Obamacare Providers, Plans and 2017 Rates for Prince William County
The health insurance rates listed below are for calendar year 2017.
2017 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Prince William County, Virginia.
Currently, there are 54 plans offered in Prince William County.
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 on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios:
- 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 Dumfries, VA area accept this insurance coverage as within the plan's "network".
‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Prince William County here.
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CareFirst BlueChoice, Inc.Local: 1-855-444-3119 | Toll Free: 1-855-444-3119 TTY: 1-202-479-3546 |
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Plan: (HMO) BlueChoice HMO Silver $3,500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (CareFirst BlueChoice, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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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 |
$340.38 $386.33 $435.01 $607.92 $923.79 |
$680.76 $772.66 $870.02 $1215.84 $1847.58 |
$896.90 $988.80 $1086.16 $1431.98 |
$1113.04 $1204.94 $1302.30 $1648.12 |
$1329.18 $1421.08 $1518.44 $1864.26 |
$556.52 $602.47 $651.15 $824.06 |
$772.66 $818.61 $867.29 $1040.20 |
$988.80 $1034.75 $1083.43 $1256.34 |
$216.14 |
Plan: (HMO) HealthyBlue HMO Gold $1,000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (CareFirst BlueChoice, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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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 |
$389.63 $442.23 $497.95 $695.88 $1057.46 |
$779.26 $884.46 $995.90 $1391.76 $2114.92 |
$1026.68 $1131.88 $1243.32 $1639.18 |
$1274.10 $1379.30 $1490.74 $1886.60 |
$1521.52 $1626.72 $1738.16 $2134.02 |
$637.05 $689.65 $745.37 $943.30 |
$884.47 $937.07 $992.79 $1190.72 |
$1131.89 $1184.49 $1240.21 $1438.14 |
$247.42 |
Plan: (HMO) BlueChoice HMO Young Adult $7,150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (CareFirst BlueChoice, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
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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 |
$174.31 $197.84 $222.77 $311.32 $473.08 |
$348.62 $395.68 $445.54 $622.64 $946.16 |
$459.31 $506.37 $556.23 $733.33 |
$570.00 $617.06 $666.92 $844.02 |
$680.69 $727.75 $777.61 $954.71 |
$285.00 $308.53 $333.46 $422.01 |
$395.69 $419.22 $444.15 $532.70 |
$506.38 $529.91 $554.84 $643.39 |
$110.69 |
Plan: (HMO) BlueChoice HMO HSA Silver $1,500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (CareFirst BlueChoice, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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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 |
$338.15 $383.80 $432.16 $603.94 $917.74 |
$676.30 $767.60 $864.32 $1207.88 $1835.48 |
$891.03 $982.33 $1079.05 $1422.61 |
$1105.76 $1197.06 $1293.78 $1637.34 |
$1320.49 $1411.79 $1508.51 $1852.07 |
$552.88 $598.53 $646.89 $818.67 |
$767.61 $813.26 $861.62 $1033.40 |
$982.34 $1027.99 $1076.35 $1248.13 |
$214.73 |
Plan: (POS) BlueChoice Plus Silver $2,500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (CareFirst BlueChoice, Inc.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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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 |
$348.98 $396.09 $446.00 $623.28 $947.13 |
$697.96 $792.18 $892.00 $1246.56 $1894.26 |
$919.56 $1013.78 $1113.60 $1468.16 |
$1141.16 $1235.38 $1335.20 $1689.76 |
$1362.76 $1456.98 $1556.80 $1911.36 |
$570.58 $617.69 $667.60 $844.88 |
$792.18 $839.29 $889.20 $1066.48 |
$1013.78 $1060.89 $1110.80 $1288.08 |
$221.60 |
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Innovation Health Insurance CompanyLocal: 1-866-833-2957 | Toll Free: 1-866-833-2957 TTY: 1-866-833-2957 |
