Obamacare 2023 Rates for Cleveland County
Obamacare > Rates > North Carolina > Cleveland County
ADVERTISEMENT
Obamacare > Rates > North Carolina > Cleveland County
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(POS) Blue Value Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.90 $565.12 $636.32 $889.25 $1,351.30 |
$878.79 $946.01 $1,017.21 $1,270.14 |
$1,259.68 $1,326.90 $1,398.10 $1,651.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.80 $1,130.24 $1,272.64 $1,778.50 $2,702.60 |
$1,376.69 $1,511.13 $1,653.53 $2,159.39 |
$1,757.58 $1,892.02 $2,034.42 $2,540.28 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.80 $580.89 $654.08 $914.07 $1,389.03 |
$903.33 $972.42 $1,045.61 $1,305.60 |
$1,294.86 $1,363.95 $1,437.14 $1,697.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,023.60 $1,161.78 $1,308.16 $1,828.14 $2,778.06 |
$1,415.13 $1,553.31 $1,699.69 $2,219.67 |
$1,806.66 $1,944.84 $2,091.22 $2,611.20 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.95 $574.25 $646.60 $903.63 $1,373.15 |
$893.00 $961.30 $1,033.65 $1,290.68 |
$1,280.05 $1,348.35 $1,420.70 $1,677.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.90 $1,148.50 $1,293.20 $1,807.26 $2,746.30 |
$1,398.95 $1,535.55 $1,680.25 $2,194.31 |
$1,786.00 $1,922.60 $2,067.30 $2,581.36 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(POS) Blue Value Bronze 5500 | $60 PCP | $20 Tier 1 Rx | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.86 $424.33 $477.79 $667.71 $1,014.66 |
$659.86 $710.33 $763.79 $953.71 |
$945.86 $996.33 $1,049.79 $1,239.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.72 $848.66 $955.58 $1,335.42 $2,029.32 |
$1,033.72 $1,134.66 $1,241.58 $1,621.42 |
$1,319.72 $1,420.66 $1,527.58 $1,907.42 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(POS) Blue Value Bronze 7500 | HSA Eligible | Integrated | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.25 $421.37 $474.46 $663.05 $1,007.57 |
$655.26 $705.38 $758.47 $947.06 |
$939.27 $989.39 $1,042.48 $1,231.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.50 $842.74 $948.92 $1,326.10 $2,015.14 |
$1,026.51 $1,126.75 $1,232.93 $1,610.11 |
$1,310.52 $1,410.76 $1,516.94 $1,894.12 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(POS) Blue Value Bronze 9100 | Integrated | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.41 $402.26 $452.94 $632.98 $961.87 |
$625.53 $673.38 $724.06 $904.10 |
$896.65 $944.50 $995.18 $1,175.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.82 $804.52 $905.88 $1,265.96 $1,923.74 |
$979.94 $1,075.64 $1,177.00 $1,537.08 |
$1,251.06 $1,346.76 $1,448.12 $1,808.20 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(POS) Blue Value Catastrophic 9100 | 3 PCP $35 | Integrated | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.97 $295.07 $332.24 $464.31 $705.56 |
$458.85 $493.95 $531.12 $663.19 |
$657.73 $692.83 $730.00 $862.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.94 $590.14 $664.48 $928.62 $1,411.12 |
$718.82 $789.02 $863.36 $1,127.50 |
$917.70 $987.90 $1,062.24 $1,326.38 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Simple | $0 Deductible | 3 Free PCP | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$523.53 $594.21 $669.07 $935.02 $1,420.86 |
$924.03 $994.71 $1,069.57 $1,335.52 |
$1,324.53 $1,395.21 $1,470.07 $1,736.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,047.06 $1,188.42 $1,338.14 $1,870.04 $2,841.72 |
$1,447.56 $1,588.92 $1,738.64 $2,270.54 |
$1,848.06 $1,989.42 $2,139.14 $2,671.04 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.74 $550.18 $619.50 $865.75 $1,315.58 |
$855.57 $921.01 $990.33 $1,236.58 |
$1,226.40 $1,291.84 $1,361.16 $1,607.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.48 $1,100.36 $1,239.00 $1,731.50 $2,631.16 |
$1,340.31 $1,471.19 $1,609.83 $2,102.33 |
$1,711.14 $1,842.02 $1,980.66 $2,473.16 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503.97 $572.01 $644.07 $900.09 $1,367.77 |
$889.51 $957.55 $1,029.61 $1,285.63 |
$1,275.05 $1,343.09 $1,415.15 $1,671.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,007.94 $1,144.02 $1,288.14 $1,800.18 $2,735.54 |
$1,393.48 $1,529.56 $1,673.68 $2,185.72 |
