,412.42 $1,590.36 $2,222.54 $3,377.36 |
$1,720.41 $1,888.41 $2,066.35 $2,698.53 |
$2,196.40 $2,364.40 $2,542.34 $3,174.52 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$814.56 $924.53 $1,041.01 $1,454.80 $2,210.72 |
$1,437.70 $1,547.67 $1,664.15 $2,077.94 |
$2,060.84 $2,170.81 $2,287.29 $2,701.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,629.12 $1,849.06 $2,082.02 $2,909.60 $4,421.44 |
$2,252.26 $2,472.20 $2,705.16 $3,532.74 |
$2,875.40 $3,095.34 $3,328.30 $4,155.88 |
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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$430.93 $489.11 $550.73 $769.64 $1,169.54 |
$760.59 $818.77 $880.39 $1,099.30 |
$1,090.25 $1,148.43 $1,210.05 $1,428.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$861.86 $978.22 $1,101.46 $1,539.28 $2,339.08 |
$1,191.52 $1,307.88 $1,431.12 $1,868.94 |
$1,521.18 $1,637.54 $1,760.78 $2,198.60 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #18 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$409.90 $465.23 $523.84 $732.06 $1,112.44 |
$723.47 $778.80 $837.41 $1,045.63 |
$1,037.04 $1,092.37 $1,150.98 $1,359.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$819.80 $930.46 $1,047.68 $1,464.12 $2,224.88 |
$1,133.37 $1,244.03 $1,361.25 $1,777.69 |
$1,446.94 $1,557.60 $1,674.82 $2,091.26 |
Toc - Plan #19 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.63 $346.88 $390.59 $545.84 $829.46 |
$539.43 $580.68 $624.39 $779.64 |
$773.23 $814.48 $858.19 $1,013.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$611.26 $693.76 $781.18 $1,091.68 $1,658.92 |
$845.06 $927.56 $1,014.98 $1,325.48 |
$1,078.86 $1,161.36 $1,248.78 $1,559.28 |
Toc - Plan #20 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$336.59 $382.02 $430.15 $601.13 $913.48 |
$594.07 $639.50 $687.63 $858.61 |
$851.55 $896.98 $945.11 $1,116.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$673.18 $764.04 $860.30 $1,202.26 $1,826.96 |
$930.66 $1,021.52 $1,117.78 $1,459.74 |
$1,188.14 $1,279.00 $1,375.26 $1,717.22 |
Toc - Plan #21 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.28 $470.19 $529.43 $739.88 $1,124.32 |
$731.19 $787.10 $846.34 $1,056.79 |
$1,048.10 $1,104.01 $1,163.25 $1,373.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.56 $940.38 $1,058.86 $1,479.76 $2,248.64 |
$1,145.47 $1,257.29 $1,375.77 $1,796.67 |
$1,462.38 $1,574.20 $1,692.68 $2,113.58 |
Toc - Plan #22 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 |
$328.62 $372.98 $419.97 $586.90 $891.86 |
$580.01 $624.37 $671.36 $838.29 |
$831.40 $875.76 $922.75 $1,089.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657.24 $745.96 $839.94 $1,173.80 $1,783.72 |
$908.63 $997.35 $1,091.33 $1,425.19 |
$1,160.02 $1,248.74 $1,342.72 $1,676.58 |
Toc - Plan #23 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 |
$376.63 $427.46 $481.32 $672.64 $1,022.15 |
$664.74 $715.57 $769.43 $960.75 |
$952.85 $1,003.68 $1,057.54 $1,248.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.26 $854.92 $962.64 $1,345.28 $2,044.30 |
$1,041.37 $1,143.03 $1,250.75 $1,633.39 |
$1,329.48 $1,431.14 $1,538.86 $1,921.50 |
Toc - Plan #24 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 |
$409.32 $464.57 $523.10 $731.03 $1,110.87 |
$722.44 $777.69 $836.22 $1,044.15 |
$1,035.56 $1,090.81 $1,149.34 $1,357.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.64 $929.14 $1,046.20 $1,462.06 $2,221.74 |
$1,131.76 $1,242.26 $1,359.32 $1,775.18 |
$1,444.88 $1,555.38 $1,672.44 $2,088.30 |
Toc - Plan #25 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 |
