Obamacare 2023 Rates for Monroe County
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Obamacare > Rates > Michigan > Monroe County
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Blue Cross Blue Shield of Michigan Mutual Insurance CompanyLocal: 1-888-288-2738 | Toll Free: 1-888-288-2738 | TTY: 1-800-481-8704 |
Toc - Plan #1 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) Blue Cross® Premier PPO Value |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$228.61 $259.47 $292.16 $408.30 $620.45 |
$403.50 $434.36 $467.05 $583.19 |
$578.39 $609.25 $641.94 $758.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$457.22 $518.94 $584.32 $816.60 $1,240.90 |
$632.11 $693.83 $759.21 $991.49 |
$807.00 $868.72 $934.10 $1,166.38 |
Toc - Plan #2 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Cross® Premier PPO Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$304.48 $345.58 $389.13 $543.80 $826.36 |
$537.41 $578.51 $622.06 $776.73 |
$770.34 $811.44 $854.99 $1,009.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.96 $691.16 $778.26 $1,087.60 $1,652.72 |
$841.89 $924.09 $1,011.19 $1,320.53 |
$1,074.82 $1,157.02 $1,244.12 $1,553.46 |
Toc - Plan #3 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$412.06 $467.69 $526.61 $735.94 $1,118.33 |
$727.29 $782.92 $841.84 $1,051.17 |
$1,042.52 $1,098.15 $1,157.07 $1,366.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.12 $935.38 $1,053.22 $1,471.88 $2,236.66 |
$1,139.35 $1,250.61 $1,368.45 $1,787.11 |
$1,454.58 $1,565.84 $1,683.68 $2,102.34 |
Toc - Plan #4 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Gold
(PPO) Blue Cross® Premier PPO Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$505.61 $573.87 $646.17 $903.02 $1,372.23 |
$892.40 $960.66 $1,032.96 $1,289.81 |
$1,279.19 $1,347.45 $1,419.75 $1,676.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,011.22 $1,147.74 $1,292.34 $1,806.04 $2,744.46 |
$1,398.01 $1,534.53 $1,679.13 $2,192.83 |
$1,784.80 $1,921.32 $2,065.92 $2,579.62 |
Toc - Plan #5 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Bronze
(PPO) Blue Cross® Premier PPO Bronze Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$280.76 $318.66 $358.81 $501.44 $761.98 |
$495.54 $533.44 $573.59 $716.22 |
$710.32 $748.22 $788.37 $931.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$561.52 $637.32 $717.62 $1,002.88 $1,523.96 |
$776.30 $852.10 $932.40 $1,217.66 |
$991.08 $1,066.88 $1,147.18 $1,432.44 |
Toc - Plan #6 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver Saver HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$412.13 $467.77 $526.70 $736.06 $1,118.52 |
$727.41 $783.05 $841.98 $1,051.34 |
$1,042.69 $1,098.33 $1,157.26 $1,366.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.26 $935.54 $1,053.40 $1,472.12 $2,237.04 |
$1,139.54 $1,250.82 $1,368.68 $1,787.40 |
$1,454.82 $1,566.10 $1,683.96 $2,102.68 |
Toc - Plan #7 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Cross® Premier PPO Bronze Extra |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$318.95 $362.01 $407.62 $569.64 $865.63 |
$562.95 $606.01 $651.62 $813.64 |
$806.95 $850.01 $895.62 $1,057.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637.90 $724.02 $815.24 $1,139.28 $1,731.26 |
$881.90 $968.02 $1,059.24 $1,383.28 |
$1,125.90 $1,212.02 $1,303.24 $1,627.28 |
Toc - Plan #8 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Silver
(PPO) Blue Cross® Premier PPO Silver Extra |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$438.08 $497.22 $559.87 $782.41 $1,188.95 |
$773.21 $832.35 $895.00 $1,117.54 |
$1,108.34 $1,167.48 $1,230.13 $1,452.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$876.16 $994.44 $1,119.74 $1,564.82 $2,377.90 |
$1,211.29 $1,329.57 $1,454.87 $1,899.95 |
$1,546.42 $1,664.70 $1,790.00 $2,235.08 |
Toc - Plan #9 Blue Cross Blue Shield of Michigan Mutual Insurance Company | ||||||||||||||||||||
Gold
(PPO) Blue Cross® Premier PPO Gold Extra |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-288-2738
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 |
$550.45 $624.76 $703.48 $983.10 $1,493.92 |
$971.54 $1,045.85 $1,124.57 $1,404.19 |
