Obamacare 2022 Rates for Calhoun County
Obamacare > Rates > Texas > Calhoun County
Obamacare > Rates > Texas > Calhoun County
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Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #1 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$460.76 $522.95 $588.84 $822.89 $1,250.47 |
$813.23 $875.42 $941.31 $1,175.36 |
$1,165.70 $1,227.89 $1,293.78 $1,527.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$921.52 $1,045.90 $1,177.68 $1,645.78 $2,500.94 |
$1,273.99 $1,398.37 $1,530.15 $1,998.25 |
$1,626.46 $1,750.84 $1,882.62 $2,350.72 |
Toc - Plan #2 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$386.02 $438.13 $493.33 $689.42 $1,047.64 |
$681.32 $733.43 $788.63 $984.72 |
$976.62 $1,028.73 $1,083.93 $1,280.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$772.04 $876.26 $986.66 $1,378.84 $2,095.28 |
$1,067.34 $1,171.56 $1,281.96 $1,674.14 |
$1,362.64 $1,466.86 $1,577.26 $1,969.44 |
Toc - Plan #3 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$407.68 $462.70 $521.00 $728.10 $1,106.41 |
$719.55 $774.57 $832.87 $1,039.97 |
$1,031.42 $1,086.44 $1,144.74 $1,351.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$815.36 $925.40 $1,042.00 $1,456.20 $2,212.82 |
$1,127.23 $1,237.27 $1,353.87 $1,768.07 |
$1,439.10 $1,549.14 $1,665.74 $2,079.94 |
Toc - Plan #4 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$604.93 $686.58 $773.08 $1,080.38 $1,641.74 |
$1,067.69 $1,149.34 $1,235.84 $1,543.14 |
$1,530.45 $1,612.10 $1,698.60 $2,005.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,209.86 $1,373.16 $1,546.16 $2,160.76 $3,283.48 |
$1,672.62 $1,835.92 $2,008.92 $2,623.52 |
$2,135.38 $2,298.68 $2,471.68 $3,086.28 |
Toc - Plan #5 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$421.92 $478.86 $539.20 $753.52 $1,145.05 |
$744.68 $801.62 $861.96 $1,076.28 |
$1,067.44 $1,124.38 $1,184.72 $1,399.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$843.84 $957.72 $1,078.40 $1,507.04 $2,290.10 |
$1,166.60 $1,280.48 $1,401.16 $1,829.80 |
$1,489.36 $1,603.24 $1,723.92 $2,152.56 |
Toc - Plan #6 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$463.34 $525.88 $592.13 $827.50 $1,257.47 |
$817.79 $880.33 $946.58 $1,181.95 |
$1,172.24 $1,234.78 $1,301.03 $1,536.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$926.68 $1,051.76 $1,184.26 $1,655.00 $2,514.94 |
$1,281.13 $1,406.21 $1,538.71 $2,009.45 |
$1,635.58 $1,760.66 $1,893.16 $2,363.90 |
Toc - Plan #7 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$454.54 $515.89 $580.89 $811.79 $1,233.59 |
$802.25 $863.60 $928.60 $1,159.50 |
$1,149.96 $1,211.31 $1,276.31 $1,507.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$909.08 $1,031.78 $1,161.78 $1,623.58 $2,467.18 |
$1,256.79 $1,379.49 $1,509.49 $1,971.29 |
$1,604.50 $1,727.20 $1,857.20 $2,319.00 |
Toc - Plan #8 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$448.64 $509.19 $573.35 $801.25 $1,217.58 |
$791.84 $852.39 $916.55 $1,144.45 |
$1,135.04 $1,195.59 $1,259.75 $1,487.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$897.28 $1,018.38 $1,146.70 $1,602.50 $2,435.16 |
$1,240.48 $1,361.58 $1,489.90 $1,945.70 |
$1,583.68 $1,704.78 $1,833.10 $2,288.90 |
Toc - Plan #9 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$448.18 $508.67 $572.76 $800.43 $1,216.33 |
$791.03 $851.52 $915.61 $1,143.28 |
$1,133.88 $1,194.37 $1,258.46 $1,486.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$896.36 $1,017.34 $1,145.52 $1,600.86 $2,432.66 |
$1,239.21 $1,360.19 $1,488.37 $1,943.71 |
$1,582.06 $1,703.04 $1,831.22 $2,286.56 |
Toc - Plan #10 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$459.28 $521.27 $586.95 $820.26 $1,246.47 |
