Providers for Zip Code 38668

Obamacare 2015 Marketplace Rates For Tate County, Mississippi

Thursday, November 27th, 2014

Click for Senatobia, Mississippi Forecast

The health insurance rates listed below are for calendar year 2015.

2015 Rates and Providers

(click here for 2014)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Tate County, Mississippi.

Obamacare Providers, Plans and 2015 Rates for Tate County

Tate County is in “Rating Area 6” of Mississippi.

Currently, there are 2 providers offering 24 plans to Rating Area 6.

Below, you’ll find a summary of plans and rates for each of these providers. This chart is designed to give you a preview of your health insurance options. For detailed information, including deductible amounts, annual limits on out-of-pocket costs, and possible subsidies, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Senatobia, MS area accept this insurance coverage as within the plan's "network".

Humana Insurance Company

Local: 1-877-720-4854 | Toll Free: 1-877-720-4854

TTY: 1-800-325-2028

Plan: (PPO) Humana Basic 6600/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$166.40
$188.86
$212.66
$297.19
$451.61
$332.80
$377.72
$425.32
$594.38
$903.22
$438.46
$483.38
$530.98
$700.04
$544.12
$589.04
$636.64
$805.70
$649.78
$694.70
$742.30
$911.36
$272.06
$294.52
$318.32
$402.85
$377.72
$400.18
$423.98
$508.51
$483.38
$505.84
$529.64
$614.17
$105.66

Plan: (PPO) Humana Bronze 6300/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $6,300 : Family: $12,600
Out of Pocket Maximum per year: Individual: $6,300 : Family: $12,600

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$200.07
$227.08
$255.69
$357.33
$542.99
$400.14
$454.16
$511.38
$714.66
$1085.98
$527.18
$581.20
$638.42
$841.70
$654.22
$708.24
$765.46
$968.74
$781.26
$835.28
$892.50
$1095.78
$327.11
$354.12
$382.73
$484.37
$454.15
$481.16
$509.77
$611.41
$581.19
$608.20
$636.81
$738.45
$127.04

Plan: (PPO) Humana Bronze 4850/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $4,850 : Family: $9,700
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$225.29
$255.70
$287.92
$402.37
$611.44
$450.58
$511.40
$575.84
$804.74
$1222.88
$593.64
$654.46
$718.90
$947.80
$736.70
$797.52
$861.96
$1090.86
$879.76
$940.58
$1005.02
$1233.92
$368.35
$398.76
$430.98
$545.43
$511.41
$541.82
$574.04
$688.49
$654.47
$684.88
$717.10
$831.55
$143.06

Plan: (PPO) Humana Silver 3650/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $3,650 : Family: $7,300
Out of Pocket Maximum per year: Individual: $3,650 : Family: $7,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$231.32
$262.55
$295.63
$413.14
$627.80
$462.64
$525.10
$591.26
$826.28
$1255.60
$609.53
$671.99
$738.15
$973.17
$756.42
$818.88
$885.04
$1120.06
$903.31
$965.77
$1031.93
$1266.95
$378.21
$409.44
$442.52
$560.03
$525.10
$556.33
$589.41
$706.92
$671.99
$703.22
$736.30
$853.81
$146.89

Plan: (PPO) Humana Gold 2500/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$274.71
$311.80
$351.08
$490.63
$745.56
$549.42
$623.60
$702.16
$981.26
$1491.12
$723.86
$798.04
$876.60
$1155.70
$898.30
$972.48
$1051.04
$1330.14
$1072.74
$1146.92
$1225.48
$1504.58
$449.15
$486.24
$525.52
$665.07
$623.59
$660.68
$699.96
$839.51
$798.03
$835.12
$874.40
$1013.95
$174.44

Plan: (PPO) Humana Silver 3200/ChoiceCare PPO

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Insurance Company)

Deductible: Individual: $3,200 : Family: $6,400
Out of Pocket Maximum per year: Individual: $4,700 : Family: $9,400