$1,392.63 $1,466.94 $1,545.66 $1,825.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,100.90 $1,249.52 $1,406.96 $1,966.20 $2,987.84 |
$1,521.99 $1,670.61 $1,828.05 $2,387.29 |
$1,943.08 $2,091.70 $2,249.14 $2,808.38 |
ADVERTISEMENT
Priority HealthLocal: 1-855-682-5217 | Toll Free: 1-855-682-5217 | TTY: 1-888-551-6761 |
Toc - Plan #10 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority HSA Bronze 7100 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$255.07 $289.50 $325.98 $455.56 $692.26 |
$450.20 $484.63 $521.11 $650.69 |
$645.33 $679.76 $716.24 $845.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$510.14 $579.00 $651.96 $911.12 $1,384.52 |
$705.27 $774.13 $847.09 $1,106.25 |
$900.40 $969.26 $1,042.22 $1,301.38 |
Toc - Plan #11 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Bronze 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$233.09 $264.56 $297.89 $416.30 $632.61 |
$411.40 $442.87 $476.20 $594.61 |
$589.71 $621.18 $654.51 $772.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466.18 $529.12 $595.78 $832.60 $1,265.22 |
$644.49 $707.43 $774.09 $1,010.91 |
$822.80 $885.74 $952.40 $1,189.22 |
Toc - Plan #12 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Telehealth PCP Bronze 9100 - Virtual First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$220.27 $250.01 $281.51 $393.40 $597.81 |
$388.78 $418.52 $450.02 $561.91 |
$557.29 $587.03 $618.53 $730.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$440.54 $500.02 $563.02 $786.80 $1,195.62 |
$609.05 $668.53 $731.53 $955.31 |
$777.56 $837.04 $900.04 $1,123.82 |
Toc - Plan #13 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Travel Bronze 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$268.05 $304.24 $342.57 $478.74 $727.49 |
$473.11 $509.30 $547.63 $683.80 |
$678.17 $714.36 $752.69 $888.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.10 $608.48 $685.14 $957.48 $1,454.98 |
$741.16 $813.54 $890.20 $1,162.54 |
$946.22 $1,018.60 $1,095.26 $1,367.60 |
Toc - Plan #14 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 3600 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$318.22 $361.18 $406.69 $568.34 $863.65 |
$561.66 $604.62 $650.13 $811.78 |
$805.10 $848.06 $893.57 $1,055.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.44 $722.36 $813.38 $1,136.68 $1,727.30 |
$879.88 $965.80 $1,056.82 $1,380.12 |
$1,123.32 $1,209.24 $1,300.26 $1,623.56 |
Toc - Plan #15 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Silver 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$307.64 $349.17 $393.16 $549.45 $834.93 |
$542.98 $584.51 $628.50 $784.79 |
$778.32 $819.85 $863.84 $1,020.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.28 $698.34 $786.32 $1,098.90 $1,669.86 |
$850.62 $933.68 $1,021.66 $1,334.24 |
$1,085.96 $1,169.02 $1,257.00 $1,569.58 |
Toc - Plan #16 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Telehealth PCP Silver 5500 - Virtual First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$290.71 $329.96 $371.53 $519.21 $788.99 |
$513.10 $552.35 $593.92 $741.60 |
$735.49 $774.74 $816.31 $963.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581.42 $659.92 $743.06 $1,038.42 $1,577.98 |
$803.81 $882.31 $965.45 $1,260.81 |
$1,026.20 $1,104.70 $1,187.84 $1,483.20 |
Toc - Plan #17 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Travel Silver 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$369.16 $419.00 $471.79 $659.32 $1,001.90 |
$651.57 $701.41 $754.20 $941.73 |
$933.98 $983.82 $1,036.61 $1,224.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.32 $838.00 $943.58 $1,318.64 $2,003.80 |
$1,020.73 $1,120.41 $1,225.99 $1,601.05 |
$1,303.14 $1,402.82 $1,508.40 $1,883.46 |
Toc - Plan #18 Priority Health | ||||||||||||||||||||
Expanded Bronze
(HMO) MyPriority Standard Bronze 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$235.14 $266.88 $300.51 $419.96 $638.17 |
$415.02 $446.76 $480.39 $599.84 |
$594.90 $626.64 $660.27 $779.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$470.28 $533.76 $601.02 $839.92 $1,276.34 |
$650.16 $713.64 $780.90 $1,019.80 |
$830.04 $893.52 $960.78 $1,199.68 |
Toc - Plan #19 Priority Health | ||||||||||||||||||||