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Plan: (PPO) Innovation Health Leap CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
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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 |
$159.53 $181.06 $203.88 $284.92 $432.96 |
$319.06 $362.12 $407.76 $569.84 $865.92 |
$420.36 $463.42 $509.06 $671.14 |
$521.66 $564.72 $610.36 $772.44 |
$622.96 $666.02 $711.66 $873.74 |
$260.83 $282.36 $305.18 $386.22 |
$362.13 $383.66 $406.48 $487.52 |
$463.43 $484.96 $507.78 $588.82 |
$101.30 |
Plan: (PPO) Innovation Health Leap Silver BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$6,075
: Family:
$12,150 Monthly Premiums: |
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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 |
$231.22 $262.44 $295.50 $412.97 $627.54 |
$462.44 $524.88 $591.00 $825.94 $1255.08 |
$609.27 $671.71 $737.83 $972.77 |
$756.10 $818.54 $884.66 $1119.60 |
$902.93 $965.37 $1031.49 $1266.43 |
$378.05 $409.27 $442.33 $559.80 |
$524.88 $556.10 $589.16 $706.63 |
$671.71 $702.93 $735.99 $853.46 |
$146.83 |
Plan: (PPO) Innovation Health Leap Silver PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$5,050
: Family:
$10,100 Monthly Premiums: |
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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 |
$250.87 $284.74 $320.61 $448.05 $680.86 |
$501.74 $569.48 $641.22 $896.10 $1361.72 |
$661.04 $728.78 $800.52 $1055.40 |
$820.34 $888.08 $959.82 $1214.70 |
$979.64 $1047.38 $1119.12 $1374.00 |
$410.17 $444.04 $479.91 $607.35 |
$569.47 $603.34 $639.21 $766.65 |
$728.77 $762.64 $798.51 $925.95 |
$159.30 |
Plan: (PPO) Innovation Health Leap BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$7,050
: Family:
$14,100 Monthly Premiums: |
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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 |
$195.70 $222.12 $250.10 $349.51 $531.12 |
$391.40 $444.24 $500.20 $699.02 $1062.24 |
$515.67 $568.51 $624.47 $823.29 |
$639.94 $692.78 $748.74 $947.56 |
$764.21 $817.05 $873.01 $1071.83 |
$319.97 $346.39 $374.37 $473.78 |
$444.24 $470.66 $498.64 $598.05 |
$568.51 $594.93 $622.91 $722.32 |
$124.27 |
Plan: (PPO) Innovation Health Leap Gold DiabetesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$2,835
: Family:
$5,670 Monthly Premiums: |
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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 |
$310.10 $351.96 $396.31 $553.84 $841.61 |
$620.20 $703.92 $792.62 $1107.68 $1683.22 |
$817.11 $900.83 $989.53 $1304.59 |
$1014.02 $1097.74 $1186.44 $1501.50 |
$1210.93 $1294.65 $1383.35 $1698.41 |
$507.01 $548.87 $593.22 $750.75 |
$703.92 $745.78 $790.13 $947.66 |
$900.83 $942.69 $987.04 $1144.57 |
$196.91 |
Plan: (PPO) Innovation Health Leap Silver DiabetesSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$6,300
: Family:
$12,600 Monthly Premiums: |
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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 |
$241.92 $274.57 $309.17 $432.06 $656.56 |
$483.84 $549.14 $618.34 $864.12 $1313.12 |
$637.46 $702.76 $771.96 $1017.74 |
$791.08 $856.38 $925.58 $1171.36 |
$944.70 $1010.00 $1079.20 $1324.98 |
$395.54 $428.19 $462.79 $585.68 |
$549.16 $581.81 $616.41 $739.30 |
$702.78 $735.43 $770.03 $892.92 |
$153.62 |
Plan: (PPO) Innovation Health Leap Silver Healthy MindsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-833-2957 - Provider Directory for This Plan: (Innovation Health Insurance Company)
Deductible: Individual:
$5,600
: Family:
$11,200 Monthly Premiums: |
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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 |
$256.38 $291.00 $327.66 $457.90 $695.83 |
$512.76 $582.00 $655.32 $915.80 $1391.66 |