$412.79 $468.50 $527.53 $737.22 $1,120.28 |
$728.57 $784.28 $843.31 $1,053.00 |
$1,044.35 $1,100.06 $1,159.09 $1,368.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.58 $937.00 $1,055.06 $1,474.44 $2,240.56 |
$1,141.36 $1,252.78 $1,370.84 $1,790.22 |
$1,457.14 $1,568.56 $1,686.62 $2,106.00 |
Toc - Plan #26 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 |
$391.16 $443.96 $499.89 $698.59 $1,061.58 |
$690.39 $743.19 $799.12 $997.82 |
$989.62 $1,042.42 $1,098.35 $1,297.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.32 $887.92 $999.78 $1,397.18 $2,123.16 |
$1,081.55 $1,187.15 $1,299.01 $1,696.41 |
$1,380.78 $1,486.38 $1,598.24 $1,995.64 |
Toc - Plan #27 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 |
$415.23 $471.27 $530.64 $741.57 $1,126.89 |
$732.87 $788.91 $848.28 $1,059.21 |
$1,050.51 $1,106.55 $1,165.92 $1,376.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.46 $942.54 $1,061.28 $1,483.14 $2,253.78 |
$1,148.10 $1,260.18 $1,378.92 $1,800.78 |
$1,465.74 $1,577.82 $1,696.56 $2,118.42 |
Toc - Plan #28 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 |
$455.14 $516.57 $581.66 $812.86 $1,235.23 |
$803.32 $864.75 $929.84 $1,161.04 |
$1,151.50 $1,212.93 $1,278.02 $1,509.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.28 $1,033.14 $1,163.32 $1,625.72 $2,470.46 |
$1,258.46 $1,381.32 $1,511.50 $1,973.90 |
$1,606.64 $1,729.50 $1,859.68 $2,322.08 |
Toc - Plan #29 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 |
$322.47 $366.00 $412.11 $575.92 $875.17 |
$569.15 $612.68 $658.79 $822.60 |
$815.83 $859.36 $905.47 $1,069.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644.94 $732.00 $824.22 $1,151.84 $1,750.34 |
$891.62 $978.68 $1,070.90 $1,398.52 |
$1,138.30 $1,225.36 $1,317.58 $1,645.20 |
Toc - Plan #30 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 |
$409.07 $464.29 $522.78 $730.59 $1,110.20 |
$722.00 $777.22 $835.71 $1,043.52 |
$1,034.93 $1,090.15 $1,148.64 $1,356.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.14 $928.58 $1,045.56 $1,461.18 $2,220.40 |
$1,131.07 $1,241.51 $1,358.49 $1,774.11 |
$1,444.00 $1,554.44 $1,671.42 $2,087.04 |
Toc - Plan #31 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 |
$383.07 $434.77 $489.55 $684.14 $1,039.62 |
$676.11 $727.81 $782.59 $977.18 |
$969.15 $1,020.85 $1,075.63 $1,270.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.14 $869.54 $979.10 $1,368.28 $2,079.24 |
$1,059.18 $1,162.58 $1,272.14 $1,661.32 |
$1,352.22 $1,455.62 $1,565.18 $1,954.36 |
Toc - Plan #32 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 |
$429.64 $487.63 $549.07 $767.32 $1,166.02 |
$758.31 $816.30 $877.74 $1,095.99 |
$1,086.98 $1,144.97 $1,206.41 $1,424.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.28 $975.26 $1,098.14 $1,534.64 $2,332.04 |
$1,187.95 $1,303.93 $1,426.81 $1,863.31 |
$1,516.62 $1,632.60 $1,755.48 $2,191.98 |
Toc - Plan #33 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 |
$349.08 $396.19 $446.11 $623.43 $947.36 |
$616.12 $663.23 $713.15 $890.47 |
$883.16 $930.27 $980.19 $1,157.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.16 $792.38 $892.22 $1,246.86 $1,894.72 |
$965.20 $1,059.42 $1,159.26 $1,513.90 |
$1,232.24 $1,326.46 $1,426.30 $1,780.94 |
Toc - Plan #34 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 |
$425.11 $482.48 $543.27 $759.22 $1,153.71 |
$750.31 $807.68 $868.47 $1,084.42 |
$1,075.51 $1,132.88 $1,193.67 $1,409.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$850.22 $964.96 $1,086.54 $1,518.44 $2,307.42 |
$1,175.42 $1,290.16 $1,411.74 $1,843.64 |
