Obamacare 2022 Rates for Richmond County
Obamacare > Rates > North Carolina > Richmond County
Obamacare > Rates > North Carolina > Richmond County
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Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold 2500 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$520.21 $590.44 $664.83 $929.10 $1,411.85 |
$918.17 $988.40 $1,062.79 $1,327.06 |
$1,316.13 $1,386.36 $1,460.75 $1,725.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,040.42 $1,180.88 $1,329.66 $1,858.20 $2,823.70 |
$1,438.38 $1,578.84 $1,727.62 $2,256.16 |
$1,836.34 $1,976.80 $2,125.58 $2,654.12 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 3800 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$537.52 $610.09 $686.95 $960.01 $1,458.83 |
$948.72 $1,021.29 $1,098.15 $1,371.21 |
$1,359.92 $1,432.49 $1,509.35 $1,782.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,075.04 $1,220.18 $1,373.90 $1,920.02 $2,917.66 |
$1,486.24 $1,631.38 $1,785.10 $2,331.22 |
$1,897.44 $2,042.58 $2,196.30 $2,742.42 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver $0 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$536.30 $608.70 $685.39 $957.83 $1,455.52 |
$946.57 $1,018.97 $1,095.66 $1,368.10 |
$1,356.84 $1,429.24 $1,505.93 $1,778.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,072.60 $1,217.40 $1,370.78 $1,915.66 $2,911.04 |
$1,482.87 $1,627.67 $1,781.05 $2,325.93 |
$1,893.14 $2,037.94 $2,191.32 $2,736.20 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 5300 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$496.65 $563.70 $634.72 $887.02 $1,347.91 |
$876.59 $943.64 $1,014.66 $1,266.96 |
$1,256.53 $1,323.58 $1,394.60 $1,646.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$993.30 $1,127.40 $1,269.44 $1,774.04 $2,695.82 |
$1,373.24 $1,507.34 $1,649.38 $2,153.98 |
$1,753.18 $1,887.28 $2,029.32 $2,533.92 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 2800 + $15 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$518.44 $588.43 $662.57 $925.93 $1,407.05 |
$915.05 $985.04 $1,059.18 $1,322.54 |
$1,311.66 $1,381.65 $1,455.79 $1,719.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,036.88 $1,176.86 $1,325.14 $1,851.86 $2,814.10 |
$1,433.49 $1,573.47 $1,721.75 $2,248.47 |
$1,830.10 $1,970.08 $2,118.36 $2,645.08 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver 6000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$515.39 $584.97 $658.67 $920.49 $1,398.77 |
$909.66 $979.24 $1,052.94 $1,314.76 |
$1,303.93 $1,373.51 $1,447.21 $1,709.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,030.78 $1,169.94 $1,317.34 $1,840.98 $2,797.54 |
$1,425.05 $1,564.21 $1,711.61 $2,235.25 |
$1,819.32 $1,958.48 $2,105.88 $2,629.52 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$387.19 $439.46 $494.83 $691.52 $1,050.83 |
$683.39 $735.66 $791.03 $987.72 |
$979.59 $1,031.86 $1,087.23 $1,283.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.38 $878.92 $989.66 $1,383.04 $2,101.66 |
$1,070.58 $1,175.12 $1,285.86 $1,679.24 |
$1,366.78 $1,471.32 $1,582.06 $1,975.44 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 + 3 Free PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$363.36 $412.41 $464.37 $648.96 $986.16 |
$641.33 $690.38 $742.34 $926.93 |
$919.30 $968.35 $1,020.31 $1,204.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$726.72 $824.82 $928.74 $1,297.92 $1,972.32 |