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$249.19
$282.83
$318.46
$445.05
$676.30
$498.38
$565.66
$636.92
$890.10
$1352.60
$656.62
$723.90
$795.16
$1048.34
$814.86
$882.14
$953.40
$1206.58
$973.10
$1040.38
$1111.64
$1364.82
$407.43
$441.07
$476.70
$603.29
$565.67
$599.31
$634.94
$761.53
$723.91
$757.55
$793.18
$919.77
$158.24

Ambetter from Magnolia Health Plan

Local: 1-877-687-1187 | Toll Free: 1-877-687-1187

TTY: 1-877-941-9235

Plan: (HMO) Ambetter Secure Care 2

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$275.96
$313.21
$352.67
$492.85
$748.93
$551.92
$626.42
$705.34
$985.70
$1497.86
$727.15
$801.65
$880.57
$1160.93
$902.38
$976.88
$1055.80
$1336.16
$1077.61
$1152.11
$1231.03
$1511.39
$451.19
$488.44
$527.90
$668.08
$626.42
$663.67
$703.13
$843.31
$801.65
$838.90
$878.36
$1018.54
$175.23

Plan: (HMO) Ambetter Secure Care 1 with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$274.89
$311.99
$351.30
$490.94
$746.04
$549.78
$623.98
$702.60
$981.88
$1492.08
$724.33
$798.53
$877.15
$1156.43
$898.88
$973.08
$1051.70
$1330.98
$1073.43
$1147.63
$1226.25
$1505.53
$449.44
$486.54
$525.85
$665.49
$623.99
$661.09
$700.40
$840.04
$798.54
$835.64
$874.95
$1014.59
$174.55

Plan: (HMO) Ambetter Balanced Care 5

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$231.14
$262.34
$295.39
$412.81
$627.30
$462.28
$524.68
$590.78
$825.62
$1254.60
$609.05
$671.45
$737.55
$972.39
$755.82
$818.22
$884.32
$1119.16
$902.59
$964.99
$1031.09
$1265.93
$377.91
$409.11
$442.16
$559.58
$524.68
$555.88
$588.93
$706.35
$671.45
$702.65
$735.70
$853.12
$146.77

Plan: (HMO) Ambetter Essential Care 3 with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$174.80
$198.39
$223.38
$312.18
$474.38
$349.60
$396.78
$446.76
$624.36
$948.76
$460.59
$507.77
$557.75
$735.35
$571.58
$618.76
$668.74
$846.34
$682.57
$729.75
$779.73
$957.33
$285.79
$309.38
$334.37
$423.17
$396.78
$420.37
$445.36
$534.16
$507.77
$531.36
$556.35
$645.15
$110.99

Plan: (HMO) Ambetter Essential Care 4 with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$182.91
$207.59
$233.75
$326.66
$496.39
$365.82
$415.18
$467.50
$653.32
$992.78
$481.96
$531.32
$583.64
$769.46
$598.10
$647.46
$699.78
$885.60
$714.24
$763.60
$815.92
$1001.74
$299.05
$323.73
$349.89
$442.80
$415.19
$439.87
$466.03
$558.94
$531.33
$556.01
$582.17
$675.08
$116.14

Plan: (HMO) Ambetter Balanced Care 6

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$249.07
$282.68
$318.30
$444.82
$675.95
$498.14
$565.36
$636.60
$889.64
$1351.90
$656.29
$723.51
$794.75
$1047.79
$814.44
$881.66
$952.90
$1205.94
$972.59
$1039.81
$1111.05
$1364.09
$407.22
$440.83
$476.45
$602.97
$565.37
$598.98
$634.60
$761.12
$723.52
$757.13
$792.75
$919.27
$158.15

