Obamacare 2022 Rates for Jackson County
Obamacare > Rates > Georgia > Jackson County
Obamacare > Rates > Georgia > Jackson County
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Cigna HealthCare of Georgia, Inc.Local: | Toll Free: |
Toc - Plan #1 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8700 ($0 Telehealth) |
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Benefits & Coverage
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Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$263.18 $298.70 $336.34 $470.03 $714.26 |
$464.51 $500.03 $537.67 $671.36 |
$665.84 $701.36 $739.00 $872.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$526.36 $597.40 $672.68 $940.06 $1,428.52 |
$727.69 $798.73 $874.01 $1,141.39 |
$929.02 $1,000.06 $1,075.34 $1,342.72 |
Toc - Plan #2 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7800 ($0 Telehealth) |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$270.48 $306.99 $345.67 $483.07 $734.07 |
$477.39 $513.90 $552.58 $689.98 |
$684.30 $720.81 $759.49 $896.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$540.96 $613.98 $691.34 $966.14 $1,468.14 |
$747.87 $820.89 $898.25 $1,173.05 |
$954.78 $1,027.80 $1,105.16 $1,379.96 |
Toc - Plan #3 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 6500 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$273.48 $310.40 $349.51 $488.43 $742.22 |
$482.69 $519.61 $558.72 $697.64 |
$691.90 $728.82 $767.93 $906.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546.96 $620.80 $699.02 $976.86 $1,484.44 |
$756.17 $830.01 $908.23 $1,186.07 |
$965.38 $1,039.22 $1,117.44 $1,395.28 |
Toc - Plan #4 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect HSA 7000 |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$274.85 $311.96 $351.26 $490.88 $745.94 |
$485.11 $522.22 $561.52 $701.14 |
$695.37 $732.48 $771.78 $911.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$549.70 $623.92 $702.52 $981.76 $1,491.88 |
$759.96 $834.18 $912.78 $1,192.02 |
$970.22 $1,044.44 $1,123.04 $1,402.28 |
Toc - Plan #5 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Preferred Insulin) |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$276.44 $313.76 $353.30 $493.73 $750.27 |
$487.92 $525.24 $564.78 $705.21 |
$699.40 $736.72 $776.26 $916.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$552.88 $627.52 $706.60 $987.46 $1,500.54 |
$764.36 $839.00 $918.08 $1,198.94 |
$975.84 $1,050.48 $1,129.56 $1,410.42 |
Toc - Plan #6 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3600 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$329.85 $374.38 $421.55 $589.11 $895.21 |
$582.19 $626.72 $673.89 $841.45 |
$834.53 $879.06 $926.23 $1,093.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.70 $748.76 $843.10 $1,178.22 $1,790.42 |
$912.04 $1,001.10 $1,095.44 $1,430.56 |
$1,164.38 $1,253.44 $1,347.78 $1,682.90 |
Toc - Plan #7 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4500 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$328.81 $373.20 $420.22 $587.26 $892.40 |
$580.35 $624.74 $671.76 $838.80 |
$831.89 $876.28 $923.30 $1,090.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$657.62 $746.40 $840.44 $1,174.52 $1,784.80 |
$909.16 $997.94 $1,091.98 $1,426.06 |
$1,160.70 $1,249.48 $1,343.52 $1,677.60 |
Toc - Plan #8 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 6000 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$326.74 $370.85 $417.57 $583.55 $886.76 |
$576.69 $620.80 $667.52 $833.50 |
$826.64 $870.75 $917.47 $1,083.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$653.48 $741.70 $835.14 $1,167.10 $1,773.52 |
$903.43 $991.65 $1,085.09 $1,417.05 |
$1,153.38 $1,241.60 $1,335.04 $1,667.00 |
Toc - Plan #9 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 7300 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$329.89 $374.42 $421.60 $589.18 $895.31 |
$582.25 $626.78 $673.96 $841.54 |
$834.61 $879.14 $926.32 $1,093.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.78 $748.84 $843.20 $1,178.36 $1,790.62 |
