Obamacare 2022 Rates for Cook County
Obamacare > Rates > Illinois > Cook County
Obamacare > Rates > Illinois > Cook County
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Oscar Health Plan, Inc.Local: | Toll Free: |
Toc - Plan #1 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- PCP Saver (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$255.16 $289.61 $326.09 $455.72 $692.50 |
$450.36 $484.81 $521.29 $650.92 |
$645.56 $680.01 $716.49 $846.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$510.32 $579.22 $652.18 $911.44 $1,385.00 |
$705.52 $774.42 $847.38 $1,106.64 |
$900.72 $969.62 $1,042.58 $1,301.84 |
Toc - Plan #2 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic (Choice) |
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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 |
$254.23 $288.55 $324.90 $454.05 $689.97 |
$448.71 $483.03 $519.38 $648.53 |
$643.19 $677.51 $713.86 $843.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$508.46 $577.10 $649.80 $908.10 $1,379.94 |
$702.94 $771.58 $844.28 $1,102.58 |
$897.42 $966.06 $1,038.76 $1,297.06 |
Toc - Plan #3 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- $0 Ded+PCP Saver (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$290.23 $329.41 $370.92 $518.36 $787.69 |
$512.26 $551.44 $592.95 $740.39 |
$734.29 $773.47 $814.98 $962.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$580.46 $658.82 $741.84 $1,036.72 $1,575.38 |
$802.49 $880.85 $963.87 $1,258.75 |
$1,024.52 $1,102.88 $1,185.90 $1,480.78 |
Toc - Plan #4 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic (Choice) |
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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 |
$334.47 $379.62 $427.45 $597.36 $907.75 |
$590.34 $635.49 $683.32 $853.23 |
$846.21 $891.36 $939.19 $1,109.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$668.94 $759.24 $854.90 $1,194.72 $1,815.50 |
$924.81 $1,015.11 $1,110.77 $1,450.59 |
$1,180.68 $1,270.98 $1,366.64 $1,706.46 |
Toc - Plan #5 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple (Choice) |
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Benefits & Coverage
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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 |
$329.99 $374.54 $421.73 $589.36 $895.59 |
$582.43 $626.98 $674.17 $841.80 |
$834.87 $879.42 $926.61 $1,094.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.98 $749.08 $843.46 $1,178.72 $1,791.18 |
$912.42 $1,001.52 $1,095.90 $1,431.16 |
$1,164.86 $1,253.96 $1,348.34 $1,683.60 |
Toc - Plan #6 Oscar Health Plan, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Secure (Choice) |
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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 |
$229.22 $260.16 $292.94 $409.38 $622.09 |
$404.57 $435.51 $468.29 $584.73 |
$579.92 $610.86 $643.64 $760.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$458.44 $520.32 $585.88 $818.76 $1,244.18 |
$633.79 $695.67 $761.23 $994.11 |
$809.14 $871.02 $936.58 $1,169.46 |
Toc - Plan #7 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- $0 Ded+Specialist Saver (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$290.31 $329.50 $371.01 $518.48 $787.89 |
$512.39 $551.58 $593.09 $740.56 |
$734.47 $773.66 $815.17 $962.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$580.62 $659.00 $742.02 $1,036.96 $1,575.78 |
$802.70 $881.08 $964.10 $1,259.04 |
$1,024.78 $1,103.16 $1,186.18 $1,481.12 |
Toc - Plan #8 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic (Choice) |
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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 |
$352.34 $399.90 $450.29 $629.28 $956.25 |
$621.88 $669.44 $719.83 $898.82 |
$891.42 $938.98 $989.37 $1,168.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$704.68 $799.80 $900.58 $1,258.56 $1,912.50 |
$974.22 $1,069.34 $1,170.12 $1,528.10 |
$1,243.76 $1,338.88 $1,439.66 $1,797.64 |
Toc - Plan #9 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Simple- HSA (Choice) |
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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 |
$269.07 $305.39 $343.87 $480.56 $730.25 |
$474.91 $511.23 $549.71 $686.40 |
$680.75 $717.07 $755.55 $892.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$538.14 $610.78 $687.74 $961.12 $1,460.50 |
$743.98 $816.62 $893.58 $1,166.96 |
$949.82 $1,022.46 $1,099.42 $1,372.80 |
Toc - Plan #10 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- Specialist Saver (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$329.96 $374.50 $421.69 $589.31 $895.51 |
$582.38 $626.92 $674.11 $841.73 |
$834.80 $879.34 $926.53 $1,094.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$659.92 $749.00 $843.38 $1,178.62 $1,791.02 |
$912.34 $1,001.42 $1,095.80 $1,431.04 |
$1,164.76 $1,253.84 $1,348.22 $1,683.46 |
Toc - Plan #11 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic- $0 Ded (Choice) |
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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 |
$347.48 $394.39 $444.08 $620.60 $943.06 |
$613.30 $660.21 $709.90 $886.42 |
$879.12 $926.03 $975.72 $1,152.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$694.96 $788.78 $888.16 $1,241.20 $1,886.12 |
$960.78 $1,054.60 $1,153.98 $1,507.02 |
$1,226.60 $1,320.42 $1,419.80 $1,772.84 |
Toc - Plan #12 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic- Low Ded (Choice) |
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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 |
$382.80 $434.48 $489.22 $683.69 $1,038.93 |
$675.64 $727.32 $782.06 $976.53 |
$968.48 $1,020.16 $1,074.90 $1,269.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$765.60 $868.96 $978.44 $1,367.38 $2,077.86 |
$1,058.44 $1,161.80 $1,271.28 $1,660.22 |
$1,351.28 $1,454.64 $1,564.12 $1,953.06 |
Toc - Plan #13 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $0 PCP (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$255.81 $290.35 $326.93 $456.88 $694.28 |
$451.51 $486.05 $522.63 $652.58 |
$647.21 $681.75 $718.33 $848.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$511.62 $580.70 $653.86 $913.76 $1,388.56 |
$707.32 $776.40 $849.56 $1,109.46 |
$903.02 $972.10 $1,045.26 $1,305.16 |
Toc - Plan #14 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $3000 Ded (Choice) |
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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 |
$275.35 $312.52 $351.90 $491.78 $747.30 |
$485.99 $523.16 $562.54 $702.42 |
$696.63 $733.80 $773.18 $913.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.70 $625.04 $703.80 $983.56 $1,494.60 |
$761.34 $835.68 $914.44 $1,194.20 |
$971.98 $1,046.32 $1,125.08 $1,404.84 |
Toc - Plan #15 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $4700 Ded (Choice) |
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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 |
$256.08 $290.65 $327.27 $457.35 $694.99 |
$451.98 $486.55 $523.17 $653.25 |