Plan: (HMO) Ambetter Essential Care 2

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$174.16
$197.66
$222.56
$311.03
$472.65
$348.32
$395.32
$445.12
$622.06
$945.30
$458.91
$505.91
$555.71
$732.65
$569.50
$616.50
$666.30
$843.24
$680.09
$727.09
$776.89
$953.83
$284.75
$308.25
$333.15
$421.62
$395.34
$418.84
$443.74
$532.21
$505.93
$529.43
$554.33
$642.80
$110.59

Plan: (HMO) Ambetter Essential Care 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$171.60
$194.75
$219.29
$306.46
$465.69
$343.20
$389.50
$438.58
$612.92
$931.38
$452.16
$498.46
$547.54
$721.88
$561.12
$607.42
$656.50
$830.84
$670.08
$716.38
$765.46
$939.80
$280.56
$303.71
$328.25
$415.42
$389.52
$412.67
$437.21
$524.38
$498.48
$521.63
$546.17
$633.34
$108.96

Plan: (HMO) Ambetter Secure Care 2 + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$281.35
$319.33
$359.56
$502.48
$763.57
$562.70
$638.66
$719.12
$1004.96
$1527.14
$741.35
$817.31
$897.77
$1183.61
$920.00
$995.96
$1076.42
$1362.26
$1098.65
$1174.61
$1255.07
$1540.91
$460.00
$497.98
$538.21
$681.13
$638.65
$676.63
$716.86
$859.78
$817.30
$855.28
$895.51
$1038.43
$178.65

Plan: (HMO) Ambetter Secure Care 1 with 3 Free PCP Visits + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$280.27
$318.09
$358.17
$500.54
$760.61
$560.54
$636.18
$716.34
$1001.08
$1521.22
$738.50
$814.14
$894.30
$1179.04
$916.46
$992.10
$1072.26
$1357.00
$1094.42
$1170.06
$1250.22
$1534.96
$458.23
$496.05
$536.13
$678.50
$636.19
$674.01
$714.09
$856.46
$814.15
$851.97
$892.05
$1034.42
$177.96

Plan: (HMO) Ambetter Balanced Care 5 + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$235.66
$267.46
$301.16
$420.87
$639.55
$471.32
$534.92
$602.32
$841.74
$1279.10
$620.96
$684.56
$751.96
$991.38
$770.60
$834.20
$901.60
$1141.02
$920.24
$983.84
$1051.24
$1290.66
$385.30
$417.10
$450.80
$570.51
$534.94
$566.74
$600.44
$720.15
$684.58
$716.38
$750.08
$869.79
$149.64

Plan: (HMO) Ambetter Essential Care 3 with 3 Free PCP Visits + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$178.22
$202.26
$227.75
$318.28
$483.65
$356.44
$404.52
$455.50
$636.56
$967.30
$469.60
$517.68
$568.66
$749.72
$582.76
$630.84
$681.82
$862.88
$695.92
$744.00
$794.98
$976.04
$291.38
$315.42
$340.91
$431.44
$404.54
$428.58
$454.07
$544.60
$517.70
$541.74
$567.23
$657.76
$113.16

Plan: (HMO) Ambetter Essential Care 4 with 3 Free PCP Visits + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$186.48
$211.65
$238.31
$333.04
$506.09
$372.96
$423.30
$476.62
$666.08
$1012.18
$491.37
$541.71
$595.03
$784.49
$609.78
$660.12
$713.44
$902.90
$728.19
$778.53
$831.85
$1021.31
$304.89
$330.06
$356.72
$451.45
$423.30
$448.47
$475.13
$569.86
$541.71
$566.88
$593.54
$688.27
$118.41

Plan: (HMO) Ambetter Balanced Care 6 + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$253.94
$288.21
$324.52
$453.51
$689.16
$507.88
$576.42
$649.04
$907.02
$1378.32
$669.12
$737.66
$810.28
$1068.26
$830.36
$898.90
$971.52
$1229.50
$991.60
$1060.14
$1132.76
$1390.74
$415.18
$449.45
$485.76
$614.75
$576.42
$610.69
$647.00
$775.99
$737.66
$771.93
$808.24
$937.23
$161.24