$1,779.02 $1,915.10 $2,059.22 $2,571.26 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(POS) Blue Value Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.72 $401.47 $452.05 $631.74 $960.00 |
$624.32 $672.07 $722.65 $902.34 |
$894.92 $942.67 $993.25 $1,172.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.44 $802.94 $904.10 $1,263.48 $1,920.00 |
$978.04 $1,073.54 $1,174.70 $1,534.08 |
$1,248.64 $1,344.14 $1,445.30 $1,804.68 |
Toc - Plan #12 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(POS) Blue Value Gold Standard 2000 | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.03 $562.99 $633.93 $885.91 $1,346.23 |
$875.49 $942.45 $1,013.39 $1,265.37 |
$1,254.95 $1,321.91 $1,392.85 $1,644.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992.06 $1,125.98 $1,267.86 $1,771.82 $2,692.46 |
$1,371.52 $1,505.44 $1,647.32 $2,151.28 |
$1,750.98 $1,884.90 $2,026.78 $2,530.74 |
Toc - Plan #13 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(POS) Blue Value Silver Standard 5800 | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.79 $569.53 $641.29 $896.20 $1,361.86 |
$885.66 $953.40 $1,025.16 $1,280.07 |
$1,269.53 $1,337.27 $1,409.03 $1,663.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.58 $1,139.06 $1,282.58 $1,792.40 $2,723.72 |
$1,387.45 $1,522.93 $1,666.45 $2,176.27 |
$1,771.32 $1,906.80 $2,050.32 $2,560.14 |
Toc - Plan #14 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(POS) Blue Value Bronze Standard 7500 | Statewide Doctors |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.15 $401.96 $452.60 $632.51 $961.16 |
$625.07 $672.88 $723.52 $903.43 |
$895.99 $943.80 $994.44 $1,174.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.30 $803.92 $905.20 $1,265.02 $1,922.32 |
$979.22 $1,074.84 $1,176.12 $1,535.94 |
$1,250.14 $1,345.76 $1,447.04 $1,806.86 |
Toc - Plan #15 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Local Gold 1800 | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.06 $568.70 $640.35 $894.89 $1,359.88 |
$884.37 $952.01 $1,023.66 $1,278.20 |
$1,267.68 $1,335.32 $1,406.97 $1,661.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,002.12 $1,137.40 $1,280.70 $1,789.78 $2,719.76 |
$1,385.43 $1,520.71 $1,664.01 $2,173.09 |
$1,768.74 $1,904.02 $2,047.32 $2,556.40 |
Toc - Plan #16 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Local Gold Standard 2000 | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.25 $566.65 $638.04 $891.66 $1,354.96 |
$881.18 $948.58 $1,019.97 $1,273.59 |
$1,263.11 $1,330.51 $1,401.90 $1,655.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.50 $1,133.30 $1,276.08 $1,783.32 $2,709.92 |
$1,380.43 $1,515.23 $1,658.01 $2,165.25 |
$1,762.36 $1,897.16 $2,039.94 $2,547.18 |
Toc - Plan #17 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Total 3500 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$515.17 $584.72 $658.39 $920.09 $1,398.17 |
$909.28 $978.83 $1,052.50 $1,314.20 |
$1,303.39 $1,372.94 $1,446.61 $1,708.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,030.34 $1,169.44 $1,316.78 $1,840.18 $2,796.34 |
$1,424.45 $1,563.55 $1,710.89 $2,234.29 |
$1,818.56 $1,957.66 $2,105.00 $2,628.40 |
Toc - Plan #18 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Simple | $0 Deductible | 3 Free PCP | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.88 $598.01 $673.35 $941.01 $1,429.95 |
$929.94 $1,001.07 $1,076.41 $1,344.07 |
$1,333.00 $1,404.13 $1,479.47 $1,747.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.76 $1,196.02 $1,346.70 $1,882.02 $2,859.90 |
$1,456.82 $1,599.08 $1,749.76 $2,285.08 |
$1,859.88 $2,002.14 $2,152.82 $2,688.14 |
Toc - Plan #19 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Preferred 3100 | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$487.80 $553.65 $623.41 $871.21 $1,323.89 |
$860.97 $926.82 $996.58 $1,244.38 |
$1,234.14 $1,299.99 $1,369.75 $1,617.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.60 $1,107.30 $1,246.82 $1,742.42 $2,647.78 |
$1,348.77 $1,480.47 $1,619.99 $2,115.59 |
$1,721.94 $1,853.64 $1,993.16 $2,488.76 |
Toc - Plan #20 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Secure 1900 | $15 PCP | $15 Tier 1 Rx | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$507.21 $575.68 $648.21 $905.88 $1,376.57 |
$895.23 $963.70 $1,036.23 $1,293.90 |
