Obamacare 2022 Rates for Lee County
Obamacare > Rates > South Carolina > Lee County
Obamacare > Rates > South Carolina > Lee County
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BlueCross BlueShield of South CarolinaLocal: 1-855-404-6752 | Toll Free: 1-855-404-6752 | TTY: 1-855-889-4325 |
Toc - Plan #1 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$464.36 $527.05 $593.46 $829.35 $1,260.28 |
$819.60 $882.29 $948.70 $1,184.59 |
$1,174.84 $1,237.53 $1,303.94 $1,539.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$928.72 $1,054.10 $1,186.92 $1,658.70 $2,520.56 |
$1,283.96 $1,409.34 $1,542.16 $2,013.94 |
$1,639.20 $1,764.58 $1,897.40 $2,369.18 |
Toc - Plan #2 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$488.82 $554.81 $624.71 $873.04 $1,326.66 |
$862.77 $928.76 $998.66 $1,246.99 |
$1,236.72 $1,302.71 $1,372.61 $1,620.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$977.64 $1,109.62 $1,249.42 $1,746.08 $2,653.32 |
$1,351.59 $1,483.57 $1,623.37 $2,120.03 |
$1,725.54 $1,857.52 $1,997.32 $2,493.98 |
Toc - Plan #3 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$476.70 $541.05 $609.22 $851.38 $1,293.76 |
$841.37 $905.72 $973.89 $1,216.05 |
$1,206.04 $1,270.39 $1,338.56 $1,580.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$953.40 $1,082.10 $1,218.44 $1,702.76 $2,587.52 |
$1,318.07 $1,446.77 $1,583.11 $2,067.43 |
$1,682.74 $1,811.44 $1,947.78 $2,432.10 |
Toc - Plan #4 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Bronze 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$299.73 $340.19 $383.05 $535.31 $813.46 |
$529.02 $569.48 $612.34 $764.60 |
$758.31 $798.77 $841.63 $993.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$599.46 $680.38 $766.10 $1,070.62 $1,626.92 |
$828.75 $909.67 $995.39 $1,299.91 |
$1,058.04 $1,138.96 $1,224.68 $1,529.20 |
Toc - Plan #5 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Bronze
(EPO) BlueEssentials Bronze 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$299.88 $340.36 $383.24 $535.58 $813.86 |
$529.29 $569.77 $612.65 $764.99 |
$758.70 $799.18 $842.06 $994.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$599.76 $680.72 $766.48 $1,071.16 $1,627.72 |
$829.17 $910.13 $995.89 $1,300.57 |
$1,058.58 $1,139.54 $1,225.30 $1,529.98 |
Toc - Plan #6 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$446.82 $507.14 $571.04 $798.02 $1,212.67 |
$788.64 $848.96 $912.86 $1,139.84 |
$1,130.46 $1,190.78 $1,254.68 $1,481.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$893.64 $1,014.28 $1,142.08 $1,596.04 $2,425.34 |
$1,235.46 $1,356.10 $1,483.90 $1,937.86 |
$1,577.28 $1,697.92 $1,825.72 $2,279.68 |
Toc - Plan #7 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials HD Gold 3 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$450.32 $511.11 $575.50 $804.26 $1,222.16 |
$794.81 $855.60 $919.99 $1,148.75 |
$1,139.30 $1,200.09 $1,264.48 $1,493.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$900.64 $1,022.22 $1,151.00 $1,608.52 $2,444.32 |
$1,245.13 $1,366.71 $1,495.49 $1,953.01 |
$1,589.62 $1,711.20 $1,839.98 $2,297.50 |
Toc - Plan #8 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials HD Silver 6 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$488.02 $553.90 $623.69 $871.60 $1,324.49 |
$861.36 $927.24 $997.03 $1,244.94 |
$1,234.70 $1,300.58 $1,370.37 $1,618.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$976.04 $1,107.80 $1,247.38 $1,743.20 $2,648.98 |
$1,349.38 $1,481.14 $1,620.72 $2,116.54 |