$1,004.69 $1,102.79 $1,206.71 $1,575.89 |
$1,282.66 $1,380.76 $1,484.68 $1,853.86 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze 7000 HSA Eligible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$376.49 $427.32 $481.15 $672.41 $1,021.79 |
$664.50 $715.33 $769.16 $960.42 |
$952.51 $1,003.34 $1,057.17 $1,248.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$752.98 $854.64 $962.30 $1,344.82 $2,043.58 |
$1,040.99 $1,142.65 $1,250.31 $1,632.83 |
$1,329.00 $1,430.66 $1,538.32 $1,920.84 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze 8700 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$359.48 $408.01 $459.42 $642.03 $975.63 |
$634.48 $683.01 $734.42 $917.03 |
$909.48 $958.01 $1,009.42 $1,192.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$718.96 $816.02 $918.84 $1,284.06 $1,951.26 |
$993.96 $1,091.02 $1,193.84 $1,559.06 |
$1,268.96 $1,366.02 $1,468.84 $1,834.06 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(PPO) Blue Advantage Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$256.16 $290.74 $327.37 $457.50 $695.22 |
$452.12 $486.70 $523.33 $653.46 |
$648.08 $682.66 $719.29 $849.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$512.32 $581.48 $654.74 $915.00 $1,390.44 |
$708.28 $777.44 $850.70 $1,110.96 |
$904.24 $973.40 $1,046.66 $1,306.92 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-312-332-5401 | Toll Free: 1-800-779-7989 |
Toc - Plan #12 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$523.61 $594.28 $669.16 $935.14 $1,421.04 |
$924.16 $994.83 $1,069.71 $1,335.69 |
$1,324.71 $1,395.38 $1,470.26 $1,736.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,047.22 $1,188.56 $1,338.32 $1,870.28 $2,842.08 |
$1,447.77 $1,589.11 $1,738.87 $2,270.83 |
$1,848.32 $1,989.66 $2,139.42 $2,671.38 |
Toc - Plan #13 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$747.76 $848.69 $955.62 $1,335.48 $2,029.39 |
$1,319.79 $1,420.72 $1,527.65 $1,907.51 |
$1,891.82 $1,992.75 $2,099.68 $2,479.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,495.52 $1,697.38 $1,911.24 $2,670.96 $4,058.78 |
$2,067.55 $2,269.41 $2,483.27 $3,242.99 |
$2,639.58 $2,841.44 $3,055.30 $3,815.02 |
Toc - Plan #14 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-779-7989
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 |
$741.36 $841.43 $947.45 $1,324.05 $2,012.02 |
$1,308.49 $1,408.56 $1,514.58 $1,891.18 |
$1,875.62 $1,975.69 $2,081.71 $2,458.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,482.72 $1,682.86 $1,894.90 $2,648.10 $4,024.04 |
$2,049.85 $2,249.99 $2,462.03 $3,215.23 |
$2,616.98 $2,817.12 $3,029.16 $3,782.36 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$412.88 $468.62 $527.67 $737.41 $1,120.57 |
$728.74 $784.48 $843.53 $1,053.27 |
$1,044.60 $1,100.34 $1,159.39 $1,369.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$825.76 $937.24 $1,055.34 $1,474.82 $2,241.14 |
$1,141.62 $1,253.10 $1,371.20 $1,790.68 |
$1,457.48 $1,568.96 $1,687.06 $2,106.54 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ Saver ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$432.69 $491.10 $552.97 $772.78 $1,174.31 |
$763.69 $822.10 $883.97 $1,103.78 |
$1,094.69 $1,153.10 $1,214.97 $1,434.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$865.38 $982.20 $1,105.94 $1,545.56 $2,348.62 |
$1,196.38 $1,313.20 $1,436.94 $1,876.56 |