$647.88 $682.45 $719.07 $849.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$512.16 $581.30 $654.54 $914.70 $1,389.98 |
$708.06 $777.20 $850.44 $1,110.60 |
$903.96 $973.10 $1,046.34 $1,306.50 |
Toc - Plan #16 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- PCP Saver (Choice) |
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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 |
$328.68 $373.05 $420.05 $587.02 $892.03 |
$580.12 $624.49 $671.49 $838.46 |
$831.56 $875.93 $922.93 $1,089.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$657.36 $746.10 $840.10 $1,174.04 $1,784.06 |
$908.80 $997.54 $1,091.54 $1,425.48 |
$1,160.24 $1,248.98 $1,342.98 $1,676.92 |
Toc - Plan #17 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Elite- Specialist Saver (Choice) |
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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 |
$348.92 $396.03 $445.92 $623.17 $946.97 |
$615.84 $662.95 $712.84 $890.09 |
$882.76 $929.87 $979.76 $1,157.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$697.84 $792.06 $891.84 $1,246.34 $1,893.94 |
$964.76 $1,058.98 $1,158.76 $1,513.26 |
$1,231.68 $1,325.90 $1,425.68 $1,780.18 |
Toc - Plan #18 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic- Low Ded (Choice) |
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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 |
$339.14 $384.93 $433.43 $605.71 $920.44 |
$598.58 $644.37 $692.87 $865.15 |
$858.02 $903.81 $952.31 $1,124.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$678.28 $769.86 $866.86 $1,211.42 $1,840.88 |
$937.72 $1,029.30 $1,126.30 $1,470.86 |
$1,197.16 $1,288.74 $1,385.74 $1,730.30 |
Toc - Plan #19 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Elite- $0 PCP (Choice) |
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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 |
$345.88 $392.58 $442.04 $617.75 $938.72 |
$610.48 $657.18 $706.64 $882.35 |
$875.08 $921.78 $971.24 $1,146.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$691.76 $785.16 $884.08 $1,235.50 $1,877.44 |
$956.36 $1,049.76 $1,148.68 $1,500.10 |
$1,220.96 $1,314.36 $1,413.28 $1,764.70 |
Toc - Plan #20 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- HSA (Choice) |
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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 |
$349.10 $396.23 $446.15 $623.49 $947.46 |
$616.16 $663.29 $713.21 $890.55 |
$883.22 $930.35 $980.27 $1,157.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$698.20 $792.46 $892.30 $1,246.98 $1,894.92 |
$965.26 $1,059.52 $1,159.36 $1,514.04 |
$1,232.32 $1,326.58 $1,426.42 $1,781.10 |
Toc - Plan #21 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Elite- $0 Ded (Choice) |
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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 |
$338.46 $384.15 $432.55 $604.48 $918.57 |
$597.38 $643.07 $691.47 $863.40 |
$856.30 $901.99 $950.39 $1,122.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$676.92 $768.30 $865.10 $1,208.96 $1,837.14 |
$935.84 $1,027.22 $1,124.02 $1,467.88 |
$1,194.76 $1,286.14 $1,382.94 $1,726.80 |
Toc - Plan #22 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Simple (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$356.70 $404.86 $455.87 $637.07 $968.09 |
$629.58 $677.74 $728.75 $909.95 |
$902.46 $950.62 $1,001.63 $1,182.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$713.40 $809.72 $911.74 $1,274.14 $1,936.18 |
$986.28 $1,082.60 $1,184.62 $1,547.02 |
$1,259.16 $1,355.48 $1,457.50 $1,819.90 |
Toc - Plan #23 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic- $0 PCP (Choice) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$358.90 $407.35 $458.67 $641.00 $974.06 |
$633.46 $681.91 $733.23 $915.56 |
$908.02 $956.47 $1,007.79 $1,190.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$717.80 $814.70 $917.34 $1,282.00 $1,948.12 |
$992.36 $1,089.26 $1,191.90 $1,556.56 |
$1,266.92 $1,363.82 $1,466.46 $1,831.12 |
Toc - Plan #24 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Elite- $0 Ded (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.03 $452.90 $509.96 $712.66 $1,082.96 |
$704.29 $758.16 $815.22 $1,017.92 |
$1,009.55 $1,063.42 $1,120.48 $1,323.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.06 $905.80 $1,019.92 $1,425.32 $2,165.92 |
$1,103.32 $1,211.06 $1,325.18 $1,730.58 |
$1,408.58 $1,516.32 $1,630.44 $2,035.84 |
Toc - Plan #25 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Elite (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.37 $441.93 $497.61 $695.41 $1,056.74 |
$687.23 $739.79 $795.47 $993.27 |
$985.09 $1,037.65 $1,093.33 $1,291.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.74 $883.86 $995.22 $1,390.82 $2,113.48 |
$1,076.60 $1,181.72 $1,293.08 $1,688.68 |
$1,374.46 $1,479.58 $1,590.94 $1,986.54 |
Toc - Plan #26 Oscar Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Gold Classic- HSA (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.94 $411.93 $463.83 $648.20 $985.01 |
$640.59 $689.58 $741.48 $925.85 |
$918.24 $967.23 $1,019.13 $1,203.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.88 $823.86 $927.66 $1,296.40 $1,970.02 |
$1,003.53 $1,101.51 $1,205.31 $1,574.05 |
$1,281.18 $1,379.16 $1,482.96 $1,851.70 |
Toc - Plan #27 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Super Simple (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.61 $287.85 $324.12 $452.95 $688.30 |
$447.62 $481.86 $518.13 $646.96 |
$641.63 $675.87 $712.14 $840.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507.22 $575.70 $648.24 $905.90 $1,376.60 |
$701.23 $769.71 $842.25 $1,099.91 |
$895.24 $963.72 $1,036.26 $1,293.92 |
Toc - Plan #28 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- $4000 Ded (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.28 $311.31 $350.53 $489.87 $744.41 |
$484.11 $521.14 $560.36 $699.70 |
$693.94 $730.97 $770.19 $909.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.56 $622.62 $701.06 $979.74 $1,488.82 |
$758.39 $832.45 $910.89 $1,189.57 |
$968.22 $1,042.28 $1,120.72 $1,399.40 |
Toc - Plan #29 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.96 $323.43 $364.18 $508.94 $773.39 |
$502.96 $541.43 $582.18 $726.94 |
$720.96 $759.43 $800.18 $944.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$569.92 $646.86 $728.36 $1,017.88 $1,546.78 |
$787.92 $864.86 $946.36 $1,235.88 |
$1,005.92 $1,082.86 $1,164.36 $1,453.88 |
Toc - Plan #30 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- $1000 Ded (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.23 $323.74 $364.53 $509.42 $774.12 |
$503.43 $541.94 $582.73 $727.62 |
$721.63 $760.14 $800.93 $945.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.46 $647.48 $729.06 $1,018.84 $1,548.24 |
$788.66 $865.68 $947.26 $1,237.04 |
$1,006.86 $1,083.88 $1,165.46 $1,455.24 |
Toc - Plan #31 Oscar Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- $0 Ded (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.35 $323.88 $364.68 $509.64 $774.45 |
