Obamacare 2024 Rates for Santa Cruz County, Arizona
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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Tubac, AZ.
The health insurance rates listed below are for calendar year 2024.
For information on subsidies to make your coverage affordable, you must take one of the following actions:
- Contact a licensed health insurance agent
- Complete an application at Healthcare.gov
- Contact the provider directly
Obamacare Providers, 60 Plans and 2024 Rates for Santa Cruz County, Arizona
Below, you’ll find a summary of the 60 plans for Santa Cruz County, Arizona and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
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Oscar Health Plan, Inc.Local: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #1 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$240.30 $272.73 $307.10 $429.17 $652.16 |
$424.13 $456.56 $490.93 $613.00 |
$607.96 $640.39 $674.76 $796.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$480.60 $545.46 $614.20 $858.34 $1,304.32 |
$664.43 $729.29 $798.03 $1,042.17 |
$848.26 $913.12 $981.86 $1,226.00 |
Toc - Plan #2 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$238.63 $270.84 $304.96 $426.18 $647.62 |
$421.18 $453.39 $487.51 $608.73 |
$603.73 $635.94 $670.06 $791.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$477.26 $541.68 $609.92 $852.36 $1,295.24 |
$659.81 $724.23 $792.47 $1,034.91 |
$842.36 $906.78 $975.02 $1,217.46 |
Toc - Plan #3 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite + PCP Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$267.75 $303.89 $342.18 $478.19 $726.66 |
$472.57 $508.71 $547.00 $683.01 |
$677.39 $713.53 $751.82 $887.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$535.50 $607.78 $684.36 $956.38 $1,453.32 |
$740.32 $812.60 $889.18 $1,161.20 |
$945.14 $1,017.42 $1,094.00 $1,366.02 |
Toc - Plan #4 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$285.41 $323.93 $364.74 $509.72 $774.57 |
$503.74 $542.26 $583.07 $728.05 |
$722.07 $760.59 $801.40 $946.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$570.82 $647.86 $729.48 $1,019.44 $1,549.14 |
$789.15 $866.19 $947.81 $1,237.77 |
$1,007.48 $1,084.52 $1,166.14 $1,456.10 |
Toc - Plan #5 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple Specialist Saver with COPD |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$280.70 $318.58 $358.72 $501.31 $761.78 |
$495.43 $533.31 $573.45 $716.04 |
$710.16 $748.04 $788.18 $930.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$561.40 $637.16 $717.44 $1,002.62 $1,523.56 |
$776.13 $851.89 $932.17 $1,217.35 |
$990.86 $1,066.62 $1,146.90 $1,432.08 |
Toc - Plan #6 Oscar Health Plan, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$185.16 $210.14 $236.62 $330.67 $502.49 |
$326.80 $351.78 $378.26 $472.31 |
$468.44 $493.42 $519.90 $613.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$370.32 $420.28 $473.24 $661.34 $1,004.98 |
$511.96 $561.92 $614.88 $802.98 |
$653.60 $703.56 $756.52 $944.62 |
Toc - Plan #7 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$349.16 $396.29 $446.22 $623.59 $947.61 |
$616.26 $663.39 $713.32 $890.69 |
$883.36 $930.49 $980.42 $1,157.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$698.32 $792.58 $892.44 $1,247.18 $1,895.22 |
$965.42 $1,059.68 $1,159.54 $1,514.28 |
$1,232.52 $1,326.78 $1,426.64 $1,781.38 |
Toc - Plan #8 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic 4700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$245.22 $278.32 $313.38 $437.95 $665.51 |
$432.81 $465.91 $500.97 $625.54 |
$620.40 $653.50 $688.56 $813.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$490.44 $556.64 $626.76 $875.90 $1,331.02 |
$678.03 $744.23 $814.35 $1,063.49 |
$865.62 $931.82 $1,001.94 $1,251.08 |
Toc - Plan #9 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$276.74 $314.09 $353.66 $494.24 $751.04 |
$488.44 $525.79 $565.36 $705.94 |