$912.14 $1,001.20 $1,095.56 $1,430.72 |
$1,164.50 $1,253.56 $1,347.92 $1,683.08 |
Toc - Plan #10 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Preferred Insulin) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$330.29 $374.88 $422.12 $589.91 $896.42 |
$582.97 $627.56 $674.80 $842.59 |
$835.65 $880.24 $927.48 $1,095.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$660.58 $749.76 $844.24 $1,179.82 $1,792.84 |
$913.26 $1,002.44 $1,096.92 $1,432.50 |
$1,165.94 $1,255.12 $1,349.60 $1,685.18 |
Toc - Plan #11 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4200 Enhanced Asthma COPD Care ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$328.85 $373.24 $420.27 $587.33 $892.50 |
$580.42 $624.81 $671.84 $838.90 |
$831.99 $876.38 $923.41 $1,090.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$657.70 $746.48 $840.54 $1,174.66 $1,785.00 |
$909.27 $998.05 $1,092.11 $1,426.23 |
$1,160.84 $1,249.62 $1,343.68 $1,677.80 |
Toc - Plan #12 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1600 ($0 Telehealth) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$390.04 $442.69 $498.47 $696.61 $1,058.56 |
$688.42 $741.07 $796.85 $994.99 |
$986.80 $1,039.45 $1,095.23 $1,293.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$780.08 $885.38 $996.94 $1,393.22 $2,117.12 |
$1,078.46 $1,183.76 $1,295.32 $1,691.60 |
$1,376.84 $1,482.14 $1,593.70 $1,989.98 |
Toc - Plan #13 Cigna HealthCare of Georgia, Inc. | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1250 Enhanced Diabetes Care ($0 Preferred Insulin) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$404.05 $458.59 $516.37 $721.63 $1,096.59 |
$713.15 $767.69 $825.47 $1,030.73 |
$1,022.25 $1,076.79 $1,134.57 $1,339.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$808.10 $917.18 $1,032.74 $1,443.26 $2,193.18 |
$1,117.20 $1,226.28 $1,341.84 $1,752.36 |
$1,426.30 $1,535.38 $1,650.94 $2,061.46 |
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Blue Cross Blue Shield Healthcare Plan of Georgia, IncLocal: 1-855-738-6652 | Toll Free: 1-855-738-6652 |
Toc - Plan #14 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X HMO 8700 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$215.81 $244.94 $275.81 $385.44 $585.71 |
$380.90 $410.03 $440.90 $550.53 |
$545.99 $575.12 $605.99 $715.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$431.62 $489.88 $551.62 $770.88 $1,171.42 |
$596.71 $654.97 $716.71 $935.97 |
$761.80 $820.06 $881.80 $1,101.06 |
Toc - Plan #15 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 0 for HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$300.84 $341.45 $384.47 $537.30 $816.48 |
$530.98 $571.59 $614.61 $767.44 |
$761.12 $801.73 $844.75 $997.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$601.68 $682.90 $768.94 $1,074.60 $1,632.96 |
$831.82 $913.04 $999.08 $1,304.74 |
$1,061.96 $1,143.18 $1,229.22 $1,534.88 |
Toc - Plan #16 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5600 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$297.19 $337.31 $379.81 $530.78 $806.57 |
$524.54 $564.66 $607.16 $758.13 |
$751.89 $792.01 $834.51 $985.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$594.38 $674.62 $759.62 $1,061.56 $1,613.14 |
$821.73 $901.97 $986.97 $1,288.91 |
$1,049.08 $1,129.32 $1,214.32 $1,516.26 |
Toc - Plan #17 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 6000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$294.30 $334.03 $376.12 $525.62 $798.73 |
$519.44 $559.17 $601.26 $750.76 |
$744.58 $784.31 $826.40 $975.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$588.60 $668.06 $752.24 $1,051.24 $1,597.46 |
$813.74 $893.20 $977.38 $1,276.38 |
$1,038.88 $1,118.34 $1,202.52 $1,501.52 |
Toc - Plan #18 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 3000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$369.96 $419.90 $472.81 $660.75 $1,004.07 |
$652.98 $702.92 $755.83 $943.77 |
$936.00 $985.94 $1,038.85 $1,226.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$739.92 $839.80 $945.62 $1,321.50 $2,008.14 |
