Obamacare 2022 Rates for Clay County

Obamacare > Rates > Mississippi > Clay County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Clay County, MS.

The health insurance rates listed below are for calendar year 2022.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 46 Plans and 2022 Rates for Clay County, Mississippi

Below, you’ll find a summary of the 46 plans for Clay County, Mississippi and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 |

ADVERTISEMENT

ADVERTISEMENT

Cigna Healthcare

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777
Toc - Plan #1 Cigna Healthcare
Bronze

(EPO) Cigna Connect 8500 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$336.99
$382.49
$430.68
$601.87
$914.60 		$550.98
$596.48
$644.67
$815.86 		$764.97
$810.47
$858.66
$1,029.85 		$978.96
$1,024.46
$1,072.65
$1,243.84 		$213.99
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$673.98
$764.98
$861.36
$1,203.74
$1,829.20 		$887.97
$978.97
$1,075.35
$1,417.73 		$1,101.96
$1,192.96
$1,289.34
$1,631.72 		$1,315.95
$1,406.95
$1,503.33
$1,845.71 		$213.99
Toc - Plan #2 Cigna Healthcare
Expanded Bronze

(EPO) Cigna Connect 8200 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$8,200 $16,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$349.36
$396.52
$446.48
$623.95
$948.16 		$571.20
$618.36
$668.32
$845.79 		$793.04
$840.20
$890.16
$1,067.63 		$1,014.88
$1,062.04
$1,112.00
$1,289.47 		$221.84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$698.72
$793.04
$892.96
$1,247.90
$1,896.32 		$920.56
$1,014.88
$1,114.80
$1,469.74 		$1,142.40
$1,236.72
$1,336.64
$1,691.58 		$1,364.24
$1,458.56
$1,558.48
$1,913.42 		$221.84
Toc - Plan #3 Cigna Healthcare
Expanded Bronze

(EPO) Cigna Connect 6000 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$353.03
$400.69
$451.17
$630.51
$958.12 		$577.20
$624.86
$675.34
$854.68 		$801.37
$849.03
$899.51
$1,078.85 		$1,025.54
$1,073.20
$1,123.68
$1,303.02 		$224.17
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$706.06
$801.38
$902.34
$1,261.02
$1,916.24 		$930.23
$1,025.55
$1,126.51
$1,485.19 		$1,154.40
$1,249.72
$1,350.68
$1,709.36 		$1,378.57
$1,473.89
$1,574.85
$1,933.53 		$224.17
Toc - Plan #4 Cigna Healthcare
Silver

(EPO) Cigna Connect 7800 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$7,800 $15,600 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$361.97
$410.84
$462.60
$646.48
$982.39 		$591.82
$640.69
$692.45
$876.33 		$821.67
$870.54
$922.30
$1,106.18 		$1,051.52
$1,100.39
$1,152.15
$1,336.03 		$229.85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$723.94
$821.68
$925.20
$1,292.96
$1,964.78 		$953.79
$1,051.53
$1,155.05
$1,522.81 		$1,183.64
$1,281.38
$1,384.90
$1,752.66 		$1,413.49
$1,511.23
$1,614.75
$1,982.51 		$229.85
Toc - Plan #5 Cigna Healthcare
Silver

(EPO) Cigna Connect 4300 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$4,300 $8,600 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.82
$418.61
$471.35
$658.70
$1,000.97 		$603.02
$652.81
$705.55
$892.90 		$837.22
$887.01
$939.75
$1,127.10 		$1,071.42
$1,121.21
$1,173.95
$1,361.30 		$234.20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$737.64
$837.22
$942.70
$1,317.40
$2,001.94 		$971.84
$1,071.42
$1,176.90
$1,551.60 		$1,206.04
$1,305.62
$1,411.10
$1,785.80 		$1,440.24
$1,539.82
$1,645.30
$2,020.00 		$234.20
Toc - Plan #6 Cigna Healthcare
Silver