$503.64 $542.17 $582.97 $727.93 |
$721.93 $760.46 $801.26 $946.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.70 $647.76 $729.36 $1,019.28 $1,548.90 |
$788.99 $866.05 $947.65 $1,237.57 |
$1,007.28 $1,084.34 $1,165.94 $1,455.86 |
Toc - Plan #32 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- For Diabetes (Choice) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.81 $376.60 $424.05 $592.61 $900.53 |
$585.64 $630.43 $677.88 $846.44 |
$839.47 $884.26 $931.71 $1,100.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.62 $753.20 $848.10 $1,185.22 $1,801.06 |
$917.45 $1,007.03 $1,101.93 $1,439.05 |
$1,171.28 $1,260.86 $1,355.76 $1,692.88 |
Toc - Plan #33 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple (Select) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.65 $343.51 $386.79 $540.54 $821.40 |
$534.18 $575.04 $618.32 $772.07 |
$765.71 $806.57 $849.85 $1,003.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.30 $687.02 $773.58 $1,081.08 $1,642.80 |
$836.83 $918.55 $1,005.11 $1,312.61 |
$1,068.36 $1,150.08 $1,236.64 $1,544.14 |
Toc - Plan #34 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- Specialist Saver (Select) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.63 $343.48 $386.76 $540.50 $821.34 |
$534.14 $574.99 $618.27 $772.01 |
$765.65 $806.50 $849.78 $1,003.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.26 $686.96 $773.52 $1,081.00 $1,642.68 |
$836.77 $918.47 $1,005.03 $1,312.51 |
$1,068.28 $1,149.98 $1,236.54 $1,544.02 |
Toc - Plan #35 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Simple- PCP Saver (Select) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.80 $342.54 $385.70 $539.02 $819.09 |
$532.68 $573.42 $616.58 $769.90 |
$763.56 $804.30 $847.46 $1,000.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.60 $685.08 $771.40 $1,078.04 $1,638.18 |
$834.48 $915.96 $1,002.28 $1,308.92 |
$1,065.36 $1,146.84 $1,233.16 $1,539.80 |
Toc - Plan #36 Oscar Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Silver Classic- Low Ded (Select) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.04 $353.03 $397.51 $555.51 $844.16 |
$548.98 $590.97 $635.45 $793.45 |
$786.92 $828.91 $873.39 $1,031.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.08 $706.06 $795.02 $1,111.02 $1,688.32 |
$860.02 $944.00 $1,032.96 $1,348.96 |
$1,097.96 $1,181.94 $1,270.90 $1,586.90 |
ADVERTISEMENT
Ambetter of IllinoisLocal: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-866-565-8576 |
Toc - Plan #37 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.32 $307.94 $346.74 $484.57 $736.35 |
$478.88 $515.50 $554.30 $692.13 |
$686.44 $723.06 $761.86 $899.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.64 $615.88 $693.48 $969.14 $1,472.70 |
$750.20 $823.44 $901.04 $1,176.70 |
$957.76 $1,031.00 $1,108.60 $1,384.26 |
Toc - Plan #38 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.35 $355.64 $400.45 $559.63 $850.41 |
$553.06 $595.35 $640.16 $799.34 |
$792.77 $835.06 $879.87 $1,039.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.70 $711.28 $800.90 $1,119.26 $1,700.82 |
$866.41 $950.99 $1,040.61 $1,358.97 |
$1,106.12 $1,190.70 $1,280.32 $1,598.68 |
Toc - Plan #39 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.19 $299.84 $337.62 $471.82 $716.98 |
$466.29 $501.94 $539.72 $673.92 |
$668.39 $704.04 $741.82 $876.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$528.38 $599.68 $675.24 $943.64 $1,433.96 |
$730.48 $801.78 $877.34 $1,145.74 |
$932.58 $1,003.88 $1,079.44 $1,347.84 |
Toc - Plan #40 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$226.15 $256.67 $289.01 $403.89 $613.75 |
$399.15 $429.67 $462.01 $576.89 |
$572.15 $602.67 $635.01 $749.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$452.30 $513.34 $578.02 $807.78 $1,227.50 |
$625.30 $686.34 $751.02 $980.78 |
$798.30 $859.34 $924.02 $1,153.78 |
Toc - Plan #41 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.85 $294.92 $332.07 $464.07 $705.20 |
$458.63 $493.70 $530.85 $662.85 |
$657.41 $692.48 $729.63 $861.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.70 $589.84 $664.14 $928.14 $1,410.40 |
$718.48 $788.62 $862.92 $1,126.92 |
$917.26 $987.40 $1,061.70 $1,325.70 |
Toc - Plan #42 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.69 $319.71 $359.99 $503.08 $764.48 |
$497.17 $535.19 $575.47 $718.56 |
$712.65 $750.67 $790.95 $934.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.38 $639.42 $719.98 $1,006.16 $1,528.96 |
$778.86 $854.90 $935.46 $1,221.64 |
$994.34 $1,070.38 $1,150.94 $1,437.12 |
Toc - Plan #43 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218.17 $247.62 $278.81 $389.64 $592.10 |
$385.07 $414.52 $445.71 $556.54 |
$551.97 $581.42 $612.61 $723.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$436.34 $495.24 $557.62 $779.28 $1,184.20 |
$603.24 $662.14 $724.52 $946.18 |
$770.14 $829.04 $891.42 $1,113.08 |
Toc - Plan #44 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240.07 $272.47 $306.80 $428.75 $651.52 |
$423.72 $456.12 $490.45 $612.40 |
$607.37 $639.77 $674.10 $796.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480.14 $544.94 $613.60 $857.50 $1,303.04 |
$663.79 $728.59 $797.25 $1,041.15 |
$847.44 $912.24 $980.90 $1,224.80 |
Toc - Plan #45 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.44 $279.70 $314.94 $440.13 $668.82 |
$434.96 $468.22 $503.46 $628.65 |
$623.48 $656.74 $691.98 $817.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.88 $559.40 $629.88 $880.26 $1,337.64 |
$681.40 $747.92 $818.40 $1,068.78 |
$869.92 $936.44 $1,006.92 $1,257.30 |
Toc - Plan #46 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.51 $297.93 $335.47 $468.82 $712.42 |
$463.32 $498.74 $536.28 $669.63 |
$664.13 $699.55 $737.09 $870.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.02 $595.86 $670.94 $937.64 $1,424.84 |
$725.83 $796.67 $871.75 $1,138.45 |
$926.64 $997.48 $1,072.56 $1,339.26 |
Toc - Plan #47 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.32 $275.02 $309.67 $432.77 $657.63 |
$427.69 $460.39 $495.04 $618.14 |
$613.06 $645.76 $680.41 $803.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484.64 $550.04 $619.34 $865.54 $1,315.26 |
$670.01 $735.41 $804.71 $1,050.91 |
$855.38 $920.78 $990.08 $1,236.28 |
Toc - Plan #48 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.89 $275.67 $310.40 $433.78 $659.18 |
$428.69 $461.47 $496.20 $619.58 |
$614.49 $647.27 $682.00 $805.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$485.78 $551.34 $620.80 $867.56 $1,318.36 |
$671.58 $737.14 $806.60 $1,053.36 |
$857.38 $922.94 $992.40 $1,239.16 |
Toc - Plan #49 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.46 $284.26 $320.08 $447.30 $679.72 |
$442.05 $475.85 $511.67 $638.89 |
$633.64 $667.44 $703.26 $830.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$500.92 $568.52 $640.16 $894.60 $1,359.44 |
$692.51 $760.11 $831.75 $1,086.19 |
$884.10 $951.70 $1,023.34 $1,277.78 |
Toc - Plan #50 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.79 $332.30 $374.17 $522.90 $794.59 |
