Obamacare 2021 Rates for Maricopa County
Obamacare > Rates > Arizona > Maricopa County
Obamacare > Rates > Arizona > Maricopa County
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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) Oscar Bronze Classic PCP Copay |
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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 |
$252,62 $286,72 $322,84 $451,17 $685,59 |
$445,87 $479,97 $516,09 $644,42 |
$639,12 $673,22 $709,34 $837,67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$505,24 $573,44 $645,68 $902,34 $1 371,18 |
$698,49 $766,69 $838,93 $1 095,59 |
$891,74 $959,94 $1 032,18 $1 288,84 |
Toc - Plan #2 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar 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 |
$259,01 $293,97 $331,01 $462,58 $702,94 |
$457,15 $492,11 $529,15 $660,72 |
$655,29 $690,25 $727,29 $858,86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$518,02 $587,94 $662,02 $925,16 $1 405,88 |
$716,16 $786,08 $860,16 $1 123,30 |
$914,30 $984,22 $1 058,30 $1 321,44 |
Toc - Plan #3 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze Classic Next |
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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 |
$303,25 $344,18 $387,54 $541,59 $822,99 |
$535,23 $576,16 $619,52 $773,57 |
$767,21 $808,14 $851,50 $1 005,55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$606,50 $688,36 $775,08 $1 083,18 $1 645,98 |
$838,48 $920,34 $1 007,06 $1 315,16 |
$1 070,46 $1 152,32 $1 239,04 $1 547,14 |
Toc - Plan #4 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Oscar 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 |
$306,15 $347,47 $391,25 $546,77 $830,87 |
$540,35 $581,67 $625,45 $780,97 |
$774,55 $815,87 $859,65 $1 015,17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$612,30 $694,94 $782,50 $1 093,54 $1 661,74 |
$846,50 $929,14 $1 016,70 $1 327,74 |
$1 080,70 $1 163,34 $1 250,90 $1 561,94 |
Toc - Plan #5 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Saver 2 |
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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 |
$298,19 $338,44 $381,08 $532,56 $809,27 |
$526,30 $566,55 $609,19 $760,67 |
$754,41 $794,66 $837,30 $988,78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$596,38 $676,88 $762,16 $1 065,12 $1 618,54 |
$824,49 $904,99 $990,27 $1 293,23 |
$1 052,60 $1 133,10 $1 218,38 $1 521,34 |
Toc - Plan #6 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic Next |
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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 |
$309,52 $351,29 $395,55 $552,78 $840,01 |
$546,29 $588,06 $632,32 $789,55 |
$783,06 $824,83 $869,09 $1 026,32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$619,04 $702,58 $791,10 $1 105,56 $1 680,02 |
$855,81 $939,35 $1 027,87 $1 342,33 |
$1 092,58 $1 176,12 $1 264,64 $1 579,10 |
Toc - Plan #7 Oscar Health Plan, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Oscar 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 |
$211,29 $239,81 $270,02 $377,35 $573,43 |
$372,92 $401,44 $431,65 $538,98 |
$534,55 $563,07 $593,28 $700,61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$422,58 $479,62 $540,04 $754,70 $1 146,86 |
$584,21 $641,25 $701,67 $916,33 |
$745,84 $802,88 $863,30 $1 077,96 |
Toc - Plan #8 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Oscar 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 |
$396,54 $450,06 $506,77 $708,21 $1 076,19 |
$699,89 $753,41 $810,12 $1 011,56 |
$1 003,24 $1 056,76 $1 113,47 $1 314,91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793,08 $900,12 $1 013,54 $1 416,42 $2 152,38 |
$1 096,43 $1 203,47 $1 316,89 $1 719,77 |