(EPO) Cigna Connect 8100 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$375.53
$426.23
$479.93
$670.71
$1,019.20 		$613.99
$664.69
$718.39
$909.17 		$852.45
$903.15
$956.85
$1,147.63 		$1,090.91
$1,141.61
$1,195.31
$1,386.09 		$238.46
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$751.06
$852.46
$959.86
$1,341.42
$2,038.40 		$989.52
$1,090.92
$1,198.32
$1,579.88 		$1,227.98
$1,329.38
$1,436.78
$1,818.34 		$1,466.44
$1,567.84
$1,675.24
$2,056.80 		$238.46
Toc - Plan #7 Cigna Healthcare
Silver

(EPO) Cigna Connect 0 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$383.41
$435.17
$490.00
$684.77
$1,040.57 		$626.87
$678.63
$733.46
$928.23 		$870.33
$922.09
$976.92
$1,171.69 		$1,113.79
$1,165.55
$1,220.38
$1,415.15 		$243.46
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$766.82
$870.34
$980.00
$1,369.54
$2,081.14 		$1,010.28
$1,113.80
$1,223.46
$1,613.00 		$1,253.74
$1,357.26
$1,466.92
$1,856.46 		$1,497.20
$1,600.72
$1,710.38
$2,099.92 		$243.46
Toc - Plan #8 Cigna Healthcare
Silver

(EPO) 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:

Individual Family
$3,500 $7,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$376.94
$427.82
$481.72
$673.21
$1,023.01 		$616.29
$667.17
$721.07
$912.56 		$855.64
$906.52
$960.42
$1,151.91 		$1,094.99
$1,145.87
$1,199.77
$1,391.26 		$239.35
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$753.88
$855.64
$963.44
$1,346.42
$2,046.02 		$993.23
$1,094.99
$1,202.79
$1,585.77 		$1,232.58
$1,334.34
$1,442.14
$1,825.12 		$1,471.93
$1,573.69
$1,681.49
$2,064.47 		$239.35
Toc - Plan #9 Cigna Healthcare
Silver

(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$4,200 $8,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.32
$418.04
$470.71
$657.82
$999.62 		$602.20
$651.92
$704.59
$891.70 		$836.08
$885.80
$938.47
$1,125.58 		$1,069.96
$1,119.68
$1,172.35
$1,359.46 		$233.88
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$736.64
$836.08
$941.42
$1,315.64
$1,999.24 		$970.52
$1,069.96
$1,175.30
$1,549.52 		$1,204.40
$1,303.84
$1,409.18
$1,783.40 		$1,438.28
$1,537.72
$1,643.06
$2,017.28 		$233.88
Toc - Plan #10 Cigna Healthcare
Gold

(EPO) Cigna Connect 2300 ($0 Telehealth)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-900-1237

Annual Out of Pocket Expenses:

Individual Family
$2,300 $4,600 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$522.20
$592.70
$667.38
$932.66
$1,417.26 		$853.80
$924.30
$998.98
$1,264.26 		$1,185.40
$1,255.90
$1,330.58
$1,595.86 		$1,517.00
$1,587.50
$1,662.18
$1,927.46 		$331.60
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,044.40
$1,185.40
$1,334.76
$1,865.32
$2,834.52 		$1,376.00
$1,517.00
$1,666.36
$2,196.92 		$1,707.60
$1,848.60
$1,997.96
$2,528.52 		$2,039.20
$2,180.20
$2,329.56
$2,860.12 		$331.60

ADVERTISEMENT

Molina Healthcare

Local: 1-866-472-9484 | Toll Free: 1-866-472-9484 | TTY: 1-800-659-8331
Toc - Plan #11 Molina Healthcare
Gold

