Obamacare 2022 Rates for Sweet Grass County
Obamacare > Rates > Montana > Sweet Grass County
Obamacare > Rates > Montana > Sweet Grass County
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PacificSource Health PlansLocal: 1-406-442-6589 | Toll Free: 1-877-590-1596 | TTY: 1-800-253-4091 |
Toc - Plan #1 PacificSource Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) Navigator Bronze HSA 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$276.00 $314.00 $353.00 $494.00 $750.00 |
$487.00 $525.00 $564.00 $705.00 |
$698.00 $736.00 $775.00 $916.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$552.00 $628.00 $706.00 $988.00 $1,500.00 |
$763.00 $839.00 $917.00 $1,199.00 |
$974.00 $1,050.00 $1,128.00 $1,410.00 |
Toc - Plan #2 PacificSource Health Plans | ||||||||||||||||||||
Silver
(PPO) Navigator Silver HSA 3500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$381.00 $433.00 $487.00 $681.00 $1,035.00 |
$673.00 $725.00 $779.00 $973.00 |
$965.00 $1,017.00 $1,071.00 $1,265.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$762.00 $866.00 $974.00 $1,362.00 $2,070.00 |
$1,054.00 $1,158.00 $1,266.00 $1,654.00 |
$1,346.00 $1,450.00 $1,558.00 $1,946.00 |
Toc - Plan #3 PacificSource Health Plans | ||||||||||||||||||||
Gold
(PPO) Navigator Gold 1500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$412.00 $467.00 $526.00 $735.00 $1,117.00 |
$727.00 $782.00 $841.00 $1,050.00 |
$1,042.00 $1,097.00 $1,156.00 $1,365.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.00 $934.00 $1,052.00 $1,470.00 $2,234.00 |
$1,139.00 $1,249.00 $1,367.00 $1,785.00 |
$1,454.00 $1,564.00 $1,682.00 $2,100.00 |
Toc - Plan #4 PacificSource Health Plans | ||||||||||||||||||||
Expanded Bronze
(PPO) Navigator Bronze 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$285.00 $323.00 $364.00 $509.00 $773.00 |
$503.00 $541.00 $582.00 $727.00 |
$721.00 $759.00 $800.00 $945.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$570.00 $646.00 $728.00 $1,018.00 $1,546.00 |
$788.00 $864.00 $946.00 $1,236.00 |
$1,006.00 $1,082.00 $1,164.00 $1,454.00 |
Toc - Plan #5 PacificSource Health Plans | ||||||||||||||||||||
Silver
(PPO) Navigator Silver 5000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$369.00 $419.00 $472.00 $659.00 $1,002.00 |
$651.00 $701.00 $754.00 $941.00 |
$933.00 $983.00 $1,036.00 $1,223.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$738.00 $838.00 $944.00 $1,318.00 $2,004.00 |
$1,020.00 $1,120.00 $1,226.00 $1,600.00 |
$1,302.00 $1,402.00 $1,508.00 $1,882.00 |
Toc - Plan #6 PacificSource Health Plans | ||||||||||||||||||||
Bronze
(PPO) Navigator Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-590-1596
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 |
$258.00 $293.00 $330.00 $461.00 $700.00 |
$455.00 $490.00 $527.00 $658.00 |
$652.00 $687.00 $724.00 $855.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$516.00 $586.00 $660.00 $922.00 $1,400.00 |
$713.00 $783.00 $857.00 $1,119.00 |
$910.00 $980.00 $1,054.00 $1,316.00 |
ADVERTISEMENT
Blue Cross and Blue Shield of MontanaLocal: 1-855-258-8471 | Toll Free: 1-855-258-8471 | TTY: 1-406-444-4212 |
Toc - Plan #7 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Gold
(PPO) Blue Preferred Gold PPO? 204 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$430.74 $488.89 $550.48 $769.30 $1,169.02 |
$760.25 $818.40 $879.99 $1,098.81 |