$1,022.94 $1,122.82 $1,228.64 $1,604.52 |
$1,305.96 $1,405.84 $1,511.66 $1,887.54 |
Toc - Plan #19 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$353.68 $401.43 $452.00 $631.67 $959.89 |
$624.25 $672.00 $722.57 $902.24 |
$894.82 $942.57 $993.14 $1,172.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$707.36 $802.86 $904.00 $1,263.34 $1,919.78 |
$977.93 $1,073.43 $1,174.57 $1,533.91 |
$1,248.50 $1,344.00 $1,445.14 $1,804.48 |
Toc - Plan #20 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X HMO 8000 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$283.66 $321.95 $362.52 $506.62 $769.85 |
$500.66 $538.95 $579.52 $723.62 |
$717.66 $755.95 $796.52 $940.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$567.32 $643.90 $725.04 $1,013.24 $1,539.70 |
$784.32 $860.90 $942.04 $1,230.24 |
$1,001.32 $1,077.90 $1,159.04 $1,447.24 |
Toc - Plan #21 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 4950 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-738-6652
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 |
$366.40 $415.86 $468.26 $654.39 $994.41 |
$646.70 $696.16 $748.56 $934.69 |
$927.00 $976.46 $1,028.86 $1,214.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$732.80 $831.72 $936.52 $1,308.78 $1,988.82 |
$1,013.10 $1,112.02 $1,216.82 $1,589.08 |
$1,293.40 $1,392.32 $1,497.12 $1,869.38 |
Toc - Plan #22 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 6000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
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 |
$352.53 $400.12 $450.53 $629.62 $956.77 |
$622.22 $669.81 $720.22 $899.31 |
$891.91 $939.50 $989.91 $1,169.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$705.06 $800.24 $901.06 $1,259.24 $1,913.54 |
$974.75 $1,069.93 $1,170.75 $1,528.93 |
$1,244.44 $1,339.62 $1,440.44 $1,798.62 |
Toc - Plan #23 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X HMO 1900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.84 $475.38 $535.28 $748.05 $1,136.73 |
$739.25 $795.79 $855.69 $1,068.46 |
$1,059.66 $1,116.20 $1,176.10 $1,388.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.68 $950.76 $1,070.56 $1,496.10 $2,273.46 |
$1,158.09 $1,271.17 $1,390.97 $1,816.51 |
$1,478.50 $1,591.58 $1,711.38 $2,136.92 |
Toc - Plan #24 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.13 $350.86 $395.07 $552.11 $838.98 |
$545.61 $587.34 $631.55 $788.59 |
$782.09 $823.82 $868.03 $1,025.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.26 $701.72 $790.14 $1,104.22 $1,677.96 |
$854.74 $938.20 $1,026.62 $1,340.70 |
$1,091.22 $1,174.68 $1,263.10 $1,577.18 |
Toc - Plan #25 Blue Cross Blue Shield Healthcare Plan of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 2600 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.49 $452.29 $509.27 $711.70 $1,081.50 |
$703.33 $757.13 $814.11 $1,016.54 |
$1,008.17 $1,061.97 $1,118.95 $1,321.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.98 $904.58 $1,018.54 $1,423.40 $2,163.00 |
$1,101.82 $1,209.42 $1,323.38 $1,728.24 |
$1,406.66 $1,514.26 $1,628.22 $2,033.08 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2030 | Toll Free: 1-833-230-2030 | TTY: 1-800-255-0056 |
Toc - Plan #26 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.05 $279.27 $314.45 $439.44 $667.78 |
$434.28 $467.50 $502.68 $627.67 |
$622.51 $655.73 $690.91 $815.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.10 $558.54 $628.90 $878.88 $1,335.56 |
$680.33 $746.77 $817.13 $1,067.11 |
$868.56 $935.00 $1,005.36 $1,255.34 |
Toc - Plan #27 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.85 $390.27 $439.44 $614.12 $933.21 |
$606.90 $653.32 $702.49 $877.17 |
$869.95 $916.37 $965.54 $1,140.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.70 $780.54 $878.88 $1,228.24 $1,866.42 |
$950.75 $1,043.59 $1,141.93 $1,491.29 |
$1,213.80 $1,306.64 $1,404.98 $1,754.34 |
Toc - Plan #28 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.59 $392.24 $441.66 $617.22 $937.93 |