$700.14 $737.49 $777.06 $917.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$553.48 $628.18 $707.32 $988.48 $1,502.08 |
$765.18 $839.88 $919.02 $1,200.18 |
$976.88 $1,051.58 $1,130.72 $1,411.88 |
Toc - Plan #10 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Elite Saver Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$293.10 $332.66 $374.57 $523.47 $795.46 |
$517.32 $556.88 $598.79 $747.69 |
$741.54 $781.10 $823.01 $971.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$586.20 $665.32 $749.14 $1,046.94 $1,590.92 |
$810.42 $889.54 $973.36 $1,271.16 |
$1,034.64 $1,113.76 $1,197.58 $1,495.38 |
Toc - Plan #11 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$239.86 $272.22 $306.52 $428.36 $650.94 |
$423.34 $455.70 $490.00 $611.84 |
$606.82 $639.18 $673.48 $795.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$479.72 $544.44 $613.04 $856.72 $1,301.88 |
$663.20 $727.92 $796.52 $1,040.20 |
$846.68 $911.40 $980.00 $1,223.68 |
Toc - Plan #12 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$273.84 $310.80 $349.96 $489.06 $743.18 |
$483.32 $520.28 $559.44 $698.54 |
$692.80 $729.76 $768.92 $908.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$547.68 $621.60 $699.92 $978.12 $1,486.36 |
$757.16 $831.08 $909.40 $1,187.60 |
$966.64 $1,040.56 $1,118.88 $1,397.08 |
Toc - Plan #13 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$337.20 $382.71 $430.92 $602.21 $915.12 |
$595.15 $640.66 $688.87 $860.16 |
$853.10 $898.61 $946.82 $1,118.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$674.40 $765.42 $861.84 $1,204.42 $1,830.24 |
$932.35 $1,023.37 $1,119.79 $1,462.37 |
$1,190.30 $1,281.32 $1,377.74 $1,720.32 |
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Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #14 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$436.68 $495.63 $558.08 $779.91 $1,185.15 |
$770.74 $829.69 $892.14 $1,113.97 |
$1,104.80 $1,163.75 $1,226.20 $1,448.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$873.36 $991.26 $1,116.16 $1,559.82 $2,370.30 |
$1,207.42 $1,325.32 $1,450.22 $1,893.88 |
$1,541.48 $1,659.38 $1,784.28 $2,227.94 |
Toc - Plan #15 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$357.54 $405.80 $456.93 $638.55 $970.34 |
$631.06 $679.32 $730.45 $912.07 |
$904.58 $952.84 $1,003.97 $1,185.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$715.08 $811.60 $913.86 $1,277.10 $1,940.68 |
$988.60 $1,085.12 $1,187.38 $1,550.62 |
$1,262.12 $1,358.64 $1,460.90 $1,824.14 |
Toc - Plan #16 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$291.48 $330.83 $372.51 $520.58 $791.07 |
$514.46 $553.81 $595.49 $743.56 |
$737.44 $776.79 $818.47 $966.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$582.96 $661.66 $745.02 $1,041.16 $1,582.14 |
$805.94 $884.64 $968.00 $1,264.14 |
$1,028.92 $1,107.62 $1,190.98 $1,487.12 |
Toc - Plan #17 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$314.30 $356.74 $401.68 $561.34 $853.01 |
$554.74 $597.18 $642.12 $801.78 |
$795.18 $837.62 $882.56 $1,042.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$628.60 $713.48 $803.36 $1,122.68 $1,706.02 |
$869.04 $953.92 $1,043.80 $1,363.12 |
$1,109.48 $1,194.36 $1,284.24 $1,603.56 |
Toc - Plan #18 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$273.04 $309.90 $348.95 $487.65 $741.03 |
$481.92 $518.78 $557.83 $696.53 |
$690.80 $727.66 $766.71 $905.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546.08 $619.80 $697.90 $975.30 $1,482.06 |
$754.96 $828.68 $906.78 $1,184.18 |
$963.84 $1,037.56 $1,115.66 $1,393.06 |
Toc - Plan #19 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$346.00 $392.71 $442.18 $617.95 $939.03 |
$610.69 $657.40 $706.87 $882.64 |
$875.38 $922.09 $971.56 $1,147.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$692.00 $785.42 $884.36 $1,235.90 $1,878.06 |
$956.69 $1,050.11 $1,149.05 $1,500.59 |
$1,221.38 $1,314.80 $1,413.74 $1,765.28 |
Toc - Plan #20 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue AdvanceHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$425.79 $483.27 $544.16 $760.45 $1,155.58 |