$675.56 $744.80 $818.12 $1078.60 |
$838.36 $907.60 $980.92 $1241.40 |
$1001.16 $1070.40 $1143.72 $1404.20 |
$419.18 $453.80 $490.46 $620.70 |
$581.98 $616.60 $653.26 $783.50 |
$744.78 $779.40 $816.06 $946.30 |
$162.80 |
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UnitedHealthcare of the Mid-Atlantic IncLocal: 1-877-632-4195 | Toll Free: 1-877-632-4195 |
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Plan: (HMO) UHC Compass HSA Silver 2800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Mid-Atlantic Inc)
Deductible: Individual:
$2,800
: Family:
$5,600 Monthly Premiums: |
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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 |
$252.02 $286.03 $322.07 $450.09 $683.95 |
$504.04 $572.06 $644.14 $900.18 $1367.90 |
$664.07 $732.09 $804.17 $1060.21 |
$824.10 $892.12 $964.20 $1220.24 |
$984.13 $1052.15 $1124.23 $1380.27 |
$412.05 $446.06 $482.10 $610.12 |
$572.08 $606.09 $642.13 $770.15 |
$732.11 $766.12 $802.16 $930.18 |
$160.03 |
Plan: (HMO) UHC Compass Silver 5200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Mid-Atlantic Inc)
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
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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 |
$249.77 $283.47 $319.19 $446.06 $677.84 |
$499.54 $566.94 $638.38 $892.12 $1355.68 |
$658.14 $725.54 $796.98 $1050.72 |
$816.74 $884.14 $955.58 $1209.32 |
$975.34 $1042.74 $1114.18 $1367.92 |
$408.37 $442.07 $477.79 $604.66 |
$566.97 $600.67 $636.39 $763.26 |
$725.57 $759.27 $794.99 $921.86 |
$158.60 |
Plan: (HMO) UHC Compass HSA Bronze 6550Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Mid-Atlantic Inc)
Deductible: Individual:
$6,550
: Family:
$13,100 Monthly Premiums: |
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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 |
$222.35 $252.36 $284.15 $397.10 $603.43 |
$444.70 $504.72 $568.30 $794.20 $1206.86 |
$585.89 $645.91 $709.49 $935.39 |
$727.08 $787.10 $850.68 $1076.58 |
$868.27 $928.29 $991.87 $1217.77 |
$363.54 $393.55 $425.34 $538.29 |
$504.73 $534.74 $566.53 $679.48 |
$645.92 $675.93 $707.72 $820.67 |
$141.19 |
Plan: (HMO) UHC Compass Bronze 7100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-632-4195 - Provider Directory for This Plan: (UnitedHealthcare of the Mid-Atlantic Inc)
Deductible: Individual:
$7,100
: Family:
$14,200 Monthly Premiums: |
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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 |
$230.24 $261.31 $294.23 $411.18 $624.83 |
$460.48 $522.62 $588.46 $822.36 $1249.66 |
$606.67 $668.81 $734.65 $968.55 |
$752.86 $815.00 $880.84 $1114.74 |
$899.05 $961.19 $1027.03 $1260.93 |
$376.43 $407.50 $440.42 $557.37 |
$522.62 $553.69 $586.61 $703.56 |
$668.81 $699.88 $732.80 $849.75 |
$146.19 |
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Group Hospitalization and Medical Services Inc.Local: 1-855-444-3119 | Toll Free: 1-855-444-3119 TTY: 1-202-479-3546 |
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Plan: (PPO) HealthyBlue PPO Gold $1,000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (Group Hospitalization and Medical Services Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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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 |
$434.88 $493.59 $555.78 $776.70 $1180.26 |
$869.76 $987.18 $1111.56 $1553.40 $2360.52 |
$1145.91 $1263.33 $1387.71 $1829.55 |
$1422.06 $1539.48 $1663.86 $2105.70 |
$1698.21 $1815.63 $1940.01 $2381.85 |
$711.03 $769.74 $831.93 $1052.85 |
$987.18 $1045.89 $1108.08 $1329.00 |
$1263.33 $1322.04 $1384.23 $1605.15 |
$276.15 |
Plan: (PPO) BluePreferred HSA Silver $2,000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-444-3119 - Provider Directory for This Plan: (Group Hospitalization and Medical Services Inc.)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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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 |
