Obamacare 2022 Rates for Madison County
Obamacare > Rates > Illinois > Madison County
Obamacare > Rates > Illinois > Madison County
ADVERTISEMENT
ADVERTISEMENT
Ambetter of IllinoisLocal: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-866-565-8576 |
Toc - Plan #1 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 |
$357.47 $405.72 $456.84 $638.43 $970.15 |
$630.93 $679.18 $730.30 $911.89 |
$904.39 $952.64 $1,003.76 $1,185.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.94 $811.44 $913.68 $1,276.86 $1,940.30 |
$988.40 $1,084.90 $1,187.14 $1,550.32 |
$1,261.86 $1,358.36 $1,460.60 $1,823.78 |
Toc - Plan #2 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 |
$412.84 $468.56 $527.60 $737.32 $1,120.43 |
$728.66 $784.38 $843.42 $1,053.14 |
$1,044.48 $1,100.20 $1,159.24 $1,368.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.68 $937.12 $1,055.20 $1,474.64 $2,240.86 |
$1,141.50 $1,252.94 $1,371.02 $1,790.46 |
$1,457.32 $1,568.76 $1,686.84 $2,106.28 |
Toc - Plan #3 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 |
$348.07 $395.05 $444.82 $621.64 $944.64 |
$614.34 $661.32 $711.09 $887.91 |
$880.61 $927.59 $977.36 $1,154.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.14 $790.10 $889.64 $1,243.28 $1,889.28 |
$962.41 $1,056.37 $1,155.91 $1,509.55 |
$1,228.68 $1,322.64 $1,422.18 $1,775.82 |
Toc - Plan #4 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 |
$297.95 $338.17 $380.77 $532.13 $808.62 |
$525.88 $566.10 $608.70 $760.06 |
$753.81 $794.03 $836.63 $987.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.90 $676.34 $761.54 $1,064.26 $1,617.24 |
$823.83 $904.27 $989.47 $1,292.19 |
$1,051.76 $1,132.20 $1,217.40 $1,520.12 |
Toc - Plan #5 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 |
$342.35 $388.56 $437.51 $611.42 $929.11 |
$604.24 $650.45 $699.40 $873.31 |
$866.13 $912.34 $961.29 $1,135.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.70 $777.12 $875.02 $1,222.84 $1,858.22 |
$946.59 $1,039.01 $1,136.91 $1,484.73 |
$1,208.48 $1,300.90 $1,398.80 $1,746.62 |
Toc - Plan #6 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 |
$371.13 $421.22 $474.29 $662.81 $1,007.21 |
$655.03 $705.12 $758.19 $946.71 |
$938.93 $989.02 $1,042.09 $1,230.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.26 $842.44 $948.58 $1,325.62 $2,014.42 |
$1,026.16 $1,126.34 $1,232.48 $1,609.52 |
$1,310.06 $1,410.24 $1,516.38 $1,893.42 |
Toc - Plan #7 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 |
$287.44 $326.24 $367.34 $513.36 $780.10 |
$507.33 $546.13 $587.23 $733.25 |
$727.22 $766.02 $807.12 $953.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.88 $652.48 $734.68 $1,026.72 $1,560.20 |
$794.77 $872.37 $954.57 $1,246.61 |
$1,014.66 $1,092.26 $1,174.46 $1,466.50 |
Toc - Plan #8 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 |
$316.29 $358.98 $404.21 $564.88 $858.39 |
$558.25 $600.94 $646.17 $806.84 |
$800.21 $842.90 $888.13 $1,048.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.58 $717.96 $808.42 $1,129.76 $1,716.78 |
$874.54 $959.92 $1,050.38 $1,371.72 |
$1,116.50 $1,201.88 $1,292.34 $1,613.68 |
Toc - Plan #9 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 |
$324.69 $368.51 $414.94 $579.88 $881.19 |
$573.07 $616.89 $663.32 $828.26 |
$821.45 $865.27 $911.70 $1,076.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.38 $737.02 $829.88 $1,159.76 $1,762.38 |
$897.76 $985.40 $1,078.26 $1,408.14 |
$1,146.14 $1,233.78 $1,326.64 $1,656.52 |
Toc - Plan #10 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 |