$1,089.76 $1,147.91 $1,209.50 $1,428.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$861.48 $977.78 $1,100.96 $1,538.60 $2,338.04 |
$1,190.99 $1,307.29 $1,430.47 $1,868.11 |
$1,520.50 $1,636.80 $1,759.98 $2,197.62 |
Toc - Plan #8 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 203 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$407.07 $462.02 $520.23 $727.02 $1,104.78 |
$718.48 $773.43 $831.64 $1,038.43 |
$1,029.89 $1,084.84 $1,143.05 $1,349.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$814.14 $924.04 $1,040.46 $1,454.04 $2,209.56 |
$1,125.55 $1,235.45 $1,351.87 $1,765.45 |
$1,436.96 $1,546.86 $1,663.28 $2,076.86 |
Toc - Plan #9 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Preferred Bronze PPO? 201 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$306.51 $347.89 $391.72 $547.43 $831.87 |
$540.99 $582.37 $626.20 $781.91 |
$775.47 $816.85 $860.68 $1,016.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613.02 $695.78 $783.44 $1,094.86 $1,663.74 |
$847.50 $930.26 $1,017.92 $1,329.34 |
$1,081.98 $1,164.74 $1,252.40 $1,563.82 |
Toc - Plan #10 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Preferred Bronze PPO? 202 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$321.51 $364.92 $410.89 $574.22 $872.58 |
$567.47 $610.88 $656.85 $820.18 |
$813.43 $856.84 $902.81 $1,066.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$643.02 $729.84 $821.78 $1,148.44 $1,745.16 |
$888.98 $975.80 $1,067.74 $1,394.40 |
$1,134.94 $1,221.76 $1,313.70 $1,640.36 |
Toc - Plan #11 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Catastrophic
(PPO) Blue Preferred Security PPO? 200 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$267.55 $303.66 $341.92 $477.84 $726.12 |
$472.22 $508.33 $546.59 $682.51 |
$676.89 $713.00 $751.26 $887.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$535.10 $607.32 $683.84 $955.68 $1,452.24 |
$739.77 $811.99 $888.51 $1,160.35 |
$944.44 $1,016.66 $1,093.18 $1,365.02 |
Toc - Plan #12 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 308 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$379.05 $430.23 $484.43 $676.99 $1,028.75 |
$669.03 $720.21 $774.41 $966.97 |
$959.01 $1,010.19 $1,064.39 $1,256.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$758.10 $860.46 $968.86 $1,353.98 $2,057.50 |
$1,048.08 $1,150.44 $1,258.84 $1,643.96 |
$1,338.06 $1,440.42 $1,548.82 $1,933.94 |
Toc - Plan #13 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Bronze
(PPO) Blue Preferred Bronze PPO? 301 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$291.58 $330.94 $372.64 $520.76 $791.35 |
$514.64 $554.00 $595.70 $743.82 |
$737.70 $777.06 $818.76 $966.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$583.16 $661.88 $745.28 $1,041.52 $1,582.70 |
$806.22 $884.94 $968.34 $1,264.58 |
$1,029.28 $1,108.00 $1,191.40 $1,487.64 |
Toc - Plan #14 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Gold
(HMO) Blue Focus Gold POS? 207 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$305.82 $347.11 $390.84 $546.19 $829.99 |
$539.77 $581.06 $624.79 $780.14 |
$773.72 $815.01 $858.74 $1,014.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$611.64 $694.22 $781.68 $1,092.38 $1,659.98 |
$845.59 $928.17 $1,015.63 $1,326.33 |
$1,079.54 $1,162.12 $1,249.58 $1,560.28 |
Toc - Plan #15 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Silver
(HMO) Blue Focus Silver POS? 206 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$279.48 $317.21 $357.18 $499.16 $758.52 |
