Obamacare 2023 Rates for Wyandotte County
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Ambetter from Sunflower Health PlanLocal: 1-844-518-9505 | Toll Free: 1-844-518-9505 | TTY: 1-844-546-9713 |
Toc - Plan #1 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$365.05 $414.32 $466.52 $651.96 $990.72 |
$644.31 $693.58 $745.78 $931.22 |
$923.57 $972.84 $1,025.04 $1,210.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730.10 $828.64 $933.04 $1,303.92 $1,981.44 |
$1,009.36 $1,107.90 $1,212.30 $1,583.18 |
$1,288.62 $1,387.16 $1,491.56 $1,862.44 |
Toc - Plan #2 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$384.10 $435.95 $490.87 $685.99 $1,042.43 |
$677.93 $729.78 $784.70 $979.82 |
$971.76 $1,023.61 $1,078.53 $1,273.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$768.20 $871.90 $981.74 $1,371.98 $2,084.86 |
$1,062.03 $1,165.73 $1,275.57 $1,665.81 |
$1,355.86 $1,459.56 $1,569.40 $1,959.64 |
Toc - Plan #3 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$281.75 $319.77 $360.06 $503.18 $764.64 |
$497.28 $535.30 $575.59 $718.71 |
$712.81 $750.83 $791.12 $934.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$563.50 $639.54 $720.12 $1,006.36 $1,529.28 |
$779.03 $855.07 $935.65 $1,221.89 |
$994.56 $1,070.60 $1,151.18 $1,437.42 |
Toc - Plan #4 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$309.27 $351.01 $395.24 $552.34 $839.34 |
$545.85 $587.59 $631.82 $788.92 |
$782.43 $824.17 $868.40 $1,025.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$618.54 $702.02 $790.48 $1,104.68 $1,678.68 |
$855.12 $938.60 $1,027.06 $1,341.26 |
$1,091.70 $1,175.18 $1,263.64 $1,577.84 |
Toc - Plan #5 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$367.57 $417.18 $469.74 $656.46 $997.55 |
$648.75 $698.36 $750.92 $937.64 |
$929.93 $979.54 $1,032.10 $1,218.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$735.14 $834.36 $939.48 $1,312.92 $1,995.10 |
$1,016.32 $1,115.54 $1,220.66 $1,594.10 |
$1,297.50 $1,396.72 $1,501.84 $1,875.28 |
Toc - Plan #6 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$302.12 $342.89 $386.09 $539.56 $819.92 |
$533.23 $574.00 $617.20 $770.67 |
$764.34 $805.11 $848.31 $1,001.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$604.24 $685.78 $772.18 $1,079.12 $1,639.84 |
$835.35 $916.89 $1,003.29 $1,310.23 |
$1,066.46 $1,148.00 $1,234.40 $1,541.34 |
Toc - Plan #7 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$341.03 $387.06 $435.82 $609.06 $925.53 |
$601.91 $647.94 $696.70 $869.94 |
$862.79 $908.82 $957.58 $1,130.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$682.06 $774.12 $871.64 $1,218.12 $1,851.06 |
$942.94 $1,035.00 $1,132.52 $1,479.00 |
$1,203.82 $1,295.88 $1,393.40 $1,739.88 |
Toc - Plan #8 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$356.58 $404.71 $455.70 $636.83 $967.73 |
$629.36 $677.49 $728.48 $909.61 |
$902.14 $950.27 $1,001.26 $1,182.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$713.16 $809.42 $911.40 $1,273.66 $1,935.46 |
$985.94 $1,082.20 $1,184.18 $1,546.44 |
$1,258.72 $1,354.98 $1,456.96 $1,819.22 |
Toc - Plan #9 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$360.12 $408.73 $460.22 $643.16 $977.34 |
$635.61 $684.22 $735.71 $918.65 |
$911.10 $959.71 $1,011.20 $1,194.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$720.24 $817.46 $920.44 $1,286.32 $1,954.68 |
$995.73 $1,092.95 $1,195.93 $1,561.81 |
$1,271.22 $1,368.44 $1,471.42 $1,837.30 |
Toc - Plan #10 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$369.32 $419.17 $471.98 $659.59 $1,002.31 |
$651.84 $701.69 $754.50 $942.11 |
$934.36 $984.21 $1,037.02 $1,224.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$738.64 $838.34 $943.96 $1,319.18 $2,004.62 |
$1,021.16 $1,120.86 $1,226.48 $1,601.70 |
$1,303.68 $1,403.38 $1,509.00 $1,884.22 |
Toc - Plan #11 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$422.84 $479.91 $540.37 $755.17 $1,147.55 |
$746.30 $803.37 $863.83 $1,078.63 |
$1,069.76 $1,126.83 $1,187.29 $1,402.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$845.68 $959.82 $1,080.74 $1,510.34 $2,295.10 |
$1,169.14 $1,283.28 $1,404.20 $1,833.80 |
$1,492.60 $1,606.74 $1,727.66 $2,157.26 |
Toc - Plan #12 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$296.17 $336.14 $378.49 $528.94 $803.77 |
$522.73 $562.70 $605.05 $755.50 |
$749.29 $789.26 $831.61 $982.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$592.34 $672.28 $756.98 $1,057.88 $1,607.54 |
$818.90 $898.84 $983.54 $1,284.44 |
$1,045.46 $1,125.40 $1,210.10 $1,511.00 |