$751.52 $809.00 $869.89 $1,086.18 |
$1,077.25 $1,134.73 $1,195.62 $1,411.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.58 $966.54 $1,088.32 $1,520.90 $2,311.16 |
$1,177.31 $1,292.27 $1,414.05 $1,846.63 |
$1,503.04 $1,618.00 $1,739.78 $2,172.36 |
Toc - Plan #21 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue StandardHealth Gold - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$436.36 $495.27 $557.67 $779.34 $1,184.28 |
$770.18 $829.09 $891.49 $1,113.16 |
$1,104.00 $1,162.91 $1,225.31 $1,446.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$872.72 $990.54 $1,115.34 $1,558.68 $2,368.56 |
$1,206.54 $1,324.36 $1,449.16 $1,892.50 |
$1,540.36 $1,658.18 $1,782.98 $2,226.32 |
Toc - Plan #22 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue StandardHealth Silver - Neighborhood Network |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
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 |
$352.95 $400.59 $451.06 $630.36 $957.89 |
$622.95 $670.59 $721.06 $900.36 |
$892.95 $940.59 $991.06 $1,170.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$705.90 $801.18 $902.12 $1,260.72 $1,915.78 |
$975.90 $1,071.18 $1,172.12 $1,530.72 |
$1,245.90 $1,341.18 $1,442.12 $1,800.72 |
Toc - Plan #23 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue StandardHealth Bronze - Neighborhood Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.36 $332.96 $374.91 $523.93 $796.17 |
$517.78 $557.38 $599.33 $748.35 |
$742.20 $781.80 $823.75 $972.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.72 $665.92 $749.82 $1,047.86 $1,592.34 |
$811.14 $890.34 $974.24 $1,272.28 |
$1,035.56 $1,114.76 $1,198.66 $1,496.70 |
Toc - Plan #24 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue ACA StandardHealth Silver with Health Choice |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.84 $272.22 $306.52 $428.36 $650.93 |
$423.32 $455.70 $490.00 $611.84 |
$606.80 $639.18 $673.48 $795.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$479.68 $544.44 $613.04 $856.72 $1,301.86 |
$663.16 $727.92 $796.52 $1,040.20 |
$846.64 $911.40 $980.00 $1,223.68 |
Toc - Plan #25 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO PremierHealth Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.26 $597.30 $672.56 $939.89 $1,428.26 |
$928.85 $999.89 $1,075.15 $1,342.48 |
$1,331.44 $1,402.48 $1,477.74 $1,745.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,052.52 $1,194.60 $1,345.12 $1,879.78 $2,856.52 |
$1,455.11 $1,597.19 $1,747.71 $2,282.37 |
$1,857.70 $1,999.78 $2,150.30 $2,684.96 |
Toc - Plan #26 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO PremierHealth Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.18 $485.98 $547.21 $764.72 $1,162.06 |
$755.74 $813.54 $874.77 $1,092.28 |
$1,083.30 $1,141.10 $1,202.33 $1,419.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.36 $971.96 $1,094.42 $1,529.44 $2,324.12 |
$1,183.92 $1,299.52 $1,421.98 $1,857.00 |
$1,511.48 $1,627.08 $1,749.54 $2,184.56 |
Toc - Plan #27 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO StandardHealth Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.62 $577.28 $650.01 $908.39 $1,380.38 |
$897.71 $966.37 $1,039.10 $1,297.48 |
$1,286.80 $1,355.46 $1,428.19 $1,686.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,017.24 $1,154.56 $1,300.02 $1,816.78 $2,760.76 |
$1,406.33 $1,543.65 $1,689.11 $2,205.87 |
$1,795.42 $1,932.74 $2,078.20 $2,594.96 |
Toc - Plan #28 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO StandardHealth Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.67 $469.52 $528.68 $738.82 $1,122.71 |
$730.13 $785.98 $845.14 $1,055.28 |
$1,046.59 $1,102.44 $1,161.60 $1,371.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.34 $939.04 $1,057.36 $1,477.64 $2,245.42 |
$1,143.80 $1,255.50 $1,373.82 $1,794.10 |
$1,460.26 $1,571.96 $1,690.28 $2,110.56 |