$1,527.38 $1,644.20 $1,767.94 $2,207.56 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + Unlimited Free Primary Care & Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$433.87 $492.44 $554.48 $774.89 $1,177.52 |
$765.78 $824.35 $886.39 $1,106.80 |
$1,097.69 $1,156.26 $1,218.30 $1,438.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$867.74 $984.88 $1,108.96 $1,549.78 $2,355.04 |
$1,199.65 $1,316.79 $1,440.87 $1,881.69 |
$1,531.56 $1,648.70 $1,772.78 $2,213.60 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$307.08 $348.53 $392.44 $548.44 $833.41 |
$541.99 $583.44 $627.35 $783.35 |
$776.90 $818.35 $862.26 $1,018.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$614.16 $697.06 $784.88 $1,096.88 $1,666.82 |
$849.07 $931.97 $1,019.79 $1,331.79 |
$1,083.98 $1,166.88 $1,254.70 $1,566.70 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($2 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 $467.62 $526.53 $735.83 $1,118.16 |
$727.18 $782.80 $841.71 $1,051.01 |
$1,042.36 $1,097.98 $1,156.89 $1,366.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.00 $935.24 $1,053.06 $1,471.66 $2,236.32 |
$1,139.18 $1,250.42 $1,368.24 $1,786.84 |
$1,454.36 $1,565.60 $1,683.42 $2,102.02 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ Extra ($2 Rx + Dental + Vision + 3 Free Primary Care & 6 Free Virtual Visits)ays) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$418.50 $475.00 $534.84 $747.44 $1,135.81 |
$738.65 $795.15 $854.99 $1,067.59 |
$1,058.80 $1,115.30 $1,175.14 $1,387.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$837.00 $950.00 $1,069.68 $1,494.88 $2,271.62 |
$1,157.15 $1,270.15 $1,389.83 $1,815.03 |
$1,477.30 $1,590.30 $1,709.98 $2,135.18 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
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 |
$430.91 $489.09 $550.71 $769.61 $1,169.50 |
$760.56 $818.74 $880.36 $1,099.26 |
$1,090.21 $1,148.39 $1,210.01 $1,428.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$861.82 $978.18 $1,101.42 $1,539.22 $2,339.00 |
$1,191.47 $1,307.83 $1,431.07 $1,868.87 |
$1,521.12 $1,637.48 $1,760.72 $2,198.52 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ (HSA) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.81 $353.90 $398.49 $556.89 $846.24 |
$550.34 $592.43 $637.02 $795.42 |
$788.87 $830.96 $875.55 $1,033.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.62 $707.80 $796.98 $1,113.78 $1,692.48 |
$862.15 $946.33 $1,035.51 $1,352.31 |
$1,100.68 $1,184.86 $1,274.04 $1,590.84 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential+ (Low Premium) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.55 $335.45 $377.71 $527.85 $802.12 |
$521.65 $561.55 $603.81 $753.95 |
$747.75 $787.65 $829.91 $980.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.10 $670.90 $755.42 $1,055.70 $1,604.24 |
$817.20 $897.00 $981.52 $1,281.80 |
$1,043.30 $1,123.10 $1,207.62 $1,507.90 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.73 $487.74 $549.20 $767.50 $1,166.29 |
$758.47 $816.48 $877.94 $1,096.24 |
$1,087.21 $1,145.22 $1,206.68 $1,424.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.46 $975.48 $1,098.40 $1,535.00 $2,332.58 |
$1,188.20 $1,304.22 $1,427.14 $1,863.74 |
$1,516.94 $1,632.96 $1,755.88 $2,192.48 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value+ ($3 Rx + 3 Free Primary Care & 6 Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.67 $349.20 $393.20 $549.50 $835.01 |