$1 399,78 $1 506,82 $1 620,24 $2 023,12 |
Toc - Plan #9 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Oscar Bronze HDHP |
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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 |
$268,24 $304,45 $342,80 $479,07 $727,99 |
$473,44 $509,65 $548,00 $684,27 |
$678,64 $714,85 $753,20 $889,47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$536,48 $608,90 $685,60 $958,14 $1 455,98 |
$741,68 $814,10 $890,80 $1 163,34 |
$946,88 $1 019,30 $1 096,00 $1 368,54 |
Toc - Plan #10 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic Copay |
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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 |
$314,49 $356,94 $401,91 $561,67 $853,51 |
$555,07 $597,52 $642,49 $802,25 |
$795,65 $838,10 $883,07 $1 042,83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$628,98 $713,88 $803,82 $1 123,34 $1 707,02 |
$869,56 $954,46 $1 044,40 $1 363,92 |
$1 110,14 $1 195,04 $1 284,98 $1 604,50 |
Toc - Plan #11 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Oscar Silver Classic $0 Ded |
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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 |
$331,82 $376,61 $424,05 $592,62 $900,54 |
$585,66 $630,45 $677,89 $846,46 |
$839,50 $884,29 $931,73 $1 100,30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$663,64 $753,22 $848,10 $1 185,24 $1 801,08 |
$917,48 $1 007,06 $1 101,94 $1 439,08 |
$1 171,32 $1 260,90 $1 355,78 $1 692,92 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-482-9045 | Toll Free: 1-877-482-9045 | TTY: 1-877-482-9045 |
Toc - Plan #12 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) Value Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$477,09 $541,49 $609,72 $852,08 $1 294,81 |
$842,06 $906,46 $974,69 $1 217,05 |
$1 207,03 $1 271,43 $1 339,66 $1 582,02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$954,18 $1 082,98 $1 219,44 $1 704,16 $2 589,62 |
$1 319,15 $1 447,95 $1 584,41 $2 069,13 |
$1 684,12 $1 812,92 $1 949,38 $2 434,10 |
Toc - Plan #13 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Value Plus Silver 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$363,97 $413,11 $465,16 $650,06 $987,83 |
$642,41 $691,55 $743,60 $928,50 |
$920,85 $969,99 $1 022,04 $1 206,94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$727,94 $826,22 $930,32 $1 300,12 $1 975,66 |
$1 006,38 $1 104,66 $1 208,76 $1 578,56 |
$1 284,82 $1 383,10 $1 487,20 $1 857,00 |
Toc - Plan #14 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Value Silver 3 Free Visits 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$365,37 $414,70 $466,95 $652,56 $991,62 |
$644,88 $694,21 $746,46 $932,07 |
$924,39 $973,72 $1 025,97 $1 211,58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730,74 $829,40 $933,90 $1 305,12 $1 983,24 |
$1 010,25 $1 108,91 $1 213,41 $1 584,63 |
$1 289,76 $1 388,42 $1 492,92 $1 864,14 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) Value Silver 3 Free Visits 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$362,01 $410,89 $462,65 $646,56 $982,51 |
$638,95 $687,83 $739,59 $923,50 |
$915,89 $964,77 $1 016,53 $1 200,44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724,02 $821,78 $925,30 $1 293,12 $1 965,02 |
$1 000,96 $1 098,72 $1 202,24 $1 570,06 |
$1 277,90 $1 375,66 $1 479,18 $1 847,00 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Value Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$286,70 $325,40 $366,40 $512,05 $778,10 |
$506,03 $544,73 $585,73 $731,38 |
$725,36 $764,06 $805,06 $950,71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$573,40 $650,80 $732,80 $1 024,10 $1 556,20 |
$792,73 $870,13 $952,13 $1 243,43 |