$1,722.72 $1,854.48 $1,994.06 $2,489.88 |
Toc - Plan #9 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials HD Bronze 3 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$311.65 $353.72 $398.28 $556.60 $845.81 |
$550.06 $592.13 $636.69 $795.01 |
$788.47 $830.54 $875.10 $1,033.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.30 $707.44 $796.56 $1,113.20 $1,691.62 |
$861.71 $945.85 $1,034.97 $1,351.61 |
$1,100.12 $1,184.26 $1,273.38 $1,590.02 |
Toc - Plan #10 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Bronze 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$305.09 $346.28 $389.91 $544.90 $828.02 |
$538.49 $579.68 $623.31 $778.30 |
$771.89 $813.08 $856.71 $1,011.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$610.18 $692.56 $779.82 $1,089.80 $1,656.04 |
$843.58 $925.96 $1,013.22 $1,323.20 |
$1,076.98 $1,159.36 $1,246.62 $1,556.60 |
Toc - Plan #11 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials HD Bronze 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$312.69 $354.91 $399.62 $558.47 $848.65 |
$551.90 $594.12 $638.83 $797.68 |
$791.11 $833.33 $878.04 $1,036.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$625.38 $709.82 $799.24 $1,116.94 $1,697.30 |
$864.59 $949.03 $1,038.45 $1,356.15 |
$1,103.80 $1,188.24 $1,277.66 $1,595.36 |
Toc - Plan #12 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$463.71 $526.31 $592.62 $828.19 $1,258.51 |
$818.45 $881.05 $947.36 $1,182.93 |
$1,173.19 $1,235.79 $1,302.10 $1,537.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$927.42 $1,052.62 $1,185.24 $1,656.38 $2,517.02 |
$1,282.16 $1,407.36 $1,539.98 $2,011.12 |
$1,636.90 $1,762.10 $1,894.72 $2,365.86 |
Toc - Plan #13 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$436.70 $495.65 $558.10 $779.94 $1,185.20 |
$770.77 $829.72 $892.17 $1,114.01 |
$1,104.84 $1,163.79 $1,226.24 $1,448.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$873.40 $991.30 $1,116.20 $1,559.88 $2,370.40 |
$1,207.47 $1,325.37 $1,450.27 $1,893.95 |
$1,541.54 $1,659.44 $1,784.34 $2,228.02 |
Toc - Plan #14 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 14 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$452.17 $513.21 $577.87 $807.57 $1,227.18 |
$798.08 $859.12 $923.78 $1,153.48 |
$1,143.99 $1,205.03 $1,269.69 $1,499.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$904.34 $1,026.42 $1,155.74 $1,615.14 $2,454.36 |
$1,250.25 $1,372.33 $1,501.65 $1,961.05 |
$1,596.16 $1,718.24 $1,847.56 $2,306.96 |
Toc - Plan #15 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Bronze 6 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$358.70 $407.13 $458.42 $640.64 $973.52 |
$633.11 $681.54 $732.83 $915.05 |
$907.52 $955.95 $1,007.24 $1,189.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$717.40 $814.26 $916.84 $1,281.28 $1,947.04 |
$991.81 $1,088.67 $1,191.25 $1,555.69 |
$1,266.22 $1,363.08 $1,465.66 $1,830.10 |
Toc - Plan #16 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$426.19 $483.72 $544.67 $761.17 $1,156.68 |
$752.22 $809.75 $870.70 $1,087.20 |
$1,078.25 $1,135.78 $1,196.73 $1,413.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$852.38 $967.44 $1,089.34 $1,522.34 $2,313.36 |
$1,178.41 $1,293.47 $1,415.37 $1,848.37 |
$1,504.44 $1,619.50 $1,741.40 $2,174.40 |
Toc - Plan #17 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Catastrophic
(EPO) BlueEssentials Catastrophic 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