$364.89 $414.15 $466.33 $651.69 $990.31 |
$729.78 $828.30 $932.66 $1303.38 $1980.62 |
$961.49 $1060.01 $1164.37 $1535.09 |
$1193.20 $1291.72 $1396.08 $1766.80 |
$1424.91 $1523.43 $1627.79 $1998.51 |
$596.60 $645.86 $698.04 $883.40 |
$828.31 $877.57 $929.75 $1115.11 |
$1060.02 $1109.28 $1161.46 $1346.82 |
$231.71 |
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Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 TTY: 1-800-676-3777 |
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Plan: (EPO) Cigna Connect HSA 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$215.78 $244.91 $275.77 $385.39 $585.64 |
$431.56 $489.82 $551.54 $770.78 $1171.28 |
$568.58 $626.84 $688.56 $907.80 |
$705.60 $763.86 $825.58 $1044.82 |
$842.62 $900.88 $962.60 $1181.84 |
$352.80 $381.93 $412.79 $522.41 |
$489.82 $518.95 $549.81 $659.43 |
$626.84 $655.97 $686.83 $796.45 |
$137.02 |
Plan: (EPO) Cigna Connect 5750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$5,750
: Family:
$11,500 Monthly Premiums: |
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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 |
$203.40 $230.86 $259.95 $363.27 $552.03 |
$406.80 $461.72 $519.90 $726.54 $1104.06 |
$535.96 $590.88 $649.06 $855.70 |
$665.12 $720.04 $778.22 $984.86 |
$794.28 $849.20 $907.38 $1114.02 |
$332.56 $360.02 $389.11 $492.43 |
$461.72 $489.18 $518.27 $621.59 |
$590.88 $618.34 $647.43 $750.75 |
$129.16 |
Plan: (EPO) Cigna US-VA Connect 6650Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
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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 |
$207.11 $235.07 $264.68 $369.89 $562.09 |
$414.22 $470.14 $529.36 $739.78 $1124.18 |
$545.73 $601.65 $660.87 $871.29 |
$677.24 $733.16 $792.38 $1002.80 |
$808.75 $864.67 $923.89 $1134.31 |
$338.62 $366.58 $396.19 $501.40 |
$470.13 $498.09 $527.70 $632.91 |
$601.64 $629.60 $659.21 $764.42 |
$131.51 |
Plan: (EPO) Cigna Connect 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: 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 |
$219.82 $249.50 $280.93 $392.60 $596.60 |
$439.64 $499.00 $561.86 $785.20 $1193.20 |
$579.23 $638.59 $701.45 $924.79 |
$718.82 $778.18 $841.04 $1064.38 |
$858.41 $917.77 $980.63 $1203.97 |
$359.41 $389.09 $420.52 $532.19 |
$499.00 $528.68 $560.11 $671.78 |
$638.59 $668.27 $699.70 $811.37 |
$139.59 |
Plan: (EPO) Cigna Connect 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
Silver | 21 30 40 50 60 |
$257.66 $292.44 $329.29 $460.18 $699.28 |
$515.32 $584.88 $658.58 $920.36 $1398.56 |
$678.93 $748.49 $822.19 $1083.97 |
$842.54 $912.10 $985.80 $1247.58 |
$1006.15 $1075.71 $1149.41 $1411.19 |
$421.27 $456.05 $492.90 $623.79 |
$584.88 $619.66 $656.51 $787.40 |
$748.49 $783.27 $820.12 $951.01 |
$163.61 |
Plan: (EPO) Cigna Connect 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
Silver | 21 30 40 50 60 |
$245.14 $278.24 $313.29 $437.82 $665.31 |
$490.28 $556.48 $626.58 $875.64 $1330.62 |
$645.95 $712.15 $782.25 $1031.31 |
$801.62 $867.82 $937.92 $1186.98 |
$957.29 $1023.49 $1093.59 $1342.65 |
$400.81 $433.91 $468.96 $593.49 |
$556.48 $589.58 $624.63 $749.16 |
$712.15 $745.25 $780.30 $904.83 |
$155.67 |
ADVERTISEMENT
|
||||||||||
HealthKeepers, Inc.Local: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
||||||||||
Plan: (HMO) Anthem HealthKeepers Bronze X 5900Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,900
: Family:
$11,800 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 |
$237.64 $269.72 $303.70 $424.43 $644.95 |
$475.28 $539.44 $607.40 $848.86 $1289.90 |
$626.18 $690.34 $758.30 $999.76 |
$777.08 $841.24 $909.20 $1150.66 |
$927.98 $992.14 $1060.10 $1301.56 |
$388.54 $420.62 $454.60 $575.33 |
$539.44 $571.52 $605.50 $726.23 |