$1 012,06 $1 089,46 $1 171,46 $1 462,76 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Value Bronze 3 Free Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$279,98 $317,78 $357,81 $500,04 $759,87 |
$494,16 $531,96 $571,99 $714,22 |
$708,34 $746,14 $786,17 $928,40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$559,96 $635,56 $715,62 $1 000,08 $1 519,74 |
$774,14 $849,74 $929,80 $1 214,26 |
$988,32 $1 063,92 $1 143,98 $1 428,44 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Value Bronze 3 Free Telehealth Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$283,34 $321,59 $362,11 $506,04 $768,98 |
$500,09 $538,34 $578,86 $722,79 |
$716,84 $755,09 $795,61 $939,54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$566,68 $643,18 $724,22 $1 012,08 $1 537,96 |
$783,43 $859,93 $940,97 $1 228,83 |
$1 000,18 $1 076,68 $1 157,72 $1 445,58 |
ADVERTISEMENT
Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #19 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - MaricopaFocus 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 |
$444,71 $504,75 $568,34 $794,25 $1 206,94 |
$784,92 $844,96 $908,55 $1 134,46 |
$1 125,13 $1 185,17 $1 248,76 $1 474,67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$889,42 $1 009,50 $1 136,68 $1 588,50 $2 413,88 |
$1 229,63 $1 349,71 $1 476,89 $1 928,71 |
$1 569,84 $1 689,92 $1 817,10 $2 268,92 |
Toc - Plan #20 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - MaricopaFocus 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 |
$345,81 $392,49 $441,94 $617,61 $938,51 |
$610,35 $657,03 $706,48 $882,15 |
$874,89 $921,57 $971,02 $1 146,69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$691,62 $784,98 $883,88 $1 235,22 $1 877,02 |
$956,16 $1 049,52 $1 148,42 $1 499,76 |
$1 220,70 $1 314,06 $1 412,96 $1 764,30 |
Toc - Plan #21 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - MaricopaFocus 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 |
$281,32 $319,30 $359,53 $502,44 $763,50 |
$496,53 $534,51 $574,74 $717,65 |
$711,74 $749,72 $789,95 $932,86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$562,64 $638,60 $719,06 $1 004,88 $1 527,00 |
$777,85 $853,81 $934,27 $1 220,09 |
$993,06 $1 069,02 $1 149,48 $1 435,30 |
Toc - Plan #22 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue TrueHealth Silver - MaricopaFocus 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 |
$352,11 $399,65 $450,00 $628,87 $955,63 |
$621,48 $669,02 $719,37 $898,24 |
$890,85 $938,39 $988,74 $1 167,61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$704,22 $799,30 $900,00 $1 257,74 $1 911,26 |
$973,59 $1 068,67 $1 169,37 $1 527,11 |
$1 242,96 $1 338,04 $1 438,74 $1 796,48 |
Toc - Plan #23 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - MaricopaFocus 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 |
$320,64 $363,93 $409,78 $572,66 $870,22 |
$565,93 $609,22 $655,07 $817,95 |
$811,22 $854,51 $900,36 $1 063,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641,28 $727,86 $819,56 $1 145,32 $1 740,44 |
$886,57 $973,15 $1 064,85 $1 390,61 |
$1 131,86 $1 218,44 $1 310,14 $1 635,90 |
Toc - Plan #24 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Catastrophic
(HMO) Blue SimpleHealth - MaricopaFocus 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 |
$239,56 $271,90 $306,16 $427,86 $650,17 |
$422,83 $455,17 $489,43 $611,13 |
$606,10 $638,44 $672,70 $794,40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$479,12 $543,80 $612,32 $855,72 $1 300,34 |
$662,39 $727,07 $795,59 $1 038,99 |
$845,66 $910,34 $978,86 $1 222,26 |
Toc - Plan #25 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - MaricopaFocus 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 |
$303,84 $344,85 $388,30 $542,65 $824,60 |