Toc - Plan #13 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$357.05 $405.25 $456.30 $637.68 $969.02 |
$630.19 $678.39 $729.44 $910.82 |
$903.33 $951.53 $1,002.58 $1,183.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.10 $810.50 $912.60 $1,275.36 $1,938.04 |
$987.24 $1,083.64 $1,185.74 $1,548.50 |
$1,260.38 $1,356.78 $1,458.88 $1,821.64 |
Toc - Plan #14 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$364.36 $413.53 $465.63 $650.72 $988.83 |
$643.08 $692.25 $744.35 $929.44 |
$921.80 $970.97 $1,023.07 $1,208.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$728.72 $827.06 $931.26 $1,301.44 $1,977.66 |
$1,007.44 $1,105.78 $1,209.98 $1,580.16 |
$1,286.16 $1,384.50 $1,488.70 $1,858.88 |
Toc - Plan #15 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$292.10 $331.52 $373.29 $521.67 $792.72 |
$515.55 $554.97 $596.74 $745.12 |
$739.00 $778.42 $820.19 $968.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$584.20 $663.04 $746.58 $1,043.34 $1,585.44 |
$807.65 $886.49 $970.03 $1,266.79 |
$1,031.10 $1,109.94 $1,193.48 $1,490.24 |
Toc - Plan #16 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$398.21 $451.96 $508.91 $711.19 $1,080.73 |
$702.84 $756.59 $813.54 $1,015.82 |
$1,007.47 $1,061.22 $1,118.17 $1,320.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$796.42 $903.92 $1,017.82 $1,422.38 $2,161.46 |
$1,101.05 $1,208.55 $1,322.45 $1,727.01 |
$1,405.68 $1,513.18 $1,627.08 $2,031.64 |
Toc - Plan #17 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$378.46 $429.54 $483.66 $675.91 $1,027.11 |
$667.97 $719.05 $773.17 $965.42 |
$957.48 $1,008.56 $1,062.68 $1,254.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$756.92 $859.08 $967.32 $1,351.82 $2,054.22 |
$1,046.43 $1,148.59 $1,256.83 $1,641.33 |
$1,335.94 $1,438.10 $1,546.34 $1,930.84 |
Toc - Plan #18 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$320.63 $363.91 $409.76 $572.63 $870.17 |
$565.91 $609.19 $655.04 $817.91 |
$811.19 $854.47 $900.32 $1,063.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$641.26 $727.82 $819.52 $1,145.26 $1,740.34 |
$886.54 $973.10 $1,064.80 $1,390.54 |
$1,131.82 $1,218.38 $1,310.08 $1,635.82 |
Toc - Plan #19 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$381.07 $432.50 $487.00 $680.57 $1,034.20 |
$672.58 $724.01 $778.51 $972.08 |
$964.09 $1,015.52 $1,070.02 $1,263.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$762.14 $865.00 $974.00 $1,361.14 $2,068.40 |
$1,053.65 $1,156.51 $1,265.51 $1,652.65 |
$1,345.16 $1,448.02 $1,557.02 $1,944.16 |
Toc - Plan #20 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$313.21 $355.49 $400.28 $559.38 $850.04 |
$552.81 $595.09 $639.88 $798.98 |
$792.41 $834.69 $879.48 $1,038.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$626.42 $710.98 $800.56 $1,118.76 $1,700.08 |
$866.02 $950.58 $1,040.16 $1,358.36 |
$1,105.62 $1,190.18 $1,279.76 $1,597.96 |
Toc - Plan #21 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$353.56 $401.28 $451.83 $631.44 $959.53 |
$624.02 $671.74 $722.29 $901.90 |
$894.48 $942.20 $992.75 $1,172.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$707.12 $802.56 $903.66 $1,262.88 $1,919.06 |
$977.58 $1,073.02 $1,174.12 $1,533.34 |
$1,248.04 $1,343.48 $1,444.58 $1,803.80 |
Toc - Plan #22 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
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 |
$373.35 $423.74 $477.13 $666.79 $1,013.25 |
$658.96 $709.35 $762.74 $952.40 |
$944.57 $994.96 $1,048.35 $1,238.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$746.70 $847.48 $954.26 $1,333.58 $2,026.50 |
$1,032.31 $1,133.09 $1,239.87 $1,619.19 |
$1,317.92 $1,418.70 $1,525.48 $1,904.80 |
Toc - Plan #23 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.68 $419.57 $472.44 $660.23 $1,003.28 |
$652.48 $702.37 $755.24 $943.03 |
$935.28 $985.17 $1,038.04 $1,225.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.36 $839.14 $944.88 $1,320.46 $2,006.56 |
$1,022.16 $1,121.94 $1,227.68 $1,603.26 |
$1,304.96 $1,404.74 $1,510.48 $1,886.06 |
Toc - Plan #24 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.89 $434.57 $489.32 $683.82 $1,039.13 |
$675.79 $727.47 $782.22 $976.72 |
$968.69 $1,020.37 $1,075.12 $1,269.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.78 $869.14 $978.64 $1,367.64 $2,078.26 |
$1,058.68 $1,162.04 $1,271.54 $1,660.54 |
$1,351.58 $1,454.94 $1,564.44 $1,953.44 |
Toc - Plan #25 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.37 $497.54 $560.22 $782.91 $1,189.70 |
$773.71 $832.88 $895.56 $1,118.25 |
$1,109.05 $1,168.22 $1,230.90 $1,453.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.74 $995.08 $1,120.44 $1,565.82 $2,379.40 |