(HMO) Confident Care Gold 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$2,100 $4,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$445.44
$505.58
$569.28
$795.56
$1,208.93 		$728.30
$788.44
$852.14
$1,078.42 		$1,011.16
$1,071.30
$1,135.00
$1,361.28 		$1,294.02
$1,354.16
$1,417.86
$1,644.14 		$282.86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$890.88
$1,011.16
$1,138.56
$1,591.12
$2,417.86 		$1,173.74
$1,294.02
$1,421.42
$1,873.98 		$1,456.60
$1,576.88
$1,704.28
$2,156.84 		$1,739.46
$1,859.74
$1,987.14
$2,439.70 		$282.86
Toc - Plan #12 Molina Healthcare
Silver

(HMO) Constant Care Silver 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$384.20
$436.07
$491.01
$686.19
$1,042.73 		$628.17
$680.04
$734.98
$930.16 		$872.14
$924.01
$978.95
$1,174.13 		$1,116.11
$1,167.98
$1,222.92
$1,418.10 		$243.97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$768.40
$872.14
$982.02
$1,372.38
$2,085.46 		$1,012.37
$1,116.11
$1,225.99
$1,616.35 		$1,256.34
$1,360.08
$1,469.96
$1,860.32 		$1,500.31
$1,604.05
$1,713.93
$2,104.29 		$243.97
Toc - Plan #13 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$345.42
$392.05
$441.45
$616.92
$937.47 		$564.76
$611.39
$660.79
$836.26 		$784.10
$830.73
$880.13
$1,055.60 		$1,003.44
$1,050.07
$1,099.47
$1,274.94 		$219.34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$690.84
$784.10
$882.90
$1,233.84
$1,874.94 		$910.18
$1,003.44
$1,102.24
$1,453.18 		$1,129.52
$1,222.78
$1,321.58
$1,672.52 		$1,348.86
$1,442.12
$1,540.92
$1,891.86 		$219.34
Toc - Plan #14 Molina Healthcare
Silver

(HMO) Constant Care Silver 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$380.31
$431.65
$486.04
$679.24
$1,032.17 		$621.81
$673.15
$727.54
$920.74 		$863.31
$914.65
$969.04
$1,162.24 		$1,104.81
$1,156.15
$1,210.54
$1,403.74 		$241.50
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$760.62
$863.30
$972.08
$1,358.48
$2,064.34 		$1,002.12
$1,104.80
$1,213.58
$1,599.98 		$1,243.62
$1,346.30
$1,455.08
$1,841.48 		$1,485.12
$1,587.80
$1,696.58
$2,082.98 		$241.50
Toc - Plan #15 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 4

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$355.06
$402.99
$453.77
$634.14
$963.63 		$580.52
$628.45
$679.23
$859.60 		$805.98
$853.91
$904.69
$1,085.06 		$1,031.44
$1,079.37
$1,130.15
$1,310.52 		$225.46
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$710.12
$805.98
$907.54
$1,268.28
$1,927.26 		$935.58
$1,031.44
$1,133.00
$1,493.74 		$1,161.04
$1,256.90
$1,358.46
$1,719.20 		$1,386.50
$1,482.36
$1,583.92
$1,944.66 		$225.46
Toc - Plan #16 Molina Healthcare
Silver

(HMO) Constant Care Silver 7

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$376.47
$427.30
$481.13
$672.38
$1,021.75 		$615.53
$666.36
$720.19
$911.44 		$854.59
$905.42
$959.25
$1,150.50 		$1,093.65
$1,144.48
$1,198.31
$1,389.56 		$239.06
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$752.94
$854.60
$962.26
$1,344.76
$2,043.50 		$992.00
$1,093.66
$1,201.32
$1,583.82 		$1,231.06
$1,332.72
$1,440.38
$1,822.88 		$1,470.12
$1,571.78
$1,679.44
$2,061.94 		$239.06
Toc - Plan #17 Molina Healthcare
Gold