$345.85 $392.53 $441.99 $617.68 $938.62 |
$610.42 $657.10 $706.56 $882.25 |
$874.99 $921.67 $971.13 $1,146.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.70 $785.06 $883.98 $1,235.36 $1,877.24 |
$956.27 $1,049.63 $1,148.55 $1,499.93 |
$1,220.84 $1,314.20 $1,413.12 $1,764.50 |
Toc - Plan #11 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 |
$319.26 $362.35 $408.00 $570.18 $866.44 |
$563.49 $606.58 $652.23 $814.41 |
$807.72 $850.81 $896.46 $1,058.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.52 $724.70 $816.00 $1,140.36 $1,732.88 |
$882.75 $968.93 $1,060.23 $1,384.59 |
$1,126.98 $1,213.16 $1,304.46 $1,628.82 |
Toc - Plan #12 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 |
$320.01 $363.20 $408.96 $571.52 $868.48 |
$564.81 $608.00 $653.76 $816.32 |
$809.61 $852.80 $898.56 $1,061.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.02 $726.40 $817.92 $1,143.04 $1,736.96 |
$884.82 $971.20 $1,062.72 $1,387.84 |
$1,129.62 $1,216.00 $1,307.52 $1,632.64 |
Toc - Plan #13 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 |
$329.98 $374.52 $421.71 $589.33 $895.55 |
$582.41 $626.95 $674.14 $841.76 |
$834.84 $879.38 $926.57 $1,094.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.96 $749.04 $843.42 $1,178.66 $1,791.10 |
$912.39 $1,001.47 $1,095.85 $1,431.09 |
$1,164.82 $1,253.90 $1,348.28 $1,683.52 |
Toc - Plan #14 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 |
$385.75 $437.81 $492.97 $688.93 $1,046.89 |
$680.84 $732.90 $788.06 $984.02 |
$975.93 $1,027.99 $1,083.15 $1,279.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.50 $875.62 $985.94 $1,377.86 $2,093.78 |
$1,066.59 $1,170.71 $1,281.03 $1,672.95 |
$1,361.68 $1,465.80 $1,576.12 $1,968.04 |
Toc - Plan #15 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 |
$266.50 $302.46 $340.57 $475.95 $723.25 |
$470.36 $506.32 $544.43 $679.81 |
$674.22 $710.18 $748.29 $883.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533.00 $604.92 $681.14 $951.90 $1,446.50 |
$736.86 $808.78 $885.00 $1,155.76 |
$940.72 $1,012.64 $1,088.86 $1,359.62 |
Toc - Plan #16 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 |
$373.64 $424.07 $477.50 $667.30 $1,014.02 |
$659.46 $709.89 $763.32 $953.12 |
$945.28 $995.71 $1,049.14 $1,238.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.28 $848.14 $955.00 $1,334.60 $2,028.04 |
$1,033.10 $1,133.96 $1,240.82 $1,620.42 |
$1,318.92 $1,419.78 $1,526.64 $1,906.24 |
Toc - Plan #17 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 |
$431.51 $489.76 $551.46 $770.66 $1,171.10 |
$761.61 $819.86 $881.56 $1,100.76 |
$1,091.71 $1,149.96 $1,211.66 $1,430.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$863.02 $979.52 $1,102.92 $1,541.32 $2,342.20 |
$1,193.12 $1,309.62 $1,433.02 $1,871.42 |
$1,523.22 $1,639.72 $1,763.12 $2,201.52 |
Toc - Plan #18 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 |
$363.81 $412.91 $464.94 $649.75 $987.36 |
$642.12 $691.22 $743.25 $928.06 |
$920.43 $969.53 $1,021.56 $1,206.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.62 $825.82 $929.88 $1,299.50 $1,974.72 |
$1,005.93 $1,104.13 $1,208.19 $1,577.81 |
$1,284.24 $1,382.44 $1,486.50 $1,856.12 |
Toc - Plan #19 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 |
$311.43 $353.46 $397.99 $556.19 $845.19 |
$549.67 $591.70 $636.23 $794.43 |
$787.91 $829.94 $874.47 $1,032.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.86 $706.92 $795.98 $1,112.38 $1,690.38 |
$861.10 $945.16 $1,034.22 $1,350.62 |
