Obamacare 2022 Rates for Guadalupe County
Obamacare > Rates > Texas > Guadalupe County
Obamacare > Rates > Texas > Guadalupe County
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Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #1 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$259.16 $294.13 $331.19 $462.84 $703.33 |
$457.41 $492.38 $529.44 $661.09 |
$655.66 $690.63 $727.69 $859.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$518.32 $588.26 $662.38 $925.68 $1,406.66 |
$716.57 $786.51 $860.63 $1,123.93 |
$914.82 $984.76 $1,058.88 $1,322.18 |
Toc - Plan #2 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$263.40 $298.95 $336.62 $470.42 $714.85 |
$464.90 $500.45 $538.12 $671.92 |
$666.40 $701.95 $739.62 $873.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$526.80 $597.90 $673.24 $940.84 $1,429.70 |
$728.30 $799.40 $874.74 $1,142.34 |
$929.80 $1,000.90 $1,076.24 $1,343.84 |
Toc - Plan #3 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$259.47 $294.48 $331.59 $463.39 $704.17 |
$457.96 $492.97 $530.08 $661.88 |
$656.45 $691.46 $728.57 $860.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$518.94 $588.96 $663.18 $926.78 $1,408.34 |
$717.43 $787.45 $861.67 $1,125.27 |
$915.92 $985.94 $1,060.16 $1,323.76 |
Toc - Plan #4 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$310.36 $352.25 $396.63 $554.29 $842.30 |
$547.78 $589.67 $634.05 $791.71 |
$785.20 $827.09 $871.47 $1,029.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$620.72 $704.50 $793.26 $1,108.58 $1,684.60 |
$858.14 $941.92 $1,030.68 $1,346.00 |
$1,095.56 $1,179.34 $1,268.10 $1,583.42 |
Toc - Plan #5 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$362.75 $411.71 $463.59 $647.86 $984.48 |
$640.25 $689.21 $741.09 $925.36 |
$917.75 $966.71 $1,018.59 $1,202.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$725.50 $823.42 $927.18 $1,295.72 $1,968.96 |
$1,003.00 $1,100.92 $1,204.68 $1,573.22 |
$1,280.50 $1,378.42 $1,482.18 $1,850.72 |
Toc - Plan #6 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$355.42 $403.39 $454.21 $634.76 $964.58 |
$627.31 $675.28 $726.10 $906.65 |
$899.20 $947.17 $997.99 $1,178.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$710.84 $806.78 $908.42 $1,269.52 $1,929.16 |
$982.73 $1,078.67 $1,180.31 $1,541.41 |
$1,254.62 $1,350.56 $1,452.20 $1,813.30 |
Toc - Plan #7 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$363.09 $412.09 $464.02 $648.46 $985.40 |
$640.85 $689.85 $741.78 $926.22 |
$918.61 $967.61 $1,019.54 $1,203.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$726.18 $824.18 $928.04 $1,296.92 $1,970.80 |
$1,003.94 $1,101.94 $1,205.80 $1,574.68 |
$1,281.70 $1,379.70 $1,483.56 $1,852.44 |
Toc - Plan #8 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$214.45 $243.39 $274.05 $382.99 $581.99 |
$378.50 $407.44 $438.10 $547.04 |
$542.55 $571.49 $602.15 $711.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$428.90 $486.78 $548.10 $765.98 $1,163.98 |
$592.95 $650.83 $712.15 $930.03 |
$757.00 $814.88 $876.20 $1,094.08 |
Toc - Plan #9 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$310.44 $352.33 $396.72 $554.42 $842.49 |
$547.92 $589.81 $634.20 $791.90 |
$785.40 $827.29 $871.68 $1,029.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$620.88 $704.66 $793.44 $1,108.84 $1,684.98 |
$858.36 $942.14 $1,030.92 $1,346.32 |
$1,095.84 $1,179.62 $1,268.40 $1,583.80 |
Toc - Plan #10 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$357.75 $406.04 $457.19 $638.93 $970.91 |
$631.42 $679.71 $730.86 $912.60 |