$810.62 $872.61 $938.29 $1,171.60 |
$1,161.96 $1,223.95 $1,289.63 $1,522.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$918.56 $1,042.54 $1,173.90 $1,640.52 $2,492.94 |
$1,269.90 $1,393.88 $1,525.24 $1,991.86 |
$1,621.24 $1,745.22 $1,876.58 $2,343.20 |
Toc - Plan #11 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$484.53 $549.93 $619.22 $865.36 $1,314.99 |
$855.19 $920.59 $989.88 $1,236.02 |
$1,225.85 $1,291.25 $1,360.54 $1,606.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$969.06 $1,099.86 $1,238.44 $1,730.72 $2,629.98 |
$1,339.72 $1,470.52 $1,609.10 $2,101.38 |
$1,710.38 $1,841.18 $1,979.76 $2,472.04 |
Toc - Plan #12 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$425.56 $483.00 $543.85 $760.03 $1,154.93 |
$751.10 $808.54 $869.39 $1,085.57 |
$1,076.64 $1,134.08 $1,194.93 $1,411.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$851.12 $966.00 $1,087.70 $1,520.06 $2,309.86 |
$1,176.66 $1,291.54 $1,413.24 $1,845.60 |
$1,502.20 $1,617.08 $1,738.78 $2,171.14 |
Toc - Plan #13 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$426.16 $483.67 $544.61 $761.10 $1,156.56 |
$752.16 $809.67 $870.61 $1,087.10 |
$1,078.16 $1,135.67 $1,196.61 $1,413.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$852.32 $967.34 $1,089.22 $1,522.20 $2,313.12 |
$1,178.32 $1,293.34 $1,415.22 $1,848.20 |
$1,504.32 $1,619.34 $1,741.22 $2,174.20 |
Toc - Plan #14 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$439.93 $499.31 $562.22 $785.70 $1,193.95 |
$776.47 $835.85 $898.76 $1,122.24 |
$1,113.01 $1,172.39 $1,235.30 $1,458.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$879.86 $998.62 $1,124.44 $1,571.40 $2,387.90 |
$1,216.40 $1,335.16 $1,460.98 $1,907.94 |
$1,552.94 $1,671.70 $1,797.52 $2,244.48 |
Toc - Plan #15 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$565.85 $642.23 $723.15 $1,010.60 $1,535.70 |
$998.72 $1,075.10 $1,156.02 $1,443.47 |
$1,431.59 $1,507.97 $1,588.89 $1,876.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,131.70 $1,284.46 $1,446.30 $2,021.20 $3,071.40 |
$1,564.57 $1,717.33 $1,879.17 $2,454.07 |
$1,997.44 $2,150.20 $2,312.04 $2,886.94 |
Toc - Plan #16 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$610.96 $693.43 $780.79 $1,091.16 $1,658.12 |
$1,078.34 $1,160.81 $1,248.17 $1,558.54 |
$1,545.72 $1,628.19 $1,715.55 $2,025.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,221.92 $1,386.86 $1,561.58 $2,182.32 $3,316.24 |
$1,689.30 $1,854.24 $2,028.96 $2,649.70 |
$2,156.68 $2,321.62 $2,496.34 $3,117.08 |
Toc - Plan #17 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$389.87 $442.50 $498.25 $696.30 $1,058.09 |
$688.12 $740.75 $796.50 $994.55 |
$986.37 $1,039.00 $1,094.75 $1,292.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$779.74 $885.00 $996.50 $1,392.60 $2,116.18 |
$1,077.99 $1,183.25 $1,294.75 $1,690.85 |
$1,376.24 $1,481.50 $1,593.00 $1,989.10 |
Toc - Plan #18 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$411.75 $467.32 $526.20 $735.36 $1,117.45 |
$726.73 $782.30 $841.18 $1,050.34 |
$1,041.71 $1,097.28 $1,156.16 $1,365.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$823.50 $934.64 $1,052.40 $1,470.72 $2,234.90 |
$1,138.48 $1,249.62 $1,367.38 $1,785.70 |
$1,453.46 $1,564.60 $1,682.36 $2,100.68 |
Toc - Plan #19 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$465.35 $528.16 $594.71 $831.10 $1,262.94 |
$821.34 $884.15 $950.70 $1,187.09 |
$1,177.33 $1,240.14 $1,306.69 $1,543.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$930.70 $1,056.32 $1,189.42 $1,662.20 $2,525.88 |
$1,286.69 $1,412.31 $1,545.41 $2,018.19 |