$543.04 $584.57 $628.57 $784.87 |
$778.41 $819.94 $863.94 $1,020.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.34 $698.40 $786.40 $1,099.00 $1,670.02 |
$850.71 $933.77 $1,021.77 $1,334.37 |
$1,086.08 $1,169.14 $1,257.14 $1,569.74 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #26 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Cigna Connect 8700 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.09 $487.02 $548.38 $766.36 $1,164.55 |
$757.35 $815.28 $876.64 $1,094.62 |
$1,085.61 $1,143.54 $1,204.90 $1,422.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858.18 $974.04 $1,096.76 $1,532.72 $2,329.10 |
$1,186.44 $1,302.30 $1,425.02 $1,860.98 |
$1,514.70 $1,630.56 $1,753.28 $2,189.24 |
Toc - Plan #27 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7300 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.60 $509.16 $573.31 $801.19 $1,217.49 |
$791.78 $852.34 $916.49 $1,144.37 |
$1,134.96 $1,195.52 $1,259.67 $1,487.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.20 $1,018.32 $1,146.62 $1,602.38 $2,434.98 |
$1,240.38 $1,361.50 $1,489.80 $1,945.56 |
$1,583.56 $1,704.68 $1,832.98 $2,288.74 |
Toc - Plan #28 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 5900 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.06 $516.49 $581.57 $812.74 $1,235.04 |
$803.18 $864.61 $929.69 $1,160.86 |
$1,151.30 $1,212.73 $1,277.81 $1,508.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.12 $1,032.98 $1,163.14 $1,625.48 $2,470.08 |
$1,258.24 $1,381.10 $1,511.26 $1,973.60 |
$1,606.36 $1,729.22 $1,859.38 $2,321.72 |
Toc - Plan #29 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 5500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.45 $549.85 $619.13 $865.23 $1,314.80 |
$855.06 $920.46 $989.74 $1,235.84 |
$1,225.67 $1,291.07 $1,360.35 $1,606.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.90 $1,099.70 $1,238.26 $1,730.46 $2,629.60 |
$1,339.51 $1,470.31 $1,608.87 $2,101.07 |
$1,710.12 $1,840.92 $1,979.48 $2,471.68 |
Toc - Plan #30 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.73 $551.31 $620.77 $867.52 $1,318.28 |
$857.32 $922.90 $992.36 $1,239.11 |
$1,228.91 $1,294.49 $1,363.95 $1,610.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.46 $1,102.62 $1,241.54 $1,735.04 $2,636.56 |
$1,343.05 $1,474.21 $1,613.13 $2,106.63 |
$1,714.64 $1,845.80 $1,984.72 $2,478.22 |
Toc - Plan #31 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.91 $552.64 $622.27 $869.62 $1,321.47 |
$859.40 $925.13 $994.76 $1,242.11 |
$1,231.89 $1,297.62 $1,367.25 $1,614.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$973.82 $1,105.28 $1,244.54 $1,739.24 $2,642.94 |
$1,346.31 $1,477.77 $1,617.03 $2,111.73 |
$1,718.80 $1,850.26 $1,989.52 $2,484.22 |
Toc - Plan #32 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 2000B ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$705.36 $800.58 $901.45 $1,259.77 $1,914.34 |
$1,244.96 $1,340.18 $1,441.05 $1,799.37 |
$1,784.56 $1,879.78 $1,980.65 $2,338.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,410.72 $1,601.16 $1,802.90 $2,519.54 $3,828.68 |
$1,950.32 $2,140.76 $2,342.50 $3,059.14 |
$2,489.92 $2,680.36 $2,882.10 $3,598.74 |
Toc - Plan #33 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.52 $551.07 $620.49 $867.14 $1,317.70 |