Toc - Plan #29 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue Portfolio HSA Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$543.37 $616.72 $694.42 $970.45 $1,474.70 |
$959.05 $1,032.40 $1,110.10 $1,386.13 |
$1,374.73 $1,448.08 $1,525.78 $1,801.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,086.74 $1,233.44 $1,388.84 $1,940.90 $2,949.40 |
$1,502.42 $1,649.12 $1,804.52 $2,356.58 |
$1,918.10 $2,064.80 $2,220.20 $2,772.26 |
ADVERTISEMENT
Imperial Insurance Companies, Inc.Local: 1-626-838-5100x8 | Toll Free: 1-800-595-0619 | TTY: 1-800-595-0619 |
Toc - Plan #30 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Imperial Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.74 $307.29 $346.00 $483.54 $734.78 |
$477.85 $514.40 $553.11 $690.65 |
$684.96 $721.51 $760.22 $897.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.48 $614.58 $692.00 $967.08 $1,469.56 |
$748.59 $821.69 $899.11 $1,174.19 |
$955.70 $1,028.80 $1,106.22 $1,381.30 |
Toc - Plan #31 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Silver
(HMO) Imperial Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.41 $359.12 $404.37 $565.11 $858.74 |
$558.46 $601.17 $646.42 $807.16 |
$800.51 $843.22 $888.47 $1,049.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.82 $718.24 $808.74 $1,130.22 $1,717.48 |
$874.87 $960.29 $1,050.79 $1,372.27 |
$1,116.92 $1,202.34 $1,292.84 $1,614.32 |
Toc - Plan #32 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Gold
(HMO) Imperial Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.72 $445.73 $501.89 $701.39 $1,065.83 |
$693.15 $746.16 $802.32 $1,001.82 |
$993.58 $1,046.59 $1,102.75 $1,302.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.44 $891.46 $1,003.78 $1,402.78 $2,131.66 |
$1,085.87 $1,191.89 $1,304.21 $1,703.21 |
$1,386.30 $1,492.32 $1,604.64 $2,003.64 |
Toc - Plan #33 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Silver
(HMO) Imperial Preferred Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.80 $360.71 $406.15 $567.59 $862.51 |
$560.92 $603.83 $649.27 $810.71 |
$804.04 $846.95 $892.39 $1,053.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.60 $721.42 $812.30 $1,135.18 $1,725.02 |
$878.72 $964.54 $1,055.42 $1,378.30 |
$1,121.84 $1,207.66 $1,298.54 $1,621.42 |
Toc - Plan #34 Imperial Insurance Companies, Inc. | ||||||||||||||||||||
Gold
(HMO) Imperial Preferred Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-595-0619
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.77 $460.55 $518.57 $724.70 $1,101.25 |
$716.18 $770.96 $828.98 $1,035.11 |
$1,026.59 $1,081.37 $1,139.39 $1,345.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.54 $921.10 $1,037.14 $1,449.40 $2,202.50 |
$1,121.95 $1,231.51 $1,347.55 $1,759.81 |
$1,432.36 $1,541.92 $1,657.96 $2,070.22 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #35 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.80 $307.36 $346.08 $483.65 $734.95 |
$477.96 $514.52 $553.24 $690.81 |
$685.12 $721.68 $760.40 $897.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.60 $614.72 $692.16 $967.30 $1,469.90 |
$748.76 $821.88 $899.32 $1,174.46 |
$955.92 $1,029.04 $1,106.48 $1,381.62 |
Toc - Plan #36 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.47 $360.33 $405.73 $567.00 $861.62 |
$560.34 $603.20 $648.60 $809.87 |
$803.21 $846.07 $891.47 $1,052.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.94 $720.66 $811.46 $1,134.00 $1,723.24 |
$877.81 $963.53 $1,054.33 $1,376.87 |
$1,120.68 $1,206.40 $1,297.20 $1,619.74 |
Toc - Plan #37 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.50 $356.96 $401.94 $561.71 $853.57 |
$555.10 $597.56 $642.54 $802.31 |
$795.70 $838.16 $883.14 $1,042.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.00 $713.92 $803.88 $1,123.42 $1,707.14 |
$869.60 $954.52 $1,044.48 $1,364.02 |
$1,110.20 $1,195.12 $1,285.08 $1,604.62 |
Toc - Plan #38 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.98 $402.90 $453.66 $633.99 $963.41 |
$626.54 $674.46 $725.22 $905.55 |
$898.10 $946.02 $996.78 $1,177.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.96 $805.80 $907.32 $1,267.98 $1,926.82 |