(HMO) Confident Care Gold 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$2,100 $4,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$450.06
$510.82
$575.17
$803.80
$1,221.46 		$735.85
$796.61
$860.96
$1,089.59 		$1,021.64
$1,082.40
$1,146.75
$1,375.38 		$1,307.43
$1,368.19
$1,432.54
$1,661.17 		$285.79
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$900.12
$1,021.64
$1,150.34
$1,607.60
$2,442.92 		$1,185.91
$1,307.43
$1,436.13
$1,893.39 		$1,471.70
$1,593.22
$1,721.92
$2,179.18 		$1,757.49
$1,879.01
$2,007.71
$2,464.97 		$285.79
Toc - Plan #18 Molina Healthcare
Silver

(HMO) Constant Care Silver 1 + Vision

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$387.15
$439.42
$494.78
$691.45
$1,050.73 		$632.99
$685.26
$740.62
$937.29 		$878.83
$931.10
$986.46
$1,183.13 		$1,124.67
$1,176.94
$1,232.30
$1,428.97 		$245.84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$774.30
$878.84
$989.56
$1,382.90
$2,101.46 		$1,020.14
$1,124.68
$1,235.40
$1,628.74 		$1,265.98
$1,370.52
$1,481.24
$1,874.58 		$1,511.82
$1,616.36
$1,727.08
$2,120.42 		$245.84
Toc - Plan #19 Molina Healthcare
Silver

(HMO) Constant Care Silver 2

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-866-472-9484

Annual Out of Pocket Expenses:

Individual Family
$5,200 $10,400 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$379.13
$430.31
$484.52
$677.12
$1,028.95 		$619.87
$671.05
$725.26
$917.86 		$860.61
$911.79
$966.00
$1,158.60 		$1,101.35
$1,152.53
$1,206.74
$1,399.34 		$240.74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$758.26
$860.62
$969.04
$1,354.24
$2,057.90 		$999.00
$1,101.36
$1,209.78
$1,594.98 		$1,239.74
$1,342.10
$1,450.52
$1,835.72 		$1,480.48
$1,582.84
$1,691.26
$2,076.46 		$240.74

ADVERTISEMENT

Ambetter from Magnolia Health

Local: 1-877-687-1187 | Toll Free: 1-877-687-1187 | TTY: 1-877-941-9235
Toc - Plan #20 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 11 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$380.72
$432.10
$486.54
$679.94
$1,033.23 		$622.47
$673.85
$728.29
$921.69 		$864.22
$915.60
$970.04
$1,163.44 		$1,105.97
$1,157.35
$1,211.79
$1,405.19 		$241.75
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$761.44
$864.20
$973.08
$1,359.88
$2,066.46 		$1,003.19
$1,105.95
$1,214.83
$1,601.63 		$1,244.94
$1,347.70
$1,456.58
$1,843.38 		$1,486.69
$1,589.45
$1,698.33
$2,085.13 		$241.75
Toc - Plan #21 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 14 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$412.73
$468.44
$527.46
$737.12
$1,120.13 		$674.81
$730.52
$789.54
$999.20 		$936.89
$992.60
$1,051.62
$1,261.28 		$1,198.97
$1,254.68
$1,313.70
$1,523.36 		$262.08
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$825.46
$936.88
$1,054.92
$1,474.24
$2,240.26 		$1,087.54
$1,198.96
$1,317.00
$1,736.32 		$1,349.62
$1,461.04
$1,579.08
$1,998.40 		$1,611.70
$1,723.12
$1,841.16
$2,260.48 		$262.08
Toc - Plan #22 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 5 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,300 $16,600 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$349.15
$396.28
$446.21
$623.57
$947.58 		$570.86
$617.99
$667.92
$845.28 		$792.57
$839.70
$889.63
$1,066.99 		$1,014.28
$1,061.41
$1,111.34
$1,288.70 		$221.71
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$698.30
$792.56
$892.42
$1,247.14
$1,895.16 		$920.01
$1,014.27
$1,114.13
$1,468.85 		$1,141.72
$1,235.98
$1,335.84
$1,690.56 		$1,363.43
$1,457.69
$1,557.55
$1,912.27 		$221.71
Toc - Plan #23 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 5 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$498.24
$565.49
$636.74
$889.84
$1,352.19 		$814.62
$881.87
$953.12
$1,206.22 		$1,131.00
$1,198.25
$1,269.50
$1,522.60 		$1,447.38
$1,514.63
$1,585.88
$1,838.98 		$316.38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$996.48
$1,130.98
$1,273.48
$1,779.68
$2,704.38 		$1,312.86
$1,447.36
$1,589.86
$2,096.06 		$1,629.24
$1,763.74
$1,906.24
$2,412.44 		$1,945.62
$2,080.12
$2,222.62
$2,728.82 		$316.38
Toc - Plan #24 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 12 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$375.65
$426.35
$480.07
$670.90
$1,019.49 		$614.18
$664.88
$718.60
$909.43 		$852.71
$903.41
$957.13
$1,147.96 		$1,091.24
$1,141.94
$1,195.66
$1,386.49 		$238.53
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$751.30
$852.70
$960.14
$1,341.80
$2,038.98 		$989.83
$1,091.23
$1,198.67
$1,580.33 		$1,228.36
$1,329.76
$1,437.20
$1,818.86 		$1,466.89
$1,568.29
$1,675.73
$2,057.39 		$238.53
Toc - Plan #25 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$349.88
$397.10
$447.13
$624.86
$949.54 		$572.05
$619.27
$669.30
$847.03 		$794.22
$841.44
$891.47
$1,069.20 		$1,016.39
$1,063.61
$1,113.64
$1,291.37 		$222.17
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$699.76
$794.20
$894.26
$1,249.72
$1,899.08 		$921.93
$1,016.37
$1,116.43
$1,471.89 		$1,144.10
$1,238.54
$1,338.60
$1,694.06 		$1,366.27
$1,460.71
$1,560.77
$1,916.23 		$222.17
Toc - Plan #26 Ambetter from Magnolia Health
Bronze