Silver
(HMO) MyPriority Standard Silver 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$328.19 $372.50 $419.43 $586.15 $890.71 |
$579.26 $623.57 $670.50 $837.22 |
$830.33 $874.64 $921.57 $1,088.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$656.38 $745.00 $838.86 $1,172.30 $1,781.42 |
$907.45 $996.07 $1,089.93 $1,423.37 |
$1,158.52 $1,247.14 $1,341.00 $1,674.44 |
Toc - Plan #20 Priority Health | ||||||||||||||||||||
Gold
(HMO) MyPriority Standard Gold 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-682-5217
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 |
$432.22 $490.57 $552.38 $771.94 $1,173.05 |
$762.87 $821.22 $883.03 $1,102.59 |
$1,093.52 $1,151.87 $1,213.68 $1,433.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$864.44 $981.14 $1,104.76 $1,543.88 $2,346.10 |
$1,195.09 $1,311.79 $1,435.41 $1,874.53 |
$1,525.74 $1,642.44 $1,766.06 $2,205.18 |
ADVERTISEMENT
Ambetter from MeridianLocal: 1-833-993-2426 | Toll Free: 1-833-993-2426 | TTY: 1-833-993-2426 |
Toc - Plan #21 Ambetter from Meridian | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
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 |
$192.62 $218.61 $246.15 $343.99 $522.73 |
$339.96 $365.95 $393.49 $491.33 |
$487.30 $513.29 $540.83 $638.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$385.24 $437.22 $492.30 $687.98 $1,045.46 |
$532.58 $584.56 $639.64 $835.32 |
$679.92 $731.90 $786.98 $982.66 |
Toc - Plan #22 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
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 |
$209.86 $238.18 $268.19 $374.80 $569.54 |
$370.40 $398.72 $428.73 $535.34 |
$530.94 $559.26 $589.27 $695.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$419.72 $476.36 $536.38 $749.60 $1,139.08 |
$580.26 $636.90 $696.92 $910.14 |
$740.80 $797.44 $857.46 $1,070.68 |
Toc - Plan #23 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.01 $288.29 $324.61 $453.64 $689.35 |
$448.32 $482.60 $518.92 $647.95 |
$642.63 $676.91 $713.23 $842.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$508.02 $576.58 $649.22 $907.28 $1,378.70 |
$702.33 $770.89 $843.53 $1,101.59 |
$896.64 $965.20 $1,037.84 $1,295.90 |
Toc - Plan #24 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.36 $322.74 $363.40 $507.85 $771.73 |
$501.89 $540.27 $580.93 $725.38 |
$719.42 $757.80 $798.46 $942.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.72 $645.48 $726.80 $1,015.70 $1,543.46 |
$786.25 $863.01 $944.33 $1,233.23 |
$1,003.78 $1,080.54 $1,161.86 $1,450.76 |
Toc - Plan #25 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$210.04 $238.38 $268.42 $375.11 $570.02 |
$370.71 $399.05 $429.09 $535.78 |
$531.38 $559.72 $589.76 $696.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$420.08 $476.76 $536.84 $750.22 $1,140.04 |
$580.75 $637.43 $697.51 $910.89 |
$741.42 $798.10 $858.18 $1,071.56 |
Toc - Plan #26 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.05 $271.31 $305.49 $426.92 $648.75 |
$421.91 $454.17 $488.35 $609.78 |
$604.77 $637.03 $671.21 $792.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$478.10 $542.62 $610.98 $853.84 $1,297.50 |
$660.96 $725.48 $793.84 $1,036.70 |
$843.82 $908.34 $976.70 $1,219.56 |
Toc - Plan #27 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.79 $277.82 $312.83 $437.17 $664.33 |
$432.04 $465.07 $500.08 $624.42 |
$619.29 $652.32 $687.33 $811.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$489.58 $555.64 $625.66 $874.34 $1,328.66 |
$676.83 $742.89 $812.91 $1,061.59 |
$864.08 $930.14 $1,000.16 $1,248.84 |
Toc - Plan #28 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.93 $282.52 $318.12 $444.57 $675.56 |
$439.35 $472.94 $508.54 $634.99 |
$629.77 $663.36 $698.96 $825.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$497.86 $565.04 $636.24 $889.14 $1,351.12 |
$688.28 $755.46 $826.66 $1,079.56 |
$878.70 $945.88 $1,017.08 $1,269.98 |
Toc - Plan #29 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.58 $308.24 $347.07 $485.03 $737.05 |
$479.33 $515.99 $554.82 $692.78 |
$687.08 $723.74 $762.57 $900.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.16 $616.48 $694.14 $970.06 $1,474.10 |