$1,099.34 $1,183.40 $1,272.46 $1,588.86 |
Toc - Plan #20 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 |
$387.91 $440.27 $495.74 $692.79 $1,052.76 |
$684.65 $737.01 $792.48 $989.53 |
$981.39 $1,033.75 $1,089.22 $1,286.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.82 $880.54 $991.48 $1,385.58 $2,105.52 |
$1,072.56 $1,177.28 $1,288.22 $1,682.32 |
$1,369.30 $1,474.02 $1,584.96 $1,979.06 |
Toc - Plan #21 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 |
$300.44 $340.99 $383.95 $536.57 $815.38 |
$530.27 $570.82 $613.78 $766.40 |
$760.10 $800.65 $843.61 $996.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.88 $681.98 $767.90 $1,073.14 $1,630.76 |
$830.71 $911.81 $997.73 $1,302.97 |
$1,060.54 $1,141.64 $1,227.56 $1,532.80 |
Toc - Plan #22 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 |
$330.60 $375.21 $422.49 $590.43 $897.21 |
$583.50 $628.11 $675.39 $843.33 |
$836.40 $881.01 $928.29 $1,096.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.20 $750.42 $844.98 $1,180.86 $1,794.42 |
$914.10 $1,003.32 $1,097.88 $1,433.76 |
$1,167.00 $1,256.22 $1,350.78 $1,686.66 |
Toc - Plan #23 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 |
$339.38 $385.18 $433.71 $606.11 $921.04 |
$598.99 $644.79 $693.32 $865.72 |
$858.60 $904.40 $952.93 $1,125.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.76 $770.36 $867.42 $1,212.22 $1,842.08 |
$938.37 $1,029.97 $1,127.03 $1,471.83 |
$1,197.98 $1,289.58 $1,386.64 $1,731.44 |
Toc - Plan #24 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 |
$361.49 $410.28 $461.98 $645.61 $981.07 |
$638.03 $686.82 $738.52 $922.15 |
$914.57 $963.36 $1,015.06 $1,198.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.98 $820.56 $923.96 $1,291.22 $1,962.14 |
$999.52 $1,097.10 $1,200.50 $1,567.76 |
$1,276.06 $1,373.64 $1,477.04 $1,844.30 |
Toc - Plan #25 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 |
$334.48 $379.62 $427.45 $597.37 $907.76 |
$590.35 $635.49 $683.32 $853.24 |
$846.22 $891.36 $939.19 $1,109.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.96 $759.24 $854.90 $1,194.74 $1,815.52 |
$924.83 $1,015.11 $1,110.77 $1,450.61 |
$1,180.70 $1,270.98 $1,366.64 $1,706.48 |
Toc - Plan #26 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 |
$344.91 $391.46 $440.78 $615.98 $936.05 |
$608.76 $655.31 $704.63 $879.83 |
$872.61 $919.16 $968.48 $1,143.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.82 $782.92 $881.56 $1,231.96 $1,872.10 |
$953.67 $1,046.77 $1,145.41 $1,495.81 |
$1,217.52 $1,310.62 $1,409.26 $1,759.66 |
Toc - Plan #27 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 |
$403.19 $457.61 $515.27 $720.08 $1,094.23 |
$711.62 $766.04 $823.70 $1,028.51 |
$1,020.05 $1,074.47 $1,132.13 $1,336.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.38 $915.22 $1,030.54 $1,440.16 $2,188.46 |
$1,114.81 $1,223.65 $1,338.97 $1,748.59 |
$1,423.24 $1,532.08 $1,647.40 $2,057.02 |
Toc - Plan #28 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 |
$357.83 $406.13 $457.30 $639.07 $971.13 |
$631.56 $679.86 $731.03 $912.80 |
$905.29 $953.59 $1,004.76 $1,186.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.66 $812.26 $914.60 $1,278.14 $1,942.26 |
$989.39 $1,085.99 $1,188.33 $1,551.87 |
$1,263.12 $1,359.72 $1,462.06 $1,825.60 |
Toc - Plan #29 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 |
$278.55 $316.14 $355.97 $497.47 $755.96 |
$491.63 $529.22 $569.05 $710.55 |
$704.71 $742.30 $782.13 $923.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557.10 $632.28 $711.94 $994.94 $1,511.92 |