$690.34 $722.42 $756.40 $877.13 |
$150.90 |
ADVERTISEMENT
|
||||||||||
Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 TTY: 1-800-676-3777 |
||||||||||
Plan: (EPO) Cigna Connect 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
Silver | 21 30 40 50 60 |
$286.47 $325.15 $366.11 $511.64 $777.49 |
$572.94 $650.30 $732.22 $1023.28 $1554.98 |
$754.85 $832.21 $914.13 $1205.19 |
$936.76 $1014.12 $1096.04 $1387.10 |
$1118.67 $1196.03 $1277.95 $1569.01 |
$468.38 $507.06 $548.02 $693.55 |
$650.29 $688.97 $729.93 $875.46 |
$832.20 $870.88 $911.84 $1057.37 |
$181.91 |
Plan: (EPO) Cigna US-VA Connect 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$293.87 $333.55 $375.57 $524.86 $797.57 |
$587.74 $667.10 $751.14 $1049.72 $1595.14 |
$774.35 $853.71 $937.75 $1236.33 |
$960.96 $1040.32 $1124.36 $1422.94 |
$1147.57 $1226.93 $1310.97 $1609.55 |
$480.48 $520.16 $562.18 $711.47 |
$667.09 $706.77 $748.79 $898.08 |
$853.70 $893.38 $935.40 $1084.69 |
$186.61 |
Plan: (EPO) Cigna Connect 1200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$1,200
: Family:
$2,400 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 |
Gold | 21 30 40 50 60 |
$333.72 $378.77 $426.49 $596.02 $905.71 |
$667.44 $757.54 $852.98 $1192.04 $1811.42 |
$879.35 $969.45 $1064.89 $1403.95 |
$1091.26 $1181.36 $1276.80 $1615.86 |
$1303.17 $1393.27 $1488.71 $1827.77 |
$545.63 $590.68 $638.40 $807.93 |
$757.54 $802.59 $850.31 $1019.84 |
$969.45 $1014.50 $1062.22 $1231.75 |
$211.91 |
ADVERTISEMENT
|
||||||||||
HealthKeepers, Inc.Local: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
||||||||||
Plan: (HMO) Anthem HealthKeepers Catastrophic X 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 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 |
Catastrophic | 21 30 40 50 60 |
$194.29 $220.52 $248.30 $347.00 $527.30 |
$388.58 $441.04 $496.60 $694.00 $1054.60 |
$511.95 $564.41 $619.97 $817.37 |
$635.32 $687.78 $743.34 $940.74 |
$758.69 $811.15 $866.71 $1064.11 |
$317.66 $343.89 $371.67 $470.37 |
$441.03 $467.26 $495.04 $593.74 |
$564.40 $590.63 $618.41 $717.11 |
$123.37 |
Plan: (HMO) Anthem HealthKeepers Bronze X 6200 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Bronze | 21 30 40 50 60 |
$242.96 $275.76 $310.50 $433.93 $659.39 |
$485.92 $551.52 $621.00 $867.86 $1318.78 |
$640.20 $705.80 $775.28 $1022.14 |
$794.48 $860.08 $929.56 $1176.42 |
$948.76 $1014.36 $1083.84 $1330.70 |
$397.24 $430.04 $464.78 $588.21 |
$551.52 $584.32 $619.06 $742.49 |
$705.80 $738.60 $773.34 $896.77 |
$154.28 |
Plan: (HMO) Anthem HealthKeepers Bronze X 5150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,150
: Family:
$10,300 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 |
Bronze | 21 30 40 50 60 |
$241.26 $273.83 $308.33 $430.89 $654.78 |
$482.52 $547.66 $616.66 $861.78 $1309.56 |
$635.72 $700.86 $769.86 $1014.98 |
$788.92 $854.06 $923.06 $1168.18 |
$942.12 $1007.26 $1076.26 $1321.38 |
$394.46 $427.03 $461.53 $584.09 |
$547.66 $580.23 $614.73 $737.29 |
$700.86 $733.43 $767.93 $890.49 |
$153.20 |
Plan: (HMO) Anthem HealthKeepers Bronze X 4900 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$4,900
: Family:
$9,800 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 |
$248.33 $281.85 $317.37 $443.52 $673.97 |
$496.66 $563.70 $634.74 $887.04 $1347.94 |
$654.35 $721.39 $792.43 $1044.73 |
$812.04 $879.08 $950.12 $1202.42 |
$969.73 $1036.77 $1107.81 $1360.11 |
$406.02 $439.54 $475.06 $601.21 |
$563.71 $597.23 $632.75 $758.90 |
$721.40 $754.92 $790.44 $916.59 |
$157.69 |
Plan: (HMO) Anthem HealthKeepers Silver X 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$274.20 $311.22 $350.43 $489.72 $744.18 |
$548.40 $622.44 $700.86 $979.44 $1488.36 |
$722.52 $796.56 $874.98 $1153.56 |
$896.64 $970.68 $1049.10 $1327.68 |
$1070.76 $1144.80 $1223.22 $1501.80 |
$448.32 $485.34 $524.55 $663.84 |
$622.44 $659.46 $698.67 $837.96 |
$796.56 $833.58 $872.79 $1012.08 |