$536,28 $577,29 $620,74 $775,09 |
$768,72 $809,73 $853,18 $1 007,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607,68 $689,70 $776,60 $1 085,30 $1 649,20 |
$840,12 $922,14 $1 009,04 $1 317,74 |
$1 072,56 $1 154,58 $1 241,48 $1 550,18 |
Toc - Plan #26 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - MaricopaFocus 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 |
$261,72 $297,05 $334,47 $467,42 $710,29 |
$461,93 $497,26 $534,68 $667,63 |
$662,14 $697,47 $734,89 $867,84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523,44 $594,10 $668,94 $934,84 $1 420,58 |
$723,65 $794,31 $869,15 $1 135,05 |
$923,86 $994,52 $1 069,36 $1 335,26 |
ADVERTISEMENT
Bright HealthLocal: 1-800-922-7186 | Toll Free: 1-800-922-7186 |
Toc - Plan #27 Bright Health | ||||||||||||||||||||
Gold
(HMO) Gold 1000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$489,82 $555,95 $625,99 $874,82 $1 329,37 |
$864,53 $930,66 $1 000,70 $1 249,53 |
$1 239,24 $1 305,37 $1 375,41 $1 624,24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$979,64 $1 111,90 $1 251,98 $1 749,64 $2 658,74 |
$1 354,35 $1 486,61 $1 626,69 $2 124,35 |
$1 729,06 $1 861,32 $2 001,40 $2 499,06 |
Toc - Plan #28 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 3000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349,17 $396,31 $446,24 $623,63 $947,66 |
$616,29 $663,43 $713,36 $890,75 |
$883,41 $930,55 $980,48 $1 157,87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698,34 $792,62 $892,48 $1 247,26 $1 895,32 |
$965,46 $1 059,74 $1 159,60 $1 514,38 |
$1 232,58 $1 326,86 $1 426,72 $1 781,50 |
Toc - Plan #29 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver $0 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365,65 $415,01 $467,30 $653,05 $992,37 |
$645,37 $694,73 $747,02 $932,77 |
$925,09 $974,45 $1 026,74 $1 212,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731,30 $830,02 $934,60 $1 306,10 $1 984,74 |
$1 011,02 $1 109,74 $1 214,32 $1 585,82 |
$1 290,74 $1 389,46 $1 494,04 $1 865,54 |
Toc - Plan #30 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277,35 $314,79 $354,46 $495,35 $752,73 |
$489,52 $526,96 $566,63 $707,52 |
$701,69 $739,13 $778,80 $919,69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554,70 $629,58 $708,92 $990,70 $1 505,46 |
$766,87 $841,75 $921,09 $1 202,87 |
$979,04 $1 053,92 $1 133,26 $1 415,04 |
Toc - Plan #31 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Primary Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289,32 $328,38 $369,75 $516,73 $785,22 |
$510,65 $549,71 $591,08 $738,06 |
$731,98 $771,04 $812,41 $959,39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578,64 $656,76 $739,50 $1 033,46 $1 570,44 |
$799,97 $878,09 $960,83 $1 254,79 |
$1 021,30 $1 099,42 $1 182,16 $1 476,12 |
Toc - Plan #32 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7000 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312,32 $354,49 $399,15 $557,81 $847,64 |
$551,25 $593,42 $638,08 $796,74 |
$790,18 $832,35 $877,01 $1 035,67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624,64 $708,98 $798,30 $1 115,62 $1 695,28 |
$863,57 $947,91 $1 037,23 $1 354,55 |
$1 102,50 $1 186,84 $1 276,16 $1 593,48 |
Toc - Plan #33 Bright Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323,73 $367,44 $413,73 $578,19 $878,61 |
$571,39 $615,10 $661,39 $825,85 |
$819,05 $862,76 $909,05 $1 073,51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647,46 $734,88 $827,46 $1 156,38 $1 757,22 |
$895,12 $982,54 $1 075,12 $1 404,04 |
$1 142,78 $1 230,20 $1 322,78 $1 651,70 |
Toc - Plan #34 Bright Health | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic 3 $0 PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254,73 $289,12 $325,54 $454,94 $691,33 |