$1,642.68 $1,768.30 $1,901.40 $2,374.18 |
Toc - Plan #20 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$426.12 $483.64 $544.57 $761.04 $1,156.48 |
$752.10 $809.62 $870.55 $1,087.02 |
$1,078.08 $1,135.60 $1,196.53 $1,413.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$852.24 $967.28 $1,089.14 $1,522.08 $2,312.96 |
$1,178.22 $1,293.26 $1,415.12 $1,848.06 |
$1,504.20 $1,619.24 $1,741.10 $2,174.04 |
Toc - Plan #21 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$467.96 $531.12 $598.04 $835.76 $1,270.01 |
$825.94 $889.10 $956.02 $1,193.74 |
$1,183.92 $1,247.08 $1,314.00 $1,551.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$935.92 $1,062.24 $1,196.08 $1,671.52 $2,540.02 |
$1,293.90 $1,420.22 $1,554.06 $2,029.50 |
$1,651.88 $1,778.20 $1,912.04 $2,387.48 |
Toc - Plan #22 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.07 $521.03 $586.68 $819.88 $1,245.89 |
$810.25 $872.21 $937.86 $1,171.06 |
$1,161.43 $1,223.39 $1,289.04 $1,522.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.14 $1,042.06 $1,173.36 $1,639.76 $2,491.78 |
$1,269.32 $1,393.24 $1,524.54 $1,990.94 |
$1,620.50 $1,744.42 $1,875.72 $2,342.12 |
Toc - Plan #23 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.65 $513.75 $578.47 $808.41 $1,228.46 |
$798.92 $860.02 $924.74 $1,154.68 |
$1,145.19 $1,206.29 $1,271.01 $1,500.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.30 $1,027.50 $1,156.94 $1,616.82 $2,456.92 |
$1,251.57 $1,373.77 $1,503.21 $1,963.09 |
$1,597.84 $1,720.04 $1,849.48 $2,309.36 |
Toc - Plan #24 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.86 $526.47 $592.81 $828.44 $1,258.90 |
$818.71 $881.32 $947.66 $1,183.29 |
$1,173.56 $1,236.17 $1,302.51 $1,538.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.72 $1,052.94 $1,185.62 $1,656.88 $2,517.80 |
$1,282.57 $1,407.79 $1,540.47 $2,011.73 |
$1,637.42 $1,762.64 $1,895.32 $2,366.58 |
Toc - Plan #25 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$489.37 $555.42 $625.40 $873.99 $1,328.11 |
$863.73 $929.78 $999.76 $1,248.35 |
$1,238.09 $1,304.14 $1,374.12 $1,622.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$978.74 $1,110.84 $1,250.80 $1,747.98 $2,656.22 |
$1,353.10 $1,485.20 $1,625.16 $2,122.34 |
$1,727.46 $1,859.56 $1,999.52 $2,496.70 |
Toc - Plan #26 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.41 $488.50 $550.05 $768.69 $1,168.09 |
$759.66 $817.75 $879.30 $1,097.94 |
$1,088.91 $1,147.00 $1,208.55 $1,427.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.82 $977.00 $1,100.10 $1,537.38 $2,336.18 |
$1,190.07 $1,306.25 $1,429.35 $1,866.63 |
$1,519.32 $1,635.50 $1,758.60 $2,195.88 |
Toc - Plan #27 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.32 $504.29 $567.83 $793.54 $1,205.86 |
$784.22 $844.19 $907.73 $1,133.44 |
$1,124.12 $1,184.09 $1,247.63 $1,473.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.64 $1,008.58 $1,135.66 $1,587.08 $2,411.72 |
$1,228.54 $1,348.48 $1,475.56 $1,926.98 |
$1,568.44 $1,688.38 $1,815.46 $2,266.88 |
Toc - Plan #28 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$571.50 $648.64 $730.36 $1,020.68 $1,551.02 |
$1,008.69 $1,085.83 $1,167.55 $1,457.87 |
$1,445.88 $1,523.02 $1,604.74 $1,895.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,143.00 $1,297.28 $1,460.72 $2,041.36 $3,102.04 |
$1,580.19 $1,734.47 $1,897.91 $2,478.55 |
$2,017.38 $2,171.66 $2,335.10 $2,915.74 |
Toc - Plan #29 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.11 $514.27 $579.07 $809.25 $1,229.73 |
$799.74 $860.90 $925.70 $1,155.88 |
$1,146.37 $1,207.53 $1,272.33 $1,502.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.22 $1,028.54 $1,158.14 $1,618.50 $2,459.46 |