$1,500.62 $1,615.36 $1,736.94 $2,168.84 |
Toc - Plan #35 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 |
$316.97 $359.75 $405.07 $566.09 $860.23 |
$559.44 $602.22 $647.54 $808.56 |
$801.91 $844.69 $890.01 $1,051.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.94 $719.50 $810.14 $1,132.18 $1,720.46 |
$876.41 $961.97 $1,052.61 $1,374.65 |
$1,118.88 $1,204.44 $1,295.08 $1,617.12 |
Toc - Plan #36 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 |
$424.51 $481.80 $542.51 $758.15 $1,152.08 |
$749.25 $806.54 $867.25 $1,082.89 |
$1,073.99 $1,131.28 $1,191.99 $1,407.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.02 $963.60 $1,085.02 $1,516.30 $2,304.16 |
$1,173.76 $1,288.34 $1,409.76 $1,841.04 |
$1,498.50 $1,613.08 $1,734.50 $2,165.78 |
Toc - Plan #37 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 |
$430.63 $488.75 $550.33 $769.08 $1,168.70 |
$760.05 $818.17 $879.75 $1,098.50 |
$1,089.47 $1,147.59 $1,209.17 $1,427.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861.26 $977.50 $1,100.66 $1,538.16 $2,337.40 |
$1,190.68 $1,306.92 $1,430.08 $1,867.58 |
$1,520.10 $1,636.34 $1,759.50 $2,197.00 |
Toc - Plan #38 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 |
$472.02 $535.74 $603.23 $843.02 $1,281.05 |
$833.11 $896.83 $964.32 $1,204.11 |
$1,194.20 $1,257.92 $1,325.41 $1,565.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.04 $1,071.48 $1,206.46 $1,686.04 $2,562.10 |
$1,305.13 $1,432.57 $1,567.55 $2,047.13 |
$1,666.22 $1,793.66 $1,928.64 $2,408.22 |
Toc - Plan #39 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 |
$340.81 $386.81 $435.55 $608.68 $924.94 |
$601.52 $647.52 $696.26 $869.39 |
$862.23 $908.23 $956.97 $1,130.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.62 $773.62 $871.10 $1,217.36 $1,849.88 |
$942.33 $1,034.33 $1,131.81 $1,478.07 |
$1,203.04 $1,295.04 $1,392.52 $1,738.78 |
Toc - Plan #40 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 |
$390.60 $443.32 $499.18 $697.60 $1,060.06 |
$689.40 $742.12 $797.98 $996.40 |
$988.20 $1,040.92 $1,096.78 $1,295.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.20 $886.64 $998.36 $1,395.20 $2,120.12 |
$1,080.00 $1,185.44 $1,297.16 $1,694.00 |
$1,378.80 $1,484.24 $1,595.96 $1,992.80 |
Toc - Plan #41 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 |
$428.10 $485.88 $547.10 $764.57 $1,161.84 |
$755.59 $813.37 $874.59 $1,092.06 |
$1,083.08 $1,140.86 $1,202.08 $1,419.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.20 $971.76 $1,094.20 $1,529.14 $2,323.68 |
$1,183.69 $1,299.25 $1,421.69 $1,856.63 |
$1,511.18 $1,626.74 $1,749.18 $2,184.12 |
Toc - Plan #42 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 |
$405.67 $460.42 $518.43 $724.51 $1,100.96 |
$716.00 $770.75 $828.76 $1,034.84 |
$1,026.33 $1,081.08 $1,139.09 $1,345.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.34 $920.84 $1,036.86 $1,449.02 $2,201.92 |
$1,121.67 $1,231.17 $1,347.19 $1,759.35 |
$1,432.00 $1,541.50 $1,657.52 $2,069.68 |
ADVERTISEMENT
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Toc - Plan #43 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($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 |
$367.32 $416.91 $469.43 $656.03 $996.91 |
$648.32 $697.91 $750.43 $937.03 |
$929.32 $978.91 $1,031.43 $1,218.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.64 $833.82 $938.86 $1,312.06 $1,993.82 |
$1,015.64 $1,114.82 $1,219.86 $1,593.06 |
$1,296.64 $1,395.82 $1,500.86 $1,874.06 |
Toc - Plan #44 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.78 $392.46 $441.91 $617.56 $938.45 |