$449,60 $483,99 $520,41 $649,81 |
$644,47 $678,86 $715,28 $844,68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$509,46 $578,24 $651,08 $909,88 $1 382,66 |
$704,33 $773,11 $845,95 $1 104,75 |
$899,20 $967,98 $1 040,82 $1 299,62 |
Toc - Plan #35 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 5000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340,98 $387,02 $435,78 $609,00 $925,43 |
$601,83 $647,87 $696,63 $869,85 |
$862,68 $908,72 $957,48 $1 130,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681,96 $774,04 $871,56 $1 218,00 $1 850,86 |
$942,81 $1 034,89 $1 132,41 $1 478,85 |
$1 203,66 $1 295,74 $1 393,26 $1 739,70 |
Toc - Plan #36 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336,19 $381,57 $429,65 $600,43 $912,42 |
$593,37 $638,75 $686,83 $857,61 |
$850,55 $895,93 $944,01 $1 114,79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672,38 $763,14 $859,30 $1 200,86 $1 824,84 |
$929,56 $1 020,32 $1 116,48 $1 458,04 |
$1 186,74 $1 277,50 $1 373,66 $1 715,22 |
Toc - Plan #37 Bright Health | ||||||||||||||||||||
Silver
(HMO) Silver $0 Primary Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-922-7186
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351,04 $398,43 $448,63 $626,96 $952,73 |
$619,59 $666,98 $717,18 $895,51 |
$888,14 $935,53 $985,73 $1 164,06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702,08 $796,86 $897,26 $1 253,92 $1 905,46 |
$970,63 $1 065,41 $1 165,81 $1 522,47 |
$1 239,18 $1 333,96 $1 434,36 $1 791,02 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #38 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 9 (2021) |
||||||||||||||||||||
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 |
$347,29 $394,17 $443,84 $620,26 $942,54 |
$612,97 $659,85 $709,52 $885,94 |
$878,65 $925,53 $975,20 $1 151,62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694,58 $788,34 $887,68 $1 240,52 $1 885,08 |
$960,26 $1 054,02 $1 153,36 $1 506,20 |
$1 225,94 $1 319,70 $1 419,04 $1 771,88 |
Toc - Plan #39 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 (2021) |
||||||||||||||||||||
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 |
$323,36 $367,02 $413,26 $577,53 $877,61 |
$570,73 $614,39 $660,63 $824,90 |
$818,10 $861,76 $908,00 $1 072,27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646,72 $734,04 $826,52 $1 155,06 $1 755,22 |
$894,09 $981,41 $1 073,89 $1 402,43 |
$1 141,46 $1 228,78 $1 321,26 $1 649,80 |
Toc - Plan #40 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 (2021) |
||||||||||||||||||||
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 |
$269,30 $305,66 $344,17 $480,97 $730,89 |
$475,32 $511,68 $550,19 $686,99 |
$681,34 $717,70 $756,21 $893,01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538,60 $611,32 $688,34 $961,94 $1 461,78 |
$744,62 $817,34 $894,36 $1 167,96 |
$950,64 $1 023,36 $1 100,38 $1 373,98 |
Toc - Plan #41 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA (2021) |
||||||||||||||||||||
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 |
$277,87 $315,38 $355,12 $496,27 $754,14 |
$490,44 $527,95 $567,69 $708,84 |
$703,01 $740,52 $780,26 $921,41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555,74 $630,76 $710,24 $992,54 $1 508,28 |
$768,31 $843,33 $922,81 $1 205,11 |
$980,88 $1 055,90 $1 135,38 $1 417,68 |
Toc - Plan #42 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 (2021) |
||||||||||||||||||||
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 |
$313,65 $356,00 $400,85 $560,19 $851,26 |
$553,60 $595,95 $640,80 $800,14 |
$793,55 $835,90 $880,75 $1 040,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627,30 $712,00 $801,70 $1 120,38 $1 702,52 |
$867,25 $951,95 $1 041,65 $1 360,33 |