$493.29 $531.02 $570.99 $712.97 |
$707.10 $744.83 $784.80 $926.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$558.96 $634.42 $714.36 $998.32 $1,517.04 |
$772.77 $848.23 $928.17 $1,212.13 |
$986.58 $1,062.04 $1,141.98 $1,425.94 |
Toc - Plan #16 Blue Cross and Blue Shield of Montana | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Focus Bronze POS? 205 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-258-8471
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 |
$205.57 $233.33 $262.72 $367.16 $557.93 |
$362.83 $390.59 $419.98 $524.42 |
$520.09 $547.85 $577.24 $681.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$411.14 $466.66 $525.44 $734.32 $1,115.86 |
$568.40 $623.92 $682.70 $891.58 |
$725.66 $781.18 $839.96 $1,048.84 |
ADVERTISEMENT
Mountain Health CO-OPLocal: 1-406-447-9510 | Toll Free: 1-855-447-2900 | TTY: 1-855-447-2900 |
Toc - Plan #17 Mountain Health CO-OP | ||||||||||||||||||||
Gold
(PPO) PLUS IND GOLD MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$373.67 $424.12 $477.55 $667.37 $1,014.14 |
$659.53 $709.98 $763.41 $953.23 |
$945.39 $995.84 $1,049.27 $1,239.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$747.34 $848.24 $955.10 $1,334.74 $2,028.28 |
$1,033.20 $1,134.10 $1,240.96 $1,620.60 |
$1,319.06 $1,419.96 $1,526.82 $1,906.46 |
Toc - Plan #18 Mountain Health CO-OP | ||||||||||||||||||||
Silver
(PPO) PLUS IND SILVER MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$340.47 $386.44 $435.13 $608.09 $924.05 |
$600.93 $646.90 $695.59 $868.55 |
$861.39 $907.36 $956.05 $1,129.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.94 $772.88 $870.26 $1,216.18 $1,848.10 |
$941.40 $1,033.34 $1,130.72 $1,476.64 |
$1,201.86 $1,293.80 $1,391.18 $1,737.10 |
Toc - Plan #19 Mountain Health CO-OP | ||||||||||||||||||||
Expanded Bronze
(PPO) PLUS IND BRONZE MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$254.61 $288.99 $325.39 $454.74 $691.02 |
$449.39 $483.77 $520.17 $649.52 |
$644.17 $678.55 $714.95 $844.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$509.22 $577.98 $650.78 $909.48 $1,382.04 |
$704.00 $772.76 $845.56 $1,104.26 |
$898.78 $967.54 $1,040.34 $1,299.04 |
Toc - Plan #20 Mountain Health CO-OP | ||||||||||||||||||||
Expanded Bronze
(PPO) PLUS IND BRONZE MT HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.00 $299.64 $337.40 $471.51 $716.50 |
$465.96 $501.60 $539.36 $673.47 |
$667.92 $703.56 $741.32 $875.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$528.00 $599.28 $674.80 $943.02 $1,433.00 |
$729.96 $801.24 $876.76 $1,144.98 |
$931.92 $1,003.20 $1,078.72 $1,346.94 |
Toc - Plan #21 Mountain Health CO-OP | ||||||||||||||||||||
Gold
(PPO) CONNECT IND GOLD MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$392.52 $445.51 $501.63 $701.03 $1,065.29 |
$692.79 $745.78 $801.90 $1,001.30 |
$993.06 $1,046.05 $1,102.17 $1,301.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$785.04 $891.02 $1,003.26 $1,402.06 $2,130.58 |
$1,085.31 $1,191.29 $1,303.53 $1,702.33 |
$1,385.58 $1,491.56 $1,603.80 $2,002.60 |
Toc - Plan #22 Mountain Health CO-OP | ||||||||||||||||||||
Silver
(PPO) CONNECT IND SILVER MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$362.79 $411.76 $463.64 $647.94 $984.60 |
$640.32 $689.29 $741.17 $925.47 |
$917.85 $966.82 $1,018.70 $1,203.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$725.58 $823.52 $927.28 $1,295.88 $1,969.20 |