Plan: (HMO) Ambetter Essential Care 2 + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$177.56
$201.52
$226.91
$317.11
$481.88
$355.12
$403.04
$453.82
$634.22
$963.76
$467.87
$515.79
$566.57
$746.97
$580.62
$628.54
$679.32
$859.72
$693.37
$741.29
$792.07
$972.47
$290.31
$314.27
$339.66
$429.86
$403.06
$427.02
$452.41
$542.61
$515.81
$539.77
$565.16
$655.36
$112.75

Plan: (HMO) Ambetter Essential Care 1 + Vision

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$174.95
$198.56
$223.58
$312.45
$474.79
$349.90
$397.12
$447.16
$624.90
$949.58
$460.99
$508.21
$558.25
$735.99
$572.08
$619.30
$669.34
$847.08
$683.17
$730.39
$780.43
$958.17
$286.04
$309.65
$334.67
$423.54
$397.13
$420.74
$445.76
$534.63
$508.22
$531.83
$556.85
$645.72
$111.09

Plan: (HMO) Ambetter Secure Care 2 + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$294.76
$334.54
$376.69
$526.43
$799.96
$589.52
$669.08
$753.38
$1052.86
$1599.92
$776.69
$856.25
$940.55
$1240.03
$963.86
$1043.42
$1127.72
$1427.20
$1151.03
$1230.59
$1314.89
$1614.37
$481.93
$521.71
$563.86
$713.60
$669.10
$708.88
$751.03
$900.77
$856.27
$896.05
$938.20
$1087.94
$187.17

Plan: (HMO) Ambetter Secure Care 1 with 3 Free PCP Visits + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$293.62
$333.25
$375.24
$524.39
$796.86
$587.24
$666.50
$750.48
$1048.78
$1593.72
$773.68
$852.94
$936.92
$1235.22
$960.12
$1039.38
$1123.36
$1421.66
$1146.56
$1225.82
$1309.80
$1608.10
$480.06
$519.69
$561.68
$710.83
$666.50
$706.13
$748.12
$897.27
$852.94
$892.57
$934.56
$1083.71
$186.44

Plan: (HMO) Ambetter Balanced Care 5 + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$246.89
$280.21
$315.51
$440.93
$670.03
$493.78
$560.42
$631.02
$881.86
$1340.06
$650.55
$717.19
$787.79
$1038.63
$807.32
$873.96
$944.56
$1195.40
$964.09
$1030.73
$1101.33
$1352.17
$403.66
$436.98
$472.28
$597.70
$560.43
$593.75
$629.05
$754.47
$717.20
$750.52
$785.82
$911.24
$156.77

Plan: (HMO) Ambetter Essential Care 3 with 3 Free PCP Visits + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$186.71
$211.90
$238.60
$333.44
$506.70
$373.42
$423.80
$477.20
$666.88
$1013.40
$491.97
$542.35
$595.75
$785.43
$610.52
$660.90
$714.30
$903.98
$729.07
$779.45
$832.85
$1022.53
$305.26
$330.45
$357.15
$451.99
$423.81
$449.00
$475.70
$570.54
$542.36
$567.55
$594.25
$689.09
$118.55

Plan: (HMO) Ambetter Essential Care 4 with 3 Free PCP Visits + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$195.37
$221.74
$249.67
$348.92
$530.21
$390.74
$443.48
$499.34
$697.84
$1060.42
$514.79
$567.53
$623.39
$821.89
$638.84
$691.58
$747.44
$945.94
$762.89
$815.63
$871.49
$1069.99
$319.42
$345.79
$373.72
$472.97
$443.47
$469.84
$497.77
$597.02
$567.52
$593.89
$621.82
$721.07
$124.05