$1,212.08 $1,330.42 $1,455.78 $1,901.16 |
$1,547.42 $1,665.76 $1,791.12 $2,236.50 |
Toc - Plan #26 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.41 $334.15 $376.25 $525.81 $799.01 |
$519.63 $559.37 $601.47 $751.03 |
$744.85 $784.59 $826.69 $976.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.82 $668.30 $752.50 $1,051.62 $1,598.02 |
$814.04 $893.52 $977.72 $1,276.84 |
$1,039.26 $1,118.74 $1,202.94 $1,502.06 |
Toc - Plan #27 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.31 $399.86 $450.24 $629.21 $956.14 |
$621.82 $669.37 $719.75 $898.72 |
$891.33 $938.88 $989.26 $1,168.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.62 $799.72 $900.48 $1,258.42 $1,912.28 |
$974.13 $1,069.23 $1,169.99 $1,527.93 |
$1,243.64 $1,338.74 $1,439.50 $1,797.44 |
Toc - Plan #28 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.04 $423.39 $476.74 $666.24 $1,012.41 |
$658.41 $708.76 $762.11 $951.61 |
$943.78 $994.13 $1,047.48 $1,236.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.08 $846.78 $953.48 $1,332.48 $2,024.82 |
$1,031.45 $1,132.15 $1,238.85 $1,617.85 |
$1,316.82 $1,417.52 $1,524.22 $1,903.22 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-866-735-2957 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze HSA ($0 Virtual Care after deductible with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.04 $472.19 $531.69 $743.03 $1,129.10 |
$734.30 $790.45 $849.95 $1,061.29 |
$1,052.56 $1,108.71 $1,168.21 $1,379.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.08 $944.38 $1,063.38 $1,486.06 $2,258.20 |
$1,150.34 $1,262.64 $1,381.64 $1,804.32 |
$1,468.60 $1,580.90 $1,699.90 $2,122.58 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Select by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.06 $280.40 $315.72 $441.22 $670.48 |
$436.05 $469.39 $504.71 $630.21 |
$625.04 $658.38 $693.70 $819.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.12 $560.80 $631.44 $882.44 $1,340.96 |
$683.11 $749.79 $820.43 $1,071.43 |
$872.10 $938.78 $1,009.42 $1,260.42 |
Toc - Plan #31 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.80 $402.68 $453.42 $633.65 $962.89 |
$626.21 $674.09 $724.83 $905.06 |
$897.62 $945.50 $996.24 $1,176.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.60 $805.36 $906.84 $1,267.30 $1,925.78 |
$981.01 $1,076.77 $1,178.25 $1,538.71 |
$1,252.42 $1,348.18 $1,449.66 $1,810.12 |
Toc - Plan #32 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.30 $390.77 $440.01 $614.91 $934.41 |
$607.68 $654.15 $703.39 $878.29 |
$871.06 $917.53 $966.77 $1,141.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.60 $781.54 $880.02 $1,229.82 $1,868.82 |
$951.98 $1,044.92 $1,143.40 $1,493.20 |
$1,215.36 $1,308.30 $1,406.78 $1,756.58 |
Toc - Plan #33 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$510.57 $579.49 $652.50 $911.86 $1,385.66 |
$901.15 $970.07 $1,043.08 $1,302.44 |
$1,291.73 $1,360.65 $1,433.66 $1,693.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,021.14 $1,158.98 $1,305.00 $1,823.72 $2,771.32 |
$1,411.72 $1,549.56 $1,695.58 $2,214.30 |
$1,802.30 $1,940.14 $2,086.16 $2,604.88 |
Toc - Plan #34 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.66 $392.31 $441.74 $617.33 $938.10 |
$610.08 $656.73 $706.16 $881.75 |
$874.50 $921.15 $970.58 $1,146.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.32 $784.62 $883.48 $1,234.66 $1,876.20 |
$955.74 $1,049.04 $1,147.90 $1,499.08 |
$1,220.16 $1,313.46 $1,412.32 $1,763.50 |
Toc - Plan #35 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.43 $549.81 $619.09 $865.17 $1,314.71 |
$855.01 $920.39 $989.67 $1,235.75 |
$1,225.59 $1,290.97 $1,360.25 $1,606.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.86 $1,099.62 $1,238.18 $1,730.34 $2,629.42 |
$1,339.44 $1,470.20 $1,608.76 $2,100.92 |
$1,710.02 $1,840.78 $1,979.34 $2,471.50 |
Toc - Plan #36 Medica | ||||||||||||||||||||
Silver
(EPO) Select by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.58 $598.79 $674.23 $942.24 $1,431.82 |
$931.17 $1,002.38 $1,077.82 $1,345.83 |
$1,334.76 $1,405.97 $1,481.41 $1,749.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,055.16 $1,197.58 $1,348.46 $1,884.48 $2,863.64 |
$1,458.75 $1,601.17 $1,752.05 $2,288.07 |
$1,862.34 $2,004.76 $2,155.64 $2,691.66 |
Toc - Plan #37 Medica | ||||||||||||||||||||
Bronze
(EPO) Select by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.04 $377.99 $425.61 $594.79 $903.85 |
$587.81 $632.76 $680.38 $849.56 |