(HMO) Ambetter Essential Care 1 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,600 $17,200 Annual Deductible
$8,600 $17,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$320.18
$363.40
$409.18
$571.83
$868.95 		$523.49
$566.71
$612.49
$775.14 		$726.80
$770.02
$815.80
$978.45 		$930.11
$973.33
$1,019.11
$1,181.76 		$203.31
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$640.36
$726.80
$818.36
$1,143.66
$1,737.90 		$843.67
$930.11
$1,021.67
$1,346.97 		$1,046.98
$1,133.42
$1,224.98
$1,550.28 		$1,250.29
$1,336.73
$1,428.29
$1,753.59 		$203.31
Toc - Plan #27 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care: $1,500 Medical Deductible with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$379.46
$430.67
$484.94
$677.70
$1,029.82 		$620.41
$671.62
$725.89
$918.65 		$861.36
$912.57
$966.84
$1,159.60 		$1,102.31
$1,153.52
$1,207.79
$1,400.55 		$240.95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$758.92
$861.34
$969.88
$1,355.40
$2,059.64 		$999.87
$1,102.29
$1,210.83
$1,596.35 		$1,240.82
$1,343.24
$1,451.78
$1,837.30 		$1,481.77
$1,584.19
$1,692.73
$2,078.25 		$240.95
Toc - Plan #28 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care: $0 Medical Deductible with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$400.17
$454.18
$511.40
$714.68
$1,086.03 		$654.27
$708.28
$765.50
$968.78 		$908.37
$962.38
$1,019.60
$1,222.88 		$1,162.47
$1,216.48
$1,273.70
$1,476.98 		$254.10
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$800.34
$908.36
$1,022.80
$1,429.36
$2,172.06 		$1,054.44
$1,162.46
$1,276.90
$1,683.46 		$1,308.54
$1,416.56
$1,531.00
$1,937.56 		$1,562.64
$1,670.66
$1,785.10
$2,191.66 		$254.10
Toc - Plan #29 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 30 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,100 $12,200 Annual Deductible
$6,100 $12,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$352.66
$400.25
$450.68
$629.83
$957.08 		$576.59
$624.18
$674.61
$853.76 		$800.52
$848.11
$898.54
$1,077.69 		$1,024.45
$1,072.04
$1,122.47
$1,301.62 		$223.93
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$705.32
$800.50
$901.36
$1,259.66
$1,914.16 		$929.25
$1,024.43
$1,125.29
$1,483.59 		$1,153.18
$1,248.36
$1,349.22
$1,707.52 		$1,377.11
$1,472.29
$1,573.15
$1,931.45 		$223.93
Toc - Plan #30 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 31 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$6,450 $12,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$353.00
$400.64
$451.12
$630.44
$958.01 		$577.15
$624.79
$675.27
$854.59 		$801.30
$848.94
$899.42
$1,078.74 		$1,025.45
$1,073.09
$1,123.57
$1,302.89 		$224.15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$706.00
$801.28
$902.24
$1,260.88
$1,916.02 		$930.15
$1,025.43
$1,126.39
$1,485.03 		$1,154.30
$1,249.58
$1,350.54
$1,709.18 		$1,378.45
$1,473.73
$1,574.69
$1,933.33 		$224.15
Toc - Plan #31 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 32 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$363.74
$412.83
$464.84
$649.61
$987.15 		$594.71
$643.80
$695.81
$880.58 		$825.68
$874.77
$926.78
$1,111.55 		$1,056.65
$1,105.74
$1,157.75
$1,342.52 		$230.97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$727.48
$825.66
$929.68
$1,299.22
$1,974.30 		$958.45
$1,056.63
$1,160.65
$1,530.19 		$1,189.42
$1,287.60
$1,391.62
$1,761.16 		$1,420.39
$1,518.57
$1,622.59
$1,992.13 		$230.97
Toc - Plan #32 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 20 with Walgreens