$516.76 $556.27 $598.14 $746.87 |
$740.73 $780.24 $822.11 $970.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.58 $664.60 $748.34 $1,045.80 $1,589.18 |
$809.55 $888.57 $972.31 $1,269.77 |
$1,033.52 $1,112.54 $1,196.28 $1,493.74 |
Toc - Plan #51 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$202.27 $229.57 $258.49 $361.24 $548.95 |
$357.00 $384.30 $413.22 $515.97 |
$511.73 $539.03 $567.95 $670.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$404.54 $459.14 $516.98 $722.48 $1,097.90 |
$559.27 $613.87 $671.71 $877.21 |
$714.00 $768.60 $826.44 $1,031.94 |
Toc - Plan #52 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 4 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.59 $321.87 $362.42 $506.48 $769.65 |
$500.53 $538.81 $579.36 $723.42 |
$717.47 $755.75 $796.30 $940.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.18 $643.74 $724.84 $1,012.96 $1,539.30 |
$784.12 $860.68 $941.78 $1,229.90 |
$1,001.06 $1,077.62 $1,158.72 $1,446.84 |
Toc - Plan #53 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.52 $371.73 $418.56 $584.94 $888.87 |
$578.07 $622.28 $669.11 $835.49 |
$828.62 $872.83 $919.66 $1,086.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.04 $743.46 $837.12 $1,169.88 $1,777.74 |
$905.59 $994.01 $1,087.67 $1,420.43 |
$1,156.14 $1,244.56 $1,338.22 $1,670.98 |
Toc - Plan #54 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.14 $313.40 $352.89 $493.16 $749.41 |
$487.38 $524.64 $564.13 $704.40 |
$698.62 $735.88 $775.37 $915.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$552.28 $626.80 $705.78 $986.32 $1,498.82 |
$763.52 $838.04 $917.02 $1,197.56 |
$974.76 $1,049.28 $1,128.26 $1,408.80 |
Toc - Plan #55 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.38 $268.28 $302.08 $422.15 $641.50 |
$417.20 $449.10 $482.90 $602.97 |
$598.02 $629.92 $663.72 $783.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.76 $536.56 $604.16 $844.30 $1,283.00 |
$653.58 $717.38 $784.98 $1,025.12 |
$834.40 $898.20 $965.80 $1,205.94 |
Toc - Plan #56 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 28 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.43 $334.16 $376.27 $525.83 $799.05 |
$519.66 $559.39 $601.50 $751.06 |
$744.89 $784.62 $826.73 $976.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.86 $668.32 $752.54 $1,051.66 $1,598.10 |
$814.09 $893.55 $977.77 $1,276.89 |
$1,039.32 $1,118.78 $1,203.00 $1,502.12 |
Toc - Plan #57 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.04 $258.81 $291.42 $407.26 $618.87 |
$402.48 $433.25 $465.86 $581.70 |
$576.92 $607.69 $640.30 $756.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$456.08 $517.62 $582.84 $814.52 $1,237.74 |
$630.52 $692.06 $757.28 $988.96 |
$804.96 $866.50 $931.72 $1,163.40 |
Toc - Plan #58 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.93 $284.79 $320.67 $448.13 $680.98 |
$442.88 $476.74 $512.62 $640.08 |
$634.83 $668.69 $704.57 $832.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$501.86 $569.58 $641.34 $896.26 $1,361.96 |
$693.81 $761.53 $833.29 $1,088.21 |
$885.76 $953.48 $1,025.24 $1,280.16 |
Toc - Plan #59 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$257.59 $292.35 $329.19 $460.04 $699.07 |
$454.64 $489.40 $526.24 $657.09 |
$651.69 $686.45 $723.29 $854.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$515.18 $584.70 $658.38 $920.08 $1,398.14 |
$712.23 $781.75 $855.43 $1,117.13 |
$909.28 $978.80 $1,052.48 $1,314.18 |
Toc - Plan #60 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.38 $311.41 $350.64 $490.02 $744.63 |
$484.27 $521.30 $560.53 $699.91 |
$694.16 $731.19 $770.42 $909.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.76 $622.82 $701.28 $980.04 $1,489.26 |
$758.65 $832.71 $911.17 $1,189.93 |
$968.54 $1,042.60 $1,121.06 $1,399.82 |
Toc - Plan #61 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.87 $288.14 $324.44 $453.40 $688.99 |
$448.08 $482.35 $518.65 $647.61 |
$642.29 $676.56 $712.86 $841.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507.74 $576.28 $648.88 $906.80 $1,377.98 |
$701.95 $770.49 $843.09 $1,101.01 |
$896.16 $964.70 $1,037.30 $1,295.22 |
Toc - Plan #62 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.79 $297.12 $334.55 $467.53 $710.46 |
$462.05 $497.38 $534.81 $667.79 |
$662.31 $697.64 $735.07 $868.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523.58 $594.24 $669.10 $935.06 $1,420.92 |
$723.84 $794.50 $869.36 $1,135.32 |
$924.10 $994.76 $1,069.62 $1,335.58 |
Toc - Plan #63 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.03 $347.33 $391.09 $546.54 $830.53 |
$540.13 $581.43 $625.19 $780.64 |
$774.23 $815.53 $859.29 $1,014.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.06 $694.66 $782.18 $1,093.08 $1,661.06 |
$846.16 $928.76 $1,016.28 $1,327.18 |
$1,080.26 $1,162.86 $1,250.38 $1,561.28 |
Toc - Plan #64 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.60 $308.25 $347.09 $485.06 $737.09 |
$479.37 $516.02 $554.86 $692.83 |
$687.14 $723.79 $762.63 $900.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.20 $616.50 $694.18 $970.12 $1,474.18 |
$750.97 $824.27 $901.95 $1,177.89 |
$958.74 $1,032.04 $1,109.72 $1,385.66 |
Toc - Plan #65 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$211.42 $239.95 $270.18 $377.58 $573.77 |
$373.15 $401.68 $431.91 $539.31 |
$534.88 $563.41 $593.64 $701.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$422.84 $479.90 $540.36 $755.16 $1,147.54 |
$584.57 $641.63 $702.09 $916.89 |
$746.30 $803.36 $863.82 $1,078.62 |
ADVERTISEMENT
Molina HealthcareLocal: 1-833-644-1623 | Toll Free: 1-833-644-1623 | TTY: 1-800-877-8339 |
Toc - Plan #66 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.60 $357.07 $402.06 $561.88 $853.83 |
$555.27 $597.74 $642.73 $802.55 |
$795.94 $838.41 $883.40 $1,043.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.20 $714.14 $804.12 $1,123.76 $1,707.66 |
$869.87 $954.81 $1,044.79 $1,364.43 |
$1,110.54 $1,195.48 $1,285.46 $1,605.10 |
Toc - Plan #67 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.66 $325.36 $366.35 $511.97 $777.99 |
$505.95 $544.65 $585.64 $731.26 |
$725.24 $763.94 $804.93 $950.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.32 $650.72 $732.70 $1,023.94 $1,555.98 |
$792.61 $870.01 $951.99 $1,243.23 |
$1,011.90 $1,089.30 $1,171.28 $1,462.52 |
Toc - Plan #68 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.07 $322.42 $363.04 $507.35 $770.96 |
$501.38 $539.73 $580.35 $724.66 |
$718.69 $757.04 $797.66 $941.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.14 $644.84 $726.08 $1,014.70 $1,541.92 |
$785.45 $862.15 $943.39 $1,232.01 |
$1,002.76 $1,079.46 $1,160.70 $1,449.32 |
Toc - Plan #69 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.90 $317.69 $357.71 $499.90 $759.65 |
$494.02 $531.81 $571.83 $714.02 |
$708.14 $745.93 $785.95 $928.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.80 $635.38 $715.42 $999.80 $1,519.30 |
$773.92 $849.50 $929.54 $1,213.92 |
$988.04 $1,063.62 $1,143.66 $1,428.04 |