$610.30 $656.98 $706.43 $882.08 |
$874.82 $921.50 $970.95 $1,146.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.56 $784.92 $883.82 $1,235.12 $1,876.90 |
$956.08 $1,049.44 $1,148.34 $1,499.64 |
$1,220.60 $1,313.96 $1,412.86 $1,764.16 |
Toc - Plan #45 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$452.37 $513.44 $578.13 $807.93 $1,227.73 |
$798.43 $859.50 $924.19 $1,153.99 |
$1,144.49 $1,205.56 $1,270.25 $1,500.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.74 $1,026.88 $1,156.26 $1,615.86 $2,455.46 |
$1,250.80 $1,372.94 $1,502.32 $1,961.92 |
$1,596.86 $1,719.00 $1,848.38 $2,307.98 |
Toc - Plan #46 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.21 $489.42 $551.09 $770.14 $1,170.30 |
$761.09 $819.30 $880.97 $1,100.02 |
$1,090.97 $1,149.18 $1,210.85 $1,429.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.42 $978.84 $1,102.18 $1,540.28 $2,340.60 |
$1,192.30 $1,308.72 $1,432.06 $1,870.16 |
$1,522.18 $1,638.60 $1,761.94 $2,200.04 |
Toc - Plan #47 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$512.12 $581.26 $654.49 $914.65 $1,389.89 |
$903.89 $973.03 $1,046.26 $1,306.42 |
$1,295.66 $1,364.80 $1,438.03 $1,698.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.24 $1,162.52 $1,308.98 $1,829.30 $2,779.78 |
$1,416.01 $1,554.29 $1,700.75 $2,221.07 |
$1,807.78 $1,946.06 $2,092.52 $2,612.84 |
Toc - Plan #48 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.59 $521.63 $587.36 $820.83 $1,247.33 |
$811.18 $873.22 $938.95 $1,172.42 |
$1,162.77 $1,224.81 $1,290.54 $1,524.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$919.18 $1,043.26 $1,174.72 $1,641.66 $2,494.66 |
$1,270.77 $1,394.85 $1,526.31 $1,993.25 |
$1,622.36 $1,746.44 $1,877.90 $2,344.84 |
Toc - Plan #49 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$427.74 $485.48 $546.65 $763.94 $1,160.89 |
$754.96 $812.70 $873.87 $1,091.16 |
$1,082.18 $1,139.92 $1,201.09 $1,418.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.48 $970.96 $1,093.30 $1,527.88 $2,321.78 |
$1,182.70 $1,298.18 $1,420.52 $1,855.10 |
$1,509.92 $1,625.40 $1,747.74 $2,182.32 |
Toc - Plan #50 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Virtual Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.12 $483.65 $544.58 $761.05 $1,156.49 |
$752.10 $809.63 $870.56 $1,087.03 |
$1,078.08 $1,135.61 $1,196.54 $1,413.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.24 $967.30 $1,089.16 $1,522.10 $2,312.98 |
$1,178.22 $1,293.28 $1,415.14 $1,848.08 |
$1,504.20 $1,619.26 $1,741.12 $2,174.06 |
Toc - Plan #51 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visit / $80 Specialist Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
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 |
$397.37 $451.01 $507.84 $709.70 $1,078.46 |
$701.36 $755.00 $811.83 $1,013.69 |
$1,005.35 $1,058.99 $1,115.82 $1,317.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.74 $902.02 $1,015.68 $1,419.40 $2,156.92 |
$1,098.73 $1,206.01 $1,319.67 $1,723.39 |
$1,402.72 $1,510.00 $1,623.66 $2,027.38 |
Toc - Plan #52 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.75 $417.40 $469.98 $656.80 $998.07 |
$649.08 $698.73 $751.31 $938.13 |
$930.41 $980.06 $1,032.64 $1,219.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.50 $834.80 $939.96 $1,313.60 $1,996.14 |
$1,016.83 $1,116.13 $1,221.29 $1,594.93 |
$1,298.16 $1,397.46 $1,502.62 $1,876.26 |
Toc - Plan #53 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $80 PCP Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$418.66 $475.18 $535.05 $747.73 $1,136.24 |