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 |
$189.41 $214.98 $242.06 $338.28 $514.05 |
$334.31 $359.88 $386.96 $483.18 |
$479.21 $504.78 $531.86 $628.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$378.82 $429.96 $484.12 $676.56 $1,028.10 |
$523.72 $574.86 $629.02 $821.46 |
$668.62 $719.76 $773.92 $966.36 |
ADVERTISEMENT
Molina HealthcareLocal: 1-855-885-3176 | Toll Free: 1-800-659-8331 | TTY: 1-800-659-8331 |
Toc - Plan #18 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
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 |
$414.82 $470.82 $530.14 $740.88 $1,125.83 |
$732.16 $788.16 $847.48 $1,058.22 |
$1,049.50 $1,105.50 $1,164.82 $1,375.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$829.64 $941.64 $1,060.28 $1,481.76 $2,251.66 |
$1,146.98 $1,258.98 $1,377.62 $1,799.10 |
$1,464.32 $1,576.32 $1,694.96 $2,116.44 |
Toc - Plan #19 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
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 |
$383.27 $435.01 $489.82 $684.52 $1,040.20 |
$676.47 $728.21 $783.02 $977.72 |
$969.67 $1,021.41 $1,076.22 $1,270.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.54 $870.02 $979.64 $1,369.04 $2,080.40 |
$1,059.74 $1,163.22 $1,272.84 $1,662.24 |
$1,352.94 $1,456.42 $1,566.04 $1,955.44 |
Toc - Plan #20 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
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 |
$378.83 $429.97 $484.14 $676.58 $1,028.14 |
$668.63 $719.77 $773.94 $966.38 |
$958.43 $1,009.57 $1,063.74 $1,256.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$757.66 $859.94 $968.28 $1,353.16 $2,056.28 |
$1,047.46 $1,149.74 $1,258.08 $1,642.96 |
$1,337.26 $1,439.54 $1,547.88 $1,932.76 |
Toc - Plan #21 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
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 |
$362.67 $411.63 $463.49 $647.73 $984.28 |
$640.11 $689.07 $740.93 $925.17 |
$917.55 $966.51 $1,018.37 $1,202.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$725.34 $823.26 $926.98 $1,295.46 $1,968.56 |
$1,002.78 $1,100.70 $1,204.42 $1,572.90 |
$1,280.22 $1,378.14 $1,481.86 $1,850.34 |
Toc - Plan #22 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
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 |
$415.02 $471.05 $530.40 $741.23 $1,126.37 |
$732.51 $788.54 $847.89 $1,058.72 |
$1,050.00 $1,106.03 $1,165.38 $1,376.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$830.04 $942.10 $1,060.80 $1,482.46 $2,252.74 |
$1,147.53 $1,259.59 $1,378.29 $1,799.95 |
$1,465.02 $1,577.08 $1,695.78 $2,117.44 |
Toc - Plan #23 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.93 $442.57 $498.33 $696.42 $1,058.27 |
$688.23 $740.87 $796.63 $994.72 |
$986.53 $1,039.17 $1,094.93 $1,293.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.86 $885.14 $996.66 $1,392.84 $2,116.54 |
$1,078.16 $1,183.44 $1,294.96 $1,691.14 |
$1,376.46 $1,481.74 $1,593.26 $1,989.44 |
Toc - Plan #24 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-659-8331
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.88 $419.81 $472.70 $660.60 $1,003.84 |
$652.83 $702.76 $755.65 $943.55 |
$935.78 $985.71 $1,038.60 $1,226.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.76 $839.62 $945.40 $1,321.20 $2,007.68 |
$1,022.71 $1,122.57 $1,228.35 $1,604.15 |
$1,305.66 $1,405.52 $1,511.30 $1,887.10 |
ADVERTISEMENT
Ambetter from Absolute Total CareLocal: 1-833-270-5443 | Toll Free: 1-833-270-5443 |