$905.09 $953.38 $1,004.53 $1,186.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$715.50 $812.08 $914.38 $1,277.86 $1,941.82 |
$989.17 $1,085.75 $1,188.05 $1,551.53 |
$1,262.84 $1,359.42 $1,461.72 $1,825.20 |
Toc - Plan #11 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$284.68 $323.10 $363.81 $508.42 $772.59 |
$502.45 $540.87 $581.58 $726.19 |
$720.22 $758.64 $799.35 $943.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$569.36 $646.20 $727.62 $1,016.84 $1,545.18 |
$787.13 $863.97 $945.39 $1,234.61 |
$1,004.90 $1,081.74 $1,163.16 $1,452.38 |
Toc - Plan #12 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$355.82 $403.85 $454.73 $635.48 $965.68 |
$628.02 $676.05 $726.93 $907.68 |
$900.22 $948.25 $999.13 $1,179.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$711.64 $807.70 $909.46 $1,270.96 $1,931.36 |
$983.84 $1,079.90 $1,181.66 $1,543.16 |
$1,256.04 $1,352.10 $1,453.86 $1,815.36 |
Toc - Plan #13 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$368.92 $418.72 $471.47 $658.88 $1,001.23 |
$651.14 $700.94 $753.69 $941.10 |
$933.36 $983.16 $1,035.91 $1,223.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$737.84 $837.44 $942.94 $1,317.76 $2,002.46 |
$1,020.06 $1,119.66 $1,225.16 $1,599.98 |
$1,302.28 $1,401.88 $1,507.38 $1,882.20 |
Toc - Plan #14 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- $0 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$383.94 $435.77 $490.67 $685.71 $1,042.00 |
$677.65 $729.48 $784.38 $979.42 |
$971.36 $1,023.19 $1,078.09 $1,273.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$767.88 $871.54 $981.34 $1,371.42 $2,084.00 |
$1,061.59 $1,165.25 $1,275.05 $1,665.13 |
$1,355.30 $1,458.96 $1,568.76 $1,958.84 |
Toc - Plan #15 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Low Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$365.26 $414.56 $466.79 $652.33 $991.28 |
$644.67 $693.97 $746.20 $931.74 |
$924.08 $973.38 $1,025.61 $1,211.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$730.52 $829.12 $933.58 $1,304.66 $1,982.56 |
$1,009.93 $1,108.53 $1,212.99 $1,584.07 |
$1,289.34 $1,387.94 $1,492.40 $1,863.48 |
Toc - Plan #16 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$274.43 $311.47 $350.71 $490.12 $744.79 |
$484.36 $521.40 $560.64 $700.05 |
$694.29 $731.33 $770.57 $909.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$548.86 $622.94 $701.42 $980.24 $1,489.58 |
$758.79 $832.87 $911.35 $1,190.17 |
$968.72 $1,042.80 $1,121.28 $1,400.10 |
Toc - Plan #17 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$298.04 $338.26 $380.88 $532.27 $808.84 |
$526.03 $566.25 $608.87 $760.26 |
$754.02 $794.24 $836.86 $988.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$596.08 $676.52 $761.76 $1,064.54 $1,617.68 |
$824.07 $904.51 $989.75 $1,292.53 |
$1,052.06 $1,132.50 $1,217.74 $1,520.52 |
Toc - Plan #18 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $3250 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$296.48 $336.49 $378.89 $529.49 $804.61 |
$523.28 $563.29 $605.69 $756.29 |
$750.08 $790.09 $832.49 $983.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$592.96 $672.98 $757.78 $1,058.98 $1,609.22 |
$819.76 $899.78 $984.58 $1,285.78 |
$1,046.56 $1,126.58 $1,211.38 $1,512.58 |
Toc - Plan #19 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$273.48 $310.39 $349.50 $488.42 $742.20 |
$482.69 $519.60 $558.71 $697.63 |
$691.90 $728.81 $767.92 $906.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$546.96 $620.78 $699.00 $976.84 $1,484.40 |
$756.17 $829.99 $908.21 $1,186.05 |