Toc - Plan #70 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.99 $324.60 $365.50 $510.78 $776.18 |
$504.77 $543.38 $584.28 $729.56 |
$723.55 $762.16 $803.06 $948.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.98 $649.20 $731.00 $1,021.56 $1,552.36 |
$790.76 $867.98 $949.78 $1,240.34 |
$1,009.54 $1,086.76 $1,168.56 $1,459.12 |
Toc - Plan #71 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.44 $360.29 $405.69 $566.95 $861.53 |
$560.28 $603.13 $648.53 $809.79 |
$803.12 $845.97 $891.37 $1,052.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.88 $720.58 $811.38 $1,133.90 $1,723.06 |
$877.72 $963.42 $1,054.22 $1,376.74 |
$1,120.56 $1,206.26 $1,297.06 $1,619.58 |
Toc - Plan #72 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 250 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-644-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.51 $328.59 $369.99 $517.06 $785.73 |
$510.98 $550.06 $591.46 $738.53 |
$732.45 $771.53 $812.93 $960.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.02 $657.18 $739.98 $1,034.12 $1,571.46 |
$800.49 $878.65 $961.45 $1,255.59 |
$1,021.96 $1,100.12 $1,182.92 $1,477.06 |
ADVERTISEMENT
Blue Cross and Blue Shield of IllinoisLocal: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844 |
Toc - Plan #73 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) Blue Precision Gold HMO? 207 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.98 $515.27 $580.19 $810.81 $1,232.11 |
$801.28 $862.57 $927.49 $1,158.11 |
$1,148.58 $1,209.87 $1,274.79 $1,505.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.96 $1,030.54 $1,160.38 $1,621.62 $2,464.22 |
$1,255.26 $1,377.84 $1,507.68 $1,968.92 |
$1,602.56 $1,725.14 $1,854.98 $2,316.22 |
Toc - Plan #74 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) Blue Precision Silver HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.04 $447.23 $503.58 $703.75 $1,069.42 |
$695.48 $748.67 $805.02 $1,005.19 |
$996.92 $1,050.11 $1,106.46 $1,306.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.08 $894.46 $1,007.16 $1,407.50 $2,138.84 |
$1,089.52 $1,195.90 $1,308.60 $1,708.94 |
$1,390.96 $1,497.34 $1,610.04 $2,010.38 |
Toc - Plan #75 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Precision Bronze HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.39 $350.02 $394.12 $550.78 $836.96 |
$544.31 $585.94 $630.04 $786.70 |
$780.23 $821.86 $865.96 $1,022.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.78 $700.04 $788.24 $1,101.56 $1,673.92 |
$852.70 $935.96 $1,024.16 $1,337.48 |
$1,088.62 $1,171.88 $1,260.08 $1,573.40 |
Toc - Plan #76 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) BlueCare Direct Silver? 212 with Advocate |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.38 $396.55 $446.51 $624.00 $948.23 |
$616.66 $663.83 $713.79 $891.28 |
$883.94 $931.11 $981.07 $1,158.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.76 $793.10 $893.02 $1,248.00 $1,896.46 |
$966.04 $1,060.38 $1,160.30 $1,515.28 |
$1,233.32 $1,327.66 $1,427.58 $1,782.56 |
Toc - Plan #77 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) BlueCare Direct Gold? 409 with Advocate |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.53 $456.87 $514.44 $718.92 $1,092.47 |
$710.47 $764.81 $822.38 $1,026.86 |
$1,018.41 $1,072.75 $1,130.32 $1,334.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.06 $913.74 $1,028.88 $1,437.84 $2,184.94 |
$1,113.00 $1,221.68 $1,336.82 $1,745.78 |
$1,420.94 $1,529.62 $1,644.76 $2,053.72 |
Toc - Plan #78 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Direct Bronze? 401 with Advocate |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.45 $310.36 $349.47 $488.38 $742.14 |
$482.64 $519.55 $558.66 $697.57 |
$691.83 $728.74 $767.85 $906.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.90 $620.72 $698.94 $976.76 $1,484.28 |
$756.09 $829.91 $908.13 $1,185.95 |
$965.28 $1,039.10 $1,117.32 $1,395.14 |
Toc - Plan #79 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(PPO) Blue Choice Preferred Gold PPO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530.84 $602.51 $678.42 $948.09 $1,440.71 |
$936.94 $1,008.61 $1,084.52 $1,354.19 |
$1,343.04 $1,414.71 $1,490.62 $1,760.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,061.68 $1,205.02 $1,356.84 $1,896.18 $2,881.42 |
$1,467.78 $1,611.12 $1,762.94 $2,302.28 |
$1,873.88 $2,017.22 $2,169.04 $2,708.38 |
Toc - Plan #80 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.39 $507.79 $571.76 $799.04 $1,214.22 |
$789.64 $850.04 $914.01 $1,141.29 |
$1,131.89 $1,192.29 $1,256.26 $1,483.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.78 $1,015.58 $1,143.52 $1,598.08 $2,428.44 |
$1,237.03 $1,357.83 $1,485.77 $1,940.33 |
$1,579.28 $1,700.08 $1,828.02 $2,282.58 |
Toc - Plan #81 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.84 $412.96 $464.99 $649.82 $987.47 |
$642.18 $691.30 $743.33 $928.16 |
$920.52 $969.64 $1,021.67 $1,206.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.68 $825.92 $929.98 $1,299.64 $1,974.94 |
$1,006.02 $1,104.26 $1,208.32 $1,577.98 |
$1,284.36 $1,382.60 $1,486.66 $1,856.32 |
Toc - Plan #82 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Catastrophic
(PPO) Blue Choice Preferred Security PPO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.14 $345.20 $388.70 $543.20 $825.45 |
$536.81 $577.87 $621.37 $775.87 |
$769.48 $810.54 $854.04 $1,008.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.28 $690.40 $777.40 $1,086.40 $1,650.90 |
$840.95 $923.07 $1,010.07 $1,319.07 |
$1,073.62 $1,155.74 $1,242.74 $1,551.74 |
Toc - Plan #83 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.21 $382.73 $430.95 $602.25 $915.17 |
$595.17 $640.69 $688.91 $860.21 |
$853.13 $898.65 $946.87 $1,118.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.42 $765.46 $861.90 $1,204.50 $1,830.34 |
$932.38 $1,023.42 $1,119.86 $1,462.46 |
$1,190.34 $1,281.38 $1,377.82 $1,720.42 |
Toc - Plan #84 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 601 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.81 $367.53 $413.83 $578.33 $878.83 |
$571.53 $615.25 $661.55 $826.05 |
$819.25 $862.97 $909.27 $1,073.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647.62 $735.06 $827.66 $1,156.66 $1,757.66 |
$895.34 $982.78 $1,075.38 $1,404.38 |
$1,143.06 $1,230.50 $1,323.10 $1,652.10 |
Toc - Plan #85 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) Blue FocusCare Gold? 211 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.13 $396.27 $446.19 $623.55 $947.55 |
$616.22 $663.36 $713.28 $890.64 |
$883.31 $930.45 $980.37 $1,157.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.26 $792.54 $892.38 $1,247.10 $1,895.10 |
$965.35 $1,059.63 $1,159.47 $1,514.19 |
$1,232.44 $1,326.72 $1,426.56 $1,781.28 |
Toc - Plan #86 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) Blue FocusCare Silver? 210 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.01 $332.57 $374.47 $523.32 $795.23 |
$517.16 $556.72 $598.62 $747.47 |