$1,283.25 $1,351.72 $1,424.25 $1,681.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,014.42 $1,151.36 $1,296.42 $1,811.76 $2,753.14 |
$1,402.44 $1,539.38 $1,684.44 $2,199.78 |
$1,790.46 $1,927.40 $2,072.46 $2,587.80 |
Toc - Plan #21 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Choice 4000 | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.17 $577.91 $650.72 $909.38 $1,381.89 |
$898.69 $967.43 $1,040.24 $1,298.90 |
$1,288.21 $1,356.95 $1,429.76 $1,688.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.34 $1,155.82 $1,301.44 $1,818.76 $2,763.78 |
$1,407.86 $1,545.34 $1,690.96 $2,208.28 |
$1,797.38 $1,934.86 $2,080.48 $2,597.80 |
Toc - Plan #22 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze 5500 | $60 PCP | $20 Tier 1 Rx | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.25 $427.04 $480.85 $671.98 $1,021.14 |
$664.08 $714.87 $768.68 $959.81 |
$951.91 $1,002.70 $1,056.51 $1,247.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.50 $854.08 $961.70 $1,343.96 $2,042.28 |
$1,040.33 $1,141.91 $1,249.53 $1,631.79 |
$1,328.16 $1,429.74 $1,537.36 $1,919.62 |
Toc - Plan #23 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Standard 5800 | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.03 $573.21 $645.43 $901.98 $1,370.65 |
$891.38 $959.56 $1,031.78 $1,288.33 |
$1,277.73 $1,345.91 $1,418.13 $1,674.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,010.06 $1,146.42 $1,290.86 $1,803.96 $2,741.30 |
$1,396.41 $1,532.77 $1,677.21 $2,190.31 |
$1,782.76 $1,919.12 $2,063.56 $2,576.66 |
Toc - Plan #24 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze 7000 | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.03 $404.09 $455.01 $635.87 $966.27 |
$628.39 $676.45 $727.37 $908.23 |
$900.75 $948.81 $999.73 $1,180.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.06 $808.18 $910.02 $1,271.74 $1,932.54 |
$984.42 $1,080.54 $1,182.38 $1,544.10 |
$1,256.78 $1,352.90 $1,454.74 $1,816.46 |
Toc - Plan #25 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze Standard 7500 | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.46 $404.58 $455.56 $636.64 $967.43 |
$629.15 $677.27 $728.25 $909.33 |
$901.84 $949.96 $1,000.94 $1,182.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.92 $809.16 $911.12 $1,273.28 $1,934.86 |
$985.61 $1,081.85 $1,183.81 $1,545.97 |
$1,258.30 $1,354.54 $1,456.50 $1,818.66 |
Toc - Plan #26 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze 7500 | HSA Eligible | Integrated | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.58 $424.01 $477.44 $667.21 $1,013.90 |
$659.37 $709.80 $763.23 $953.00 |
$945.16 $995.59 $1,049.02 $1,238.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.16 $848.02 $954.88 $1,334.42 $2,027.80 |
$1,032.95 $1,133.81 $1,240.67 $1,620.21 |
$1,318.74 $1,419.60 $1,526.46 $1,906.00 |
Toc - Plan #27 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(EPO) Blue Local Bronze 9100 | Integrated | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.75 $404.91 $455.93 $637.16 $968.22 |
$629.66 $677.82 $728.84 $910.07 |
$902.57 $950.73 $1,001.75 $1,182.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.50 $809.82 $911.86 $1,274.32 $1,936.44 |
$986.41 $1,082.73 $1,184.77 $1,547.23 |
$1,259.32 $1,355.64 $1,457.68 $1,820.14 |
Toc - Plan #28 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(EPO) Blue Local Catastrophic 9100 | 3 PCP $35 | Integrated | with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.61 $296.93 $334.34 $467.24 $710.01 |
$461.74 $497.06 $534.47 $667.37 |
$661.87 $697.19 $734.60 $867.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523.22 $593.86 $668.68 $934.48 $1,420.02 |
$723.35 $793.99 $868.81 $1,134.61 |
$923.48 $994.12 $1,068.94 $1,334.74 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-833-705-2175 | Toll Free: 1-833-705-2175 |
Toc - Plan #29 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$739.01 $838.77 $944.44 $1,319.86 $2,005.65 |
$1,304.35 $1,404.11 $1,509.78 $1,885.20 |
$1,869.69 $1,969.45 $2,075.12 $2,450.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,478.02 $1,677.54 $1,888.88 $2,639.72 $4,011.30 |
$2,043.36 $2,242.88 $2,454.22 $3,205.06 |
$2,608.70 $2,808.22 $3,019.56 $3,770.40 |
Toc - Plan #30 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$948.05 $1,076.03 $1,211.60 $1,693.21 $2,572.99 |