$965.38 $1,039.20 $1,117.42 $1,395.26 |
Toc - Plan #20 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$351.65 $399.11 $449.40 $628.03 $954.35 |
$620.66 $668.12 $718.41 $897.04 |
$889.67 $937.13 $987.42 $1,166.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.30 $798.22 $898.80 $1,256.06 $1,908.70 |
$972.31 $1,067.23 $1,167.81 $1,525.07 |
$1,241.32 $1,336.24 $1,436.82 $1,794.08 |
Toc - Plan #21 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Specialist Saver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$380.18 $431.49 $485.85 $678.98 $1,031.78 |
$671.01 $722.32 $776.68 $969.81 |
$961.84 $1,013.15 $1,067.51 $1,260.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$760.36 $862.98 $971.70 $1,357.96 $2,063.56 |
$1,051.19 $1,153.81 $1,262.53 $1,648.79 |
$1,342.02 $1,444.64 $1,553.36 $1,939.62 |
Toc - Plan #22 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Low Ded |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$365.79 $415.17 $467.47 $653.29 $992.74 |
$645.62 $695.00 $747.30 $933.12 |
$925.45 $974.83 $1,027.13 $1,212.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$731.58 $830.34 $934.94 $1,306.58 $1,985.48 |
$1,011.41 $1,110.17 $1,214.77 $1,586.41 |
$1,291.24 $1,390.00 $1,494.60 $1,866.24 |
Toc - Plan #23 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$377.67 $428.64 $482.65 $674.50 $1,024.96 |
$666.58 $717.55 $771.56 $963.41 |
$955.49 $1,006.46 $1,060.47 $1,252.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.34 $857.28 $965.30 $1,349.00 $2,049.92 |
$1,044.25 $1,146.19 $1,254.21 $1,637.91 |
$1,333.16 $1,435.10 $1,543.12 $1,926.82 |
Toc - Plan #24 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.86 $427.73 $481.62 $673.06 $1,022.78 |
$665.15 $716.02 $769.91 $961.35 |
$953.44 $1,004.31 $1,058.20 $1,249.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.72 $855.46 $963.24 $1,346.12 $2,045.56 |
$1,042.01 $1,143.75 $1,251.53 $1,634.41 |
$1,330.30 $1,432.04 $1,539.82 $1,922.70 |
Toc - Plan #25 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.22 $423.59 $476.96 $666.55 $1,012.89 |
$658.72 $709.09 $762.46 $952.05 |
$944.22 $994.59 $1,047.96 $1,237.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.44 $847.18 $953.92 $1,333.10 $2,025.78 |
$1,031.94 $1,132.68 $1,239.42 $1,618.60 |
$1,317.44 $1,418.18 $1,524.92 $1,904.10 |
Toc - Plan #26 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.99 $389.28 $438.32 $612.56 $930.84 |
$605.37 $651.66 $700.70 $874.94 |
$867.75 $914.04 $963.08 $1,137.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.98 $778.56 $876.64 $1,225.12 $1,861.68 |
$948.36 $1,040.94 $1,139.02 $1,487.50 |
$1,210.74 $1,303.32 $1,401.40 $1,749.88 |
Toc - Plan #27 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.69 $396.89 $446.89 $624.53 $949.03 |
$617.20 $664.40 $714.40 $892.04 |
$884.71 $931.91 $981.91 $1,159.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.38 $793.78 $893.78 $1,249.06 $1,898.06 |
$966.89 $1,061.29 $1,161.29 $1,516.57 |
$1,234.40 $1,328.80 $1,428.80 $1,784.08 |
Toc - Plan #28 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.21 $454.23 $511.46 $714.76 $1,086.14 |
$706.36 $760.38 $817.61 $1,020.91 |
$1,012.51 $1,066.53 $1,123.76 $1,327.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.42 $908.46 $1,022.92 $1,429.52 $2,172.28 |
$1,106.57 $1,214.61 $1,329.07 $1,735.67 |
$1,412.72 $1,520.76 $1,635.22 $2,041.82 |
Toc - Plan #29 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.25 $429.30 $483.39 $675.54 $1,026.54 |
$667.60 $718.65 $772.74 $964.89 |