$1,252.85 $1,375.17 $1,504.77 $1,965.13 |
$1,599.48 $1,721.80 $1,851.40 $2,311.76 |
Toc - Plan #30 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$629.99 $715.03 $805.12 $1,125.15 $1,709.78 |
$1,111.93 $1,196.97 $1,287.06 $1,607.09 |
$1,593.87 $1,678.91 $1,769.00 $2,089.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,259.98 $1,430.06 $1,610.24 $2,250.30 $3,419.56 |
$1,741.92 $1,912.00 $2,092.18 $2,732.24 |
$2,223.86 $2,393.94 $2,574.12 $3,214.18 |
Toc - Plan #31 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.02 $456.28 $513.77 $717.99 $1,091.06 |
$709.56 $763.82 $821.31 $1,025.53 |
$1,017.10 $1,071.36 $1,128.85 $1,333.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.04 $912.56 $1,027.54 $1,435.98 $2,182.12 |
$1,111.58 $1,220.10 $1,335.08 $1,743.52 |
$1,419.12 $1,527.64 $1,642.62 $2,051.06 |
Toc - Plan #32 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.57 $481.88 $542.59 $758.27 $1,152.27 |
$749.36 $806.67 $867.38 $1,083.06 |
$1,074.15 $1,131.46 $1,192.17 $1,407.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.14 $963.76 $1,085.18 $1,516.54 $2,304.54 |
$1,173.93 $1,288.55 $1,409.97 $1,841.33 |
$1,498.72 $1,613.34 $1,734.76 $2,166.12 |
Toc - Plan #33 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.85 $544.62 $613.24 $857.00 $1,302.29 |
$846.93 $911.70 $980.32 $1,224.08 |
$1,214.01 $1,278.78 $1,347.40 $1,591.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$959.70 $1,089.24 $1,226.48 $1,714.00 $2,604.58 |
$1,326.78 $1,456.32 $1,593.56 $2,081.08 |
$1,693.86 $1,823.40 $1,960.64 $2,448.16 |
Toc - Plan #34 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.40 $498.71 $561.54 $784.75 $1,192.51 |
$775.53 $834.84 $897.67 $1,120.88 |
$1,111.66 $1,170.97 $1,233.80 $1,457.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$878.80 $997.42 $1,123.08 $1,569.50 $2,385.02 |
$1,214.93 $1,333.55 $1,459.21 $1,905.63 |
$1,551.06 $1,669.68 $1,795.34 $2,241.76 |
Toc - Plan #35 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.54 $547.67 $616.67 $861.80 $1,309.58 |
$851.67 $916.80 $985.80 $1,230.93 |
$1,220.80 $1,285.93 $1,354.93 $1,600.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.08 $1,095.34 $1,233.34 $1,723.60 $2,619.16 |
$1,334.21 $1,464.47 $1,602.47 $2,092.73 |
$1,703.34 $1,833.60 $1,971.60 $2,461.86 |
Toc - Plan #36 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.37 $537.27 $604.96 $845.43 $1,284.71 |
$835.49 $899.39 $967.08 $1,207.55 |
$1,197.61 $1,261.51 $1,329.20 $1,569.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$946.74 $1,074.54 $1,209.92 $1,690.86 $2,569.42 |
$1,308.86 $1,436.66 $1,572.04 $2,052.98 |
$1,670.98 $1,798.78 $1,934.16 $2,415.10 |
Toc - Plan #37 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.75 $529.75 $596.50 $833.60 $1,266.74 |
$823.81 $886.81 $953.56 $1,190.66 |
$1,180.87 $1,243.87 $1,310.62 $1,547.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$933.50 $1,059.50 $1,193.00 $1,667.20 $2,533.48 |
$1,290.56 $1,416.56 $1,550.06 $2,024.26 |
$1,647.62 $1,773.62 $1,907.12 $2,381.32 |
Toc - Plan #38 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.32 $542.88 $611.28 $854.26 $1,298.12 |
$844.22 $908.78 $977.18 $1,220.16 |
$1,210.12 $1,274.68 $1,343.08 $1,586.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.64 $1,085.76 $1,222.56 $1,708.52 $2,596.24 |
$1,322.54 $1,451.66 $1,588.46 $2,074.42 |
$1,688.44 $1,817.56 $1,954.36 $2,440.32 |
Toc - Plan #39 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$504.61 $572.72 $644.88 $901.22 $1,369.49 |
$890.63 $958.74 $1,030.90 $1,287.24 |
$1,276.65 $1,344.76 $1,416.92 $1,673.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,009.22 $1,145.44 $1,289.76 $1,802.44 $2,738.98 |