Toc - Plan #25 Ambetter from Absolute Total Care | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.85 $294.92 $332.08 $464.08 $705.21 |
$458.63 $493.70 $530.86 $662.86 |
$657.41 $692.48 $729.64 $861.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$519.70 $589.84 $664.16 $928.16 $1,410.42 |
$718.48 $788.62 $862.94 $1,126.94 |
$917.26 $987.40 $1,061.72 $1,325.72 |
Toc - Plan #26 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.12 $406.45 $457.66 $639.58 $971.90 |
$632.07 $680.40 $731.61 $913.53 |
$906.02 $954.35 $1,005.56 $1,187.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.24 $812.90 $915.32 $1,279.16 $1,943.80 |
$990.19 $1,086.85 $1,189.27 $1,553.11 |
$1,264.14 $1,360.80 $1,463.22 $1,827.06 |
Toc - Plan #27 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.23 $453.11 $510.20 $713.00 $1,083.48 |
$704.63 $758.51 $815.60 $1,018.40 |
$1,010.03 $1,063.91 $1,121.00 $1,323.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.46 $906.22 $1,020.40 $1,426.00 $2,166.96 |
$1,103.86 $1,211.62 $1,325.80 $1,731.40 |
$1,409.26 $1,517.02 $1,631.20 $2,036.80 |
Toc - Plan #28 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.53 $401.25 $451.80 $631.39 $959.46 |
$623.98 $671.70 $722.25 $901.84 |
$894.43 $942.15 $992.70 $1,172.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.06 $802.50 $903.60 $1,262.78 $1,918.92 |
$977.51 $1,072.95 $1,174.05 $1,533.23 |
$1,247.96 $1,343.40 $1,444.50 $1,803.68 |
Toc - Plan #29 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.27 $320.37 $360.73 $504.12 $766.05 |
$498.20 $536.30 $576.66 $720.05 |
$714.13 $752.23 $792.59 $935.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564.54 $640.74 $721.46 $1,008.24 $1,532.10 |
$780.47 $856.67 $937.39 $1,224.17 |
$996.40 $1,072.60 $1,153.32 $1,440.10 |
Toc - Plan #30 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 10 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.57 $310.49 $349.61 $488.58 $742.44 |
$482.84 $519.76 $558.88 $697.85 |
$692.11 $729.03 $768.15 $907.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$547.14 $620.98 $699.22 $977.16 $1,484.88 |
$756.41 $830.25 $908.49 $1,186.43 |
$965.68 $1,039.52 $1,117.76 $1,395.70 |
Toc - Plan #31 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.99 $396.09 $445.99 $623.27 $947.12 |
$615.96 $663.06 $712.96 $890.24 |
$882.93 $930.03 $979.93 $1,157.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.98 $792.18 $891.98 $1,246.54 $1,894.24 |
$964.95 $1,059.15 $1,158.95 $1,513.51 |
$1,231.92 $1,326.12 $1,425.92 $1,780.48 |
Toc - Plan #32 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.05 $347.35 $391.12 $546.59 $830.59 |
$540.17 $581.47 $625.24 $780.71 |
$774.29 $815.59 $859.36 $1,014.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.10 $694.70 $782.24 $1,093.18 $1,661.18 |
$846.22 $928.82 $1,016.36 $1,327.30 |
$1,080.34 $1,162.94 $1,250.48 $1,561.42 |
Toc - Plan #33 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.06 $365.52 $411.57 $575.17 $874.03 |
$568.43 $611.89 $657.94 $821.54 |
$814.80 $858.26 $904.31 $1,067.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644.12 $731.04 $823.14 $1,150.34 $1,748.06 |
$890.49 $977.41 $1,069.51 $1,396.71 |
$1,136.86 $1,223.78 $1,315.88 $1,643.08 |
Toc - Plan #34 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.73 $378.77 $426.49 $596.02 $905.72 |
$589.03 $634.07 $681.79 $851.32 |
$844.33 $889.37 $937.09 $1,106.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.46 $757.54 $852.98 $1,192.04 $1,811.44 |
$922.76 $1,012.84 $1,108.28 $1,447.34 |