$609.96 $656.61 $706.03 $881.59 |
$874.33 $920.98 $970.40 $1,145.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.18 $784.48 $883.32 $1,234.44 $1,875.86 |
$955.55 $1,048.85 $1,147.69 $1,498.81 |
$1,219.92 $1,313.22 $1,412.06 $1,763.18 |
Toc - Plan #29 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.78 $414.02 $466.18 $651.49 $990.00 |
$643.83 $693.07 $745.23 $930.54 |
$922.88 $972.12 $1,024.28 $1,209.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.56 $828.04 $932.36 $1,302.98 $1,980.00 |
$1,008.61 $1,107.09 $1,211.41 $1,582.03 |
$1,287.66 $1,386.14 $1,490.46 $1,861.08 |
Toc - Plan #30 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Deductible Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.87 $427.74 $481.64 $673.08 $1,022.81 |
$665.17 $716.04 $769.94 $961.38 |
$953.47 $1,004.34 $1,058.24 $1,249.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.74 $855.48 $963.28 $1,346.16 $2,045.62 |
$1,042.04 $1,143.78 $1,251.58 $1,634.46 |
$1,330.34 $1,432.08 $1,539.88 $1,922.76 |
Toc - Plan #31 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace HSA Eligible Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.94 $312.06 $351.37 $491.04 $746.18 |
$485.27 $522.39 $561.70 $701.37 |
$695.60 $732.72 $772.03 $911.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.88 $624.12 $702.74 $982.08 $1,492.36 |
$760.21 $834.45 $913.07 $1,192.41 |
$970.54 $1,044.78 $1,123.40 $1,402.74 |
Toc - Plan #32 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$252.48 $286.56 $322.66 $450.92 $685.22 |
$445.62 $479.70 $515.80 $644.06 |
$638.76 $672.84 $708.94 $837.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$504.96 $573.12 $645.32 $901.84 $1,370.44 |
$698.10 $766.26 $838.46 $1,094.98 |
$891.24 $959.40 $1,031.60 $1,288.12 |
Toc - Plan #33 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.52 $397.83 $447.96 $626.02 $951.29 |
$618.66 $665.97 $716.10 $894.16 |
$886.80 $934.11 $984.24 $1,162.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.04 $795.66 $895.92 $1,252.04 $1,902.58 |
$969.18 $1,063.80 $1,164.06 $1,520.18 |
$1,237.32 $1,331.94 $1,432.20 $1,788.32 |
Toc - Plan #34 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.25 $399.80 $450.18 $629.12 $956.01 |
$621.72 $669.27 $719.65 $898.59 |
$891.19 $938.74 $989.12 $1,168.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.50 $799.60 $900.36 $1,258.24 $1,912.02 |
$973.97 $1,069.07 $1,169.83 $1,527.71 |
$1,243.44 $1,338.54 $1,439.30 $1,797.18 |
Toc - Plan #35 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.43 $421.57 $474.68 $663.37 $1,008.06 |
$655.57 $705.71 $758.82 $947.51 |
$939.71 $989.85 $1,042.96 $1,231.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.86 $843.14 $949.36 $1,326.74 $2,016.12 |
$1,027.00 $1,127.28 $1,233.50 $1,610.88 |
$1,311.14 $1,411.42 $1,517.64 $1,895.02 |
Toc - Plan #36 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2030
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.53 $435.30 $490.15 $684.98 $1,040.90 |
$676.93 $728.70 $783.55 $978.38 |
$970.33 $1,022.10 $1,076.95 $1,271.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.06 $870.60 $980.30 $1,369.96 $2,081.80 |
$1,060.46 $1,164.00 $1,273.70 $1,663.36 |
$1,353.86 $1,457.40 $1,567.10 $1,956.76 |
ADVERTISEMENT
Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #37 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.27 $306.75 $345.40 $482.69 $733.49 |
$477.02 $513.50 $552.15 $689.44 |
$683.77 $720.25 $758.90 $896.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$540.54 $613.50 $690.80 $965.38 $1,466.98 |
$747.29 $820.25 $897.55 $1,172.13 |
$954.04 $1,027.00 $1,104.30 $1,378.88 |
Toc - Plan #38 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.71 $401.45 $452.03 $631.71 $959.95 |
$624.29 $672.03 $722.61 $902.29 |
$894.87 $942.61 $993.19 $1,172.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.42 $802.90 $904.06 $1,263.42 $1,919.90 |
$978.00 $1,073.48 $1,174.64 $1,534.00 |
$1,248.58 $1,344.06 $1,445.22 $1,804.58 |