$1,673.30 $1,801.28 $1,936.85 $2,418.46 |
$2,398.55 $2,526.53 $2,662.10 $3,143.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,896.10 $2,152.06 $2,423.20 $3,386.42 $5,145.98 |
$2,621.35 $2,877.31 $3,148.45 $4,111.67 |
$3,346.60 $3,602.56 $3,873.70 $4,836.92 |
Toc - Plan #31 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$980.95 $1,113.37 $1,253.64 $1,751.96 $2,662.28 |
$1,731.37 $1,863.79 $2,004.06 $2,502.38 |
$2,481.79 $2,614.21 $2,754.48 $3,252.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,961.90 $2,226.74 $2,507.28 $3,503.92 $5,324.56 |
$2,712.32 $2,977.16 $3,257.70 $4,254.34 |
$3,462.74 $3,727.58 $4,008.12 $5,004.76 |
Toc - Plan #32 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$740.24 $840.16 $946.02 $1,322.06 $2,008.99 |
$1,306.52 $1,406.44 $1,512.30 $1,888.34 |
$1,872.80 $1,972.72 $2,078.58 $2,454.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,480.48 $1,680.32 $1,892.04 $2,644.12 $4,017.98 |
$2,046.76 $2,246.60 $2,458.32 $3,210.40 |
$2,613.04 $2,812.88 $3,024.60 $3,776.68 |
Toc - Plan #33 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$936.58 $1,063.01 $1,196.94 $1,672.72 $2,541.86 |
$1,653.06 $1,779.49 $1,913.42 $2,389.20 |
$2,369.54 $2,495.97 $2,629.90 $3,105.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,873.16 $2,126.02 $2,393.88 $3,345.44 $5,083.72 |
$2,589.64 $2,842.50 $3,110.36 $4,061.92 |
$3,306.12 $3,558.98 $3,826.84 $4,778.40 |
Toc - Plan #34 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-705-2175
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$953.84 $1,082.59 $1,218.99 $1,703.54 $2,588.69 |
$1,683.52 $1,812.27 $1,948.67 $2,433.22 |
$2,413.20 $2,541.95 $2,678.35 $3,162.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,907.68 $2,165.18 $2,437.98 $3,407.08 $5,177.38 |
$2,637.36 $2,894.86 $3,167.66 $4,136.76 |
$3,367.04 $3,624.54 $3,897.34 $4,866.44 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #35 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze: Aetna network of doctors & hospitals+ Low-cost MinuteClinic+ $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.70 $348.10 $391.96 $547.76 $832.38 |
$541.32 $582.72 $626.58 $782.38 |
$775.94 $817.34 $861.20 $1,017.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.40 $696.20 $783.92 $1,095.52 $1,664.76 |
$848.02 $930.82 $1,018.54 $1,330.14 |
$1,082.64 $1,165.44 $1,253.16 $1,564.76 |
Toc - Plan #36 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.98 $313.24 $352.71 $492.91 $749.02 |
$487.11 $524.37 $563.84 $704.04 |
$698.24 $735.50 $774.97 $915.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$551.96 $626.48 $705.42 $985.82 $1,498.04 |
$763.09 $837.61 $916.55 $1,196.95 |
$974.22 $1,048.74 $1,127.68 $1,408.08 |
Toc - Plan #37 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.62 $513.72 $578.44 $808.37 $1,228.40 |
$798.87 $859.97 $924.69 $1,154.62 |
$1,145.12 $1,206.22 $1,270.94 $1,500.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.24 $1,027.44 $1,156.88 $1,616.74 $2,456.80 |
$1,251.49 $1,373.69 $1,503.13 $1,962.99 |
$1,597.74 $1,719.94 $1,849.38 $2,309.24 |
Toc - Plan #38 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.75 $482.09 $542.83 $758.60 $1,152.77 |
$749.68 $807.02 $867.76 $1,083.53 |
$1,074.61 $1,131.95 $1,192.69 $1,408.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.50 $964.18 $1,085.66 $1,517.20 $2,305.54 |
$1,174.43 $1,289.11 $1,410.59 $1,842.13 |
$1,499.36 $1,614.04 $1,735.52 $2,167.06 |
Toc - Plan #39 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.16 $457.58 $515.23 $720.04 $1,094.17 |
$711.57 $765.99 $823.64 $1,028.45 |
$1,019.98 $1,074.40 $1,132.05 $1,336.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.32 $915.16 $1,030.46 $1,440.08 $2,188.34 |
$1,114.73 $1,223.57 $1,338.87 $1,748.49 |
$1,423.14 $1,531.98 $1,647.28 $2,056.90 |
Toc - Plan #40 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.04 $324.65 $365.56 $510.86 $776.31 |
$504.86 $543.47 $584.38 $729.68 |
$723.68 $762.29 $803.20 $948.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$572.08 $649.30 $731.12 $1,021.72 $1,552.62 |
$790.90 $868.12 $949.94 $1,240.54 |
$1,009.72 $1,086.94 $1,168.76 $1,459.36 |
Toc - Plan #41 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.28 $504.26 $567.79 $793.48 $1,205.78 |