$770.18 $845.36 $925.02 $1,208.02 |
$983.26 $1,058.44 $1,138.10 $1,421.10 |
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 #30 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 |
$509.70 $578.51 $651.40 $910.32 $1,383.33 |
$899.62 $968.43 $1,041.32 $1,300.24 |
$1,289.54 $1,358.35 $1,431.24 $1,690.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,019.40 $1,157.02 $1,302.80 $1,820.64 $2,766.66 |
$1,409.32 $1,546.94 $1,692.72 $2,210.56 |
$1,799.24 $1,936.86 $2,082.64 $2,600.48 |
Toc - Plan #31 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 |
$433.84 $492.40 $554.44 $774.83 $1,177.43 |
$765.72 $824.28 $886.32 $1,106.71 |
$1,097.60 $1,156.16 $1,218.20 $1,438.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.68 $984.80 $1,108.88 $1,549.66 $2,354.86 |
$1,199.56 $1,316.68 $1,440.76 $1,881.54 |
$1,531.44 $1,648.56 $1,772.64 $2,213.42 |
Toc - Plan #32 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 |
$354.96 $402.88 $453.64 $633.95 $963.35 |
$626.50 $674.42 $725.18 $905.49 |
$898.04 $945.96 $996.72 $1,177.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.92 $805.76 $907.28 $1,267.90 $1,926.70 |
$981.46 $1,077.30 $1,178.82 $1,539.44 |
$1,253.00 $1,348.84 $1,450.36 $1,810.98 |
Toc - Plan #33 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 |
$298.48 $338.78 $381.46 $533.09 $810.08 |
$526.82 $567.12 $609.80 $761.43 |
$755.16 $795.46 $838.14 $989.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596.96 $677.56 $762.92 $1,066.18 $1,620.16 |
$825.30 $905.90 $991.26 $1,294.52 |
$1,053.64 $1,134.24 $1,219.60 $1,522.86 |
Toc - Plan #34 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 |
$329.49 $373.97 $421.08 $588.46 $894.22 |
$581.55 $626.03 $673.14 $840.52 |
$833.61 $878.09 $925.20 $1,092.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658.98 $747.94 $842.16 $1,176.92 $1,788.44 |
$911.04 $1,000.00 $1,094.22 $1,428.98 |
$1,163.10 $1,252.06 $1,346.28 $1,681.04 |
Toc - Plan #35 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 |
$316.12 $358.80 $404.00 $564.59 $857.95 |
$557.95 $600.63 $645.83 $806.42 |
$799.78 $842.46 $887.66 $1,048.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.24 $717.60 $808.00 $1,129.18 $1,715.90 |
$874.07 $959.43 $1,049.83 $1,371.01 |
$1,115.90 $1,201.26 $1,291.66 $1,612.84 |
ADVERTISEMENT
WellFirst HealthLocal: 1-866-514-4194 | Toll Free: 1-866-514-4194 | TTY: 1-866-514-4194 |
Toc - Plan #36 WellFirst Health | ||||||||||||||||||||
Gold
(HMO) WellFirst Gold Copay Plus 1500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.57 $464.86 $523.43 $731.50 $1,111.58 |
$722.89 $778.18 $836.75 $1,044.82 |
$1,036.21 $1,091.50 $1,150.07 $1,358.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.14 $929.72 $1,046.86 $1,463.00 $2,223.16 |
$1,132.46 $1,243.04 $1,360.18 $1,776.32 |
$1,445.78 $1,556.36 $1,673.50 $2,089.64 |
Toc - Plan #37 WellFirst Health | ||||||||||||||||||||
Silver
(HMO) WellFirst Silver Copay Plus 4800X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.69 $421.87 $475.02 $663.84 $1,008.77 |
$656.03 $706.21 $759.36 $948.18 |
$940.37 $990.55 $1,043.70 $1,232.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.38 $843.74 $950.04 $1,327.68 $2,017.54 |
$1,027.72 $1,128.08 $1,234.38 $1,612.02 |
$1,312.06 $1,412.42 $1,518.72 $1,896.36 |
Toc - Plan #38 WellFirst Health | ||||||||||||||||||||
Expanded Bronze
(HMO) WellFirst Bronze Copay Plus 8650X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.87 $304.04 $342.34 $478.42 $727.01 |