$1 107,20 $1 191,90 $1 281,60 $1 600,28 |
Toc - Plan #43 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 (2021) |
||||||||||||||||||||
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 |
$308,19 $349,80 $393,87 $550,43 $836,44 |
$543,96 $585,57 $629,64 $786,20 |
$779,73 $821,34 $865,41 $1 021,97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616,38 $699,60 $787,74 $1 100,86 $1 672,88 |
$852,15 $935,37 $1 023,51 $1 336,63 |
$1 087,92 $1 171,14 $1 259,28 $1 572,40 |
Toc - Plan #44 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 (2021) |
||||||||||||||||||||
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 |
$451,30 $512,23 $576,76 $806,03 $1 224,83 |
$796,55 $857,48 $922,01 $1 151,28 |
$1 141,80 $1 202,73 $1 267,26 $1 496,53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902,60 $1 024,46 $1 153,52 $1 612,06 $2 449,66 |
$1 247,85 $1 369,71 $1 498,77 $1 957,31 |
$1 593,10 $1 714,96 $1 844,02 $2 302,56 |
Toc - Plan #45 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 (2021) |
||||||||||||||||||||
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 |
$305,64 $346,90 $390,61 $545,88 $829,51 |
$539,46 $580,72 $624,43 $779,70 |
$773,28 $814,54 $858,25 $1 013,52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611,28 $693,80 $781,22 $1 091,76 $1 659,02 |
$845,10 $927,62 $1 015,04 $1 325,58 |
$1 078,92 $1 161,44 $1 248,86 $1 559,40 |
Toc - Plan #46 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 25 HSA (2021) |
||||||||||||||||||||
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 |
$320,92 $364,24 $410,13 $573,16 $870,97 |
$566,42 $609,74 $655,63 $818,66 |
$811,92 $855,24 $901,13 $1 064,16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641,84 $728,48 $820,26 $1 146,32 $1 741,94 |
$887,34 $973,98 $1 065,76 $1 391,82 |
$1 132,84 $1 219,48 $1 311,26 $1 637,32 |
Toc - Plan #47 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 26 (2021) |
||||||||||||||||||||
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 |
$321,62 $365,04 $411,03 $574,41 $872,87 |
$567,66 $611,08 $657,07 $820,45 |
$813,70 $857,12 $903,11 $1 066,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643,24 $730,08 $822,06 $1 148,82 $1 745,74 |
$889,28 $976,12 $1 068,10 $1 394,86 |
$1 135,32 $1 222,16 $1 314,14 $1 640,90 |
Toc - Plan #48 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 (2021) |
||||||||||||||||||||
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 |
$332,92 $377,87 $425,48 $594,60 $903,56 |
$587,61 $632,56 $680,17 $849,29 |
$842,30 $887,25 $934,86 $1 103,98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665,84 $755,74 $850,96 $1 189,20 $1 807,12 |
$920,53 $1 010,43 $1 105,65 $1 443,89 |
$1 175,22 $1 265,12 $1 360,34 $1 698,58 |
Toc - Plan #49 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 (2021) |
||||||||||||||||||||
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 |
$277,66 $315,15 $354,85 $495,90 $753,58 |
$490,07 $527,56 $567,26 $708,31 |
$702,48 $739,97 $779,67 $920,72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555,32 $630,30 $709,70 $991,80 $1 507,16 |
$767,73 $842,71 $922,11 $1 204,21 |
$980,14 $1 055,12 $1 134,52 $1 416,62 |
Toc - Plan #50 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 (2021) + 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 |
$322,91 $366,51 $412,68 $576,72 $876,39 |
$569,94 $613,54 $659,71 $823,75 |
$816,97 $860,57 $906,74 $1 070,78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645,82 $733,02 $825,36 $1 153,44 $1 752,78 |
$892,85 $980,05 $1 072,39 $1 400,47 |
$1 139,88 $1 227,08 $1 319,42 $1 647,50 |
Toc - Plan #51 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 9 (2021) + 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 |