$174.12 |
Plan: (HMO) Anthem HealthKeepers Silver X 2800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$2,800
: Family:
$5,600 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 |
Silver | 21 30 40 50 60 |
$282.10 $320.18 $360.52 $503.83 $765.62 |
$564.20 $640.36 $721.04 $1007.66 $1531.24 |
$743.33 $819.49 $900.17 $1186.79 |
$922.46 $998.62 $1079.30 $1365.92 |
$1101.59 $1177.75 $1258.43 $1545.05 |
$461.23 $499.31 $539.65 $682.96 |
$640.36 $678.44 $718.78 $862.09 |
$819.49 $857.57 $897.91 $1041.22 |
$179.13 |
Plan: (HMO) Anthem HealthKeepers Gold X 1300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,300
: Family:
$3,900 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 |
$377.16 $428.08 $482.01 $673.61 $1023.61 |
$754.32 $856.16 $964.02 $1347.22 $2047.22 |
$993.82 $1095.66 $1203.52 $1586.72 |
$1233.32 $1335.16 $1443.02 $1826.22 |
$1472.82 $1574.66 $1682.52 $2065.72 |
$616.66 $667.58 $721.51 $913.11 |
$856.16 $907.08 $961.01 $1152.61 |
$1095.66 $1146.58 $1200.51 $1392.11 |
$239.50 |
Plan: (HMO) Anthem HealthKeepers Bronze X 6350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
$234.74 $266.43 $300.00 $419.25 $637.08 |
$469.48 $532.86 $600.00 $838.50 $1274.16 |
$618.54 $681.92 $749.06 $987.56 |
$767.60 $830.98 $898.12 $1136.62 |
$916.66 $980.04 $1047.18 $1285.68 |
$383.80 $415.49 $449.06 $568.31 |
$532.86 $564.55 $598.12 $717.37 |
$681.92 $713.61 $747.18 $866.43 |
$149.06 |
Plan: (HMO) Anthem HealthKeepers Silver X 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$262.70 $298.16 $335.73 $469.18 $712.97 |
$525.40 $596.32 $671.46 $938.36 $1425.94 |
$692.21 $763.13 $838.27 $1105.17 |
$859.02 $929.94 $1005.08 $1271.98 |
$1025.83 $1096.75 $1171.89 $1438.79 |
$429.51 $464.97 $502.54 $635.99 |
$596.32 $631.78 $669.35 $802.80 |
$763.13 $798.59 $836.16 $969.61 |
$166.81 |
Plan: (HMO) Anthem HealthKeepers Silver, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
Silver | 21 30 40 50 60 |
$295.38 $335.26 $377.50 $527.55 $801.66 |
$590.76 $670.52 $755.00 $1055.10 $1603.32 |
$778.33 $858.09 $942.57 $1242.67 |
$965.90 $1045.66 $1130.14 $1430.24 |
$1153.47 $1233.23 $1317.71 $1617.81 |
$482.95 $522.83 $565.07 $715.12 |
$670.52 $710.40 $752.64 $902.69 |
$858.09 $897.97 $940.21 $1090.26 |
$187.57 |
Plan: (HMO) Anthem HealthKeepers Gold, a Blue Cross and Blue Shield Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$1,000
: 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 |
Gold | 21 30 40 50 60 |
$378.41 $429.50 $483.61 $675.84 $1027.00 |
$756.82 $859.00 $967.22 $1351.68 $2054.00 |
$997.11 $1099.29 $1207.51 $1591.97 |
$1237.40 $1339.58 $1447.80 $1832.26 |
$1477.69 $1579.87 $1688.09 $2072.55 |
$618.70 $669.79 $723.90 $916.13 |
$858.99 $910.08 $964.19 $1156.42 |
$1099.28 $1150.37 $1204.48 $1396.71 |
$240.29 |
Plan: (POS) Anthem HealthKeepers Bronze X POS 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
$255.18 $289.63 $326.12 $455.75 $692.56 |
$510.36 $579.26 $652.24 $911.50 $1385.12 |
$672.40 $741.30 $814.28 $1073.54 |
$834.44 $903.34 $976.32 $1235.58 |
$996.48 $1065.38 $1138.36 $1397.62 |
$417.22 $451.67 $488.16 $617.79 |
$579.26 $613.71 $650.20 $779.83 |
$741.30 $775.75 $812.24 $941.87 |
$162.04 |
Plan: (POS) Anthem HealthKeepers Silver X POS 2300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$2,300
: Family:
$4,600 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 |
Silver | 21 30 40 50 60 |
$296.30 $336.30 $378.67 $529.19 $804.16 |
$592.60 $672.60 $757.34 $1058.38 $1608.32 |
$780.75 $860.75 $945.49 $1246.53 |
$968.90 $1048.90 $1133.64 $1434.68 |
$1157.05 $1237.05 $1321.79 $1622.83 |
$484.45 $524.45 $566.82 $717.34 |
$672.60 $712.60 $754.97 $905.49 |
$860.75 $900.75 $943.12 $1093.64 |
$188.15 |
Plan: (POS) Anthem HealthKeepers Bronze X POS 5750 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1810 - Provider Directory for This Plan: (HealthKeepers, Inc.)