$856.94 $922.49 $991.91 $1,238.56 |
$1,228.36 $1,293.91 $1,363.33 $1,609.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.04 $1,102.14 $1,240.98 $1,734.28 $2,635.40 |
$1,342.46 $1,473.56 $1,612.40 $2,105.70 |
$1,713.88 $1,844.98 $1,983.82 $2,477.12 |
Toc - Plan #34 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) 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:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.61 $550.03 $619.33 $865.52 $1,315.24 |
$855.34 $920.76 $990.06 $1,236.25 |
$1,226.07 $1,291.49 $1,360.79 $1,606.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.22 $1,100.06 $1,238.66 $1,731.04 $2,630.48 |
$1,339.95 $1,470.79 $1,609.39 $2,101.77 |
$1,710.68 $1,841.52 $1,980.12 $2,472.50 |
ADVERTISEMENT
Ambetter of North CarolinaLocal: 1-833-863-1310 | Toll Free: 1-833-863-1310 |
Toc - Plan #35 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.19 $370.22 $416.86 $582.56 $885.26 |
$575.72 $619.75 $666.39 $832.09 |
$825.25 $869.28 $915.92 $1,081.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.38 $740.44 $833.72 $1,165.12 $1,770.52 |
$901.91 $989.97 $1,083.25 $1,414.65 |
$1,151.44 $1,239.50 $1,332.78 $1,664.18 |
Toc - Plan #36 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.81 $406.10 $457.27 $639.03 $971.07 |
$631.53 $679.82 $730.99 $912.75 |
$905.25 $953.54 $1,004.71 $1,186.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.62 $812.20 $914.54 $1,278.06 $1,942.14 |
$989.34 $1,085.92 $1,188.26 $1,551.78 |
$1,263.06 $1,359.64 $1,461.98 $1,825.50 |
Toc - Plan #37 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.56 $519.31 $584.74 $817.18 $1,241.78 |
$807.58 $869.33 $934.76 $1,167.20 |
$1,157.60 $1,219.35 $1,284.78 $1,517.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.12 $1,038.62 $1,169.48 $1,634.36 $2,483.56 |
$1,265.14 $1,388.64 $1,519.50 $1,984.38 |
$1,615.16 $1,738.66 $1,869.52 $2,334.40 |
Toc - Plan #38 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.94 $561.74 $632.52 $883.94 $1,343.23 |
$873.56 $940.36 $1,011.14 $1,262.56 |
$1,252.18 $1,318.98 $1,389.76 $1,641.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$989.88 $1,123.48 $1,265.04 $1,767.88 $2,686.46 |
$1,368.50 $1,502.10 $1,643.66 $2,146.50 |
$1,747.12 $1,880.72 $2,022.28 $2,525.12 |
Toc - Plan #39 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.20 $513.24 $577.90 $807.61 $1,227.25 |
$798.13 $859.17 $923.83 $1,153.54 |
$1,144.06 $1,205.10 $1,269.76 $1,499.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.40 $1,026.48 $1,155.80 $1,615.22 $2,454.50 |
$1,250.33 $1,372.41 $1,501.73 $1,961.15 |
$1,596.26 $1,718.34 $1,847.66 $2,307.08 |
Toc - Plan #40 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.27 $398.68 $448.91 $627.35 $953.31 |
$619.98 $667.39 $717.62 $896.06 |
$888.69 $936.10 $986.33 $1,164.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.54 $797.36 $897.82 $1,254.70 $1,906.62 |
$971.25 $1,066.07 $1,166.53 $1,523.41 |
$1,239.96 $1,334.78 $1,435.24 $1,792.12 |
Toc - Plan #41 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.00 $423.34 $476.68 $666.16 $1,012.30 |
$658.34 $708.68 $762.02 $951.50 |
$943.68 $994.02 $1,047.36 $1,236.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.00 $846.68 $953.36 $1,332.32 $2,024.60 |
$1,031.34 $1,132.02 $1,238.70 $1,617.66 |
$1,316.68 $1,417.36 $1,524.04 $1,903.00 |