Plan: (HMO) Ambetter Balanced Care 6 + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$266.04
$301.94
$339.99
$475.13
$722.00
$532.08
$603.88
$679.98
$950.26
$1444.00
$701.01
$772.81
$848.91
$1119.19
$869.94
$941.74
$1017.84
$1288.12
$1038.87
$1110.67
$1186.77
$1457.05
$434.97
$470.87
$508.92
$644.06
$603.90
$639.80
$677.85
$812.99
$772.83
$808.73
$846.78
$981.92
$168.93

Plan: (HMO) Ambetter Essential Care 2 + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$186.03
$211.13
$237.73
$332.22
$504.85
$372.06
$422.26
$475.46
$664.44
$1009.70
$490.18
$540.38
$593.58
$782.56
$608.30
$658.50
$711.70
$900.68
$726.42
$776.62
$829.82
$1018.80
$304.15
$329.25
$355.85
$450.34
$422.27
$447.37
$473.97
$568.46
$540.39
$565.49
$592.09
$686.58
$118.12

Plan: (HMO) Ambetter Essential Care 1 + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1187 - Provider Directory for This Plan: (Ambetter from Magnolia Health Plan)

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$183.29
$208.02
$234.23
$327.34
$497.42
$366.58
$416.04
$468.46
$654.68
$994.84
$482.96
$532.42
$584.84
$771.06
$599.34
$648.80
$701.22
$887.44
$715.72
$765.18
$817.60
$1003.82
$299.67
$324.40
$350.61
$443.72
$416.05
$440.78
$466.99
$560.10
$532.43
$557.16
$583.37
$676.48
$116.38

UnitedHealthcare

Local: 1-877-632-4195 | Toll Free: 1-877-632-4195

Plan: (HMO) UnitedHealthcare Bronze Compass 4200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $4,200 : Family: $8,400
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$189.95
$215.59
$242.76
$339.25
$515.52
$379.90
$431.18
$485.52
$678.50
$1031.04
$500.52
$551.80
$606.14
$799.12
$621.14
$672.42
$726.76
$919.74
$741.76
$793.04
$847.38
$1040.36
$310.57
$336.21
$363.38
$459.87
$431.19
$456.83
$484.00
$580.49
$551.81
$577.45
$604.62
$701.11
$120.62

Plan: (HMO) UnitedHealthcare Bronze Compass HSA 6275

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $6,275 : Family: $12,550
Out of Pocket Maximum per year: Individual: $6,400 : Family: $12,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Bronze 21
30
40
50
60
$175.88
$199.62
$224.77
$314.12
$477.34
$351.76
$399.24
$449.54
$628.24
$954.68
$463.44
$510.92
$561.22
$739.92
$575.12
$622.60
$672.90
$851.60
$686.80
$734.28
$784.58
$963.28
$287.56
$311.30
$336.45
$425.80
$399.24
$422.98
$448.13
$537.48
$510.92
$534.66
$559.81
$649.16
$111.68

Plan: (HMO) UnitedHealthcare Catastrophic Compass 6600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Catastrophic 21
30
40
50
60
$170.33
$193.32
$217.68
$304.21
$462.28
$340.66
$386.64
$435.36
$608.42
$924.56
$448.82
$494.80
$543.52
$716.58
$556.98
$602.96
$651.68
$824.74
$665.14
$711.12
$759.84
$932.90
$278.49
$301.48
$325.84
$412.37
$386.65
$409.64
$434.00
$520.53
$494.81
$517.80
$542.16
$628.69
$108.16

Plan: (HMO) UnitedHealthcare Gold Compass 1500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$250.06
$283.82
$319.58
$446.61
$678.66
$500.12
$567.64
$639.16
$893.22
$1357.32
$658.91
$726.43
$797.95
$1052.01
$817.70
$885.22
$956.74
$1210.80
$976.49
$1044.01
$1115.53
$1369.59
$408.85
$442.61
$478.37
$605.40
$567.64
$601.40
$637.16
$764.19
$726.43
$760.19
$795.95
$922.98
$158.79