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$466.26
$529.19
$595.87
$832.72
$1,265.40 		$762.33
$825.26
$891.94
$1,128.79 		$1,058.40
$1,121.33
$1,188.01
$1,424.86 		$1,354.47
$1,417.40
$1,484.08
$1,720.93 		$296.07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$932.52
$1,058.38
$1,191.74
$1,665.44
$2,530.80 		$1,228.59
$1,354.45
$1,487.81
$1,961.51 		$1,524.66
$1,650.52
$1,783.88
$2,257.58 		$1,820.73
$1,946.59
$2,079.95
$2,553.65 		$296.07
Toc - Plan #33 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 5 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,300 $16,600 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$364.12
$413.26
$465.33
$650.29
$988.18 		$595.33
$644.47
$696.54
$881.50 		$826.54
$875.68
$927.75
$1,112.71 		$1,057.75
$1,106.89
$1,158.96
$1,343.92 		$231.21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$728.24
$826.52
$930.66
$1,300.58
$1,976.36 		$959.45
$1,057.73
$1,161.87
$1,531.79 		$1,190.66
$1,288.94
$1,393.08
$1,763.00 		$1,421.87
$1,520.15
$1,624.29
$1,994.21 		$231.21
Toc - Plan #34 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 14 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$430.42
$488.51
$550.06
$768.71
$1,168.13 		$703.73
$761.82
$823.37
$1,042.02 		$977.04
$1,035.13
$1,096.68
$1,315.33 		$1,250.35
$1,308.44
$1,369.99
$1,588.64 		$273.31
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$860.84
$977.02
$1,100.12
$1,537.42
$2,336.26 		$1,134.15
$1,250.33
$1,373.43
$1,810.73 		$1,407.46
$1,523.64
$1,646.74
$2,084.04 		$1,680.77
$1,796.95
$1,920.05
$2,357.35 		$273.31
Toc - Plan #35 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 5 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$519.59
$589.72
$664.02
$927.97
$1,410.14 		$849.52
$919.65
$993.95
$1,257.90 		$1,179.45
$1,249.58
$1,323.88
$1,587.83 		$1,509.38
$1,579.51
$1,653.81
$1,917.76 		$329.93
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,039.18
$1,179.44
$1,328.04
$1,855.94
$2,820.28 		$1,369.11
$1,509.37
$1,657.97
$2,185.87 		$1,699.04
$1,839.30
$1,987.90
$2,515.80 		$2,028.97
$2,169.23
$2,317.83
$2,845.73 		$329.93
Toc - Plan #36 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 11 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$397.03
$450.62
$507.39
$709.08
$1,077.51 		$649.14
$702.73
$759.50
$961.19 		$901.25
$954.84
$1,011.61
$1,213.30 		$1,153.36
$1,206.95
$1,263.72
$1,465.41 		$252.11
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$794.06
$901.24
$1,014.78
$1,418.16
$2,155.02 		$1,046.17
$1,153.35
$1,266.89
$1,670.27 		$1,298.28
$1,405.46
$1,519.00
$1,922.38 		$1,550.39
$1,657.57
$1,771.11
$2,174.49 		$252.11
Toc - Plan #37 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$364.87
$414.12
$466.29
$651.64
$990.23 		$596.56
$645.81
$697.98
$883.33 		$828.25
$877.50
$929.67
$1,115.02 		$1,059.94
$1,109.19
$1,161.36
$1,346.71 		$231.69
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$729.74
$828.24
$932.58
$1,303.28
$1,980.46 		$961.43
$1,059.93
$1,164.27
$1,534.97 		$1,193.12
$1,291.62
$1,395.96
$1,766.66 		$1,424.81
$1,523.31
$1,627.65
$1,998.35 		$231.69
Toc - Plan #38 Ambetter from Magnolia Health
Bronze