$741.31 $780.87 $822.77 $971.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.02 $665.14 $748.94 $1,046.64 $1,590.46 |
$810.17 $889.29 $973.09 $1,270.79 |
$1,034.32 $1,113.44 $1,197.24 $1,494.94 |
Toc - Plan #87 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue FocusCare Bronze? 209 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$214.62 $243.59 $274.28 $383.30 $582.47 |
$378.80 $407.77 $438.46 $547.48 |
$542.98 $571.95 $602.64 $711.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$429.24 $487.18 $548.56 $766.60 $1,164.94 |
$593.42 $651.36 $712.74 $930.78 |
$757.60 $815.54 $876.92 $1,094.96 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0325 | Toll Free: 1-888-200-0325 | TTY: 1-888-200-0325 |
Toc - Plan #88 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.73 $268.69 $302.54 $422.80 $642.49 |
$417.83 $449.79 $483.64 $603.90 |
$598.93 $630.89 $664.74 $785.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473.46 $537.38 $605.08 $845.60 $1,284.98 |
$654.56 $718.48 $786.18 $1,026.70 |
$835.66 $899.58 $967.28 $1,207.80 |
Toc - Plan #89 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$226.50 $257.08 $289.47 $404.53 $614.72 |
$399.77 $430.35 $462.74 $577.80 |
$573.04 $603.62 $636.01 $751.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$453.00 $514.16 $578.94 $809.06 $1,229.44 |
$626.27 $687.43 $752.21 $982.33 |
$799.54 $860.70 $925.48 $1,155.60 |
Toc - Plan #90 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$231.84 $263.14 $296.29 $414.07 $629.21 |
$409.20 $440.50 $473.65 $591.43 |
$586.56 $617.86 $651.01 $768.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$463.68 $526.28 $592.58 $828.14 $1,258.42 |
$641.04 $703.64 $769.94 $1,005.50 |
$818.40 $881.00 $947.30 $1,182.86 |
Toc - Plan #91 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.07 $315.61 $355.37 $496.63 $754.68 |
$490.79 $528.33 $568.09 $709.35 |
$703.51 $741.05 $780.81 $922.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.14 $631.22 $710.74 $993.26 $1,509.36 |
$768.86 $843.94 $923.46 $1,205.98 |
$981.58 $1,056.66 $1,136.18 $1,418.70 |
Toc - Plan #92 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.25 $318.08 $358.16 $500.53 $760.60 |
$494.64 $532.47 $572.55 $714.92 |
$709.03 $746.86 $786.94 $929.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$560.50 $636.16 $716.32 $1,001.06 $1,521.20 |
$774.89 $850.55 $930.71 $1,215.45 |
$989.28 $1,064.94 $1,145.10 $1,429.84 |
Toc - Plan #93 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ Extra ($3 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.47 $335.36 $377.61 $527.71 $801.91 |
$521.50 $561.39 $603.64 $753.74 |
$747.53 $787.42 $829.67 $979.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.94 $670.72 $755.22 $1,055.42 $1,603.82 |
$816.97 $896.75 $981.25 $1,281.45 |
$1,043.00 $1,122.78 $1,207.28 $1,507.48 |
Toc - Plan #94 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First ($3 Rx + Unlimited Free App-based Care) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.29 $310.18 $349.26 $488.10 $741.71 |
$482.36 $519.25 $558.33 $697.17 |
$691.43 $728.32 $767.40 $906.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.58 $620.36 $698.52 $976.20 $1,483.42 |
$755.65 $829.43 $907.59 $1,185.27 |
$964.72 $1,038.50 $1,116.66 $1,394.34 |
Toc - Plan #95 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.59 $376.35 $423.77 $592.22 $899.94 |
$585.26 $630.02 $677.44 $845.89 |
$838.93 $883.69 $931.11 $1,099.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.18 $752.70 $847.54 $1,184.44 $1,799.88 |
$916.85 $1,006.37 $1,101.21 $1,438.11 |
$1,170.52 $1,260.04 $1,354.88 $1,691.78 |
Toc - Plan #96 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.80 $381.13 $429.15 $599.74 $911.36 |
$592.69 $638.02 $686.04 $856.63 |
$849.58 $894.91 $942.93 $1,113.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.60 $762.26 $858.30 $1,199.48 $1,822.72 |
$928.49 $1,019.15 $1,115.19 $1,456.37 |
$1,185.38 $1,276.04 $1,372.08 $1,713.26 |
Toc - Plan #97 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($2 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.85 $392.54 $442.00 $617.69 $938.64 |
$610.43 $657.12 $706.58 $882.27 |
$875.01 $921.70 $971.16 $1,146.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.70 $785.08 $884.00 $1,235.38 $1,877.28 |
$956.28 $1,049.66 $1,148.58 $1,499.96 |
$1,220.86 $1,314.24 $1,413.16 $1,764.54 |
ADVERTISEMENT
Bright HealthCareLocal: 1-855-827-4448 | Toll Free: 1-855-827-4448 |
Toc - Plan #98 Bright HealthCare | ||||||||||||||||||||
Gold
(HMO) Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.65 $371.88 $418.73 $585.18 $889.23 |
$578.30 $622.53 $669.38 $835.83 |
$828.95 $873.18 $920.03 $1,086.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.30 $743.76 $837.46 $1,170.36 $1,778.46 |
$905.95 $994.41 $1,088.11 $1,421.01 |
$1,156.60 $1,245.06 $1,338.76 $1,671.66 |
Toc - Plan #99 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.40 $315.98 $355.79 $497.22 $755.57 |
$491.37 $528.95 $568.76 $710.19 |
$704.34 $741.92 $781.73 $923.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.80 $631.96 $711.58 $994.44 $1,511.14 |
$769.77 $844.93 $924.55 $1,207.41 |
$982.74 $1,057.90 $1,137.52 $1,420.38 |
Toc - Plan #100 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.72 $319.75 $360.04 $503.15 $764.58 |
$497.23 $535.26 $575.55 $718.66 |
$712.74 $750.77 $791.06 $934.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.44 $639.50 $720.08 $1,006.30 $1,529.16 |
$778.95 $855.01 $935.59 $1,221.81 |
$994.46 $1,070.52 $1,151.10 $1,437.32 |
Toc - Plan #101 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.53 $334.29 $376.41 $526.03 $799.35 |
$519.84 $559.60 $601.72 $751.34 |
$745.15 $784.91 $827.03 $976.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.06 $668.58 $752.82 $1,052.06 $1,598.70 |
$814.37 $893.89 $978.13 $1,277.37 |
$1,039.68 $1,119.20 $1,203.44 $1,502.68 |
Toc - Plan #102 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.59 $321.88 $362.43 $506.49 $769.67 |
$500.54 $538.83 $579.38 $723.44 |
$717.49 $755.78 $796.33 $940.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.18 $643.76 $724.86 $1,012.98 $1,539.34 |
$784.13 $860.71 $941.81 $1,229.93 |
$1,001.08 $1,077.66 $1,158.76 $1,446.88 |
Toc - Plan #103 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$226.04 $256.55 $288.87 $403.70 $613.46 |
$398.96 $429.47 $461.79 $576.62 |
$571.88 $602.39 $634.71 $749.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$452.08 $513.10 $577.74 $807.40 $1,226.92 |
$625.00 $686.02 $750.66 $980.32 |
$797.92 $858.94 $923.58 $1,153.24 |
Toc - Plan #104 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 5300 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.36 $280.75 $316.12 $441.78 $671.33 |
$436.59 $469.98 $505.35 $631.01 |
$625.82 $659.21 $694.58 $820.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.72 $561.50 $632.24 $883.56 $1,342.66 |
$683.95 $750.73 $821.47 $1,072.79 |
$873.18 $939.96 $1,010.70 $1,262.02 |