$981.52 $1,077.36 $1,178.88 $1,539.54 |
$1,253.08 $1,348.92 $1,450.44 $1,811.10 |
Toc - Plan #39 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.04 $345.09 $388.56 $543.02 $825.16 |
$536.63 $577.68 $621.15 $775.61 |
$769.22 $810.27 $853.74 $1,008.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.08 $690.18 $777.12 $1,086.04 $1,650.32 |
$840.67 $922.77 $1,009.71 $1,318.63 |
$1,073.26 $1,155.36 $1,242.30 $1,551.22 |
Toc - Plan #40 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.72 $346.99 $390.71 $546.02 $829.73 |
$539.60 $580.87 $624.59 $779.90 |
$773.48 $814.75 $858.47 $1,013.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.44 $693.98 $781.42 $1,092.04 $1,659.46 |
$845.32 $927.86 $1,015.30 $1,325.92 |
$1,079.20 $1,161.74 $1,249.18 $1,559.80 |
Toc - Plan #41 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.32 $354.48 $399.14 $557.80 $847.63 |
$551.24 $593.40 $638.06 $796.72 |
$790.16 $832.32 $876.98 $1,035.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.64 $708.96 $798.28 $1,115.60 $1,695.26 |
$863.56 $947.88 $1,037.20 $1,354.52 |
$1,102.48 $1,186.80 $1,276.12 $1,593.44 |
Toc - Plan #42 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.27 $380.53 $428.48 $598.80 $909.93 |
$591.75 $637.01 $684.96 $855.28 |
$848.23 $893.49 $941.44 $1,111.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.54 $761.06 $856.96 $1,197.60 $1,819.86 |
$927.02 $1,017.54 $1,113.44 $1,454.08 |
$1,183.50 $1,274.02 $1,369.92 $1,710.56 |
Toc - Plan #43 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.15 $439.41 $494.77 $691.44 $1,050.72 |
$683.32 $735.58 $790.94 $987.61 |
$979.49 $1,031.75 $1,087.11 $1,283.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.30 $878.82 $989.54 $1,382.88 $2,101.44 |
$1,070.47 $1,174.99 $1,285.71 $1,679.05 |
$1,366.64 $1,471.16 $1,581.88 $1,975.22 |
Toc - Plan #44 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.07 $301.99 $340.04 $475.20 $722.12 |
$469.61 $505.53 $543.58 $678.74 |
$673.15 $709.07 $747.12 $882.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$532.14 $603.98 $680.08 $950.40 $1,444.24 |
$735.68 $807.52 $883.62 $1,153.94 |
$939.22 $1,011.06 $1,087.16 $1,357.48 |
Toc - Plan #45 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 $467.23 $710.00 |
$461.74 $497.06 $534.47 $667.36 |
$661.87 $697.19 $734.60 $867.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523.22 $593.86 $668.68 $934.46 $1,420.00 |
$723.35 $793.99 $868.81 $1,134.59 |
$923.48 $994.12 $1,068.94 $1,334.72 |
Toc - Plan #46 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.73 $348.14 $392.00 $547.82 $832.47 |
$541.38 $582.79 $626.65 $782.47 |
$776.03 $817.44 $861.30 $1,017.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.46 $696.28 $784.00 $1,095.64 $1,664.94 |
$848.11 $930.93 $1,018.65 $1,330.29 |
$1,082.76 $1,165.58 $1,253.30 $1,564.94 |
Toc - Plan #47 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.38 $387.47 $436.28 $609.70 $926.50 |
$602.54 $648.63 $697.44 $870.86 |
$863.70 $909.79 $958.60 $1,132.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.76 $774.94 $872.56 $1,219.40 $1,853.00 |
$943.92 $1,036.10 $1,133.72 $1,480.56 |
$1,205.08 $1,297.26 $1,394.88 $1,741.72 |
Toc - Plan #48 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.58 $370.67 $417.37 $583.27 $886.34 |
$576.41 $620.50 $667.20 $833.10 |
$826.24 $870.33 $917.03 $1,082.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.16 $741.34 $834.74 $1,166.54 $1,772.68 |
$902.99 $991.17 $1,084.57 $1,416.37 |
$1,152.82 $1,241.00 $1,334.40 $1,666.20 |
Toc - Plan #49 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.20 $319.16 $359.37 $502.21 $763.16 |
$496.31 $534.27 $574.48 $717.32 |
$711.42 $749.38 $789.59 $932.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$562.40 $638.32 $718.74 $1,004.42 $1,526.32 |
$777.51 $853.43 $933.85 $1,219.53 |
$992.62 $1,068.54 $1,148.96 $1,434.64 |