$363,88 $413,00 $465,04 $649,89 $987,56 |
$642,25 $691,37 $743,41 $928,26 |
$920,62 $969,74 $1 021,78 $1 206,63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727,76 $826,00 $930,08 $1 299,78 $1 975,12 |
$1 006,13 $1 104,37 $1 208,45 $1 578,15 |
$1 284,50 $1 382,74 $1 486,82 $1 856,52 |
Toc - Plan #52 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 (2021) + 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 |
$338,81 $384,55 $433,00 $605,11 $919,53 |
$598,00 $643,74 $692,19 $864,30 |
$857,19 $902,93 $951,38 $1 123,49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677,62 $769,10 $866,00 $1 210,22 $1 839,06 |
$936,81 $1 028,29 $1 125,19 $1 469,41 |
$1 196,00 $1 287,48 $1 384,38 $1 728,60 |
Toc - Plan #53 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 (2021) + 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 |
$282,17 $320,26 $360,61 $503,95 $765,80 |
$498,03 $536,12 $576,47 $719,81 |
$713,89 $751,98 $792,33 $935,67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564,34 $640,52 $721,22 $1 007,90 $1 531,60 |
$780,20 $856,38 $937,08 $1 223,76 |
$996,06 $1 072,24 $1 152,94 $1 439,62 |
Toc - Plan #54 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA (2021) + 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 |
$291,14 $330,45 $372,08 $519,98 $790,16 |
$513,86 $553,17 $594,80 $742,70 |
$736,58 $775,89 $817,52 $965,42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582,28 $660,90 $744,16 $1 039,96 $1 580,32 |
$805,00 $883,62 $966,88 $1 262,68 |
$1 027,72 $1 106,34 $1 189,60 $1 485,40 |
Toc - Plan #55 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 (2021) + 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 |
$328,64 $373,00 $420,00 $586,94 $891,92 |
$580,05 $624,41 $671,41 $838,35 |
$831,46 $875,82 $922,82 $1 089,76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657,28 $746,00 $840,00 $1 173,88 $1 783,84 |
$908,69 $997,41 $1 091,41 $1 425,29 |
$1 160,10 $1 248,82 $1 342,82 $1 676,70 |
Toc - Plan #56 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 (2021) + 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 |
$472,86 $536,69 $604,31 $844,53 $1 283,34 |
$834,60 $898,43 $966,05 $1 206,27 |
$1 196,34 $1 260,17 $1 327,79 $1 568,01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945,72 $1 073,38 $1 208,62 $1 689,06 $2 566,68 |
$1 307,46 $1 435,12 $1 570,36 $2 050,80 |
$1 669,20 $1 796,86 $1 932,10 $2 412,54 |
Toc - Plan #57 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 25 HSA (2021) + 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 |
$336,25 $381,64 $429,72 $600,53 $912,57 |
$593,48 $638,87 $686,95 $857,76 |
$850,71 $896,10 $944,18 $1 114,99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672,50 $763,28 $859,44 $1 201,06 $1 825,14 |
$929,73 $1 020,51 $1 116,67 $1 458,29 |
$1 186,96 $1 277,74 $1 373,90 $1 715,52 |
Toc - Plan #58 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 26 (2021) + 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 |
$336,98 $382,47 $430,66 $601,84 $914,56 |
$594,77 $640,26 $688,45 $859,63 |
$852,56 $898,05 $946,24 $1 117,42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673,96 $764,94 $861,32 $1 203,68 $1 829,12 |
$931,75 $1 022,73 $1 119,11 $1 461,47 |
$1 189,54 $1 280,52 $1 376,90 $1 719,26 |
Toc - Plan #59 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 (2021) + 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 |
$348,83 $395,92 $445,80 $623,00 $946,71 |
$615,68 $662,77 $712,65 $889,85 |
$882,53 $929,62 $979,50 $1 156,70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697,66 $791,84 $891,60 $1 246,00 $1 893,42 |
$964,51 $1 058,69 $1 158,45 $1 512,85 |
$1 231,36 $1 325,54 $1 425,30 $1 779,70 |