$1,178.06 $1,268.14 $1,363.58 $1,702.64 |
Toc - Plan #35 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.95 $379.02 $426.77 $596.41 $906.30 |
$589.41 $634.48 $682.23 $851.87 |
$844.87 $889.94 $937.69 $1,107.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.90 $758.04 $853.54 $1,192.82 $1,812.60 |
$923.36 $1,013.50 $1,109.00 $1,448.28 |
$1,178.82 $1,268.96 $1,364.46 $1,703.74 |
Toc - Plan #36 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.72 $388.97 $437.98 $612.08 $930.11 |
$604.89 $651.14 $700.15 $874.25 |
$867.06 $913.31 $962.32 $1,136.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.44 $777.94 $875.96 $1,224.16 $1,860.22 |
$947.61 $1,040.11 $1,138.13 $1,486.33 |
$1,209.78 $1,302.28 $1,400.30 $1,748.50 |
Toc - Plan #37 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.95 $424.42 $477.89 $667.85 $1,014.86 |
$660.01 $710.48 $763.95 $953.91 |
$946.07 $996.54 $1,050.01 $1,239.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.90 $848.84 $955.78 $1,335.70 $2,029.72 |
$1,033.96 $1,134.90 $1,241.84 $1,621.76 |
$1,320.02 $1,420.96 $1,527.90 $1,907.82 |
Toc - Plan #38 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.56 $472.79 $532.36 $743.96 $1,130.53 |
$735.22 $791.45 $851.02 $1,062.62 |
$1,053.88 $1,110.11 $1,169.68 $1,381.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.12 $945.58 $1,064.72 $1,487.92 $2,261.06 |
$1,151.78 $1,264.24 $1,383.38 $1,806.58 |
$1,470.44 $1,582.90 $1,702.04 $2,125.24 |
Toc - Plan #39 Ambetter from Absolute Total Care | ||||||||||||||||||||
Bronze
(HMO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.14 $307.73 $346.50 $484.23 $735.84 |
$478.55 $515.14 $553.91 $691.64 |
$685.96 $722.55 $761.32 $899.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.28 $615.46 $693.00 $968.46 $1,471.68 |
$749.69 $822.87 $900.41 $1,175.87 |
$957.10 $1,030.28 $1,107.82 $1,383.28 |
Toc - Plan #40 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.67 $424.10 $477.53 $667.35 $1,014.11 |
$659.52 $709.95 $763.38 $953.20 |
$945.37 $995.80 $1,049.23 $1,239.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.34 $848.20 $955.06 $1,334.70 $2,028.22 |
$1,033.19 $1,134.05 $1,240.91 $1,620.55 |
$1,319.04 $1,419.90 $1,526.76 $1,906.40 |
Toc - Plan #41 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.88 $418.67 $471.42 $658.81 $1,001.13 |
$651.07 $700.86 $753.61 $941.00 |
$933.26 $983.05 $1,035.80 $1,223.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.76 $837.34 $942.84 $1,317.62 $2,002.26 |
$1,019.95 $1,119.53 $1,225.03 $1,599.81 |
$1,302.14 $1,401.72 $1,507.22 $1,882.00 |
Toc - Plan #42 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.53 $334.28 $376.39 $526.01 $799.32 |
$519.84 $559.59 $601.70 $751.32 |
$745.15 $784.90 $827.01 $976.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.06 $668.56 $752.78 $1,052.02 $1,598.64 |
$814.37 $893.87 $978.09 $1,277.33 |
$1,039.68 $1,119.18 $1,203.40 $1,502.64 |
Toc - Plan #43 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care 10 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.45 $323.97 $364.79 $509.79 $774.68 |
$503.81 $542.33 $583.15 $728.15 |
$722.17 $760.69 $801.51 $946.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.90 $647.94 $729.58 $1,019.58 $1,549.36 |
$789.26 $866.30 $947.94 $1,237.94 |
$1,007.62 $1,084.66 $1,166.30 $1,456.30 |
Toc - Plan #44 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.34 $362.44 $408.10 $570.32 $866.66 |
$563.63 $606.73 $652.39 $814.61 |