$956.95 $1,008.00 $1,062.09 $1,254.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.50 $858.60 $966.78 $1,351.08 $2,053.08 |
$1,045.85 $1,147.95 $1,256.13 $1,640.43 |
$1,335.20 $1,437.30 $1,545.48 $1,929.78 |
Toc - Plan #30 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.16 $399.69 $450.04 $628.93 $955.73 |
$621.55 $669.08 $719.43 $898.32 |
$890.94 $938.47 $988.82 $1,167.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.32 $799.38 $900.08 $1,257.86 $1,911.46 |
$973.71 $1,068.77 $1,169.47 $1,527.25 |
$1,243.10 $1,338.16 $1,438.86 $1,796.64 |
Toc - Plan #31 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.50 $335.38 $377.63 $527.74 $801.95 |
$521.55 $561.43 $603.68 $753.79 |
$747.60 $787.48 $829.73 $979.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$591.00 $670.76 $755.26 $1,055.48 $1,603.90 |
$817.05 $896.81 $981.31 $1,281.53 |
$1,043.10 $1,122.86 $1,207.36 $1,507.58 |
Toc - Plan #32 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.65 $344.63 $388.05 $542.30 $824.08 |
$535.93 $576.91 $620.33 $774.58 |
$768.21 $809.19 $852.61 $1,006.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.30 $689.26 $776.10 $1,084.60 $1,648.16 |
$839.58 $921.54 $1,008.38 $1,316.88 |
$1,071.86 $1,153.82 $1,240.66 $1,549.16 |
Toc - Plan #33 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $1000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.55 $345.65 $389.20 $543.91 $826.52 |
$537.52 $578.62 $622.17 $776.88 |
$770.49 $811.59 $855.14 $1,009.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.10 $691.30 $778.40 $1,087.82 $1,653.04 |
$842.07 $924.27 $1,011.37 $1,320.79 |
$1,075.04 $1,157.24 $1,244.34 $1,553.76 |
Toc - Plan #34 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.37 $407.87 $459.26 $641.82 $975.30 |
$634.28 $682.78 $734.17 $916.73 |
$909.19 $957.69 $1,009.08 $1,191.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.74 $815.74 $918.52 $1,283.64 $1,950.60 |
$993.65 $1,090.65 $1,193.43 $1,558.55 |
$1,268.56 $1,365.56 $1,468.34 $1,833.46 |
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #35 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.45 $472.65 $532.20 $743.75 $1,130.21 |
$735.02 $791.22 $850.77 $1,062.32 |
$1,053.59 $1,109.79 $1,169.34 $1,380.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.90 $945.30 $1,064.40 $1,487.50 $2,260.42 |
$1,151.47 $1,263.87 $1,382.97 $1,806.07 |
$1,470.04 $1,582.44 $1,701.54 $2,124.64 |
Toc - Plan #36 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.90 $395.99 $445.88 $623.12 $946.89 |
$615.80 $662.89 $712.78 $890.02 |
$882.70 $929.79 $979.68 $1,156.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.80 $791.98 $891.76 $1,246.24 $1,893.78 |
$964.70 $1,058.88 $1,158.66 $1,513.14 |
$1,231.60 $1,325.78 $1,425.56 $1,780.04 |
Toc - Plan #37 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.47 $418.20 $470.89 $658.07 $1,000.01 |
$650.34 $700.07 $752.76 $939.94 |
$932.21 $981.94 $1,034.63 $1,221.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.94 $836.40 $941.78 $1,316.14 $2,000.02 |
$1,018.81 $1,118.27 $1,223.65 $1,598.01 |
$1,300.68 $1,400.14 $1,505.52 $1,879.88 |
Toc - Plan #38 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$546.75 $620.55 $698.73 $976.47 $1,483.85 |
$965.00 $1,038.80 $1,116.98 $1,394.72 |
$1,383.25 $1,457.05 $1,535.23 $1,812.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.50 $1,241.10 $1,397.46 $1,952.94 $2,967.70 |
$1,511.75 $1,659.35 $1,815.71 $2,371.19 |
$1,930.00 $2,077.60 $2,233.96 $2,789.44 |
Toc - Plan #39 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.34 $432.81 $487.34 $681.06 $1,034.93 |