Toc - Plan #60 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 (2021) + 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 |
$290,92 $330,20 $371,80 $519,59 $789,57 |
$513,48 $552,76 $594,36 $742,15 |
$736,04 $775,32 $816,92 $964,71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581,84 $660,40 $743,60 $1 039,18 $1 579,14 |
$804,40 $882,96 $966,16 $1 261,74 |
$1 026,96 $1 105,52 $1 188,72 $1 484,30 |
ADVERTISEMENT
Cigna HealthCare of Arizona, IncLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #61 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337,27 $382,80 $431,03 $602,36 $915,34 |
$595,28 $640,81 $689,04 $860,37 |
$853,29 $898,82 $947,05 $1 118,38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674,54 $765,60 $862,06 $1 204,72 $1 830,68 |
$932,55 $1 023,61 $1 120,07 $1 462,73 |
$1 190,56 $1 281,62 $1 378,08 $1 720,74 |
Toc - Plan #62 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272,46 $309,24 $348,20 $486,61 $739,45 |
$480,89 $517,67 $556,63 $695,04 |
$689,32 $726,10 $765,06 $903,47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544,92 $618,48 $696,40 $973,22 $1 478,90 |
$753,35 $826,91 $904,83 $1 181,65 |
$961,78 $1 035,34 $1 113,26 $1 390,08 |
Toc - Plan #63 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 8000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284,64 $323,07 $363,77 $508,37 $772,52 |
$502,39 $540,82 $581,52 $726,12 |
$720,14 $758,57 $799,27 $943,87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569,28 $646,14 $727,54 $1 016,74 $1 545,04 |
$787,03 $863,89 $945,29 $1 234,49 |
$1 004,78 $1 081,64 $1 163,04 $1 452,24 |
Toc - Plan #64 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338,73 $384,46 $432,90 $604,97 $919,32 |
$597,86 $643,59 $692,03 $864,10 |
$856,99 $902,72 $951,16 $1 123,23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677,46 $768,92 $865,80 $1 209,94 $1 838,64 |
$936,59 $1 028,05 $1 124,93 $1 469,07 |
$1 195,72 $1 287,18 $1 384,06 $1 728,20 |
Toc - Plan #65 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 2500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430,57 $488,69 $550,26 $768,99 $1 168,55 |
$759,95 $818,07 $879,64 $1 098,37 |
$1 089,33 $1 147,45 $1 209,02 $1 427,75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861,14 $977,38 $1 100,52 $1 537,98 $2 337,10 |
$1 190,52 $1 306,76 $1 429,90 $1 867,36 |
$1 519,90 $1 636,14 $1 759,28 $2 196,74 |
Toc - Plan #66 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 + Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340,23 $386,17 $434,82 $607,66 $923,40 |
$600,51 $646,45 $695,10 $867,94 |
$860,79 $906,73 $955,38 $1 128,22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680,46 $772,34 $869,64 $1 215,32 $1 846,80 |
$940,74 $1 032,62 $1 129,92 $1 475,60 |
$1 201,02 $1 292,90 $1 390,20 $1 735,88 |
Toc - Plan #67 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335,37 $380,64 $428,60 $598,97 $910,19 |
$591,93 $637,20 $685,16 $855,53 |
$848,49 $893,76 $941,72 $1 112,09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670,74 $761,28 $857,20 $1 197,94 $1 820,38 |
$927,30 $1 017,84 $1 113,76 $1 454,50 |
$1 183,86 $1 274,40 $1 370,32 $1 711,06 |
Toc - Plan #68 Cigna HealthCare of Arizona, Inc | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271,74 $308,43 $347,29 $485,34 $737,51 |
$479,62 $516,31 $555,17 $693,22 |
$687,50 $724,19 $763,05 $901,10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543,48 $616,86 $694,58 $970,68 $1 475,02 |
$751,36 $824,74 $902,46 $1 178,56 |
$959,24 $1 032,62 $1 110,34 $1 386,44 |
‡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 Maricopa County here.
Maricopa County is in “Rating Area 4” of Arizona.
Currently, there are 68 plans offered in Rating Area 4.