$750.91 $824.23 $901.89 $1,177.81 |
$958.66 $1,031.98 $1,109.64 $1,385.56 |
Toc - Plan #30 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.02 $357.53 $402.58 $562.60 $854.93 |
$556.00 $598.51 $643.56 $803.58 |
$796.98 $839.49 $884.54 $1,044.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.04 $715.06 $805.16 $1,125.20 $1,709.86 |
$871.02 $956.04 $1,046.14 $1,366.18 |
$1,112.00 $1,197.02 $1,287.12 $1,607.16 |
Toc - Plan #31 Ambetter from Meridian | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$182.46 $207.08 $233.17 $325.85 $495.16 |
$322.03 $346.65 $372.74 $465.42 |
$461.60 $486.22 $512.31 $604.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$364.92 $414.16 $466.34 $651.70 $990.32 |
$504.49 $553.73 $605.91 $791.27 |
$644.06 $693.30 $745.48 $930.84 |
Toc - Plan #32 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$205.01 $232.68 $261.99 $366.13 $556.37 |
$361.84 $389.51 $418.82 $522.96 |
$518.67 $546.34 $575.65 $679.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$410.02 $465.36 $523.98 $732.26 $1,112.74 |
$566.85 $622.19 $680.81 $889.09 |
$723.68 $779.02 $837.64 $1,045.92 |
Toc - Plan #33 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.15 $280.50 $315.84 $441.39 $670.74 |
$436.21 $469.56 $504.90 $630.45 |
$625.27 $658.62 $693.96 $819.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.30 $561.00 $631.68 $882.78 $1,341.48 |
$683.36 $750.06 $820.74 $1,071.84 |
$872.42 $939.12 $1,009.80 $1,260.90 |
Toc - Plan #34 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.08 $304.26 $342.59 $478.77 $727.54 |
$473.15 $509.33 $547.66 $683.84 |
$678.22 $714.40 $752.73 $888.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.16 $608.52 $685.18 $957.54 $1,455.08 |
$741.23 $813.59 $890.25 $1,162.61 |
$946.30 $1,018.66 $1,095.32 $1,367.68 |
Toc - Plan #35 Ambetter from Meridian | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$204.00 $231.53 $260.70 $364.32 $553.62 |
$360.05 $387.58 $416.75 $520.37 |
$516.10 $543.63 $572.80 $676.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$408.00 $463.06 $521.40 $728.64 $1,107.24 |
$564.05 $619.11 $677.45 $884.69 |
$720.10 $775.16 $833.50 $1,040.74 |
Toc - Plan #36 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$222.26 $252.26 $284.04 $396.94 $603.19 |
$392.28 $422.28 $454.06 $566.96 |
$562.30 $592.30 $624.08 $736.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$444.52 $504.52 $568.08 $793.88 $1,206.38 |
$614.54 $674.54 $738.10 $963.90 |
$784.56 $844.56 $908.12 $1,133.92 |
Toc - Plan #37 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.02 $305.32 $343.79 $480.44 $730.08 |
$474.81 $511.11 $549.58 $686.23 |
$680.60 $716.90 $755.37 $892.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.04 $610.64 $687.58 $960.88 $1,460.16 |
$743.83 $816.43 $893.37 $1,166.67 |
$949.62 $1,022.22 $1,099.16 $1,372.46 |
Toc - Plan #38 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.16 $341.81 $384.87 $537.86 $817.33 |
$531.54 $572.19 $615.25 $768.24 |
$761.92 $802.57 $845.63 $998.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.32 $683.62 $769.74 $1,075.72 $1,634.66 |
$832.70 $914.00 $1,000.12 $1,306.10 |
$1,063.08 $1,144.38 $1,230.50 $1,536.48 |
Toc - Plan #39 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$222.45 $252.47 $284.28 $397.28 $603.71 |
$392.62 $422.64 $454.45 $567.45 |
$562.79 $592.81 $624.62 $737.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$444.90 $504.94 $568.56 $794.56 $1,207.42 |
$615.07 $675.11 $738.73 $964.73 |
$785.24 $845.28 $908.90 $1,134.90 |
Toc - Plan #40 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.17 $287.34 $323.54 $452.15 $687.08 |
$446.84 $481.01 $517.21 $645.82 |
$640.51 $674.68 $710.88 $839.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506.34 $574.68 $647.08 $904.30 $1,374.16 |
$700.01 $768.35 $840.75 $1,097.97 |
$893.68 $962.02 $1,034.42 $1,291.64 |
Toc - Plan #41 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.64 $299.22 $336.91 $470.84 $715.48 |
$465.31 $500.89 $538.58 $672.51 |
$666.98 $702.56 $740.25 $874.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$527.28 $598.44 $673.82 $941.68 $1,430.96 |