(HMO) Ambetter Essential Care 1 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,600 $17,200 Annual Deductible
$8,600 $17,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333.90
$378.97
$426.72
$596.33
$906.19 		$545.92
$590.99
$638.74
$808.35 		$757.94
$803.01
$850.76
$1,020.37 		$969.96
$1,015.03
$1,062.78
$1,232.39 		$212.02
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$667.80
$757.94
$853.44
$1,192.66
$1,812.38 		$879.82
$969.96
$1,065.46
$1,404.68 		$1,091.84
$1,181.98
$1,277.48
$1,616.70 		$1,303.86
$1,394.00
$1,489.50
$1,828.72 		$212.02
Toc - Plan #39 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care: $1,500 Medical Deductible with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$395.72
$449.13
$505.72
$706.74
$1,073.95 		$647.00
$700.41
$757.00
$958.02 		$898.28
$951.69
$1,008.28
$1,209.30 		$1,149.56
$1,202.97
$1,259.56
$1,460.58 		$251.28
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$791.44
$898.26
$1,011.44
$1,413.48
$2,147.90 		$1,042.72
$1,149.54
$1,262.72
$1,664.76 		$1,294.00
$1,400.82
$1,514.00
$1,916.04 		$1,545.28
$1,652.10
$1,765.28
$2,167.32 		$251.28
Toc - Plan #40 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Essential Care: $0 Medical Deductible with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$417.32
$473.64
$533.32
$745.31
$1,132.57 		$682.31
$738.63
$798.31
$1,010.30 		$947.30
$1,003.62
$1,063.30
$1,275.29 		$1,212.29
$1,268.61
$1,328.29
$1,540.28 		$264.99
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$834.64
$947.28
$1,066.64
$1,490.62
$2,265.14 		$1,099.63
$1,212.27
$1,331.63
$1,755.61 		$1,364.62
$1,477.26
$1,596.62
$2,020.60 		$1,629.61
$1,742.25
$1,861.61
$2,285.59 		$264.99
Toc - Plan #41 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 31 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 Annual Deductible
$6,450 $12,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.13
$417.81
$470.45
$657.46
$999.07 		$601.88
$651.56
$704.20
$891.21 		$835.63
$885.31
$937.95
$1,124.96 		$1,069.38
$1,119.06
$1,171.70
$1,358.71 		$233.75
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$736.26
$835.62
$940.90
$1,314.92
$1,998.14 		$970.01
$1,069.37
$1,174.65
$1,548.67 		$1,203.76
$1,303.12
$1,408.40
$1,782.42 		$1,437.51
$1,536.87
$1,642.15
$2,016.17 		$233.75
Toc - Plan #42 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 32 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$8,100 $16,200 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$379.32
$430.52
$484.76
$677.45
$1,029.45 		$620.18
$671.38
$725.62
$918.31 		$861.04
$912.24
$966.48
$1,159.17 		$1,101.90
$1,153.10
$1,207.34
$1,400.03 		$240.86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$758.64
$861.04
$969.52
$1,354.90
$2,058.90 		$999.50
$1,101.90
$1,210.38
$1,595.76 		$1,240.36
$1,342.76
$1,451.24
$1,836.62 		$1,481.22
$1,583.62
$1,692.10
$2,077.48 		$240.86
Toc - Plan #43 Ambetter from Magnolia Health
Gold