Toc - Plan #50 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.66 $374.16 $421.30 $588.77 $894.70 |
$581.85 $626.35 $673.49 $840.96 |
$834.04 $878.54 $925.68 $1,093.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.32 $748.32 $842.60 $1,177.54 $1,789.40 |
$911.51 $1,000.51 $1,094.79 $1,429.73 |
$1,163.70 $1,252.70 $1,346.98 $1,681.92 |
Toc - Plan #51 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.61 $418.37 $471.08 $658.33 $1,000.40 |
$650.59 $700.35 $753.06 $940.31 |
$932.57 $982.33 $1,035.04 $1,222.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.22 $836.74 $942.16 $1,316.66 $2,000.80 |
$1,019.20 $1,118.72 $1,224.14 $1,598.64 |
$1,301.18 $1,400.70 $1,506.12 $1,880.62 |
Toc - Plan #52 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.71 $358.33 $403.48 $563.86 $856.84 |
$557.23 $599.85 $645.00 $805.38 |
$798.75 $841.37 $886.52 $1,046.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.42 $716.66 $806.96 $1,127.72 $1,713.68 |
$872.94 $958.18 $1,048.48 $1,369.24 |
$1,114.46 $1,199.70 $1,290.00 $1,610.76 |
Toc - Plan #53 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.46 $360.32 $405.71 $566.98 $861.58 |
$560.32 $603.18 $648.57 $809.84 |
$803.18 $846.04 $891.43 $1,052.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.92 $720.64 $811.42 $1,133.96 $1,723.16 |
$877.78 $963.50 $1,054.28 $1,376.82 |
$1,120.64 $1,206.36 $1,297.14 $1,619.68 |
Toc - Plan #54 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.31 $368.09 $414.47 $579.22 $880.17 |
$572.41 $616.19 $662.57 $827.32 |
$820.51 $864.29 $910.67 $1,075.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.62 $736.18 $828.94 $1,158.44 $1,760.34 |
$896.72 $984.28 $1,077.04 $1,406.54 |
$1,144.82 $1,232.38 $1,325.14 $1,654.64 |
Toc - Plan #55 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.65 $308.32 $347.17 $485.17 $737.26 |
$479.46 $516.13 $554.98 $692.98 |
$687.27 $723.94 $762.79 $900.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.30 $616.64 $694.34 $970.34 $1,474.52 |
$751.11 $824.45 $902.15 $1,178.15 |
$958.92 $1,032.26 $1,109.96 $1,385.96 |
Toc - Plan #56 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.51 $361.51 $407.05 $568.85 $864.43 |
$562.17 $605.17 $650.71 $812.51 |
$805.83 $848.83 $894.37 $1,056.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.02 $723.02 $814.10 $1,137.70 $1,728.86 |
$880.68 $966.68 $1,057.76 $1,381.36 |
$1,124.34 $1,210.34 $1,301.42 $1,625.02 |
Toc - Plan #57 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.49 $402.34 $453.03 $633.11 $962.07 |
$625.67 $673.52 $724.21 $904.29 |
$896.85 $944.70 $995.39 $1,175.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.98 $804.68 $906.06 $1,266.22 $1,924.14 |
$980.16 $1,075.86 $1,177.24 $1,537.40 |
$1,251.34 $1,347.04 $1,448.42 $1,808.58 |
Toc - Plan #58 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.14 $395.14 $444.93 $621.79 $944.86 |
$614.47 $661.47 $711.26 $888.12 |
$880.80 $927.80 $977.59 $1,154.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.28 $790.28 $889.86 $1,243.58 $1,889.72 |
$962.61 $1,056.61 $1,156.19 $1,509.91 |
$1,228.94 $1,322.94 $1,422.52 $1,776.24 |
Toc - Plan #59 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.01 $456.28 $513.77 $717.99 $1,091.06 |
$709.55 $763.82 $821.31 $1,025.53 |
$1,017.09 $1,071.36 $1,128.85 $1,333.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.02 $912.56 $1,027.54 $1,435.98 $2,182.12 |
$1,111.56 $1,220.10 $1,335.08 $1,743.52 |
$1,419.10 $1,527.64 $1,642.62 $2,051.06 |
Toc - Plan #60 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.29 $313.58 $353.09 $493.45 $749.84 |
$487.65 $524.94 $564.45 $704.81 |
$699.01 $736.30 $775.81 $916.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$552.58 $627.16 $706.18 $986.90 $1,499.68 |
$763.94 $838.52 $917.54 $1,198.26 |
$975.30 $1,049.88 $1,128.90 $1,409.62 |
‡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 Santa Cruz County here.
Santa Cruz County is in “Rating Area 6” of Arizona.
Currently, there are 60 plans offered in Rating Area 6.