$728.95 $800.11 $875.49 $1,143.35 |
$930.62 $1,001.78 $1,077.16 $1,345.02 |
Toc - Plan #42 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.63 $326.45 $367.58 $513.69 $780.60 |
$507.66 $546.48 $587.61 $733.72 |
$727.69 $766.51 $807.64 $953.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.26 $652.90 $735.16 $1,027.38 $1,561.20 |
$795.29 $872.93 $955.19 $1,247.41 |
$1,015.32 $1,092.96 $1,175.22 $1,467.44 |
Toc - Plan #43 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.25 $294.24 $331.31 $463.00 $703.58 |
$457.57 $492.56 $529.63 $661.32 |
$655.89 $690.88 $727.95 $859.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$518.50 $588.48 $662.62 $926.00 $1,407.16 |
$716.82 $786.80 $860.94 $1,124.32 |
$915.14 $985.12 $1,059.26 $1,322.64 |
Toc - Plan #44 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.63 $378.66 $426.37 $595.85 $905.45 |
$588.85 $633.88 $681.59 $851.07 |
$844.07 $889.10 $936.81 $1,106.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.26 $757.32 $852.74 $1,191.70 $1,810.90 |
$922.48 $1,012.54 $1,107.96 $1,446.92 |
$1,177.70 $1,267.76 $1,363.18 $1,702.14 |
Toc - Plan #45 Ambetter from Meridian | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$203.13 $230.54 $259.59 $362.78 $551.27 |
$358.52 $385.93 $414.98 $518.17 |
$513.91 $541.32 $570.37 $673.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$406.26 $461.08 $519.18 $725.56 $1,102.54 |
$561.65 $616.47 $674.57 $880.95 |
$717.04 $771.86 $829.96 $1,036.34 |
Toc - Plan #46 Ambetter from Meridian | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.64 $276.53 $311.36 $435.13 $661.22 |
$430.02 $462.91 $497.74 $621.51 |
$616.40 $649.29 $684.12 $807.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$487.28 $553.06 $622.72 $870.26 $1,322.44 |
$673.66 $739.44 $809.10 $1,056.64 |
$860.04 $925.82 $995.48 $1,243.02 |
Toc - Plan #47 Ambetter from Meridian | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-993-2426
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.59 $313.92 $353.47 $493.97 $750.63 |
$488.17 $525.50 $565.05 $705.55 |
$699.75 $737.08 $776.63 $917.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.18 $627.84 $706.94 $987.94 $1,501.26 |
$764.76 $839.42 $918.52 $1,199.52 |
$976.34 $1,051.00 $1,130.10 $1,411.10 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0324 | Toll Free: 1-888-200-0324 | TTY: 1-888-200-0324 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $8,900 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227.87 $258.63 $291.22 $406.98 $618.45 |
$402.19 $432.95 $465.54 $581.30 |
$576.51 $607.27 $639.86 $755.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$455.74 $517.26 $582.44 $813.96 $1,236.90 |
$630.06 $691.58 $756.76 $988.28 |
$804.38 $865.90 $931.08 $1,162.60 |
Toc - Plan #49 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$232.17 $263.51 $296.71 $414.65 $630.11 |
$409.78 $441.12 $474.32 $592.26 |
$587.39 $618.73 $651.93 $769.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$464.34 $527.02 $593.42 $829.30 $1,260.22 |
$641.95 $704.63 $771.03 $1,006.91 |
$819.56 $882.24 $948.64 $1,184.52 |
Toc - Plan #50 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Essential HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.21 $259.01 $291.65 $407.58 $619.35 |
$402.79 $433.59 $466.23 $582.16 |
$577.37 $608.17 $640.81 $756.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$456.42 $518.02 $583.30 $815.16 $1,238.70 |
$631.00 $692.60 $757.88 $989.74 |
$805.58 $867.18 $932.46 $1,164.32 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.33 $370.39 $417.05 $582.83 $885.67 |
$575.97 $620.03 $666.69 $832.47 |
$825.61 $869.67 $916.33 $1,082.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.66 $740.78 $834.10 $1,165.66 $1,771.34 |
$902.30 $990.42 $1,083.74 $1,415.30 |
$1,151.94 $1,240.06 $1,333.38 $1,664.94 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.84 $391.39 $440.71 $615.89 $935.90 |
$608.64 $655.19 $704.51 $879.69 |
$872.44 $918.99 $968.31 $1,143.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.68 $782.78 $881.42 $1,231.78 $1,871.80 |
$953.48 $1,046.58 $1,145.22 $1,495.58 |