$842.58 $887.53 $935.15 $1,104.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.08 $755.98 $851.22 $1,189.58 $1,807.70 |
$920.85 $1,010.75 $1,105.99 $1,444.35 |
$1,175.62 $1,265.52 $1,360.76 $1,699.12 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #38 Oscar Insurance Company | ||||||||||||||||||||
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 |
$285.26 $323.76 $364.56 $509.46 $774.18 |
$503.48 $541.98 $582.78 $727.68 |
$721.70 $760.20 $801.00 $945.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.52 $647.52 $729.12 $1,018.92 $1,548.36 |
$788.74 $865.74 $947.34 $1,237.14 |
$1,006.96 $1,083.96 $1,165.56 $1,455.36 |
Toc - Plan #39 Oscar Insurance Company | ||||||||||||||||||||
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 |
$344.70 $391.23 $440.52 $615.62 $935.50 |
$608.39 $654.92 $704.21 $879.31 |
$872.08 $918.61 $967.90 $1,143.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.40 $782.46 $881.04 $1,231.24 $1,871.00 |
$953.09 $1,046.15 $1,144.73 $1,494.93 |
$1,216.78 $1,309.84 $1,408.42 $1,758.62 |
Toc - Plan #40 Oscar Insurance Company | ||||||||||||||||||||
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 |
$382.19 $433.78 $488.43 $682.57 $1,037.24 |
$674.56 $726.15 $780.80 $974.94 |
$966.93 $1,018.52 $1,073.17 $1,267.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.38 $867.56 $976.86 $1,365.14 $2,074.48 |
$1,056.75 $1,159.93 $1,269.23 $1,657.51 |
$1,349.12 $1,452.30 $1,561.60 $1,949.88 |
Toc - Plan #41 Oscar Insurance Company | ||||||||||||||||||||
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 |
$377.10 $428.00 $481.92 $673.48 $1,023.42 |
$665.57 $716.47 $770.39 $961.95 |
$954.04 $1,004.94 $1,058.86 $1,250.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.20 $856.00 $963.84 $1,346.96 $2,046.84 |
$1,042.67 $1,144.47 $1,252.31 $1,635.43 |
$1,331.14 $1,432.94 $1,540.78 $1,923.90 |
Toc - Plan #42 Oscar Insurance Company | ||||||||||||||||||||
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 |
$240.59 $273.06 $307.46 $429.68 $652.93 |
$424.63 $457.10 $491.50 $613.72 |
$608.67 $641.14 $675.54 $797.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$481.18 $546.12 $614.92 $859.36 $1,305.86 |
$665.22 $730.16 $798.96 $1,043.40 |
$849.26 $914.20 $983.00 $1,227.44 |
Toc - Plan #43 Oscar Insurance Company | ||||||||||||||||||||
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 |
$306.18 $347.50 $391.28 $546.82 $830.94 |
$540.40 $581.72 $625.50 $781.04 |
$774.62 $815.94 $859.72 $1,015.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.36 $695.00 $782.56 $1,093.64 $1,661.88 |
$846.58 $929.22 $1,016.78 $1,327.86 |
$1,080.80 $1,163.44 $1,251.00 $1,562.08 |
Toc - Plan #44 Oscar Insurance Company | ||||||||||||||||||||
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 |
$305.88 $347.17 $390.91 $546.29 $830.14 |
$539.87 $581.16 $624.90 $780.28 |
$773.86 $815.15 $858.89 $1,014.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.76 $694.34 $781.82 $1,092.58 $1,660.28 |
$845.75 $928.33 $1,015.81 $1,326.57 |
$1,079.74 $1,162.32 $1,249.80 $1,560.56 |
Toc - Plan #45 Oscar Insurance Company | ||||||||||||||||||||
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 |
$310.44 $352.34 $396.73 $554.43 $842.51 |
$547.92 $589.82 $634.21 $791.91 |
$785.40 $827.30 $871.69 $1,029.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.88 $704.68 $793.46 $1,108.86 $1,685.02 |
$858.36 $942.16 $1,030.94 $1,346.34 |
$1,095.84 $1,179.64 $1,268.42 $1,583.82 |
Toc - Plan #46 Oscar Insurance Company | ||||||||||||||||||||
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 |
$365.41 $414.73 $466.98 $652.60 $991.69 |
$644.94 $694.26 $746.51 $932.13 |
$924.47 $973.79 $1,026.04 $1,211.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.82 $829.46 $933.96 $1,305.20 $1,983.38 |
$1,010.35 $1,108.99 $1,213.49 $1,584.73 |
$1,289.88 $1,388.52 $1,493.02 $1,864.26 |
Toc - Plan #47 Oscar Insurance Company | ||||||||||||||||||||
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 |
$387.06 $439.30 $494.65 $691.27 $1,050.45 |
$683.15 $735.39 $790.74 $987.36 |
$979.24 $1,031.48 $1,086.83 $1,283.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.12 $878.60 $989.30 $1,382.54 $2,100.90 |
$1,070.21 $1,174.69 $1,285.39 $1,678.63 |
$1,366.30 $1,470.78 $1,581.48 $1,974.72 |
Toc - Plan #48 Oscar Insurance Company | ||||||||||||||||||||
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 |
$378.78 $429.90 $484.07 $676.48 $1,027.98 |
$668.54 $719.66 $773.83 $966.24 |
$958.30 $1,009.42 $1,063.59 $1,256.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.56 $859.80 $968.14 $1,352.96 $2,055.96 |