$673.06 $724.53 $779.06 $972.78 |
$964.78 $1,016.25 $1,070.78 $1,264.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.68 $865.62 $974.68 $1,362.12 $2,069.86 |
$1,054.40 $1,157.34 $1,266.40 $1,653.84 |
$1,346.12 $1,449.06 $1,558.12 $1,945.56 |
Toc - Plan #40 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.78 $475.30 $535.18 $747.92 $1,136.53 |
$739.14 $795.66 $855.54 $1,068.28 |
$1,059.50 $1,116.02 $1,175.90 $1,388.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.56 $950.60 $1,070.36 $1,495.84 $2,273.06 |
$1,157.92 $1,270.96 $1,390.72 $1,816.20 |
$1,478.28 $1,591.32 $1,711.08 $2,136.56 |
Toc - Plan #41 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.82 $466.27 $525.02 $733.71 $1,114.95 |
$725.09 $780.54 $839.29 $1,047.98 |
$1,039.36 $1,094.81 $1,153.56 $1,362.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.64 $932.54 $1,050.04 $1,467.42 $2,229.90 |
$1,135.91 $1,246.81 $1,364.31 $1,781.69 |
$1,450.18 $1,561.08 $1,678.58 $2,095.96 |
Toc - Plan #42 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.49 $460.22 $518.21 $724.19 $1,100.48 |
$715.68 $770.41 $828.40 $1,034.38 |
$1,025.87 $1,080.60 $1,138.59 $1,344.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.98 $920.44 $1,036.42 $1,448.38 $2,200.96 |
$1,121.17 $1,230.63 $1,346.61 $1,758.57 |
$1,431.36 $1,540.82 $1,656.80 $2,068.76 |
Toc - Plan #43 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.08 $459.75 $517.68 $723.45 $1,099.35 |
$714.96 $769.63 $827.56 $1,033.33 |
$1,024.84 $1,079.51 $1,137.44 $1,343.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.16 $919.50 $1,035.36 $1,446.90 $2,198.70 |
$1,120.04 $1,229.38 $1,345.24 $1,756.78 |
$1,429.92 $1,539.26 $1,655.12 $2,066.66 |
Toc - Plan #44 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.11 $471.14 $530.50 $741.37 $1,126.59 |
$732.66 $788.69 $848.05 $1,058.92 |
$1,050.21 $1,106.24 $1,165.60 $1,376.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.22 $942.28 $1,061.00 $1,482.74 $2,253.18 |
$1,147.77 $1,259.83 $1,378.55 $1,800.29 |
$1,465.32 $1,577.38 $1,696.10 $2,117.84 |
Toc - Plan #45 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.93 $497.04 $559.67 $782.13 $1,188.52 |
$772.94 $832.05 $894.68 $1,117.14 |
$1,107.95 $1,167.06 $1,229.69 $1,452.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$875.86 $994.08 $1,119.34 $1,564.26 $2,377.04 |
$1,210.87 $1,329.09 $1,454.35 $1,899.27 |
$1,545.88 $1,664.10 $1,789.36 $2,234.28 |
Toc - Plan #46 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 30 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.63 $436.54 $491.54 $686.93 $1,043.86 |
$678.86 $730.77 $785.77 $981.16 |
$973.09 $1,025.00 $1,080.00 $1,275.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.26 $873.08 $983.08 $1,373.86 $2,087.72 |
$1,063.49 $1,167.31 $1,277.31 $1,668.09 |
$1,357.72 $1,461.54 $1,571.54 $1,962.32 |
Toc - Plan #47 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.17 $437.16 $492.24 $687.90 $1,045.33 |
$679.82 $731.81 $786.89 $982.55 |
$974.47 $1,026.46 $1,081.54 $1,277.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.34 $874.32 $984.48 $1,375.80 $2,090.66 |
$1,064.99 $1,168.97 $1,279.13 $1,670.45 |
$1,359.64 $1,463.62 $1,573.78 $1,965.10 |
Toc - Plan #48 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.62 $451.29 $508.15 $710.14 $1,079.12 |
$701.79 $755.46 $812.32 $1,014.31 |
$1,005.96 $1,059.63 $1,116.49 $1,318.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.24 $902.58 $1,016.30 $1,420.28 $2,158.24 |
$1,099.41 $1,206.75 $1,320.47 $1,724.45 |