$1,217.28 $1,310.38 $1,409.02 $1,759.38 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.25 $366.89 $413.12 $577.33 $877.31 |
$570.54 $614.18 $660.41 $824.62 |
$817.83 $861.47 $907.70 $1,071.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.50 $733.78 $826.24 $1,154.66 $1,754.62 |
$893.79 $981.07 $1,073.53 $1,401.95 |
$1,141.08 $1,228.36 $1,320.82 $1,649.24 |
Toc - Plan #54 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.18 $310.06 $349.12 $487.89 $741.40 |
$482.16 $519.04 $558.10 $696.87 |
$691.14 $728.02 $767.08 $905.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.36 $620.12 $698.24 $975.78 $1,482.80 |
$755.34 $829.10 $907.22 $1,184.76 |
$964.32 $1,038.08 $1,116.20 $1,393.74 |
Toc - Plan #55 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.73 $325.43 $366.44 $512.09 $778.17 |
$506.08 $544.78 $585.79 $731.44 |
$725.43 $764.13 $805.14 $950.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.46 $650.86 $732.88 $1,024.18 $1,556.34 |
$792.81 $870.21 $952.23 $1,243.53 |
$1,012.16 $1,089.56 $1,171.58 $1,462.88 |
Toc - Plan #56 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$216.34 $245.55 $276.49 $386.39 $587.15 |
$381.84 $411.05 $441.99 $551.89 |
$547.34 $576.55 $607.49 $717.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$432.68 $491.10 $552.98 $772.78 $1,174.30 |
$598.18 $656.60 $718.48 $938.28 |
$763.68 $822.10 $883.98 $1,103.78 |
Toc - Plan #57 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227.05 $257.71 $290.17 $405.52 $616.22 |
$400.75 $431.41 $463.87 $579.22 |
$574.45 $605.11 $637.57 $752.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$454.10 $515.42 $580.34 $811.04 $1,232.44 |
$627.80 $689.12 $754.04 $984.74 |
$801.50 $862.82 $927.74 $1,158.44 |
Toc - Plan #58 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$216.03 $245.20 $276.09 $385.84 $586.32 |
$381.30 $410.47 $441.36 $551.11 |
$546.57 $575.74 $606.63 $716.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$432.06 $490.40 $552.18 $771.68 $1,172.64 |
$597.33 $655.67 $717.45 $936.95 |
$762.60 $820.94 $882.72 $1,102.22 |
Toc - Plan #59 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.50 $358.09 $403.21 $563.48 $856.27 |
$556.86 $599.45 $644.57 $804.84 |
$798.22 $840.81 $885.93 $1,046.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.00 $716.18 $806.42 $1,126.96 $1,712.54 |
$872.36 $957.54 $1,047.78 $1,368.32 |
$1,113.72 $1,198.90 $1,289.14 $1,609.68 |
Toc - Plan #60 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,350 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.43 $325.10 $366.06 $511.56 $777.37 |
$505.55 $544.22 $585.18 $730.68 |
$724.67 $763.34 $804.30 $949.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.86 $650.20 $732.12 $1,023.12 $1,554.74 |
$791.98 $869.32 $951.24 $1,242.24 |
$1,011.10 $1,088.44 $1,170.36 $1,461.36 |
Toc - Plan #61 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.87 $324.46 $365.34 $510.57 $775.86 |
$504.56 $543.15 $584.03 $729.26 |
$723.25 $761.84 $802.72 $947.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.74 $648.92 $730.68 $1,021.14 $1,551.72 |
$790.43 $867.61 $949.37 $1,239.83 |
$1,009.12 $1,086.30 $1,168.06 $1,458.52 |
Toc - Plan #62 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.74 $318.64 $358.79 $501.41 $761.94 |
$495.51 $533.41 $573.56 $716.18 |
$710.28 $748.18 $788.33 $930.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.48 $637.28 $717.58 $1,002.82 $1,523.88 |
$776.25 $852.05 $932.35 $1,217.59 |
$991.02 $1,066.82 $1,147.12 $1,432.36 |
Toc - Plan #63 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.24 $339.64 $382.43 $534.44 $812.14 |
$528.16 $568.56 $611.35 $763.36 |
$757.08 $797.48 $840.27 $992.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.48 $679.28 $764.86 $1,068.88 $1,624.28 |
$827.40 $908.20 $993.78 $1,297.80 |
$1,056.32 $1,137.12 $1,222.70 $1,526.72 |
Toc - Plan #64 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $9,100 Deductible ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0324
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$223.32 $253.47 $285.41 $398.86 $606.10 |
$394.16 $424.31 $456.25 $569.70 |