Deductible: Individual:
$5,750
: Family:
$11,500 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 |
$253.20 $287.38 $323.59 $452.22 $687.18 |
$506.40 $574.76 $647.18 $904.44 $1374.36 |
$667.18 $735.54 $807.96 $1065.22 |
$827.96 $896.32 $968.74 $1226.00 |
$988.74 $1057.10 $1129.52 $1386.78 |
$413.98 $448.16 $484.37 $613.00 |
$574.76 $608.94 $645.15 $773.78 |
$735.54 $769.72 $805.93 $934.56 |
$160.78 |
ADVERTISEMENT
|
||||||||||
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.Local: 1-800-807-1140 | Toll Free: 1-800-807-1140 TTY: 1-703-359-7616 |
||||||||||
Plan: (HMO) KP VA Gold 0/20/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$0
: Family:
$0 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 |
$374.30 $424.83 $478.36 $668.50 $1015.85 |
$748.60 $849.66 $956.72 $1337.00 $2031.70 |
$986.28 $1087.34 $1194.40 $1574.68 |
$1223.96 $1325.02 $1432.08 $1812.36 |
$1461.64 $1562.70 $1669.76 $2050.04 |
$611.98 $662.51 $716.04 $906.18 |
$849.66 $900.19 $953.72 $1143.86 |
$1087.34 $1137.87 $1191.40 $1381.54 |
$237.68 |
Plan: (HMO) KP VA Gold 1000/20/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$357.73 $406.02 $457.18 $638.91 $970.88 |
$715.46 $812.04 $914.36 $1277.82 $1941.76 |
$942.62 $1039.20 $1141.52 $1504.98 |
$1169.78 $1266.36 $1368.68 $1732.14 |
$1396.94 $1493.52 $1595.84 $1959.30 |
$584.89 $633.18 $684.34 $866.07 |
$812.05 $860.34 $911.50 $1093.23 |
$1039.21 $1087.50 $1138.66 $1320.39 |
$227.16 |
Plan: (HMO) KP VA Silver 1800/30/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
Silver | 21 30 40 50 60 |
$301.01 $341.65 $384.69 $537.60 $816.94 |
$602.02 $683.30 $769.38 $1075.20 $1633.88 |
$793.16 $874.44 $960.52 $1266.34 |
$984.30 $1065.58 $1151.66 $1457.48 |
$1175.44 $1256.72 $1342.80 $1648.62 |
$492.15 $532.79 $575.83 $728.74 |
$683.29 $723.93 $766.97 $919.88 |
$874.43 $915.07 $958.11 $1111.02 |
$191.14 |
Plan: (HMO) KP VA Silver 2800/30/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$2,800
: Family:
$5,600 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 |
Silver | 21 30 40 50 60 |
$286.93 $325.67 $366.70 $512.46 $778.73 |
$573.86 $651.34 $733.40 $1024.92 $1557.46 |
$756.06 $833.54 $915.60 $1207.12 |
$938.26 $1015.74 $1097.80 $1389.32 |
$1120.46 $1197.94 $1280.00 $1571.52 |
$469.13 $507.87 $548.90 $694.66 |
$651.33 $690.07 $731.10 $876.86 |
$833.53 $872.27 $913.30 $1059.06 |
$182.20 |
Plan: (HMO) KP VA Silver 2750/20%/HSA/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$2,750
: Family:
$5,500 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 |
$281.55 $319.56 $359.82 $502.85 $764.13 |
$563.10 $639.12 $719.64 $1005.70 $1528.26 |
$741.88 $817.90 $898.42 $1184.48 |
$920.66 $996.68 $1077.20 $1363.26 |
$1099.44 $1175.46 $1255.98 $1542.04 |
$460.33 $498.34 $538.60 $681.63 |
$639.11 $677.12 $717.38 $860.41 |
$817.89 $855.90 $896.16 $1039.19 |
$178.78 |
Plan: (HMO) KP VA Bronze 5000/50/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: 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 |
Bronze | 21 30 40 50 60 |
$238.49 $270.69 $304.79 $425.94 $647.26 |