$784.15 $844.13 $907.66 $1,133.35 |
$1,124.02 $1,184.00 $1,247.53 $1,473.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.56 $1,008.52 $1,135.58 $1,586.96 $2,411.56 |
$1,228.43 $1,348.39 $1,475.45 $1,926.83 |
$1,568.30 $1,688.26 $1,815.32 $2,266.70 |
Toc - Plan #42 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.01 $473.31 $532.94 $744.79 $1,131.78 |
$736.03 $792.33 $851.96 $1,063.81 |
$1,055.05 $1,111.35 $1,170.98 $1,382.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.02 $946.62 $1,065.88 $1,489.58 $2,263.56 |
$1,153.04 $1,265.64 $1,384.90 $1,808.60 |
$1,472.06 $1,584.66 $1,703.92 $2,127.62 |
Toc - Plan #43 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.73 $446.88 $503.19 $703.20 $1,068.58 |
$694.93 $748.08 $804.39 $1,004.40 |
$996.13 $1,049.28 $1,105.59 $1,305.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.46 $893.76 $1,006.38 $1,406.40 $2,137.16 |
$1,088.66 $1,194.96 $1,307.58 $1,707.60 |
$1,389.86 $1,496.16 $1,608.78 $2,008.80 |
ADVERTISEMENT
Ambetter of North CarolinaLocal: 1-833-863-1310 | Toll Free: 1-833-863-1310 | TTY: 1-833-863-1310 |
Toc - Plan #44 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$296.73 $336.77 $379.20 $529.93 $805.29 |
$523.72 $563.76 $606.19 $756.92 |
$750.71 $790.75 $833.18 $983.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$593.46 $673.54 $758.40 $1,059.86 $1,610.58 |
$820.45 $900.53 $985.39 $1,286.85 |
$1,047.44 $1,127.52 $1,212.38 $1,513.84 |
Toc - Plan #45 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.30 $370.34 $417.00 $582.75 $885.55 |
$575.91 $619.95 $666.61 $832.36 |
$825.52 $869.56 $916.22 $1,081.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.60 $740.68 $834.00 $1,165.50 $1,771.10 |
$902.21 $990.29 $1,083.61 $1,415.11 |
$1,151.82 $1,239.90 $1,333.22 $1,664.72 |
Toc - Plan #46 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.60 $359.33 $404.61 $565.44 $859.23 |
$558.79 $601.52 $646.80 $807.63 |
$800.98 $843.71 $888.99 $1,049.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.20 $718.66 $809.22 $1,130.88 $1,718.46 |
$875.39 $960.85 $1,051.41 $1,373.07 |
$1,117.58 $1,203.04 $1,293.60 $1,615.26 |
Toc - Plan #47 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.28 $404.36 $455.31 $636.29 $966.91 |
$628.82 $676.90 $727.85 $908.83 |
$901.36 $949.44 $1,000.39 $1,181.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.56 $808.72 $910.62 $1,272.58 $1,933.82 |
$985.10 $1,081.26 $1,183.16 $1,545.12 |
$1,257.64 $1,353.80 $1,455.70 $1,817.66 |
Toc - Plan #48 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.39 $456.70 $514.24 $718.65 $1,092.06 |
$710.21 $764.52 $822.06 $1,026.47 |
$1,018.03 $1,072.34 $1,129.88 $1,334.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.78 $913.40 $1,028.48 $1,437.30 $2,184.12 |
$1,112.60 $1,221.22 $1,336.30 $1,745.12 |
$1,420.42 $1,529.04 $1,644.12 $2,052.94 |
Toc - Plan #49 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Everyday Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.65 $452.45 $509.46 $711.97 $1,081.91 |
$703.61 $757.41 $814.42 $1,016.93 |
$1,008.57 $1,062.37 $1,119.38 $1,321.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.30 $904.90 $1,018.92 $1,423.94 $2,163.82 |
$1,102.26 $1,209.86 $1,323.88 $1,728.90 |
$1,407.22 $1,514.82 $1,628.84 $2,033.86 |
Toc - Plan #50 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.60 $451.27 $508.12 $710.10 $1,079.07 |
$701.76 $755.43 $812.28 $1,014.26 |
$1,005.92 $1,059.59 $1,116.44 $1,318.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.20 $902.54 $1,016.24 $1,420.20 $2,158.14 |
$1,099.36 $1,206.70 $1,320.40 $1,724.36 |
$1,403.52 $1,510.86 $1,624.56 $2,028.52 |
Toc - Plan #51 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.76 $451.45 $508.33 $710.39 $1,079.50 |
$702.04 $755.73 $812.61 $1,014.67 |
$1,006.32 $1,060.01 $1,116.89 $1,318.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.52 $902.90 $1,016.66 $1,420.78 $2,159.00 |
$1,099.80 $1,207.18 $1,320.94 $1,725.06 |
$1,404.08 $1,511.46 $1,625.22 $2,029.34 |
Toc - Plan #52 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.77 $476.43 $536.46 $749.70 $1,139.24 |
$740.89 $797.55 $857.58 $1,070.82 |
$1,062.01 $1,118.67 $1,178.70 $1,391.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.54 $952.86 $1,072.92 $1,499.40 $2,278.48 |