Toc - Plan #39 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.18 $388.36 $437.29 $611.12 $928.65 |
$603.94 $650.12 $699.05 $872.88 |
$865.70 $911.88 $960.81 $1,134.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.36 $776.72 $874.58 $1,222.24 $1,857.30 |
$946.12 $1,038.48 $1,136.34 $1,484.00 |
$1,207.88 $1,300.24 $1,398.10 $1,745.76 |
Toc - Plan #40 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.32 $410.08 $461.75 $645.29 $980.58 |
$637.72 $686.48 $738.15 $921.69 |
$914.12 $962.88 $1,014.55 $1,198.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.64 $820.16 $923.50 $1,290.58 $1,961.16 |
$999.04 $1,096.56 $1,199.90 $1,566.98 |
$1,275.44 $1,372.96 $1,476.30 $1,843.38 |
Toc - Plan #41 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.94 $383.55 $431.87 $603.54 $917.13 |
$596.45 $642.06 $690.38 $862.05 |
$854.96 $900.57 $948.89 $1,120.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.88 $767.10 $863.74 $1,207.08 $1,834.26 |
$934.39 $1,025.61 $1,122.25 $1,465.59 |
$1,192.90 $1,284.12 $1,380.76 $1,724.10 |
Toc - Plan #42 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.69 $378.73 $426.45 $595.96 $905.61 |
$588.96 $634.00 $681.72 $851.23 |
$844.23 $889.27 $936.99 $1,106.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.38 $757.46 $852.90 $1,191.92 $1,811.22 |
$922.65 $1,012.73 $1,108.17 $1,447.19 |
$1,177.92 $1,268.00 $1,363.44 $1,702.46 |
Toc - Plan #43 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.91 $411.89 $463.78 $648.13 $984.90 |
$640.53 $689.51 $741.40 $925.75 |
$918.15 $967.13 $1,019.02 $1,203.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.82 $823.78 $927.56 $1,296.26 $1,969.80 |
$1,003.44 $1,101.40 $1,205.18 $1,573.88 |
$1,281.06 $1,379.02 $1,482.80 $1,851.50 |
Toc - Plan #44 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.85 $335.77 $378.08 $528.36 $802.90 |
$522.16 $562.08 $604.39 $754.67 |
$748.47 $788.39 $830.70 $980.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.70 $671.54 $756.16 $1,056.72 $1,605.80 |
$818.01 $897.85 $982.47 $1,283.03 |
$1,044.32 $1,124.16 $1,208.78 $1,509.34 |
Toc - Plan #45 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.84 $332.36 $374.24 $522.99 $794.74 |
$516.85 $556.37 $598.25 $747.00 |
$740.86 $780.38 $822.26 $971.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.68 $664.72 $748.48 $1,045.98 $1,589.48 |
$809.69 $888.73 $972.49 $1,269.99 |
$1,033.70 $1,112.74 $1,196.50 $1,494.00 |
Toc - Plan #46 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.34 $353.36 $397.88 $556.03 $844.94 |
$549.51 $591.53 $636.05 $794.20 |
$787.68 $829.70 $874.22 $1,032.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.68 $706.72 $795.76 $1,112.06 $1,689.88 |
$860.85 $944.89 $1,033.93 $1,350.23 |
$1,099.02 $1,183.06 $1,272.10 $1,588.40 |
Toc - Plan #47 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.55 $361.55 $407.10 $568.92 $864.53 |
$562.24 $605.24 $650.79 $812.61 |
$805.93 $848.93 $894.48 $1,056.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.10 $723.10 $814.20 $1,137.84 $1,729.06 |
$880.79 $966.79 $1,057.89 $1,381.53 |
$1,124.48 $1,210.48 $1,301.58 $1,625.22 |
Toc - Plan #48 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.97 $380.17 $428.07 $598.23 $909.07 |
$591.21 $636.41 $684.31 $854.47 |
$847.45 $892.65 $940.55 $1,110.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.94 $760.34 $856.14 $1,196.46 $1,818.14 |
$926.18 $1,016.58 $1,112.38 $1,452.70 |
$1,182.42 $1,272.82 $1,368.62 $1,708.94 |
Toc - Plan #49 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.04 $363.23 $409.00 $571.57 $868.56 |
$564.86 $608.05 $653.82 $816.39 |
$809.68 $852.87 $898.64 $1,061.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.08 $726.46 $818.00 $1,143.14 $1,737.12 |
$884.90 $971.28 $1,062.82 $1,387.96 |
$1,129.72 $1,216.10 $1,307.64 $1,632.78 |
Toc - Plan #50 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.15 $363.35 $409.13 $571.76 $868.85 |
$565.05 $608.25 $654.03 $816.66 |