$472.79 $508.96 $547.26 $683.34 |
$677.71 $713.88 $752.18 $888.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.74 $608.08 $684.68 $956.84 $1,454.02 |
$740.66 $813.00 $889.60 $1,161.76 |
$945.58 $1,017.92 $1,094.52 $1,366.68 |
Toc - Plan #39 WellFirst Health | ||||||||||||||||||||
Silver
(HMO) WellFirst Silver Classic 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.44 $404.56 $455.53 $636.60 $967.38 |
$629.12 $677.24 $728.21 $909.28 |
$901.80 $949.92 $1,000.89 $1,181.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.88 $809.12 $911.06 $1,273.20 $1,934.76 |
$985.56 $1,081.80 $1,183.74 $1,545.88 |
$1,258.24 $1,354.48 $1,456.42 $1,818.56 |
Toc - Plan #40 WellFirst Health | ||||||||||||||||||||
Gold
(HMO) WellFirst Gold Value Copay 3700X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.92 $460.72 $518.76 $724.97 $1,101.66 |
$716.45 $771.25 $829.29 $1,035.50 |
$1,026.98 $1,081.78 $1,139.82 $1,346.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.84 $921.44 $1,037.52 $1,449.94 $2,203.32 |
$1,122.37 $1,231.97 $1,348.05 $1,760.47 |
$1,432.90 $1,542.50 $1,658.58 $2,071.00 |
Toc - Plan #41 WellFirst Health | ||||||||||||||||||||
Silver
(HMO) WellFirst Silver Value Copay 5000X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.24 $417.95 $470.61 $657.68 $999.40 |
$649.94 $699.65 $752.31 $939.38 |
$931.64 $981.35 $1,034.01 $1,221.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.48 $835.90 $941.22 $1,315.36 $1,998.80 |
$1,018.18 $1,117.60 $1,222.92 $1,597.06 |
$1,299.88 $1,399.30 $1,504.62 $1,878.76 |
Toc - Plan #42 WellFirst Health | ||||||||||||||||||||
Bronze
(HMO) WellFirst Bronze Value Copay 8650X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.06 $301.98 $340.03 $475.19 $722.10 |
$469.60 $505.52 $543.57 $678.73 |
$673.14 $709.06 $747.11 $882.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$532.12 $603.96 $680.06 $950.38 $1,444.20 |
$735.66 $807.50 $883.60 $1,153.92 |
$939.20 $1,011.04 $1,087.14 $1,357.46 |
Toc - Plan #43 WellFirst Health | ||||||||||||||||||||
Silver
(HMO) WellFirst Silver HSA-E 4500X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.88 $392.57 $442.03 $617.74 $938.72 |
$610.48 $657.17 $706.63 $882.34 |
$875.08 $921.77 $971.23 $1,146.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.76 $785.14 $884.06 $1,235.48 $1,877.44 |
$956.36 $1,049.74 $1,148.66 $1,500.08 |
$1,220.96 $1,314.34 $1,413.26 $1,764.68 |
Toc - Plan #44 WellFirst Health | ||||||||||||||||||||
Expanded Bronze
(HMO) WellFirst Bronze HSA-E 6950X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.94 $318.87 $359.05 $501.77 $762.48 |
$495.86 $533.79 $573.97 $716.69 |
$710.78 $748.71 $788.89 $931.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.88 $637.74 $718.10 $1,003.54 $1,524.96 |
$776.80 $852.66 $933.02 $1,218.46 |
$991.72 $1,067.58 $1,147.94 $1,433.38 |
Toc - Plan #45 WellFirst Health | ||||||||||||||||||||
Catastrophic
(HMO) WellFirst Catastrophic Safety Net |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.15 $258.95 $291.58 $407.48 $619.20 |
$402.69 $433.49 $466.12 $582.02 |
$577.23 $608.03 $640.66 $756.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$456.30 $517.90 $583.16 $814.96 $1,238.40 |
$630.84 $692.44 $757.70 $989.50 |
$805.38 $866.98 $932.24 $1,164.04 |
‡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 Madison County here.
Madison County is in “Rating Area 12” of Illinois.
Currently, there are 45 plans offered in Rating Area 12.