Toc - Plan #42 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.47 $432.95 $487.50 $681.28 $1,035.27 |
$673.28 $724.76 $779.31 $973.09 |
$965.09 $1,016.57 $1,071.12 $1,264.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.94 $865.90 $975.00 $1,362.56 $2,070.54 |
$1,054.75 $1,157.71 $1,266.81 $1,654.37 |
$1,346.56 $1,449.52 $1,558.62 $1,946.18 |
Toc - Plan #43 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.64 $454.71 $512.00 $715.52 $1,087.30 |
$707.12 $761.19 $818.48 $1,022.00 |
$1,013.60 $1,067.67 $1,124.96 $1,328.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.28 $909.42 $1,024.00 $1,431.04 $2,174.60 |
$1,107.76 $1,215.90 $1,330.48 $1,737.52 |
$1,414.24 $1,522.38 $1,636.96 $2,044.00 |
Toc - Plan #44 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.35 $491.84 $553.81 $773.95 $1,176.09 |
$764.86 $823.35 $885.32 $1,105.46 |
$1,096.37 $1,154.86 $1,216.83 $1,436.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.70 $983.68 $1,107.62 $1,547.90 $2,352.18 |
$1,198.21 $1,315.19 $1,439.13 $1,879.41 |
$1,529.72 $1,646.70 $1,770.64 $2,210.92 |
Toc - Plan #45 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.40 $491.89 $553.87 $774.03 $1,176.21 |
$764.94 $823.43 $885.41 $1,105.57 |
$1,096.48 $1,154.97 $1,216.95 $1,437.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.80 $983.78 $1,107.74 $1,548.06 $2,352.42 |
$1,198.34 $1,315.32 $1,439.28 $1,879.60 |
$1,529.88 $1,646.86 $1,770.82 $2,211.14 |
Toc - Plan #46 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.02 $498.28 $561.06 $784.08 $1,191.49 |
$774.87 $834.13 $896.91 $1,119.93 |
$1,110.72 $1,169.98 $1,232.76 $1,455.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$878.04 $996.56 $1,122.12 $1,568.16 $2,382.98 |
$1,213.89 $1,332.41 $1,457.97 $1,904.01 |
$1,549.74 $1,668.26 $1,793.82 $2,239.86 |
Toc - Plan #47 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.19 $526.84 $593.22 $829.02 $1,259.78 |
$819.29 $881.94 $948.32 $1,184.12 |
$1,174.39 $1,237.04 $1,303.42 $1,539.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.38 $1,053.68 $1,186.44 $1,658.04 $2,519.56 |
$1,283.48 $1,408.78 $1,541.54 $2,013.14 |
$1,638.58 $1,763.88 $1,896.64 $2,368.24 |
Toc - Plan #48 Ambetter of North Carolina | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.69 $386.68 $435.40 $608.46 $924.62 |
$601.31 $647.30 $696.02 $869.08 |
$861.93 $907.92 $956.64 $1,129.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.38 $773.36 $870.80 $1,216.92 $1,849.24 |
$942.00 $1,033.98 $1,131.42 $1,477.54 |
$1,202.62 $1,294.60 $1,392.04 $1,738.16 |
Toc - Plan #49 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.72 $424.16 $477.60 $667.44 $1,014.24 |
$659.61 $710.05 $763.49 $953.33 |
$945.50 $995.94 $1,049.38 $1,239.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.44 $848.32 $955.20 $1,334.88 $2,028.48 |
$1,033.33 $1,134.21 $1,241.09 $1,620.77 |
$1,319.22 $1,420.10 $1,526.98 $1,906.66 |
Toc - Plan #50 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.90 $542.40 $610.74 $853.50 $1,296.98 |
$843.48 $907.98 $976.32 $1,219.08 |
$1,209.06 $1,273.56 $1,341.90 $1,584.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.80 $1,084.80 $1,221.48 $1,707.00 $2,593.96 |
$1,321.38 $1,450.38 $1,587.06 $2,072.58 |
$1,686.96 $1,815.96 $1,952.64 $2,438.16 |
Toc - Plan #51 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.94 $586.71 $660.64 $923.24 $1,402.95 |