$1,403.58 $1,510.92 $1,624.64 $2,028.62 |
Toc - Plan #49 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.43 $580.47 $653.60 $913.40 $1,388.01 |
$902.67 $971.71 $1,044.84 $1,304.64 |
$1,293.91 $1,362.95 $1,436.08 $1,695.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,022.86 $1,160.94 $1,307.20 $1,826.80 $2,776.02 |
$1,414.10 $1,552.18 $1,698.44 $2,218.04 |
$1,805.34 $1,943.42 $2,089.68 $2,609.28 |
Toc - Plan #50 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$552.20 $626.74 $705.70 $986.21 $1,498.65 |
$974.63 $1,049.17 $1,128.13 $1,408.64 |
$1,397.06 $1,471.60 $1,550.56 $1,831.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,104.40 $1,253.48 $1,411.40 $1,972.42 $2,997.30 |
$1,526.83 $1,675.91 $1,833.83 $2,394.85 |
$1,949.26 $2,098.34 $2,256.26 $2,817.28 |
Toc - Plan #51 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.38 $399.94 $450.33 $629.33 $956.33 |
$621.94 $669.50 $719.89 $898.89 |
$891.50 $939.06 $989.45 $1,168.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.76 $799.88 $900.66 $1,258.66 $1,912.66 |
$974.32 $1,069.44 $1,170.22 $1,528.22 |
$1,243.88 $1,339.00 $1,439.78 $1,797.78 |
Toc - Plan #52 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.15 $422.38 $475.59 $664.64 $1,009.98 |
$656.84 $707.07 $760.28 $949.33 |
$941.53 $991.76 $1,044.97 $1,234.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.30 $844.76 $951.18 $1,329.28 $2,019.96 |
$1,028.99 $1,129.45 $1,235.87 $1,613.97 |
$1,313.68 $1,414.14 $1,520.56 $1,898.66 |
Toc - Plan #53 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.60 $477.37 $537.51 $751.17 $1,141.48 |
$742.35 $799.12 $859.26 $1,072.92 |
$1,064.10 $1,120.87 $1,181.01 $1,394.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841.20 $954.74 $1,075.02 $1,502.34 $2,282.96 |
$1,162.95 $1,276.49 $1,396.77 $1,824.09 |
$1,484.70 $1,598.24 $1,718.52 $2,145.84 |
Toc - Plan #54 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.14 $437.13 $492.20 $687.85 $1,045.25 |
$679.77 $731.76 $786.83 $982.48 |
$974.40 $1,026.39 $1,081.46 $1,277.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.28 $874.26 $984.40 $1,375.70 $2,090.50 |
$1,064.91 $1,168.89 $1,279.03 $1,670.33 |
$1,359.54 $1,463.52 $1,573.66 $1,964.96 |
Toc - Plan #55 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.95 $480.04 $540.52 $755.38 $1,147.87 |
$746.50 $803.59 $864.07 $1,078.93 |
$1,070.05 $1,127.14 $1,187.62 $1,402.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.90 $960.08 $1,081.04 $1,510.76 $2,295.74 |
$1,169.45 $1,283.63 $1,404.59 $1,834.31 |
$1,493.00 $1,607.18 $1,728.14 $2,157.86 |
Toc - Plan #56 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.92 $470.92 $530.26 $741.03 $1,126.07 |
$732.33 $788.33 $847.67 $1,058.44 |
$1,049.74 $1,105.74 $1,165.08 $1,375.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.84 $941.84 $1,060.52 $1,482.06 $2,252.14 |
$1,147.25 $1,259.25 $1,377.93 $1,799.47 |
$1,464.66 $1,576.66 $1,695.34 $2,116.88 |
Toc - Plan #57 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.12 $464.34 $522.84 $730.67 $1,110.32 |
$722.09 $777.31 $835.81 $1,043.64 |
$1,035.06 $1,090.28 $1,148.78 $1,356.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.24 $928.68 $1,045.68 $1,461.34 $2,220.64 |
$1,131.21 $1,241.65 $1,358.65 $1,774.31 |
$1,444.18 $1,554.62 $1,671.62 $2,087.28 |
Toc - Plan #58 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.25 $475.84 $535.79 $748.77 $1,137.83 |
$739.97 $796.56 $856.51 $1,069.49 |
$1,060.69 $1,117.28 $1,177.23 $1,390.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.50 $951.68 $1,071.58 $1,497.54 $2,275.66 |