$1,047.32 $1,149.56 $1,257.90 $1,642.72 |
$1,337.08 $1,439.32 $1,547.66 $1,932.48 |
Toc - Plan #49 Oscar Insurance Company | ||||||||||||||||||||
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 |
$303.45 $344.41 $387.80 $541.95 $823.55 |
$535.58 $576.54 $619.93 $774.08 |
$767.71 $808.67 $852.06 $1,006.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.90 $688.82 $775.60 $1,083.90 $1,647.10 |
$839.03 $920.95 $1,007.73 $1,316.03 |
$1,071.16 $1,153.08 $1,239.86 $1,548.16 |
Toc - Plan #50 Oscar Insurance Company | ||||||||||||||||||||
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 |
$275.90 $313.14 $352.59 $492.74 $748.77 |
$486.96 $524.20 $563.65 $703.80 |
$698.02 $735.26 $774.71 $914.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$551.80 $626.28 $705.18 $985.48 $1,497.54 |
$762.86 $837.34 $916.24 $1,196.54 |
$973.92 $1,048.40 $1,127.30 $1,407.60 |
Toc - Plan #51 Oscar Insurance Company | ||||||||||||||||||||
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 |
$370.95 $421.02 $474.06 $662.50 $1,006.73 |
$654.72 $704.79 $757.83 $946.27 |
$938.49 $988.56 $1,041.60 $1,230.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.90 $842.04 $948.12 $1,325.00 $2,013.46 |
$1,025.67 $1,125.81 $1,231.89 $1,608.77 |
$1,309.44 $1,409.58 $1,515.66 $1,892.54 |
Toc - Plan #52 Oscar Insurance Company | ||||||||||||||||||||
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 |
$391.78 $444.66 $500.69 $699.71 $1,063.27 |
$691.49 $744.37 $800.40 $999.42 |
$991.20 $1,044.08 $1,100.11 $1,299.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.56 $889.32 $1,001.38 $1,399.42 $2,126.54 |
$1,083.27 $1,189.03 $1,301.09 $1,699.13 |
$1,382.98 $1,488.74 $1,600.80 $1,998.84 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #53 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.53 $459.14 $516.99 $722.49 $1,097.90 |
$714.00 $768.61 $826.46 $1,031.96 |
$1,023.47 $1,078.08 $1,135.93 $1,341.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809.06 $918.28 $1,033.98 $1,444.98 $2,195.80 |
$1,118.53 $1,227.75 $1,343.45 $1,754.45 |
$1,428.00 $1,537.22 $1,652.92 $2,063.92 |
Toc - Plan #54 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.46 $489.71 $551.41 $770.60 $1,170.99 |
$761.53 $819.78 $881.48 $1,100.67 |
$1,091.60 $1,149.85 $1,211.55 $1,430.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.92 $979.42 $1,102.82 $1,541.20 $2,341.98 |
$1,192.99 $1,309.49 $1,432.89 $1,871.27 |
$1,523.06 $1,639.56 $1,762.96 $2,201.34 |
Toc - Plan #55 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$519.39 $589.51 $663.78 $927.63 $1,409.63 |
$916.72 $986.84 $1,061.11 $1,324.96 |
$1,314.05 $1,384.17 $1,458.44 $1,722.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,038.78 $1,179.02 $1,327.56 $1,855.26 $2,819.26 |
$1,436.11 $1,576.35 $1,724.89 $2,252.59 |
$1,833.44 $1,973.68 $2,122.22 $2,649.92 |
Toc - Plan #56 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.07 $494.94 $557.30 $778.82 $1,183.50 |
$769.67 $828.54 $890.90 $1,112.42 |
$1,103.27 $1,162.14 $1,224.50 $1,446.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.14 $989.88 $1,114.60 $1,557.64 $2,367.00 |
$1,205.74 $1,323.48 $1,448.20 $1,891.24 |
$1,539.34 $1,657.08 $1,781.80 $2,224.84 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.87 $493.57 $555.76 $776.67 $1,180.22 |
$767.54 $826.24 $888.43 $1,109.34 |
$1,100.21 $1,158.91 $1,221.10 $1,442.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.74 $987.14 $1,111.52 $1,553.34 $2,360.44 |
$1,202.41 $1,319.81 $1,444.19 $1,886.01 |
$1,535.08 $1,652.48 $1,776.86 $2,218.68 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.27 $457.71 $515.38 $720.24 $1,094.48 |
$711.77 $766.21 $823.88 $1,028.74 |
$1,020.27 $1,074.71 $1,132.38 $1,337.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.54 $915.42 $1,030.76 $1,440.48 $2,188.96 |
$1,115.04 $1,223.92 $1,339.26 $1,748.98 |
$1,423.54 $1,532.42 $1,647.76 $2,057.48 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect HSA 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.37 $458.96 $516.78 $722.20 $1,097.45 |
$713.71 $768.30 $826.12 $1,031.54 |
$1,023.05 $1,077.64 $1,135.46 $1,340.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.74 $917.92 $1,033.56 $1,444.40 $2,194.90 |
$1,118.08 $1,227.26 $1,342.90 $1,753.74 |
$1,427.42 $1,536.60 $1,652.24 $2,063.08 |
Toc - Plan #60 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.27 $491.77 $553.72 $773.83 $1,175.91 |
$764.72 $823.22 $885.17 $1,105.28 |
$1,096.17 $1,154.67 $1,216.62 $1,436.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.54 $983.54 $1,107.44 $1,547.66 $2,351.82 |