Toc - Plan #105 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$255.16 $289.60 $326.09 $455.71 $692.50 |
$450.36 $484.80 $521.29 $650.91 |
$645.56 $680.00 $716.49 $846.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$510.32 $579.20 $652.18 $911.42 $1,385.00 |
$705.52 $774.40 $847.38 $1,106.62 |
$900.72 $969.60 $1,042.58 $1,301.82 |
Toc - Plan #106 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233.20 $264.68 $298.02 $416.49 $632.89 |
$411.59 $443.07 $476.41 $594.88 |
$589.98 $621.46 $654.80 $773.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466.40 $529.36 $596.04 $832.98 $1,265.78 |
$644.79 $707.75 $774.43 $1,011.37 |
$823.18 $886.14 $952.82 $1,189.76 |
Toc - Plan #107 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(HMO) Catastrophic 8700 ($0 Primary Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$210.04 $238.40 $268.43 $375.13 $570.05 |
$370.72 $399.08 $429.11 $535.81 |
$531.40 $559.76 $589.79 $696.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$420.08 $476.80 $536.86 $750.26 $1,140.10 |
$580.76 $637.48 $697.54 $910.94 |
$741.44 $798.16 $858.22 $1,071.62 |
Toc - Plan #108 Bright HealthCare | ||||||||||||||||||||
Gold
(HMO) Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription L |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.64 $405.92 $457.06 $638.74 $970.63 |
$631.23 $679.51 $730.65 $912.33 |
$904.82 $953.10 $1,004.24 $1,185.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.28 $811.84 $914.12 $1,277.48 $1,941.26 |
$988.87 $1,085.43 $1,187.71 $1,551.07 |
$1,262.46 $1,359.02 $1,461.30 $1,824.66 |
Toc - Plan #109 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.94 $276.87 $311.75 $435.67 $662.05 |
$430.55 $463.48 $498.36 $622.28 |
$617.16 $650.09 $684.97 $808.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$487.88 $553.74 $623.50 $871.34 $1,324.10 |
$674.49 $740.35 $810.11 $1,057.95 |
$861.10 $926.96 $996.72 $1,244.56 |
Toc - Plan #110 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Presc |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.33 $334.07 $376.16 $525.68 $798.82 |
$519.50 $559.24 $601.33 $750.85 |
$744.67 $784.41 $826.50 $976.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.66 $668.14 $752.32 $1,051.36 $1,597.64 |
$813.83 $893.31 $977.49 $1,276.53 |
$1,039.00 $1,118.48 $1,202.66 $1,501.70 |
Toc - Plan #111 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 8700 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$223.68 $253.88 $285.87 $399.50 $607.07 |
$394.80 $425.00 $456.99 $570.62 |
$565.92 $596.12 $628.11 $741.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$447.36 $507.76 $571.74 $799.00 $1,214.14 |
$618.48 $678.88 $742.86 $970.12 |
$789.60 $850.00 $913.98 $1,141.24 |
Toc - Plan #112 Bright HealthCare | ||||||||||||||||||||
Silver
(HMO) Silver 4000 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.00 $306.45 $345.06 $482.22 $732.78 |
$476.55 $513.00 $551.61 $688.77 |
$683.10 $719.55 $758.16 $895.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$540.00 $612.90 $690.12 $964.44 $1,465.56 |
$746.55 $819.45 $896.67 $1,170.99 |
$953.10 $1,026.00 $1,103.22 $1,377.54 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #113 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 5000 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.21 $325.99 $367.06 $512.96 $779.50 |
$506.93 $545.71 $586.78 $732.68 |
$726.65 $765.43 $806.50 $952.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.42 $651.98 $734.12 $1,025.92 $1,559.00 |
$794.14 $871.70 $953.84 $1,245.64 |
$1,013.86 $1,091.42 $1,173.56 $1,465.36 |
Toc - Plan #114 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3000 ($0 PCP, $0 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.18 $392.91 $442.41 $618.27 $939.52 |
$611.01 $657.74 $707.24 $883.10 |
$875.84 $922.57 $972.07 $1,147.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.36 $785.82 $884.82 $1,236.54 $1,879.04 |
$957.19 $1,050.65 $1,149.65 $1,501.37 |
$1,222.02 $1,315.48 $1,414.48 $1,766.20 |
Toc - Plan #115 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1000 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.34 $432.83 $487.36 $681.08 $1,034.97 |
$673.07 $724.56 $779.09 $972.81 |
$964.80 $1,016.29 $1,070.82 $1,264.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.68 $865.66 $974.72 $1,362.16 $2,069.94 |
$1,054.41 $1,157.39 $1,266.45 $1,653.89 |
$1,346.14 $1,449.12 $1,558.18 $1,945.62 |
Toc - Plan #116 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7500 ($0 PCP, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.84 $326.70 $367.86 $514.08 $781.20 |
$508.04 $546.90 $588.06 $734.28 |
$728.24 $767.10 $808.26 $954.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.68 $653.40 $735.72 $1,028.16 $1,562.40 |
$795.88 $873.60 $955.92 $1,248.36 |
$1,016.08 $1,093.80 $1,176.12 $1,468.56 |
Toc - Plan #117 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 6000 ($0 PCP, $0 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.47 $383.03 $431.29 $602.73 $915.90 |
$595.64 $641.20 $689.46 $860.90 |
$853.81 $899.37 $947.63 $1,119.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.94 $766.06 $862.58 $1,205.46 $1,831.80 |
$933.11 $1,024.23 $1,120.75 $1,463.63 |
$1,191.28 $1,282.40 $1,378.92 $1,721.80 |
Toc - Plan #118 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8700 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.71 $314.06 $353.63 $494.20 $750.98 |
$488.39 $525.74 $565.31 $705.88 |
$700.07 $737.42 $776.99 $917.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.42 $628.12 $707.26 $988.40 $1,501.96 |
$765.10 $839.80 $918.94 $1,200.08 |
$976.78 $1,051.48 $1,130.62 $1,411.76 |
Toc - Plan #119 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 8500 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.10 $392.82 $442.31 $618.13 $939.31 |
$610.87 $657.59 $707.08 $882.90 |
$875.64 $922.36 $971.85 $1,147.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.20 $785.64 $884.62 $1,236.26 $1,878.62 |
$956.97 $1,050.41 $1,149.39 $1,501.03 |
$1,221.74 $1,315.18 $1,414.16 $1,765.80 |
Toc - Plan #120 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.20 $391.80 $441.16 $616.52 $936.86 |
$609.28 $655.88 $705.24 $880.60 |
$873.36 $919.96 $969.32 $1,144.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.40 $783.60 $882.32 $1,233.04 $1,873.72 |
$954.48 $1,047.68 $1,146.40 $1,497.12 |
$1,218.56 $1,311.76 $1,410.48 $1,761.20 |
Toc - Plan #121 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Plus with Northwestern Medicine 7500 ($0 PCP, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.59 $353.65 $398.21 $556.49 $845.64 |
$549.95 $592.01 $636.57 $794.85 |
$788.31 $830.37 $874.93 $1,033.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.18 $707.30 $796.42 $1,112.98 $1,691.28 |
$861.54 $945.66 $1,034.78 $1,351.34 |
$1,099.90 $1,184.02 $1,273.14 $1,589.70 |
Toc - Plan #122 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Plus with Northwestern Medicine 5000 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.91 $352.88 $397.34 $555.28 $843.80 |