(HMO) Ambetter Secure Care 20 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$486.24
$551.87
$621.40
$868.41
$1,319.63 		$795.00
$860.63
$930.16
$1,177.17 		$1,103.76
$1,169.39
$1,238.92
$1,485.93 		$1,412.52
$1,478.15
$1,547.68
$1,794.69 		$308.76
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$972.48
$1,103.74
$1,242.80
$1,736.82
$2,639.26 		$1,281.24
$1,412.50
$1,551.56
$2,045.58 		$1,590.00
$1,721.26
$1,860.32
$2,354.34 		$1,898.76
$2,030.02
$2,169.08
$2,663.10 		$308.76
Toc - Plan #44 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Balanced Care 12 with Walgreens + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$391.75
$444.62
$500.64
$699.65
$1,063.18 		$640.50
$693.37
$749.39
$948.40 		$889.25
$942.12
$998.14
$1,197.15 		$1,138.00
$1,190.87
$1,246.89
$1,445.90 		$248.75
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$783.50
$889.24
$1,001.28
$1,399.30
$2,126.36 		$1,032.25
$1,137.99
$1,250.03
$1,648.05 		$1,281.00
$1,386.74
$1,498.78
$1,896.80 		$1,529.75
$1,635.49
$1,747.53
$2,145.55 		$248.75
Toc - Plan #45 Ambetter from Magnolia Health
Expanded Bronze

(HMO) Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333.81
$378.87
$426.60
$596.17
$905.94 		$545.77
$590.83
$638.56
$808.13 		$757.73
$802.79
$850.52
$1,020.09 		$969.69
$1,014.75
$1,062.48
$1,232.05 		$211.96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$667.62
$757.74
$853.20
$1,192.34
$1,811.88 		$879.58
$969.70
$1,065.16
$1,404.30 		$1,091.54
$1,181.66
$1,277.12
$1,616.26 		$1,303.50
$1,393.62
$1,489.08
$1,828.22 		$211.96
Toc - Plan #46 Ambetter from Magnolia Health
Silver

(HMO) Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1187

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$358.44
$406.82
$458.08
$640.16
$972.79 		$586.05
$634.43
$685.69
$867.77 		$813.66
$862.04
$913.30
$1,095.38 		$1,041.27
$1,089.65
$1,140.91
$1,322.99 		$227.61
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$716.88
$813.64
$916.16
$1,280.32
$1,945.58 		$944.49
$1,041.25
$1,143.77
$1,507.93 		$1,172.10
$1,268.86
$1,371.38
$1,735.54 		$1,399.71
$1,496.47
$1,598.99
$1,963.15 		$227.61

‡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 Clay County here.

Clay County is in “Rating Area 6” of Mississippi.

Currently, there are 46 plans offered in Rating Area 6.

Top

2022 Obamacare Plans for Clay County, MS

Plan Browser: 46 Plans
scroll down for more
Speak with a Health Insurance Expert 800-943-6832Ads by +HealthNetwork