$1,197.99 $1,314.99 $1,438.89 $1,879.11 |
$1,529.44 $1,646.44 $1,770.34 $2,210.56 |
Toc - Plan #61 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1900 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.11 $594.86 $669.81 $936.06 $1,422.43 |
$925.05 $995.80 $1,070.75 $1,337.00 |
$1,325.99 $1,396.74 $1,471.69 $1,737.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,048.22 $1,189.72 $1,339.62 $1,872.12 $2,844.86 |
$1,449.16 $1,590.66 $1,740.56 $2,273.06 |
$1,850.10 $1,991.60 $2,141.50 $2,674.00 |
Toc - Plan #62 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Simple Choice 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.06 $437.04 $492.11 $687.72 $1,045.05 |
$679.63 $731.61 $786.68 $982.29 |
$974.20 $1,026.18 $1,081.25 $1,276.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.12 $874.08 $984.22 $1,375.44 $2,090.10 |
$1,064.69 $1,168.65 $1,278.79 $1,670.01 |
$1,359.26 $1,463.22 $1,573.36 $1,964.58 |
Toc - Plan #63 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Simple Choice 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.75 $454.85 $512.16 $715.73 $1,087.63 |
$707.32 $761.42 $818.73 $1,022.30 |
$1,013.89 $1,067.99 $1,125.30 $1,328.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.50 $909.70 $1,024.32 $1,431.46 $2,175.26 |
$1,108.07 $1,216.27 $1,330.89 $1,738.03 |
$1,414.64 $1,522.84 $1,637.46 $2,044.60 |
Toc - Plan #64 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Simple Choice 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.74 $490.02 $551.76 $771.09 $1,171.74 |
$762.02 $820.30 $882.04 $1,101.37 |
$1,092.30 $1,150.58 $1,212.32 $1,431.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$863.48 $980.04 $1,103.52 $1,542.18 $2,343.48 |
$1,193.76 $1,310.32 $1,433.80 $1,872.46 |
$1,524.04 $1,640.60 $1,764.08 $2,202.74 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Simple Choice 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.76 $591.07 $665.54 $930.08 $1,413.35 |
$919.14 $989.45 $1,063.92 $1,328.46 |
$1,317.52 $1,387.83 $1,462.30 $1,726.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.52 $1,182.14 $1,331.08 $1,860.16 $2,826.70 |
$1,439.90 $1,580.52 $1,729.46 $2,258.54 |
$1,838.28 $1,978.90 $2,127.84 $2,656.92 |
ADVERTISEMENT
Blue Cross and Blue Shield of Kansas CityLocal: 1-816-395-3558 | Toll Free: 1-888-800-4478 |
Toc - Plan #66 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 BlueSelect Plus EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.48 $503.35 $566.77 $792.06 $1,203.61 |
$782.74 $842.61 $906.03 $1,131.32 |
$1,122.00 $1,181.87 $1,245.29 $1,470.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.96 $1,006.70 $1,133.54 $1,584.12 $2,407.22 |
$1,226.22 $1,345.96 $1,472.80 $1,923.38 |
$1,565.48 $1,685.22 $1,812.06 $2,262.64 |
Toc - Plan #67 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect Plus EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$588.49 $667.93 $752.08 $1,051.04 $1,597.15 |
$1,038.68 $1,118.12 $1,202.27 $1,501.23 |
$1,488.87 $1,568.31 $1,652.46 $1,951.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,176.98 $1,335.86 $1,504.16 $2,102.08 $3,194.30 |
$1,627.17 $1,786.05 $1,954.35 $2,552.27 |
$2,077.36 $2,236.24 $2,404.54 $3,002.46 |
Toc - Plan #68 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.27 $580.29 $653.40 $913.12 $1,387.57 |
$902.39 $971.41 $1,044.52 $1,304.24 |
$1,293.51 $1,362.53 $1,435.64 $1,695.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,022.54 $1,160.58 $1,306.80 $1,826.24 $2,775.14 |
$1,413.66 $1,551.70 $1,697.92 $2,217.36 |
$1,804.78 $1,942.82 $2,089.04 $2,608.48 |
Toc - Plan #69 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 Blue Select EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.19 $438.33 $493.55 $689.74 $1,048.13 |
$681.63 $733.77 $788.99 $985.18 |
$977.07 $1,029.21 $1,084.43 $1,280.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.38 $876.66 $987.10 $1,379.48 $2,096.26 |
$1,067.82 $1,172.10 $1,282.54 $1,674.92 |
$1,363.26 $1,467.54 $1,577.98 $1,970.36 |
Toc - Plan #70 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Gold
(EPO) Blue KC Standard Gold 2000 with broad Preferred-Care Blue EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$697.50 $791.66 $891.40 $1,245.73 $1,893.01 |
$1,231.09 $1,325.25 $1,424.99 $1,779.32 |
$1,764.68 $1,858.84 $1,958.58 $2,312.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,395.00 $1,583.32 $1,782.80 $2,491.46 $3,786.02 |
$1,928.59 $2,116.91 $2,316.39 $3,025.05 |
$2,462.18 $2,650.50 $2,849.98 $3,558.64 |