$548.75 $590.72 $635.18 $793.12 |
$786.59 $828.56 $873.02 $1,030.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.82 $705.76 $794.68 $1,110.56 $1,687.60 |
$859.66 $943.60 $1,032.52 $1,348.40 |
$1,097.50 $1,181.44 $1,270.36 $1,586.24 |
Toc - Plan #123 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Cigna Plus with Northwestern Medicine 8700 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.53 $339.97 $382.80 $534.97 $812.93 |
$528.67 $569.11 $611.94 $764.11 |
$757.81 $798.25 $841.08 $993.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.06 $679.94 $765.60 $1,069.94 $1,625.86 |
$828.20 $909.08 $994.74 $1,299.08 |
$1,057.34 $1,138.22 $1,223.88 $1,528.22 |
Toc - Plan #124 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 6000 ($0 PCP, $0 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.94 $411.93 $463.83 $648.20 $985.01 |
$640.59 $689.58 $741.48 $925.85 |
$918.24 $967.23 $1,019.13 $1,203.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.88 $823.86 $927.66 $1,296.40 $1,970.02 |
$1,003.53 $1,101.51 $1,205.31 $1,574.05 |
$1,281.18 $1,379.16 $1,482.96 $1,851.70 |
Toc - Plan #125 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 3000 ($0 PCP, $0 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.80 $424.26 $477.72 $667.61 $1,014.49 |
$659.76 $710.22 $763.68 $953.57 |
$945.72 $996.18 $1,049.64 $1,239.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.60 $848.52 $955.44 $1,335.22 $2,028.98 |
$1,033.56 $1,134.48 $1,241.40 $1,621.18 |
$1,319.52 $1,420.44 $1,527.36 $1,907.14 |
Toc - Plan #126 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 3500 Enhanced Diabetes Care ($0 Pref Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.70 $423.01 $476.31 $665.64 $1,011.50 |
$657.81 $708.12 $761.42 $950.75 |
$942.92 $993.23 $1,046.53 $1,235.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.40 $846.02 $952.62 $1,331.28 $2,023.00 |
$1,030.51 $1,131.13 $1,237.73 $1,616.39 |
$1,315.62 $1,416.24 $1,522.84 $1,901.50 |
Toc - Plan #127 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Plus Northwestern Medicine 750 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.65 $479.70 $540.14 $754.85 $1,147.07 |
$745.98 $803.03 $863.47 $1,078.18 |
$1,069.31 $1,126.36 $1,186.80 $1,401.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.30 $959.40 $1,080.28 $1,509.70 $2,294.14 |
$1,168.63 $1,282.73 $1,403.61 $1,833.03 |
$1,491.96 $1,606.06 $1,726.94 $2,156.36 |
Toc - Plan #128 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect HSA 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.45 $328.52 $369.91 $516.95 $785.56 |
$510.88 $549.95 $591.34 $738.38 |
$732.31 $771.38 $812.77 $959.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.90 $657.04 $739.82 $1,033.90 $1,571.12 |
$800.33 $878.47 $961.25 $1,255.33 |
$1,021.76 $1,099.90 $1,182.68 $1,476.76 |
Toc - Plan #129 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.25 $330.57 $372.22 $520.17 $790.46 |
$514.06 $553.38 $595.03 $742.98 |
$736.87 $776.19 $817.84 $965.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.50 $661.14 $744.44 $1,040.34 $1,580.92 |
$805.31 $883.95 $967.25 $1,263.15 |
$1,028.12 $1,106.76 $1,190.06 $1,485.96 |
Toc - Plan #130 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 0 ($0 Tier 1 Rx, $0 Medical Deductible, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.12 $387.17 $435.95 $609.24 $925.80 |
$602.08 $648.13 $696.91 $870.20 |
$863.04 $909.09 $957.87 $1,131.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.24 $774.34 $871.90 $1,218.48 $1,851.60 |
$943.20 $1,035.30 $1,132.86 $1,479.44 |
$1,204.16 $1,296.26 $1,393.82 $1,740.40 |
Toc - Plan #131 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4200 Enhanced Asthma COPD Care ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.81 $389.08 $438.11 $612.25 $930.37 |
$605.06 $651.33 $700.36 $874.50 |
$867.31 $913.58 $962.61 $1,136.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.62 $778.16 $876.22 $1,224.50 $1,860.74 |
$947.87 $1,040.41 $1,138.47 $1,486.75 |
$1,210.12 $1,302.66 $1,400.72 $1,749.00 |
Toc - Plan #132 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Plus with Northwestern Medicine HSA 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.33 $355.62 $400.43 $559.60 $850.36 |
$553.02 $595.31 $640.12 $799.29 |
$792.71 $835.00 $879.81 $1,038.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.66 $711.24 $800.86 $1,119.20 $1,700.72 |
$866.35 $950.93 $1,040.55 $1,358.89 |
$1,106.04 $1,190.62 $1,280.24 $1,598.58 |
Toc - Plan #133 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Plus Northwestern Medicine 6800 Enhanced Diabetes Care ($0 Pref Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.28 $357.84 $402.92 $563.09 $855.66 |
$556.47 $599.03 $644.11 $804.28 |
$797.66 $840.22 $885.30 $1,045.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.56 $715.68 $805.84 $1,126.18 $1,711.32 |
$871.75 $956.87 $1,047.03 $1,367.37 |
$1,112.94 $1,198.06 $1,288.22 $1,608.56 |
Toc - Plan #134 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 8500 ($3 Tier 1 Rx, $0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.74 $423.06 $476.36 $665.71 $1,011.62 |
$657.89 $708.21 $761.51 $950.86 |
$943.04 $993.36 $1,046.66 $1,236.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.48 $846.12 $952.72 $1,331.42 $2,023.24 |
$1,030.63 $1,131.27 $1,237.87 $1,616.57 |
$1,315.78 $1,416.42 $1,523.02 $1,901.72 |
Toc - Plan #135 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 0 ($0 Tier 1 Rx, $0 Medical Deductible) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.39 $419.25 $472.08 $659.72 $1,002.52 |
$651.97 $701.83 $754.66 $942.30 |
$934.55 $984.41 $1,037.24 $1,224.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.78 $838.50 $944.16 $1,319.44 $2,005.04 |
$1,021.36 $1,121.08 $1,226.74 $1,602.02 |
$1,303.94 $1,403.66 $1,509.32 $1,884.60 |
Toc - Plan #136 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Plus with Northwestern Medicine 4200 Enhanced Asthma COPD Care ($3 Tier 1 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.34 $419.21 $472.02 $659.65 $1,002.40 |
$651.89 $701.76 $754.57 $942.20 |
$934.44 $984.31 $1,037.12 $1,224.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.68 $838.42 $944.04 $1,319.30 $2,004.80 |
$1,021.23 $1,120.97 $1,226.59 $1,601.85 |
$1,303.78 $1,403.52 $1,509.14 $1,884.40 |
Toc - Plan #137 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Plus with Northwestern Medicine1250 Enhanced Diabetes Care ($0 Pref Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.01 $478.98 $539.33 $753.71 $1,145.34 |
$744.85 $801.82 $862.17 $1,076.55 |
$1,067.69 $1,124.66 $1,185.01 $1,399.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.02 $957.96 $1,078.66 $1,507.42 $2,290.68 |
$1,166.86 $1,280.80 $1,401.50 $1,830.26 |
$1,489.70 $1,603.64 $1,724.34 $2,153.10 |
‡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 Cook County here.
Cook County is in “Rating Area 1” of Illinois.
Currently, there are 137 plans offered in Rating Area 1.