$1,395.24 $1,531.46 $1,675.78 $2,188.46 |
$1,781.26 $1,917.48 $2,061.80 $2,574.48 |
Toc - Plan #40 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.82 $503.72 $567.18 $792.64 $1,204.49 |
$783.33 $843.23 $906.69 $1,132.15 |
$1,122.84 $1,182.74 $1,246.20 $1,471.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.64 $1,007.44 $1,134.36 $1,585.28 $2,408.98 |
$1,227.15 $1,346.95 $1,473.87 $1,924.79 |
$1,566.66 $1,686.46 $1,813.38 $2,264.30 |
Toc - Plan #41 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.16 $520.00 $585.52 $818.26 $1,243.43 |
$808.65 $870.49 $936.01 $1,168.75 |
$1,159.14 $1,220.98 $1,286.50 $1,519.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.32 $1,040.00 $1,171.04 $1,636.52 $2,486.86 |
$1,266.81 $1,390.49 $1,521.53 $1,987.01 |
$1,617.30 $1,740.98 $1,872.02 $2,337.50 |
Toc - Plan #42 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.30 $668.85 $753.12 $1,052.48 $1,599.34 |
$1,040.11 $1,119.66 $1,203.93 $1,503.29 |
$1,490.92 $1,570.47 $1,654.74 $1,954.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,178.60 $1,337.70 $1,506.24 $2,104.96 $3,198.68 |
$1,629.41 $1,788.51 $1,957.05 $2,555.77 |
$2,080.22 $2,239.32 $2,407.86 $3,006.58 |
Toc - Plan #43 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.23 $530.30 $597.11 $834.46 $1,268.04 |
$824.66 $887.73 $954.54 $1,191.89 |
$1,182.09 $1,245.16 $1,311.97 $1,549.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.46 $1,060.60 $1,194.22 $1,668.92 $2,536.08 |
$1,291.89 $1,418.03 $1,551.65 $2,026.35 |
$1,649.32 $1,775.46 $1,909.08 $2,383.78 |
ADVERTISEMENT
Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #44 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.30 $463.42 $521.81 $729.22 $1,108.12 |
$720.65 $775.77 $834.16 $1,041.57 |
$1,033.00 $1,088.12 $1,146.51 $1,353.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.60 $926.84 $1,043.62 $1,458.44 $2,216.24 |
$1,128.95 $1,239.19 $1,355.97 $1,770.79 |
$1,441.30 $1,551.54 $1,668.32 $2,083.14 |
Toc - Plan #45 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.14 $341.80 $384.86 $537.84 $817.30 |
$531.51 $572.17 $615.23 $768.21 |
$761.88 $802.54 $845.60 $998.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.28 $683.60 $769.72 $1,075.68 $1,634.60 |
$832.65 $913.97 $1,000.09 $1,306.05 |
$1,063.02 $1,144.34 $1,230.46 $1,536.42 |
Toc - Plan #46 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.45 $490.83 $552.67 $772.36 $1,173.67 |
$763.28 $821.66 $883.50 $1,103.19 |
$1,094.11 $1,152.49 $1,214.33 $1,434.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$864.90 $981.66 $1,105.34 $1,544.72 $2,347.34 |
$1,195.73 $1,312.49 $1,436.17 $1,875.55 |
$1,526.56 $1,643.32 $1,767.00 $2,206.38 |
Toc - Plan #47 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.52 $379.68 $427.52 $597.45 $907.89 |
$590.43 $635.59 $683.43 $853.36 |
$846.34 $891.50 $939.34 $1,109.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.04 $759.36 $855.04 $1,194.90 $1,815.78 |
$924.95 $1,015.27 $1,110.95 $1,450.81 |
$1,180.86 $1,271.18 $1,366.86 $1,706.72 |
Toc - Plan #48 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 301 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.19 $370.22 $416.86 $582.57 $885.27 |
$575.72 $619.75 $666.39 $832.10 |
$825.25 $869.28 $915.92 $1,081.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.38 $740.44 $833.72 $1,165.14 $1,770.54 |
$901.91 $989.97 $1,083.25 $1,414.67 |
$1,151.44 $1,239.50 $1,332.78 $1,664.20 |
Toc - Plan #49 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 603 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.88 $489.05 $550.67 $769.56 $1,169.42 |