Toc - Plan #71 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 8700 Blue Select EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.42 $429.50 $483.61 $675.85 $1,027.02 |
$667.91 $718.99 $773.10 $965.34 |
$957.40 $1,008.48 $1,062.59 $1,254.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.84 $859.00 $967.22 $1,351.70 $2,054.04 |
$1,046.33 $1,148.49 $1,256.71 $1,641.19 |
$1,335.82 $1,437.98 $1,546.20 $1,930.68 |
Toc - Plan #72 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with broad Preferred-Care Blue EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.15 $539.30 $607.24 $848.62 $1,289.56 |
$838.64 $902.79 $970.73 $1,212.11 |
$1,202.13 $1,266.28 $1,334.22 $1,575.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.30 $1,078.60 $1,214.48 $1,697.24 $2,579.12 |
$1,313.79 $1,442.09 $1,577.97 $2,060.73 |
$1,677.28 $1,805.58 $1,941.46 $2,424.22 |
Toc - Plan #73 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with BlueSelect EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.35 $462.35 $520.60 $727.53 $1,105.56 |
$718.98 $773.98 $832.23 $1,039.16 |
$1,030.61 $1,085.61 $1,143.86 $1,350.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.70 $924.70 $1,041.20 $1,455.06 $2,211.12 |
$1,126.33 $1,236.33 $1,352.83 $1,766.69 |
$1,437.96 $1,547.96 $1,664.46 $2,078.32 |
Toc - Plan #74 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 6000 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.40 $578.17 $651.01 $909.79 $1,382.51 |
$899.09 $967.86 $1,040.70 $1,299.48 |
$1,288.78 $1,357.55 $1,430.39 $1,689.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.80 $1,156.34 $1,302.02 $1,819.58 $2,765.02 |
$1,408.49 $1,546.03 $1,691.71 $2,209.27 |
$1,798.18 $1,935.72 $2,081.40 $2,598.96 |
Toc - Plan #75 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Catastrophic
(EPO) Blue KC Catastrophic BlueSelect EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.83 $355.06 $399.80 $558.72 $849.02 |
$552.15 $594.38 $639.12 $798.04 |
$791.47 $833.70 $878.44 $1,037.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.66 $710.12 $799.60 $1,117.44 $1,698.04 |
$864.98 $949.44 $1,038.92 $1,356.76 |
$1,104.30 $1,188.76 $1,278.24 $1,596.08 |
Toc - Plan #76 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Standard Silver 5800 BlueSelect EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.84 $591.15 $665.63 $930.22 $1,413.56 |
$919.28 $989.59 $1,064.07 $1,328.66 |
$1,317.72 $1,388.03 $1,462.51 $1,727.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.68 $1,182.30 $1,331.26 $1,860.44 $2,827.12 |
$1,440.12 $1,580.74 $1,729.70 $2,258.88 |
$1,838.56 $1,979.18 $2,128.14 $2,657.32 |
Toc - Plan #77 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Standard Bronze 7500 BlueSelect EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.60 $429.72 $483.86 $676.19 $1,027.53 |
$668.23 $719.35 $773.49 $965.82 |
$957.86 $1,008.98 $1,063.12 $1,255.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.20 $859.44 $967.72 $1,352.38 $2,055.06 |
$1,046.83 $1,149.07 $1,257.35 $1,642.01 |
$1,336.46 $1,438.70 $1,546.98 $1,931.64 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-632-4195 | Toll Free: 1-877-632-4195 | TTY: 1-866-761-7748 |
Toc - Plan #78 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.24 $429.30 $483.39 $675.54 $1,026.55 |
$667.59 $718.65 $772.74 $964.89 |
$956.94 $1,008.00 $1,062.09 $1,254.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.48 $858.60 $966.78 $1,351.08 $2,053.10 |
$1,045.83 $1,147.95 $1,256.13 $1,640.43 |
$1,335.18 $1,437.30 $1,545.48 $1,929.78 |
Toc - Plan #79 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) 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: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.94 $443.72 $499.62 $698.22 $1,061.01 |
$690.01 $742.79 $798.69 $997.29 |
$989.08 $1,041.86 $1,097.76 $1,296.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.88 $887.44 $999.24 $1,396.44 $2,122.02 |
$1,080.95 $1,186.51 $1,298.31 $1,695.51 |
$1,380.02 $1,485.58 $1,597.38 $1,994.58 |
Toc - Plan #80 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.80 $434.48 $489.22 $683.68 $1,038.92 |
$675.64 $727.32 $782.06 $976.52 |
$968.48 $1,020.16 $1,074.90 $1,269.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.60 $868.96 $978.44 $1,367.36 $2,077.84 |
$1,058.44 $1,161.80 $1,271.28 $1,660.20 |
$1,351.28 $1,454.64 $1,564.12 $1,953.04 |
Toc - Plan #81 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value $4,000 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.72 $418.50 $471.22 $658.53 $1,000.71 |