$565.00 $595.15 $627.09 $740.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$446.64 $506.94 $570.82 $797.72 $1,212.20 |
$617.48 $677.78 $741.66 $968.56 |
$788.32 $848.62 $912.50 $1,139.40 |
ADVERTISEMENT
Blue Care Network of MichiganLocal: 1-888-227-2345 | Toll Free: 1-888-227-2345 | TTY: 1-800-257-9980 |
Toc - Plan #65 Blue Care Network of Michigan | ||||||||||||||||||||
Catastrophic
(HMO) Blue Cross® Select HMO Value |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$194.06 $220.26 $248.01 $346.59 $526.68 |
$342.52 $368.72 $396.47 $495.05 |
$490.98 $517.18 $544.93 $643.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$388.12 $440.52 $496.02 $693.18 $1,053.36 |
$536.58 $588.98 $644.48 $841.64 |
$685.04 $737.44 $792.94 $990.10 |
Toc - Plan #66 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.45 $381.87 $429.98 $600.90 $913.13 |
$593.83 $639.25 $687.36 $858.28 |
$851.21 $896.63 $944.74 $1,115.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.90 $763.74 $859.96 $1,201.80 $1,826.26 |
$930.28 $1,021.12 $1,117.34 $1,459.18 |
$1,187.66 $1,278.50 $1,374.72 $1,716.56 |
Toc - Plan #67 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.68 $419.59 $472.45 $660.25 $1,003.31 |
$652.49 $702.40 $755.26 $943.06 |
$935.30 $985.21 $1,038.07 $1,225.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.36 $839.18 $944.90 $1,320.50 $2,006.62 |
$1,022.17 $1,121.99 $1,227.71 $1,603.31 |
$1,304.98 $1,404.80 $1,510.52 $1,886.12 |
Toc - Plan #68 Blue Care Network of Michigan | ||||||||||||||||||||
Gold
(HMO) Blue Cross® Preferred HMO Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.93 $472.08 $531.56 $742.85 $1,128.83 |
$734.12 $790.27 $849.75 $1,061.04 |
$1,052.31 $1,108.46 $1,167.94 $1,379.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$831.86 $944.16 $1,063.12 $1,485.70 $2,257.66 |
$1,150.05 $1,262.35 $1,381.31 $1,803.89 |
$1,468.24 $1,580.54 $1,699.50 $2,122.08 |
Toc - Plan #69 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.52 $342.23 $385.34 $538.51 $818.33 |
$532.18 $572.89 $616.00 $769.17 |
$762.84 $803.55 $846.66 $999.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.04 $684.46 $770.68 $1,077.02 $1,636.66 |
$833.70 $915.12 $1,001.34 $1,307.68 |
$1,064.36 $1,145.78 $1,232.00 $1,538.34 |
Toc - Plan #70 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.30 $376.03 $423.40 $591.70 $899.15 |
$584.74 $629.47 $676.84 $845.14 |
$838.18 $882.91 $930.28 $1,098.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.60 $752.06 $846.80 $1,183.40 $1,798.30 |
$916.04 $1,005.50 $1,100.24 $1,436.84 |
$1,169.48 $1,258.94 $1,353.68 $1,690.28 |
Toc - Plan #71 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Select HMO Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.56 $268.50 $302.32 $422.50 $642.02 |
$417.53 $449.47 $483.29 $603.47 |
$598.50 $630.44 $664.26 $784.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473.12 $537.00 $604.64 $845.00 $1,284.04 |
$654.09 $717.97 $785.61 $1,025.97 |
$835.06 $898.94 $966.58 $1,206.94 |
Toc - Plan #72 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Select HMO Bronze Saver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240.37 $272.82 $307.19 $429.30 $652.36 |
$424.25 $456.70 $491.07 $613.18 |
$608.13 $640.58 $674.95 $797.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480.74 $545.64 $614.38 $858.60 $1,304.72 |
$664.62 $729.52 $798.26 $1,042.48 |
$848.50 $913.40 $982.14 $1,226.36 |
Toc - Plan #73 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Bronze Saver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.10 $299.75 $337.52 $471.68 $716.77 |
$466.14 $501.79 $539.56 $673.72 |
$668.18 $703.83 $741.60 $875.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$528.20 $599.50 $675.04 $943.36 $1,433.54 |
$730.24 $801.54 $877.08 $1,145.40 |
$932.28 $1,003.58 $1,079.12 $1,347.44 |
Toc - Plan #74 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.92 $295.01 $332.18 $464.22 $705.42 |
$458.76 $493.85 $531.02 $663.06 |
$657.60 $692.69 $729.86 $861.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.84 $590.02 $664.36 $928.44 $1,410.84 |
$718.68 $788.86 $863.20 $1,127.28 |
$917.52 $987.70 $1,062.04 $1,326.12 |