$809.95 $853.15 $898.93 $1,061.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.30 $726.70 $818.26 $1,143.52 $1,737.70 |
$885.20 $971.60 $1,063.16 $1,388.42 |
$1,130.10 $1,216.50 $1,308.06 $1,633.32 |
Toc - Plan #51 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.68 $371.90 $418.76 $585.22 $889.29 |
$578.35 $622.57 $669.43 $835.89 |
$829.02 $873.24 $920.10 $1,086.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.36 $743.80 $837.52 $1,170.44 $1,778.58 |
$906.03 $994.47 $1,088.19 $1,421.11 |
$1,156.70 $1,245.14 $1,338.86 $1,671.78 |
Toc - Plan #52 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.47 $384.15 $432.55 $604.48 $918.57 |
$597.39 $643.07 $691.47 $863.40 |
$856.31 $901.99 $950.39 $1,122.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.94 $768.30 $865.10 $1,208.96 $1,837.14 |
$935.86 $1,027.22 $1,124.02 $1,467.88 |
$1,194.78 $1,286.14 $1,382.94 $1,726.80 |
Toc - Plan #53 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.16 $399.69 $450.04 $628.93 $955.73 |
$621.55 $669.08 $719.43 $898.32 |
$890.94 $938.47 $988.82 $1,167.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.32 $799.38 $900.08 $1,257.86 $1,911.46 |
$973.71 $1,068.77 $1,169.47 $1,527.25 |
$1,243.10 $1,338.16 $1,438.86 $1,796.64 |
Toc - Plan #54 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.60 $418.35 $471.05 $658.29 $1,000.34 |
$650.57 $700.32 $753.02 $940.26 |
$932.54 $982.29 $1,034.99 $1,222.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.20 $836.70 $942.10 $1,316.58 $2,000.68 |
$1,019.17 $1,118.67 $1,224.07 $1,598.55 |
$1,301.14 $1,400.64 $1,506.04 $1,880.52 |
Toc - Plan #55 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.58 $404.71 $455.70 $636.83 $967.73 |
$629.36 $677.49 $728.48 $909.61 |
$902.14 $950.27 $1,001.26 $1,182.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.16 $809.42 $911.40 $1,273.66 $1,935.46 |
$985.94 $1,082.20 $1,184.18 $1,546.44 |
$1,258.72 $1,354.98 $1,456.96 $1,819.22 |
Toc - Plan #56 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.65 $319.66 $359.93 $503.00 $764.36 |
$497.10 $535.11 $575.38 $718.45 |
$712.55 $750.56 $790.83 $933.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.30 $639.32 $719.86 $1,006.00 $1,528.72 |
$778.75 $854.77 $935.31 $1,221.45 |
$994.20 $1,070.22 $1,150.76 $1,436.90 |
Toc - Plan #57 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.52 $427.34 $481.18 $672.45 $1,021.85 |
$664.55 $715.37 $769.21 $960.48 |
$952.58 $1,003.40 $1,057.24 $1,248.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.04 $854.68 $962.36 $1,344.90 $2,043.70 |
$1,041.07 $1,142.71 $1,250.39 $1,632.93 |
$1,329.10 $1,430.74 $1,538.42 $1,920.96 |
Toc - Plan #58 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.18 $429.22 $483.30 $675.41 $1,026.35 |
$667.48 $718.52 $772.60 $964.71 |
$956.78 $1,007.82 $1,061.90 $1,254.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.36 $858.44 $966.60 $1,350.82 $2,052.70 |
$1,045.66 $1,147.74 $1,255.90 $1,640.12 |
$1,334.96 $1,437.04 $1,545.20 $1,929.42 |
Toc - Plan #59 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.73 $394.67 $444.39 $621.04 $943.72 |
$613.74 $660.68 $710.40 $887.05 |
$879.75 $926.69 $976.41 $1,153.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.46 $789.34 $888.78 $1,242.08 $1,887.44 |
$961.47 $1,055.35 $1,154.79 $1,508.09 |
$1,227.48 $1,321.36 $1,420.80 $1,774.10 |
Toc - Plan #60 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.30 $349.90 $393.99 $550.60 $836.69 |
$544.14 $585.74 $629.83 $786.44 |
$779.98 $821.58 $865.67 $1,022.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.60 $699.80 $787.98 $1,101.20 $1,673.38 |
$852.44 $935.64 $1,023.82 $1,337.04 |
$1,088.28 $1,171.48 $1,259.66 $1,572.88 |
Toc - Plan #61 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.16 $346.35 $389.98 $545.00 $828.18 |
$538.60 $579.79 $623.42 $778.44 |
$772.04 $813.23 $856.86 $1,011.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.32 $692.70 $779.96 $1,090.00 $1,656.36 |
$843.76 $926.14 $1,013.40 $1,323.44 |