$1,160.66 $1,273.98 $1,394.04 $1,820.52 |
$1,481.78 $1,595.10 $1,715.16 $2,141.64 |
Toc - Plan #53 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.45 $352.35 $396.74 $554.44 $842.53 |
$547.93 $589.83 $634.22 $791.92 |
$785.41 $827.31 $871.70 $1,029.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.90 $704.70 $793.48 $1,108.88 $1,685.06 |
$858.38 $942.18 $1,030.96 $1,346.36 |
$1,095.86 $1,179.66 $1,268.44 $1,583.84 |
Toc - Plan #54 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.70 $446.84 $503.13 $703.13 $1,068.47 |
$694.87 $748.01 $804.30 $1,004.30 |
$996.04 $1,049.18 $1,105.47 $1,305.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.40 $893.68 $1,006.26 $1,406.26 $2,136.94 |
$1,088.57 $1,194.85 $1,307.43 $1,707.43 |
$1,389.74 $1,496.02 $1,608.60 $2,008.60 |
Toc - Plan #55 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.41 $452.18 $509.15 $711.54 $1,081.25 |
$703.18 $756.95 $813.92 $1,016.31 |
$1,007.95 $1,061.72 $1,118.69 $1,321.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.82 $904.36 $1,018.30 $1,423.08 $2,162.50 |
$1,101.59 $1,209.13 $1,323.07 $1,727.85 |
$1,406.36 $1,513.90 $1,627.84 $2,032.62 |
Toc - Plan #56 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.22 $350.96 $395.17 $552.25 $839.20 |
$545.77 $587.51 $631.72 $788.80 |
$782.32 $824.06 $868.27 $1,025.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.44 $701.92 $790.34 $1,104.50 $1,678.40 |
$854.99 $938.47 $1,026.89 $1,341.05 |
$1,091.54 $1,175.02 $1,263.44 $1,577.60 |
Toc - Plan #57 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.04 $385.94 $434.56 $607.30 $922.85 |
$600.17 $646.07 $694.69 $867.43 |
$860.30 $906.20 $954.82 $1,127.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.08 $771.88 $869.12 $1,214.60 $1,845.70 |
$940.21 $1,032.01 $1,129.25 $1,474.73 |
$1,200.34 $1,292.14 $1,389.38 $1,734.86 |
Toc - Plan #58 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.94 $374.47 $421.65 $589.25 $895.42 |
$582.33 $626.86 $674.04 $841.64 |
$834.72 $879.25 $926.43 $1,094.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.88 $748.94 $843.30 $1,178.50 $1,790.84 |
$912.27 $1,001.33 $1,095.69 $1,430.89 |
$1,164.66 $1,253.72 $1,348.08 $1,683.28 |
Toc - Plan #59 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.28 $421.40 $474.49 $663.10 $1,007.64 |
$655.30 $705.42 $758.51 $947.12 |
$939.32 $989.44 $1,042.53 $1,231.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.56 $842.80 $948.98 $1,326.20 $2,015.28 |
$1,026.58 $1,126.82 $1,233.00 $1,610.22 |
$1,310.60 $1,410.84 $1,517.02 $1,894.24 |
Toc - Plan #60 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.34 $475.94 $535.90 $748.92 $1,138.06 |
$740.13 $796.73 $856.69 $1,069.71 |
$1,060.92 $1,117.52 $1,177.48 $1,390.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.68 $951.88 $1,071.80 $1,497.84 $2,276.12 |
$1,159.47 $1,272.67 $1,392.59 $1,818.63 |
$1,480.26 $1,593.46 $1,713.38 $2,139.42 |
Toc - Plan #61 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Everyday Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.44 $471.51 $530.92 $741.96 $1,127.47 |
$733.24 $789.31 $848.72 $1,059.76 |
$1,051.04 $1,107.11 $1,166.52 $1,377.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.88 $943.02 $1,061.84 $1,483.92 $2,254.94 |
$1,148.68 $1,260.82 $1,379.64 $1,801.72 |
$1,466.48 $1,578.62 $1,697.44 $2,119.52 |
Toc - Plan #62 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.35 $470.27 $529.53 $740.01 $1,124.52 |
$731.32 $787.24 $846.50 $1,056.98 |
$1,048.29 $1,104.21 $1,163.47 $1,373.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.70 $940.54 $1,059.06 $1,480.02 $2,249.04 |
$1,145.67 $1,257.51 $1,376.03 $1,796.99 |
$1,462.64 $1,574.48 $1,693.00 $2,113.96 |
Toc - Plan #63 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.52 $470.47 $529.74 $740.31 $1,124.97 |
$731.62 $787.57 $846.84 $1,057.41 |
$1,048.72 $1,104.67 $1,163.94 $1,374.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.04 $940.94 $1,059.48 $1,480.62 $2,249.94 |
$1,146.14 $1,258.04 $1,376.58 $1,797.72 |
$1,463.24 $1,575.14 $1,693.68 $2,114.82 |
Toc - Plan #64 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.45 $496.50 $559.05 $781.27 $1,187.22 |
$772.09 $831.14 $893.69 $1,115.91 |