$738.93 $795.45 $855.32 $1,068.00 |
$1,059.20 $1,115.72 $1,175.59 $1,388.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.32 $950.36 $1,070.10 $1,495.46 $2,272.48 |
$1,157.59 $1,270.63 $1,390.37 $1,815.73 |
$1,477.86 $1,590.90 $1,710.64 $2,136.00 |
Toc - Plan #54 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.42 $407.94 $459.34 $641.92 $975.47 |
$634.38 $682.90 $734.30 $916.88 |
$909.34 $957.86 $1,009.26 $1,191.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.84 $815.88 $918.68 $1,283.84 $1,950.94 |
$993.80 $1,090.84 $1,193.64 $1,558.80 |
$1,268.76 $1,365.80 $1,468.60 $1,833.76 |
Toc - Plan #55 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$360.19 $408.82 $460.32 $643.30 $977.56 |
$635.74 $684.37 $735.87 $918.85 |
$911.29 $959.92 $1,011.42 $1,194.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.38 $817.64 $920.64 $1,286.60 $1,955.12 |
$995.93 $1,093.19 $1,196.19 $1,562.15 |
$1,271.48 $1,368.74 $1,471.74 $1,837.70 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) myBlue Bronze 2311S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.25 $371.43 $418.23 $584.47 $888.16 |
$577.60 $621.78 $668.58 $834.82 |
$827.95 $872.13 $918.93 $1,085.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.50 $742.86 $836.46 $1,168.94 $1,776.32 |
$904.85 $993.21 $1,086.81 $1,419.29 |
$1,155.20 $1,243.56 $1,337.16 $1,669.64 |
Toc - Plan #57 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$351.06 $398.45 $448.65 $626.99 $952.78 |
$619.62 $667.01 $717.21 $895.55 |
$888.18 $935.57 $985.77 $1,164.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.12 $796.90 $897.30 $1,253.98 $1,905.56 |
$970.68 $1,065.46 $1,165.86 $1,522.54 |
$1,239.24 $1,334.02 $1,434.42 $1,791.10 |
Toc - Plan #58 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.77 $436.71 $491.74 $687.20 $1,044.27 |
$679.12 $731.06 $786.09 $981.55 |
$973.47 $1,025.41 $1,080.44 $1,275.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.54 $873.42 $983.48 $1,374.40 $2,088.54 |
$1,063.89 $1,167.77 $1,277.83 $1,668.75 |
$1,358.24 $1,462.12 $1,572.18 $1,963.10 |
Toc - Plan #59 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$405.26 $459.97 $517.92 $723.79 $1,099.88 |
$715.28 $769.99 $827.94 $1,033.81 |
$1,025.30 $1,080.01 $1,137.96 $1,343.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.52 $919.94 $1,035.84 $1,447.58 $2,199.76 |
$1,120.54 $1,229.96 $1,345.86 $1,757.60 |
$1,430.56 $1,539.98 $1,655.88 $2,067.62 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.41 $478.30 $538.56 $752.64 $1,143.71 |
$743.79 $800.68 $860.94 $1,075.02 |
$1,066.17 $1,123.06 $1,183.32 $1,397.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.82 $956.60 $1,077.12 $1,505.28 $2,287.42 |
$1,165.20 $1,278.98 $1,399.50 $1,827.66 |
$1,487.58 $1,601.36 $1,721.88 $2,150.04 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$484.74 $550.18 $619.50 $865.75 $1,315.58 |
$855.57 $921.01 $990.33 $1,236.58 |
$1,226.40 $1,291.84 $1,361.16 $1,607.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.48 $1,100.36 $1,239.00 $1,731.50 $2,631.16 |
$1,340.31 $1,471.19 $1,609.83 $2,102.33 |
$1,711.14 $1,842.02 $1,980.66 $2,473.16 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $80 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.17 $484.84 $545.92 $762.93 $1,159.34 |
$753.96 $811.63 $872.71 $1,089.72 |
$1,080.75 $1,138.42 $1,199.50 $1,416.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.34 $969.68 $1,091.84 $1,525.86 $2,318.68 |
$1,181.13 $1,296.47 $1,418.63 $1,852.65 |