$1,159.22 $1,272.40 $1,392.30 $1,818.26 |
$1,479.94 $1,593.12 $1,713.02 $2,138.98 |
Toc - Plan #59 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.30 $502.00 $565.25 $789.93 $1,200.38 |
$780.65 $840.35 $903.60 $1,128.28 |
$1,119.00 $1,178.70 $1,241.95 $1,466.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$884.60 $1,004.00 $1,130.50 $1,579.86 $2,400.76 |
$1,222.95 $1,342.35 $1,468.85 $1,918.21 |
$1,561.30 $1,680.70 $1,807.20 $2,256.56 |
Toc - Plan #60 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.01 $441.52 $497.15 $694.76 $1,055.75 |
$686.60 $739.11 $794.74 $992.35 |
$984.19 $1,036.70 $1,092.33 $1,289.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.02 $883.04 $994.30 $1,389.52 $2,111.50 |
$1,075.61 $1,180.63 $1,291.89 $1,687.11 |
$1,373.20 $1,478.22 $1,589.48 $1,984.70 |
Toc - Plan #61 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.59 $455.79 $513.22 $717.22 $1,089.88 |
$708.80 $763.00 $820.43 $1,024.43 |
$1,016.01 $1,070.21 $1,127.64 $1,331.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.18 $911.58 $1,026.44 $1,434.44 $2,179.76 |
$1,110.39 $1,218.79 $1,333.65 $1,741.65 |
$1,417.60 $1,526.00 $1,640.86 $2,048.86 |
Toc - Plan #62 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.54 $586.26 $660.12 $922.51 $1,401.85 |
$911.68 $981.40 $1,055.26 $1,317.65 |
$1,306.82 $1,376.54 $1,450.40 $1,712.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.08 $1,172.52 $1,320.24 $1,845.02 $2,803.70 |
$1,428.22 $1,567.66 $1,715.38 $2,240.16 |
$1,823.36 $1,962.80 $2,110.52 $2,635.30 |
Toc - Plan #63 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.54 $464.81 $523.38 $731.42 $1,111.46 |
$722.83 $778.10 $836.67 $1,044.71 |
$1,036.12 $1,091.39 $1,149.96 $1,358.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.08 $929.62 $1,046.76 $1,462.84 $2,222.92 |
$1,132.37 $1,242.91 $1,360.05 $1,776.13 |
$1,445.66 $1,556.20 $1,673.34 $2,089.42 |
Toc - Plan #64 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$569.41 $646.27 $727.69 $1,016.94 $1,545.34 |
$1,005.00 $1,081.86 $1,163.28 $1,452.53 |
$1,440.59 $1,517.45 $1,598.87 $1,888.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,138.82 $1,292.54 $1,455.38 $2,033.88 $3,090.68 |
$1,574.41 $1,728.13 $1,890.97 $2,469.47 |
$2,010.00 $2,163.72 $2,326.56 $2,905.06 |
Toc - Plan #65 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.36 $412.40 $464.36 $648.94 $986.13 |
$641.32 $690.36 $742.32 $926.90 |
$919.28 $968.32 $1,020.28 $1,204.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.72 $824.80 $928.72 $1,297.88 $1,972.26 |
$1,004.68 $1,102.76 $1,206.68 $1,575.84 |
$1,282.64 $1,380.72 $1,484.64 $1,853.80 |
Toc - Plan #66 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.74 $435.54 $490.41 $685.35 $1,041.45 |
$677.30 $729.10 $783.97 $978.91 |
$970.86 $1,022.66 $1,077.53 $1,272.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.48 $871.08 $980.82 $1,370.70 $2,082.90 |
$1,061.04 $1,164.64 $1,274.38 $1,664.26 |
$1,354.60 $1,458.20 $1,567.94 $1,957.82 |
Toc - Plan #67 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.70 $492.24 $554.26 $774.58 $1,177.04 |
$765.48 $824.02 $886.04 $1,106.36 |
$1,097.26 $1,155.80 $1,217.82 $1,438.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.40 $984.48 $1,108.52 $1,549.16 $2,354.08 |
$1,199.18 $1,316.26 $1,440.30 $1,880.94 |
$1,530.96 $1,648.04 $1,772.08 $2,212.72 |
Toc - Plan #68 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.14 $450.75 $507.54 $709.28 $1,077.82 |
$700.95 $754.56 $811.35 $1,013.09 |