$1,003.11 $1,101.05 $1,204.81 $1,573.41 |
$1,280.64 $1,378.58 $1,482.34 $1,850.94 |
Toc - Plan #23 Mountain Health CO-OP | ||||||||||||||||||||
Expanded Bronze
(PPO) CONNECT IND BRONZE MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$262.87 $298.36 $335.95 $469.48 $713.42 |
$463.96 $499.45 $537.04 $670.57 |
$665.05 $700.54 $738.13 $871.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$525.74 $596.72 $671.90 $938.96 $1,426.84 |
$726.83 $797.81 $872.99 $1,140.05 |
$927.92 $998.90 $1,074.08 $1,341.14 |
Toc - Plan #24 Mountain Health CO-OP | ||||||||||||||||||||
Expanded Bronze
(PPO) CONNECT IND BRONZE MT HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$275.06 $312.19 $351.52 $491.25 $746.50 |
$485.48 $522.61 $561.94 $701.67 |
$695.90 $733.03 $772.36 $912.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.12 $624.38 $703.04 $982.50 $1,493.00 |
$760.54 $834.80 $913.46 $1,192.92 |
$970.96 $1,045.22 $1,123.88 $1,403.34 |
Toc - Plan #25 Mountain Health CO-OP | ||||||||||||||||||||
Silver
(PPO) CONNECT IND SILVER MT OPTION 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$355.81 $403.84 $454.72 $635.47 $965.66 |
$628.00 $676.03 $726.91 $907.66 |
$900.19 $948.22 $999.10 $1,179.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$711.62 $807.68 $909.44 $1,270.94 $1,931.32 |
$983.81 $1,079.87 $1,181.63 $1,543.13 |
$1,256.00 $1,352.06 $1,453.82 $1,815.32 |
Toc - Plan #26 Mountain Health CO-OP | ||||||||||||||||||||
Catastrophic
(PPO) CONNECT IND CATASTROPHIC MT |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$207.32 $235.31 $264.96 $370.28 $562.67 |
$365.92 $393.91 $423.56 $528.88 |
$524.52 $552.51 $582.16 $687.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$414.64 $470.62 $529.92 $740.56 $1,125.34 |
$573.24 $629.22 $688.52 $899.16 |
$731.84 $787.82 $847.12 $1,057.76 |
Toc - Plan #27 Mountain Health CO-OP | ||||||||||||||||||||
Expanded Bronze
(PPO) CONNECT IND BRONZE MT EXPANDED |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$271.46 $308.11 $346.93 $484.83 $736.74 |
$479.13 $515.78 $554.60 $692.50 |
$686.80 $723.45 $762.27 $900.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$542.92 $616.22 $693.86 $969.66 $1,473.48 |
$750.59 $823.89 $901.53 $1,177.33 |
$958.26 $1,031.56 $1,109.20 $1,385.00 |
Toc - Plan #28 Mountain Health CO-OP | ||||||||||||||||||||
Gold
(PPO) CONNECT IND GOLD MT BASE |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$370.56 $420.59 $473.58 $661.83 $1,005.71 |
$654.04 $704.07 $757.06 $945.31 |
$937.52 $987.55 $1,040.54 $1,228.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741.12 $841.18 $947.16 $1,323.66 $2,011.42 |
$1,024.60 $1,124.66 $1,230.64 $1,607.14 |
$1,308.08 $1,408.14 $1,514.12 $1,890.62 |
Toc - Plan #29 Mountain Health CO-OP | ||||||||||||||||||||
Silver
(PPO) CONNECT IND SILVER BASE |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-447-2900
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 |
$348.04 $395.03 $444.80 $621.60 $944.59 |
$614.29 $661.28 $711.05 $887.85 |
$880.54 $927.53 $977.30 $1,154.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$696.08 $790.06 $889.60 $1,243.20 $1,889.18 |
$962.33 $1,056.31 $1,155.85 $1,509.45 |
$1,228.58 $1,322.56 $1,422.10 $1,775.70 |
‡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 Sweet Grass County here.
Sweet Grass County is in “Rating Area 1” of Montana.
Currently, there are 29 plans offered in Rating Area 1.