$1,106.73 $1,165.78 $1,228.33 $1,450.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.90 $993.00 $1,118.10 $1,562.54 $2,374.44 |
$1,209.54 $1,327.64 $1,452.74 $1,897.18 |
$1,544.18 $1,662.28 $1,787.38 $2,231.82 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-465-5500 | Toll Free: 1-844-465-5500 | TTY: 1-800-659-2656 |
Toc - Plan #65 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.58 $259.44 $292.13 $408.25 $620.37 |
$403.44 $434.30 $466.99 $583.11 |
$578.30 $609.16 $641.85 $757.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$457.16 $518.88 $584.26 $816.50 $1,240.74 |
$632.02 $693.74 $759.12 $991.36 |
$806.88 $868.60 $933.98 $1,166.22 |
Toc - Plan #66 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.66 $340.11 $382.96 $535.18 $813.27 |
$528.90 $569.35 $612.20 $764.42 |
$758.14 $798.59 $841.44 $993.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.32 $680.22 $765.92 $1,070.36 $1,626.54 |
$828.56 $909.46 $995.16 $1,299.60 |
$1,057.80 $1,138.70 $1,224.40 $1,528.84 |
Toc - Plan #67 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.67 $343.53 $386.81 $540.57 $821.44 |
$534.21 $575.07 $618.35 $772.11 |
$765.75 $806.61 $849.89 $1,003.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.34 $687.06 $773.62 $1,081.14 $1,642.88 |
$836.88 $918.60 $1,005.16 $1,312.68 |
$1,068.42 $1,150.14 $1,236.70 $1,544.22 |
Toc - Plan #68 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.97 $363.16 $408.92 $571.46 $868.39 |
$564.74 $607.93 $653.69 $816.23 |
$809.51 $852.70 $898.46 $1,061.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.94 $726.32 $817.84 $1,142.92 $1,736.78 |
$884.71 $971.09 $1,062.61 $1,387.69 |
$1,129.48 $1,215.86 $1,307.38 $1,632.46 |
Toc - Plan #69 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.46 $473.82 $533.51 $745.58 $1,132.99 |
$736.82 $793.18 $852.87 $1,064.94 |
$1,056.18 $1,112.54 $1,172.23 $1,384.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.92 $947.64 $1,067.02 $1,491.16 $2,265.98 |
$1,154.28 $1,267.00 $1,386.38 $1,810.52 |
$1,473.64 $1,586.36 $1,705.74 $2,129.88 |
Toc - Plan #70 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.89 $498.14 $560.90 $783.85 $1,191.14 |
$774.64 $833.89 $896.65 $1,119.60 |
$1,110.39 $1,169.64 $1,232.40 $1,455.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.78 $996.28 $1,121.80 $1,567.70 $2,382.28 |
$1,213.53 $1,332.03 $1,457.55 $1,903.45 |
$1,549.28 $1,667.78 $1,793.30 $2,239.20 |
Toc - Plan #71 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.44 $339.86 $382.68 $534.80 $812.68 |
$528.51 $568.93 $611.75 $763.87 |
$757.58 $798.00 $840.82 $992.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.88 $679.72 $765.36 $1,069.60 $1,625.36 |
$827.95 $908.79 $994.43 $1,298.67 |
$1,057.02 $1,137.86 $1,223.50 $1,527.74 |
Toc - Plan #72 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.51 $486.36 $547.64 $765.32 $1,162.98 |
$756.32 $814.17 $875.45 $1,093.13 |
$1,084.13 $1,141.98 $1,203.26 $1,420.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.02 $972.72 $1,095.28 $1,530.64 $2,325.96 |
$1,184.83 $1,300.53 $1,423.09 $1,858.45 |
$1,512.64 $1,628.34 $1,750.90 $2,186.26 |
Toc - Plan #73 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.95 $517.51 $582.71 $814.33 $1,237.46 |
$804.76 $866.32 $931.52 $1,163.14 |
$1,153.57 $1,215.13 $1,280.33 $1,511.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.90 $1,035.02 $1,165.42 $1,628.66 $2,474.92 |
$1,260.71 $1,383.83 $1,514.23 $1,977.47 |
$1,609.52 $1,732.64 $1,863.04 $2,326.28 |
Toc - Plan #74 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.28 $339.68 $382.47 $534.51 $812.24 |
$528.23 $568.63 $611.42 $763.46 |
$757.18 $797.58 $840.37 $992.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.56 $679.36 $764.94 $1,069.02 $1,624.48 |
$827.51 $908.31 $993.89 $1,297.97 |
$1,056.46 $1,137.26 $1,222.84 $1,526.92 |
Toc - Plan #75 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.29 $343.10 $386.33 $539.89 $820.41 |
$533.54 $574.35 $617.58 $771.14 |
$764.79 $805.60 $848.83 $1,002.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.58 $686.20 $772.66 $1,079.78 $1,640.82 |
$835.83 $917.45 $1,003.91 $1,311.03 |
$1,067.08 $1,148.70 $1,235.16 $1,542.28 |
Toc - Plan #76 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.06 $339.43 $382.20 $534.12 $811.65 |