$1,507.92 $1,623.26 $1,745.42 $2,179.44 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337D ($0 Virtual Visits / Adult Dental / $20 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$413.74 $469.59 $528.76 $738.94 $1,122.89 |
$730.25 $786.10 $845.27 $1,055.45 |
$1,046.76 $1,102.61 $1,161.78 $1,371.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.48 $939.18 $1,057.52 $1,477.88 $2,245.78 |
$1,143.99 $1,255.69 $1,374.03 $1,794.39 |
$1,460.50 $1,572.20 $1,690.54 $2,110.90 |
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Capital Health PlanLocal: 1-850-383-3311 | Toll Free: 1-877-247-6512 | TTY: 1-877-870-8943 |
Toc - Plan #64 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) Capital Health Plan HMO Silver 2100 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$417.03 $473.33 $532.97 $744.82 $1,131.82 |
$736.06 $792.36 $852.00 $1,063.85 |
$1,055.09 $1,111.39 $1,171.03 $1,382.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$834.06 $946.66 $1,065.94 $1,489.64 $2,263.64 |
$1,153.09 $1,265.69 $1,384.97 $1,808.67 |
$1,472.12 $1,584.72 $1,704.00 $2,127.70 |
Toc - Plan #65 Capital Health Plan | ||||||||||||||||||||
Gold
(HMO) Capital Health Plan HMO Gold 3000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$458.69 $520.62 $586.21 $819.23 $1,244.89 |
$809.59 $871.52 $937.11 $1,170.13 |
$1,160.49 $1,222.42 $1,288.01 $1,521.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$917.38 $1,041.24 $1,172.42 $1,638.46 $2,489.78 |
$1,268.28 $1,392.14 $1,523.32 $1,989.36 |
$1,619.18 $1,743.04 $1,874.22 $2,340.26 |
Toc - Plan #66 Capital Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Capital Health Plan HMO Bronze 1000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$315.95 $358.60 $403.79 $564.29 $857.49 |
$557.65 $600.30 $645.49 $805.99 |
$799.35 $842.00 $887.19 $1,047.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$631.90 $717.20 $807.58 $1,128.58 $1,714.98 |
$873.60 $958.90 $1,049.28 $1,370.28 |
$1,115.30 $1,200.60 $1,290.98 $1,611.98 |
Toc - Plan #67 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) Capital Health Plan HMO Silver 2300 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$401.24 $455.40 $512.78 $716.61 $1,088.95 |
$708.19 $762.35 $819.73 $1,023.56 |
$1,015.14 $1,069.30 $1,126.68 $1,330.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$802.48 $910.80 $1,025.56 $1,433.22 $2,177.90 |
$1,109.43 $1,217.75 $1,332.51 $1,740.17 |
$1,416.38 $1,524.70 $1,639.46 $2,047.12 |
Toc - Plan #68 Capital Health Plan | ||||||||||||||||||||
Gold
(HMO) Capital Health Plan HMO Gold 3100 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$420.62 $477.40 $537.55 $751.23 $1,141.56 |
$742.39 $799.17 $859.32 $1,073.00 |
$1,064.16 $1,120.94 $1,181.09 $1,394.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$841.24 $954.80 $1,075.10 $1,502.46 $2,283.12 |
$1,163.01 $1,276.57 $1,396.87 $1,824.23 |
$1,484.78 $1,598.34 $1,718.64 $2,146.00 |
Toc - Plan #69 Capital Health Plan | ||||||||||||||||||||
Platinum
(HMO) Capital Health Plan HMO Platinum 4000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$621.74 $705.67 $794.58 $1,110.42 $1,687.40 |
$1,097.37 $1,181.30 $1,270.21 $1,586.05 |
$1,573.00 $1,656.93 $1,745.84 $2,061.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,243.48 $1,411.34 $1,589.16 $2,220.84 $3,374.80 |
$1,719.11 $1,886.97 $2,064.79 $2,696.47 |
$2,194.74 $2,362.60 $2,540.42 $3,172.10 |
‡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 Liberty County here.
Liberty County is in “Rating Area 38” of Florida.
Currently, there are 69 plans offered in Rating Area 38.