$1,077.20 $1,159.58 $1,246.84 $1,556.88 |
Toc - Plan #62 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.44 $368.23 $414.62 $579.43 $880.50 |
$572.63 $616.42 $662.81 $827.62 |
$820.82 $864.61 $911.00 $1,075.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.88 $736.46 $829.24 $1,158.86 $1,761.00 |
$897.07 $984.65 $1,077.43 $1,407.05 |
$1,145.26 $1,232.84 $1,325.62 $1,655.24 |
Toc - Plan #63 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.96 $376.76 $424.23 $592.86 $900.91 |
$585.90 $630.70 $678.17 $846.80 |
$839.84 $884.64 $932.11 $1,100.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.92 $753.52 $848.46 $1,185.72 $1,801.82 |
$917.86 $1,007.46 $1,102.40 $1,439.66 |
$1,171.80 $1,261.40 $1,356.34 $1,693.60 |
Toc - Plan #64 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.06 $396.17 $446.09 $623.41 $947.32 |
$616.08 $663.19 $713.11 $890.43 |
$883.10 $930.21 $980.13 $1,157.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.12 $792.34 $892.18 $1,246.82 $1,894.64 |
$965.14 $1,059.36 $1,159.20 $1,513.84 |
$1,232.16 $1,326.38 $1,426.22 $1,780.86 |
Toc - Plan #65 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.62 $378.64 $426.35 $595.82 $905.41 |
$588.83 $633.85 $681.56 $851.03 |
$844.04 $889.06 $936.77 $1,106.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.24 $757.28 $852.70 $1,191.64 $1,810.82 |
$922.45 $1,012.49 $1,107.91 $1,446.85 |
$1,177.66 $1,267.70 $1,363.12 $1,702.06 |
Toc - Plan #66 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.47 $387.56 $436.38 $609.84 $926.72 |
$602.69 $648.78 $697.60 $871.06 |
$863.91 $910.00 $958.82 $1,132.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.94 $775.12 $872.76 $1,219.68 $1,853.44 |
$944.16 $1,036.34 $1,133.98 $1,480.90 |
$1,205.38 $1,297.56 $1,395.20 $1,742.12 |
Toc - Plan #67 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.71 $400.31 $450.75 $629.92 $957.23 |
$622.53 $670.13 $720.57 $899.74 |
$892.35 $939.95 $990.39 $1,169.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.42 $800.62 $901.50 $1,259.84 $1,914.46 |
$975.24 $1,070.44 $1,171.32 $1,529.66 |
$1,245.06 $1,340.26 $1,441.14 $1,799.48 |
ADVERTISEMENT
Alliant Health PlansLocal: 1-800-811-4793 | Toll Free: 1-800-811-4793 |
Toc - Plan #68 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 40184 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.29 $576.90 $649.59 $907.79 $1,379.48 |
$897.13 $965.74 $1,038.43 $1,296.63 |
$1,285.97 $1,354.58 $1,427.27 $1,685.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,016.58 $1,153.80 $1,299.18 $1,815.58 $2,758.96 |
$1,405.42 $1,542.64 $1,688.02 $2,204.42 |
$1,794.26 $1,931.48 $2,076.86 $2,593.26 |
Toc - Plan #69 Alliant Health Plans | ||||||||||||||||||||
Silver
(PPO) SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40331 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.84 $441.33 $496.93 $694.46 $1,055.30 |
$686.30 $738.79 $794.39 $991.92 |
$983.76 $1,036.25 $1,091.85 $1,289.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.68 $882.66 $993.86 $1,388.92 $2,110.60 |
$1,075.14 $1,180.12 $1,291.32 $1,686.38 |
$1,372.60 $1,477.58 $1,588.78 $1,983.84 |
Toc - Plan #70 Alliant Health Plans | ||||||||||||||||||||
Platinum
(PPO) SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 40349 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$534.22 $606.33 $682.72 $954.10 $1,449.85 |
$942.89 $1,015.00 $1,091.39 $1,362.77 |
$1,351.56 $1,423.67 $1,500.06 $1,771.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,068.44 $1,212.66 $1,365.44 $1,908.20 $2,899.70 |
$1,477.11 $1,621.33 $1,774.11 $2,316.87 |
$1,885.78 $2,030.00 $2,182.78 $2,725.54 |
Toc - Plan #71 Alliant Health Plans | ||||||||||||||||||||
Gold
(HMO) SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.15 $462.10 $520.32 $727.15 $1,104.97 |
$718.61 $773.56 $831.78 $1,038.61 |
$1,030.07 $1,085.02 $1,143.24 $1,350.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.30 $924.20 $1,040.64 $1,454.30 $2,209.94 |
$1,125.76 $1,235.66 $1,352.10 $1,765.76 |