Toc - Plan #75 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Select HMO Silver Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.36 $401.06 $451.59 $631.10 $959.02 |
$623.68 $671.38 $721.91 $901.42 |
$894.00 $941.70 $992.23 $1,171.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.72 $802.12 $903.18 $1,262.20 $1,918.04 |
$977.04 $1,072.44 $1,173.50 $1,532.52 |
$1,247.36 $1,342.76 $1,443.82 $1,802.84 |
Toc - Plan #76 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Silver Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.26 $440.68 $496.20 $693.43 $1,053.74 |
$685.28 $737.70 $793.22 $990.45 |
$982.30 $1,034.72 $1,090.24 $1,287.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.52 $881.36 $992.40 $1,386.86 $2,107.48 |
$1,073.54 $1,178.38 $1,289.42 $1,683.88 |
$1,370.56 $1,475.40 $1,586.44 $1,980.90 |
Toc - Plan #77 Blue Care Network of Michigan | ||||||||||||||||||||
Gold
(HMO) Blue Cross® Preferred HMO Gold Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.73 $475.26 $535.14 $747.85 $1,136.43 |
$739.06 $795.59 $855.47 $1,068.18 |
$1,059.39 $1,115.92 $1,175.80 $1,388.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.46 $950.52 $1,070.28 $1,495.70 $2,272.86 |
$1,157.79 $1,270.85 $1,390.61 $1,816.03 |
$1,478.12 $1,591.18 $1,710.94 $2,136.36 |
Toc - Plan #78 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Select HMO Bronze Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227.66 $258.39 $290.95 $406.60 $617.87 |
$401.82 $432.55 $465.11 $580.76 |
$575.98 $606.71 $639.27 $754.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$455.32 $516.78 $581.90 $813.20 $1,235.74 |
$629.48 $690.94 $756.06 $987.36 |
$803.64 $865.10 $930.22 $1,161.52 |
Toc - Plan #79 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Bronze Extra |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.13 $283.90 $319.67 $446.73 $678.85 |
$441.48 $475.25 $511.02 $638.08 |
$632.83 $666.60 $702.37 $829.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$500.26 $567.80 $639.34 $893.46 $1,357.70 |
$691.61 $759.15 $830.69 $1,084.81 |
$882.96 $950.50 $1,022.04 $1,276.16 |
Toc - Plan #80 Blue Care Network of Michigan | ||||||||||||||||||||
Bronze
(HMO) Blue Cross® Select HMO Bronze Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$202.57 $229.92 $258.88 $361.79 $549.77 |
$357.54 $384.89 $413.85 $516.76 |
$512.51 $539.86 $568.82 $671.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$405.14 $459.84 $517.76 $723.58 $1,099.54 |
$560.11 $614.81 $672.73 $878.55 |
$715.08 $769.78 $827.70 $1,033.52 |
Toc - Plan #81 Blue Care Network of Michigan | ||||||||||||||||||||
Bronze
(HMO) Blue Cross® Preferred HMO Bronze Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$222.57 $252.62 $284.44 $397.51 $604.05 |
$392.84 $422.89 $454.71 $567.78 |
$563.11 $593.16 $624.98 $738.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$445.14 $505.24 $568.88 $795.02 $1,208.10 |
$615.41 $675.51 $739.15 $965.29 |
$785.68 $845.78 $909.42 $1,135.56 |
Toc - Plan #82 Blue Care Network of Michigan | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Cross® Preferred HMO Virtual Primary Care Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.73 $272.09 $306.37 $428.16 $650.63 |
$423.12 $455.48 $489.76 $611.55 |
$606.51 $638.87 $673.15 $794.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$479.46 $544.18 $612.74 $856.32 $1,301.26 |
$662.85 $727.57 $796.13 $1,039.71 |
$846.24 $910.96 $979.52 $1,223.10 |
Toc - Plan #83 Blue Care Network of Michigan | ||||||||||||||||||||
Silver
(HMO) Blue Cross® Preferred HMO Virtual Primary Care Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-227-2345
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.44 $381.86 $429.97 $600.88 $913.10 |
$593.82 $639.24 $687.35 $858.26 |
$851.20 $896.62 $944.73 $1,115.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.88 $763.72 $859.94 $1,201.76 $1,826.20 |
$930.26 $1,021.10 $1,117.32 $1,459.14 |
$1,187.64 $1,278.48 $1,374.70 $1,716.52 |
‡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 Monroe County here.
Monroe County is in “Rating Area 1” of Michigan.
Currently, there are 83 plans offered in Rating Area 1.