$527.84 $568.21 $610.98 $762.90 |
$756.62 $796.99 $839.76 $991.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.12 $678.86 $764.40 $1,068.24 $1,623.30 |
$826.90 $907.64 $993.18 $1,297.02 |
$1,055.68 $1,136.42 $1,221.96 $1,525.80 |
Toc - Plan #77 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.08 $473.39 $533.03 $744.91 $1,131.96 |
$736.15 $792.46 $852.10 $1,063.98 |
$1,055.22 $1,111.53 $1,171.17 $1,383.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.16 $946.78 $1,066.06 $1,489.82 $2,263.92 |
$1,153.23 $1,265.85 $1,385.13 $1,808.89 |
$1,472.30 $1,584.92 $1,704.20 $2,127.96 |
Toc - Plan #78 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.16 $479.15 $539.52 $753.97 $1,145.73 |
$745.11 $802.10 $862.47 $1,076.92 |
$1,068.06 $1,125.05 $1,185.42 $1,399.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.32 $958.30 $1,079.04 $1,507.94 $2,291.46 |
$1,167.27 $1,281.25 $1,401.99 $1,830.89 |
$1,490.22 $1,604.20 $1,724.94 $2,153.84 |
Toc - Plan #79 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Zero Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.86 $489.03 $550.64 $769.52 $1,169.36 |
$760.47 $818.64 $880.25 $1,099.13 |
$1,090.08 $1,148.25 $1,209.86 $1,428.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861.72 $978.06 $1,101.28 $1,539.04 $2,338.72 |
$1,191.33 $1,307.67 $1,430.89 $1,868.65 |
$1,520.94 $1,637.28 $1,760.50 $2,198.26 |
Toc - Plan #80 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.13 $485.93 $547.15 $764.64 $1,161.95 |
$755.65 $813.45 $874.67 $1,092.16 |
$1,083.17 $1,140.97 $1,202.19 $1,419.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.26 $971.86 $1,094.30 $1,529.28 $2,323.90 |
$1,183.78 $1,299.38 $1,421.82 $1,856.80 |
$1,511.30 $1,626.90 $1,749.34 $2,184.32 |
Toc - Plan #81 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.51 $497.71 $560.41 $783.17 $1,190.11 |
$773.97 $833.17 $895.87 $1,118.63 |
$1,109.43 $1,168.63 $1,231.33 $1,454.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.02 $995.42 $1,120.82 $1,566.34 $2,380.22 |
$1,212.48 $1,330.88 $1,456.28 $1,901.80 |
$1,547.94 $1,666.34 $1,791.74 $2,237.26 |
Toc - Plan #82 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.57 $517.08 $582.22 $813.66 $1,236.43 |
$804.08 $865.59 $930.73 $1,162.17 |
$1,152.59 $1,214.10 $1,279.24 $1,510.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.14 $1,034.16 $1,164.44 $1,627.32 $2,472.86 |
$1,259.65 $1,382.67 $1,512.95 $1,975.83 |
$1,608.16 $1,731.18 $1,861.46 $2,324.34 |
Toc - Plan #83 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Standard Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.28 $339.68 $382.47 $534.51 $812.24 |
$528.23 $568.63 $611.42 $763.46 |
$757.18 $797.58 $840.37 $992.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.56 $679.36 $764.94 $1,069.02 $1,624.48 |
$827.51 $908.31 $993.89 $1,297.97 |
$1,056.46 $1,137.26 $1,222.84 $1,526.92 |
Toc - Plan #84 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.64 $337.82 $380.39 $531.59 $807.80 |
$525.34 $565.52 $608.09 $759.29 |
$753.04 $793.22 $835.79 $986.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.28 $675.64 $760.78 $1,063.18 $1,615.60 |
$822.98 $903.34 $988.48 $1,290.88 |
$1,050.68 $1,131.04 $1,216.18 $1,518.58 |
Toc - Plan #85 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.78 $469.64 $528.81 $739.01 $1,123.00 |
$730.32 $786.18 $845.35 $1,055.55 |
$1,046.86 $1,102.72 $1,161.89 $1,372.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.56 $939.28 $1,057.62 $1,478.02 $2,246.00 |
$1,144.10 $1,255.82 $1,374.16 $1,794.56 |
$1,460.64 $1,572.36 $1,690.70 $2,111.10 |
Toc - Plan #86 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-465-5500
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.67 $514.91 $579.79 $810.25 $1,231.25 |
$800.72 $861.96 $926.84 $1,157.30 |
$1,147.77 $1,209.01 $1,273.89 $1,504.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.34 $1,029.82 $1,159.58 $1,620.50 $2,462.50 |
$1,254.39 $1,376.87 $1,506.63 $1,967.55 |
$1,601.44 $1,723.92 $1,853.68 $2,314.60 |
‡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 Cleveland County here.
Cleveland County is in “Rating Area 5” of North Carolina.
Currently, there are 86 plans offered in Rating Area 5.