$1,437.22 $1,547.12 $1,663.56 $2,077.22 |
Toc - Plan #72 Alliant Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) SoloCare Catastropic No Referral HMO 110023 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-811-4793
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$227.72 $258.45 $291.01 $406.68 $617.99 |
$401.91 $432.64 $465.20 $580.87 |
$576.10 $606.83 $639.39 $755.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$455.44 $516.90 $582.02 $813.36 $1,235.98 |
$629.63 $691.09 $756.21 $987.55 |
$803.82 $865.28 $930.40 $1,161.74 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-521-7999 | Toll Free: 1-844-521-7999 | TTY: 1-800-659-2656 |
Toc - Plan #73 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$220.06 $249.77 $281.24 $393.03 $597.25 |
$388.41 $418.12 $449.59 $561.38 |
$556.76 $586.47 $617.94 $729.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$440.12 $499.54 $562.48 $786.06 $1,194.50 |
$608.47 $667.89 $730.83 $954.41 |
$776.82 $836.24 $899.18 $1,122.76 |
Toc - Plan #74 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240.21 $272.64 $306.98 $429.01 $651.92 |
$423.97 $456.40 $490.74 $612.77 |
$607.73 $640.16 $674.50 $796.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480.42 $545.28 $613.96 $858.02 $1,303.84 |
$664.18 $729.04 $797.72 $1,041.78 |
$847.94 $912.80 $981.48 $1,225.54 |
Toc - Plan #75 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$245.74 $278.91 $314.05 $438.88 $666.93 |
$433.73 $466.90 $502.04 $626.87 |
$621.72 $654.89 $690.03 $814.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$491.48 $557.82 $628.10 $877.76 $1,333.86 |
$679.47 $745.81 $816.09 $1,065.75 |
$867.46 $933.80 $1,004.08 $1,253.74 |
Toc - Plan #76 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.44 $287.65 $323.90 $452.64 $687.83 |
$447.32 $481.53 $517.78 $646.52 |
$641.20 $675.41 $711.66 $840.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$506.88 $575.30 $647.80 $905.28 $1,375.66 |
$700.76 $769.18 $841.68 $1,099.16 |
$894.64 $963.06 $1,035.56 $1,293.04 |
Toc - Plan #77 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.36 $353.40 $397.92 $556.10 $845.04 |
$549.55 $591.59 $636.11 $794.29 |
$787.74 $829.78 $874.30 $1,032.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.72 $706.80 $795.84 $1,112.20 $1,690.08 |
$860.91 $944.99 $1,034.03 $1,350.39 |
$1,099.10 $1,183.18 $1,272.22 $1,588.58 |
Toc - Plan #78 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.36 $355.66 $400.47 $559.66 $850.46 |
$553.08 $595.38 $640.19 $799.38 |
$792.80 $835.10 $879.91 $1,039.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.72 $711.32 $800.94 $1,119.32 $1,700.92 |
$866.44 $951.04 $1,040.66 $1,359.04 |
$1,106.16 $1,190.76 $1,280.38 $1,598.76 |
Toc - Plan #79 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.14 $281.63 $317.12 $443.17 $673.44 |
$437.96 $471.45 $506.94 $632.99 |
$627.78 $661.27 $696.76 $822.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$496.28 $563.26 $634.24 $886.34 $1,346.88 |
$686.10 $753.08 $824.06 $1,076.16 |
$875.92 $942.90 $1,013.88 $1,265.98 |
Toc - Plan #80 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.53 $362.67 $408.36 $570.69 $867.21 |
$563.97 $607.11 $652.80 $815.13 |
$808.41 $851.55 $897.24 $1,059.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.06 $725.34 $816.72 $1,141.38 $1,734.42 |
$883.50 $969.78 $1,061.16 $1,385.82 |
$1,127.94 $1,214.22 $1,305.60 $1,630.26 |
Toc - Plan #81 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-521-7999
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.75 $371.99 $418.86 $585.36 $889.51 |
$578.48 $622.72 $669.59 $836.09 |
$829.21 $873.45 $920.32 $1,086.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.50 $743.98 $837.72 $1,170.72 $1,779.02 |
$906.23 $994.71 $1,088.45 $1,421.45 |
$1,156.96 $1,245.44 $1,339.18 $1,672.18 |
‡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 Jackson County here.
Jackson County is in “Rating Area 2” of Georgia.
Currently, there are 81 plans offered in Rating Area 2.