$650.79 $700.57 $753.29 $940.60 |
$932.86 $982.64 $1,035.36 $1,222.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.44 $837.00 $942.44 $1,317.06 $2,001.42 |
$1,019.51 $1,119.07 $1,224.51 $1,599.13 |
$1,301.58 $1,401.14 $1,506.58 $1,881.20 |
Toc - Plan #82 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.92 $414.18 $466.37 $651.75 $990.39 |
$644.08 $693.34 $745.53 $930.91 |
$923.24 $972.50 $1,024.69 $1,210.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.84 $828.36 $932.74 $1,303.50 $1,980.78 |
$1,009.00 $1,107.52 $1,211.90 $1,582.66 |
$1,288.16 $1,386.68 $1,491.06 $1,861.82 |
Toc - Plan #83 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) 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: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.24 $429.30 $483.39 $675.53 $1,026.53 |
$667.59 $718.65 $772.74 $964.88 |
$956.94 $1,008.00 $1,062.09 $1,254.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.48 $858.60 $966.78 $1,351.06 $2,053.06 |
$1,045.83 $1,147.95 $1,256.13 $1,640.41 |
$1,335.18 $1,437.30 $1,545.48 $1,929.76 |
Toc - Plan #84 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) 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: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.84 $418.64 $471.38 $658.76 $1,001.04 |
$651.01 $700.81 $753.55 $940.93 |
$933.18 $982.98 $1,035.72 $1,223.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.68 $837.28 $942.76 $1,317.52 $2,002.08 |
$1,019.85 $1,119.45 $1,224.93 $1,599.69 |
$1,302.02 $1,401.62 $1,507.10 $1,881.86 |
Toc - Plan #85 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.14 $421.24 $474.31 $662.85 $1,007.26 |
$655.06 $705.16 $758.23 $946.77 |
$938.98 $989.08 $1,042.15 $1,230.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.28 $842.48 $948.62 $1,325.70 $2,014.52 |
$1,026.20 $1,126.40 $1,232.54 $1,609.62 |
$1,310.12 $1,410.32 $1,516.46 $1,893.54 |
Toc - Plan #86 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value HSA $5,400 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.47 $422.75 $476.02 $665.23 $1,010.88 |
$657.41 $707.69 $760.96 $950.17 |
$942.35 $992.63 $1,045.90 $1,235.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.94 $845.50 $952.04 $1,330.46 $2,021.76 |
$1,029.88 $1,130.44 $1,236.98 $1,615.40 |
$1,314.82 $1,415.38 $1,521.92 $1,900.34 |
Toc - Plan #87 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Essential ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.51 $303.62 $341.87 $477.77 $726.01 |
$472.15 $508.26 $546.51 $682.41 |
$676.79 $712.90 $751.15 $887.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.02 $607.24 $683.74 $955.54 $1,452.02 |
$739.66 $811.88 $888.38 $1,160.18 |
$944.30 $1,016.52 $1,093.02 $1,364.82 |
Toc - Plan #88 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value $6,500 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.83 $310.79 $349.95 $489.05 $743.16 |
$483.31 $520.27 $559.43 $698.53 |
$692.79 $729.75 $768.91 $908.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$547.66 $621.58 $699.90 $978.10 $1,486.32 |
$757.14 $831.06 $909.38 $1,187.58 |
$966.62 $1,040.54 $1,118.86 $1,397.06 |
Toc - Plan #89 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value HSA $6,700 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.41 $309.18 $348.14 $486.52 $739.32 |
$480.80 $517.57 $556.53 $694.91 |
$689.19 $725.96 $764.92 $903.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.82 $618.36 $696.28 $973.04 $1,478.64 |
$753.21 $826.75 $904.67 $1,181.43 |
$961.60 $1,035.14 $1,113.06 $1,389.82 |
Toc - Plan #90 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard $7,500 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.44 $305.82 $344.35 $481.23 $731.27 |
$475.56 $511.94 $550.47 $687.35 |
$681.68 $718.06 $756.59 $893.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.88 $611.64 $688.70 $962.46 $1,462.54 |
$745.00 $817.76 $894.82 $1,168.58 |
$951.12 $1,023.88 $1,100.94 $1,374.70 |
Toc - Plan #91 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Standard $9,100 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.17 $295.29 $332.49 $464.66 $706.09 |
$459.20 $494.32 $531.52 $663.69 |
$658.23 $693.35 $730.55 $862.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$520.34 $590.58 $664.98 $929.32 $1,412.18 |
$719.37 $789.61 $864.01 $1,128.35 |
$918.40 $988.64 $1,063.04 $1,327.38 |
‡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 Wyandotte County here.
Wyandotte County is in “Rating Area 1” of Kansas.
Currently, there are 91 plans offered in Rating Area 1.