$912.39 $982.16 $1,056.09 $1,318.69 |
$1,307.84 $1,377.61 $1,451.54 $1,714.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.88 $1,173.42 $1,321.28 $1,846.48 $2,805.90 |
$1,429.33 $1,568.87 $1,716.73 $2,241.93 |
$1,824.78 $1,964.32 $2,112.18 $2,637.38 |
Toc - Plan #52 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.30 $536.05 $603.59 $843.52 $1,281.81 |
$833.61 $897.36 $964.90 $1,204.83 |
$1,194.92 $1,258.67 $1,326.21 $1,566.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.60 $1,072.10 $1,207.18 $1,687.04 $2,563.62 |
$1,305.91 $1,433.41 $1,568.49 $2,048.35 |
$1,667.22 $1,794.72 $1,929.80 $2,409.66 |
Toc - Plan #53 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.88 $416.40 $468.86 $655.23 $995.69 |
$647.54 $697.06 $749.52 $935.89 |
$928.20 $977.72 $1,030.18 $1,216.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.76 $832.80 $937.72 $1,310.46 $1,991.38 |
$1,014.42 $1,113.46 $1,218.38 $1,591.12 |
$1,295.08 $1,394.12 $1,499.04 $1,871.78 |
Toc - Plan #54 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.58 $442.16 $497.87 $695.78 $1,057.30 |
$687.60 $740.18 $795.89 $993.80 |
$985.62 $1,038.20 $1,093.91 $1,291.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.16 $884.32 $995.74 $1,391.56 $2,114.60 |
$1,077.18 $1,182.34 $1,293.76 $1,689.58 |
$1,375.20 $1,480.36 $1,591.78 $1,987.60 |
Toc - Plan #55 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.42 $452.20 $509.17 $711.57 $1,081.29 |
$703.21 $756.99 $813.96 $1,016.36 |
$1,008.00 $1,061.78 $1,118.75 $1,321.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.84 $904.40 $1,018.34 $1,423.14 $2,162.58 |
$1,101.63 $1,209.19 $1,323.13 $1,727.93 |
$1,406.42 $1,513.98 $1,627.92 $2,032.72 |
Toc - Plan #56 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.45 $474.93 $534.76 $747.33 $1,135.64 |
$738.55 $795.03 $854.86 $1,067.43 |
$1,058.65 $1,115.13 $1,174.96 $1,387.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.90 $949.86 $1,069.52 $1,494.66 $2,271.28 |
$1,157.00 $1,269.96 $1,389.62 $1,814.76 |
$1,477.10 $1,590.06 $1,709.72 $2,134.86 |
Toc - Plan #57 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.66 $513.76 $578.49 $808.44 $1,228.50 |
$798.94 $860.04 $924.77 $1,154.72 |
$1,145.22 $1,206.32 $1,271.05 $1,501.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.32 $1,027.52 $1,156.98 $1,616.88 $2,457.00 |
$1,251.60 $1,373.80 $1,503.26 $1,963.16 |
$1,597.88 $1,720.08 $1,849.54 $2,309.44 |
Toc - Plan #58 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.54 $520.43 $586.00 $818.94 $1,244.45 |
$809.32 $871.21 $936.78 $1,169.72 |
$1,160.10 $1,221.99 $1,287.56 $1,520.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.08 $1,040.86 $1,172.00 $1,637.88 $2,488.90 |
$1,267.86 $1,391.64 $1,522.78 $1,988.66 |
$1,618.64 $1,742.42 $1,873.56 $2,339.44 |
Toc - Plan #59 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.83 $550.27 $619.59 $865.88 $1,315.79 |
$855.71 $921.15 $990.47 $1,236.76 |
$1,226.59 $1,292.03 $1,361.35 $1,607.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.66 $1,100.54 $1,239.18 $1,731.76 $2,631.58 |
$1,340.54 $1,471.42 $1,610.06 $2,102.64 |
$1,711.42 $1,842.30 $1,980.94 $2,473.52 |
‡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 Richmond County here.
Richmond County is in “Rating Area 9” of North Carolina.
Currently, there are 59 plans offered in Rating Area 9.