$476.98 $541.38 $609.58 $851.88 $1294.52 |
$628.42 $692.82 $761.02 $1003.32 |
$779.86 $844.26 $912.46 $1154.76 |
$931.30 $995.70 $1063.90 $1306.20 |
$389.93 $422.13 $456.23 $577.38 |
$541.37 $573.57 $607.67 $728.82 |
$692.81 $725.01 $759.11 $880.26 |
$151.44 |
Plan: (HMO) KP VA Bronze 6200/20%/HSA/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$6,200
: Family:
$12,400 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 |
Bronze | 21 30 40 50 60 |
$224.42 $254.72 $286.81 $400.81 $609.08 |
$448.84 $509.44 $573.62 $801.62 $1218.16 |
$591.35 $651.95 $716.13 $944.13 |
$733.86 $794.46 $858.64 $1086.64 |
$876.37 $936.97 $1001.15 $1229.15 |
$366.93 $397.23 $429.32 $543.32 |
$509.44 $539.74 $571.83 $685.83 |
$651.95 $682.25 $714.34 $828.34 |
$142.51 |
Plan: (HMO) KP VA Catastrophic 7150/0/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$7,150
: Family:
$14,300 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 |
Catastrophic | 21 30 40 50 60 |
$189.84 $215.47 $242.62 $339.05 $515.23 |
$379.68 $430.94 $485.24 $678.10 $1030.46 |
$500.23 $551.49 $605.79 $798.65 |
$620.78 $672.04 $726.34 $919.20 |
$741.33 $792.59 $846.89 $1039.75 |
$310.39 $336.02 $363.17 $459.60 |
$430.94 $456.57 $483.72 $580.15 |
$551.49 $577.12 $604.27 $700.70 |
$120.55 |
Plan: (HMO) KP VA Platinum 0/20/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$0
: Family:
$0 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 |
$404.11 $458.66 $516.45 $721.74 $1096.75 |
$808.22 $917.32 $1032.90 $1443.48 $2193.50 |
$1064.83 $1173.93 $1289.51 $1700.09 |
$1321.44 $1430.54 $1546.12 $1956.70 |
$1578.05 $1687.15 $1802.73 $2213.31 |
$660.72 $715.27 $773.06 $978.35 |
$917.33 $971.88 $1029.67 $1234.96 |
$1173.94 $1228.49 $1286.28 $1491.57 |
$256.61 |
Plan: (HMO) KP VA Bronze 6500/50/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: 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 |
$203.30 $230.75 $259.82 $363.09 $551.76 |
$406.60 $461.50 $519.64 $726.18 $1103.52 |
$535.70 $590.60 $648.74 $855.28 |
$664.80 $719.70 $777.84 $984.38 |
$793.90 $848.80 $906.94 $1113.48 |
$332.40 $359.85 $388.92 $492.19 |
$461.50 $488.95 $518.02 $621.29 |
$590.60 $618.05 $647.12 $750.39 |
$129.10 |
Plan: (HMO) KP VA STD Silver 3500/30/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$296.87 $336.95 $379.40 $530.21 $805.71 |
$593.74 $673.90 $758.80 $1060.42 $1611.42 |
$782.25 $862.41 $947.31 $1248.93 |
$970.76 $1050.92 $1135.82 $1437.44 |
$1159.27 $1239.43 $1324.33 $1625.95 |
$485.38 $525.46 $567.91 $718.72 |
$673.89 $713.97 $756.42 $907.23 |
$862.40 $902.48 $944.93 $1095.74 |
$188.51 |
Plan: (HMO) KP VA Silver 6000/30/Dental/Ped DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-807-1140 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
Silver | 21 30 40 50 60 |
$257.54 $292.31 $329.14 $459.97 $698.96 |
$515.08 $584.62 $658.28 $919.94 $1397.92 |
$678.62 $748.16 $821.82 $1083.48 |
$842.16 $911.70 $985.36 $1247.02 |
$1005.70 $1075.24 $1148.90 $1410.56 |
$421.08 $455.85 $492.68 $623.51 |
$584.62 $619.39 $656.22 $787.05 |
$748.16 $782.93 $819.76 $950.59 |
$163.54 |