$807.92 $851.02 $896.68 $1,058.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.68 $724.88 $816.20 $1,140.64 $1,733.32 |
$882.97 $969.17 $1,060.49 $1,384.93 |
$1,127.26 $1,213.46 $1,304.78 $1,629.22 |
Toc - Plan #45 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.04 $381.39 $429.45 $600.15 $911.99 |
$593.10 $638.45 $686.51 $857.21 |
$850.16 $895.51 $943.57 $1,114.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.08 $762.78 $858.90 $1,200.30 $1,823.98 |
$929.14 $1,019.84 $1,115.96 $1,457.36 |
$1,186.20 $1,276.90 $1,373.02 $1,714.42 |
Toc - Plan #46 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 30 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.22 $395.22 $445.01 $621.91 $945.05 |
$614.60 $661.60 $711.39 $888.29 |
$880.98 $927.98 $977.77 $1,154.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.44 $790.44 $890.02 $1,243.82 $1,890.10 |
$962.82 $1,056.82 $1,156.40 $1,510.20 |
$1,229.20 $1,323.20 $1,422.78 $1,776.58 |
Toc - Plan #47 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.45 $395.47 $445.30 $622.31 $945.65 |
$615.00 $662.02 $711.85 $888.86 |
$881.55 $928.57 $978.40 $1,155.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.90 $790.94 $890.60 $1,244.62 $1,891.30 |
$963.45 $1,057.49 $1,157.15 $1,511.17 |
$1,230.00 $1,324.04 $1,423.70 $1,777.72 |
Toc - Plan #48 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.60 $405.87 $457.00 $638.66 $970.50 |
$631.16 $679.43 $730.56 $912.22 |
$904.72 $952.99 $1,004.12 $1,185.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.20 $811.74 $914.00 $1,277.32 $1,941.00 |
$988.76 $1,085.30 $1,187.56 $1,550.88 |
$1,262.32 $1,358.86 $1,461.12 $1,824.44 |
Toc - Plan #49 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.18 $442.85 $498.64 $696.85 $1,058.93 |
$688.66 $741.33 $797.12 $995.33 |
$987.14 $1,039.81 $1,095.60 $1,293.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.36 $885.70 $997.28 $1,393.70 $2,117.86 |
$1,078.84 $1,184.18 $1,295.76 $1,692.18 |
$1,377.32 $1,482.66 $1,594.24 $1,990.66 |
Toc - Plan #50 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.14 $413.29 $465.36 $650.34 $988.25 |
$642.70 $691.85 $743.92 $928.90 |
$921.26 $970.41 $1,022.48 $1,207.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.28 $826.58 $930.72 $1,300.68 $1,976.50 |
$1,006.84 $1,105.14 $1,209.28 $1,579.24 |
$1,285.40 $1,383.70 $1,487.84 $1,857.80 |
Toc - Plan #51 Ambetter from Absolute Total Care | ||||||||||||||||||||
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: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.27 $306.75 $345.40 $482.69 $733.50 |
$477.02 $513.50 $552.15 $689.44 |
$683.77 $720.25 $758.90 $896.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$540.54 $613.50 $690.80 $965.38 $1,467.00 |
$747.29 $820.25 $897.55 $1,172.13 |
$954.04 $1,027.00 $1,104.30 $1,378.88 |
Toc - Plan #52 Ambetter from Absolute Total Care | ||||||||||||||||||||
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: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.63 $383.20 $431.48 $603.00 $916.31 |
$595.91 $641.48 $689.76 $861.28 |
$854.19 $899.76 $948.04 $1,119.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.26 $766.40 $862.96 $1,206.00 $1,832.62 |
$933.54 $1,024.68 $1,121.24 $1,464.28 |
$1,191.82 $1,282.96 $1,379.52 $1,722.56 |
‡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 Lee County here.
Lee County is in “Rating Area 28” of South Carolina.
Currently, there are 52 plans offered in Rating Area 28.