Plan: (HMO) UnitedHealthcare Gold Compass 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$245.59
$278.74
$313.86
$438.62
$666.53
$491.18
$557.48
$627.72
$877.24
$1333.06
$647.13
$713.43
$783.67
$1033.19
$803.08
$869.38
$939.62
$1189.14
$959.03
$1025.33
$1095.57
$1345.09
$401.54
$434.69
$469.81
$594.57
$557.49
$590.64
$625.76
$750.52
$713.44
$746.59
$781.71
$906.47
$155.95

Plan: (HMO) UnitedHealthcare Gold Compass HSA 1300

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $1,300 : Family: $2,600
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Gold 21
30
40
50
60
$244.52
$277.53
$312.50
$436.71
$663.63
$489.04
$555.06
$625.00
$873.42
$1327.26
$644.31
$710.33
$780.27
$1028.69
$799.58
$865.60
$935.54
$1183.96
$954.85
$1020.87
$1090.81
$1339.23
$399.79
$432.80
$467.77
$591.98
$555.06
$588.07
$623.04
$747.25
$710.33
$743.34
$778.31
$902.52
$155.27

Plan: (HMO) UnitedHealthcare Platinum Compass 250

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $250 : Family: $500
Out of Pocket Maximum per year: Individual: $1,500 : Family: $3,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Platinum 21
30
40
50
60
$276.07
$313.34
$352.82
$493.06
$749.25
$552.14
$626.68
$705.64
$986.12
$1498.50
$727.44
$801.98
$880.94
$1161.42
$902.74
$977.28
$1056.24
$1336.72
$1078.04
$1152.58
$1231.54
$1512.02
$451.37
$488.64
$528.12
$668.36
$626.67
$663.94
$703.42
$843.66
$801.97
$839.24
$878.72
$1018.96
$175.30

Plan: (HMO) UnitedHealthcare Silver Compass 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$226.19
$256.73
$289.07
$403.98
$613.88
$452.38
$513.46
$578.14
$807.96
$1227.76
$596.01
$657.09
$721.77
$951.59
$739.64
$800.72
$865.40
$1095.22
$883.27
$944.35
$1009.03
$1238.85
$369.82
$400.36
$432.70
$547.61
$513.45
$543.99
$576.33
$691.24
$657.08
$687.62
$719.96
$834.87
$143.63

Plan: (HMO) UnitedHealthcare Silver Compass HSA 3600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $3,600 : Family: $7,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$213.18
$241.96
$272.44
$380.74
$578.57
$426.36
$483.92
$544.88
$761.48
$1157.14
$561.73
$619.29
$680.25
$896.85
$697.10
$754.66
$815.62
$1032.22
$832.47
$890.03
$950.99
$1167.59
$348.55
$377.33
$407.81
$516.11
$483.92
$512.70
$543.18
$651.48
$619.29
$648.07
$678.55
$786.85
$135.37

Plan: (HMO) UnitedHealthcare Silver Compass 4000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$230.45
$261.56
$294.52
$411.58
$625.44
$460.90
$523.12
$589.04
$823.16
$1250.88
$607.24
$669.46
$735.38
$969.50
$753.58
$815.80
$881.72
$1115.84
$899.92
$962.14
$1028.06
$1262.18
$376.79
$407.90
$440.86
$557.92
$523.13
$554.24
$587.20
$704.26
$669.47
$700.58
$733.54
$850.60
$146.34

Plan: (HMO) UnitedHealthcare Silver Compass 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
any age
Silver 21
30
40
50
60
$224.91
$255.27
$287.43
$401.69
$610.41
$449.82
$510.54
$574.86
$803.38
$1220.82
$592.64
$653.36
$717.68
$946.20
$735.46
$796.18
$860.50
$1089.02
$878.28
$939.00
$1003.32
$1231.84
$367.73
$398.09
$430.25
$544.51
$510.55
$540.91
$573.07
$687.33
$653.37
$683.73
$715.89
$830.15
$142.82

†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.

‡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 Tate County here.

 

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