$760.51 $818.68 $880.30 $1,099.19 |
$1,090.14 $1,148.31 $1,209.93 $1,428.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861.76 $978.10 $1,101.34 $1,539.12 $2,338.84 |
$1,191.39 $1,307.73 $1,430.97 $1,868.75 |
$1,521.02 $1,637.36 $1,760.60 $2,198.38 |
Toc - Plan #50 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.28 $505.39 $569.06 $795.26 $1,208.48 |
$785.92 $846.03 $909.70 $1,135.90 |
$1,126.56 $1,186.67 $1,250.34 $1,476.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890.56 $1,010.78 $1,138.12 $1,590.52 $2,416.96 |
$1,231.20 $1,351.42 $1,478.76 $1,931.16 |
$1,571.84 $1,692.06 $1,819.40 $2,271.80 |
Toc - Plan #51 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.33 $536.10 $603.64 $843.59 $1,281.91 |
$833.67 $897.44 $964.98 $1,204.93 |
$1,195.01 $1,258.78 $1,326.32 $1,566.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.66 $1,072.20 $1,207.28 $1,687.18 $2,563.82 |
$1,306.00 $1,433.54 $1,568.62 $2,048.52 |
$1,667.34 $1,794.88 $1,929.96 $2,409.86 |
Toc - Plan #52 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.36 $413.55 $465.65 $650.75 $988.88 |
$643.10 $692.29 $744.39 $929.49 |
$921.84 $971.03 $1,023.13 $1,208.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.72 $827.10 $931.30 $1,301.50 $1,977.76 |
$1,007.46 $1,105.84 $1,210.04 $1,580.24 |
$1,286.20 $1,384.58 $1,488.78 $1,858.98 |
Toc - Plan #53 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 305 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.79 $373.17 $420.19 $587.21 $892.33 |
$580.31 $624.69 $671.71 $838.73 |
$831.83 $876.21 $923.23 $1,090.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657.58 $746.34 $840.38 $1,174.42 $1,784.66 |
$909.10 $997.86 $1,091.90 $1,425.94 |
$1,160.62 $1,249.38 $1,343.42 $1,677.46 |
Toc - Plan #54 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.61 $545.49 $614.22 $858.37 $1,304.38 |
$848.28 $913.16 $981.89 $1,226.04 |
$1,215.95 $1,280.83 $1,349.56 $1,593.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.22 $1,090.98 $1,228.44 $1,716.74 $2,608.76 |
$1,328.89 $1,458.65 $1,596.11 $2,084.41 |
$1,696.56 $1,826.32 $1,963.78 $2,452.08 |
ADVERTISEMENT
Ambetter from Superior HealthplanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-877-941-9237 |
Toc - Plan #55 Ambetter from Superior Healthplan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.58 $468.27 $527.27 $736.86 $1,119.73 |
$728.20 $783.89 $842.89 $1,052.48 |
$1,043.82 $1,099.51 $1,158.51 $1,368.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.16 $936.54 $1,054.54 $1,473.72 $2,239.46 |
$1,140.78 $1,252.16 $1,370.16 $1,789.34 |
$1,456.40 $1,567.78 $1,685.78 $2,104.96 |
Toc - Plan #56 Ambetter from Superior Healthplan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.85 $503.76 $567.23 $792.70 $1,204.58 |
$783.39 $843.30 $906.77 $1,132.24 |
$1,122.93 $1,182.84 $1,246.31 $1,471.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.70 $1,007.52 $1,134.46 $1,585.40 $2,409.16 |
$1,227.24 $1,347.06 $1,474.00 $1,924.94 |
$1,566.78 $1,686.60 $1,813.54 $2,264.48 |
Toc - Plan #57 Ambetter from Superior Healthplan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$590.10 $669.76 $754.14 $1,053.91 $1,601.52 |
$1,041.52 $1,121.18 $1,205.56 $1,505.33 |
$1,492.94 $1,572.60 $1,656.98 $1,956.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,180.20 $1,339.52 $1,508.28 $2,107.82 $3,203.04 |
$1,631.62 $1,790.94 $1,959.70 $2,559.24 |
$2,083.04 $2,242.36 $2,411.12 $3,010.66 |
‡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 Calhoun County here.
Calhoun County is in “Rating Area 23” of Texas.
Currently, there are 57 plans offered in Rating Area 23.