$1,004.76 $1,058.37 $1,115.16 $1,316.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.28 $901.50 $1,015.08 $1,418.56 $2,155.64 |
$1,098.09 $1,205.31 $1,318.89 $1,722.37 |
$1,401.90 $1,509.12 $1,622.70 $2,026.18 |
Toc - Plan #69 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 5 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.13 $495.00 $557.36 $778.91 $1,183.64 |
$769.76 $828.63 $890.99 $1,112.54 |
$1,103.39 $1,162.26 $1,224.62 $1,446.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.26 $990.00 $1,114.72 $1,557.82 $2,367.28 |
$1,205.89 $1,323.63 $1,448.35 $1,891.45 |
$1,539.52 $1,657.26 $1,781.98 $2,225.08 |
Toc - Plan #70 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.85 $485.60 $546.78 $764.12 $1,161.15 |
$755.15 $812.90 $874.08 $1,091.42 |
$1,082.45 $1,140.20 $1,201.38 $1,418.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.70 $971.20 $1,093.56 $1,528.24 $2,322.30 |
$1,183.00 $1,298.50 $1,420.86 $1,855.54 |
$1,510.30 $1,625.80 $1,748.16 $2,182.84 |
Toc - Plan #71 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 22 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.86 $478.80 $539.13 $753.43 $1,144.91 |
$744.58 $801.52 $861.85 $1,076.15 |
$1,067.30 $1,124.24 $1,184.57 $1,398.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.72 $957.60 $1,078.26 $1,506.86 $2,289.82 |
$1,166.44 $1,280.32 $1,400.98 $1,829.58 |
$1,489.16 $1,603.04 $1,723.70 $2,152.30 |
Toc - Plan #72 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.32 $490.67 $552.49 $772.10 $1,173.28 |
$763.03 $821.38 $883.20 $1,102.81 |
$1,093.74 $1,152.09 $1,213.91 $1,433.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$864.64 $981.34 $1,104.98 $1,544.20 $2,346.56 |
$1,195.35 $1,312.05 $1,435.69 $1,874.91 |
$1,526.06 $1,642.76 $1,766.40 $2,205.62 |
Toc - Plan #73 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.08 $517.64 $582.86 $814.55 $1,237.78 |
$804.98 $866.54 $931.76 $1,163.45 |
$1,153.88 $1,215.44 $1,280.66 $1,512.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$912.16 $1,035.28 $1,165.72 $1,629.10 $2,475.56 |
$1,261.06 $1,384.18 $1,514.62 $1,978.00 |
$1,609.96 $1,733.08 $1,863.52 $2,326.90 |
Toc - Plan #74 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 31 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.13 $455.28 $512.64 $716.41 $1,088.65 |
$707.99 $762.14 $819.50 $1,023.27 |
$1,014.85 $1,069.00 $1,126.36 $1,330.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.26 $910.56 $1,025.28 $1,432.82 $2,177.30 |
$1,109.12 $1,217.42 $1,332.14 $1,739.68 |
$1,415.98 $1,524.28 $1,639.00 $2,046.54 |
Toc - Plan #75 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 32 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.10 $469.99 $529.21 $739.57 $1,123.84 |
$730.88 $786.77 $845.99 $1,056.35 |
$1,047.66 $1,103.55 $1,162.77 $1,373.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.20 $939.98 $1,058.42 $1,479.14 $2,247.68 |
$1,144.98 $1,256.76 $1,375.20 $1,795.92 |
$1,461.76 $1,573.54 $1,691.98 $2,112.70 |
Toc - Plan #76 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 20 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.63 $604.52 $680.69 $951.26 $1,445.53 |
$940.08 $1,011.97 $1,088.14 $1,358.71 |
$1,347.53 $1,419.42 $1,495.59 $1,766.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,065.26 $1,209.04 $1,361.38 $1,902.52 $2,891.06 |
$1,472.71 $1,616.49 $1,768.83 $2,309.97 |
$1,880.16 $2,023.94 $2,176.28 $2,717.42 |
Toc - Plan #77 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.30 $479.30 $539.68 $754.21 $1,146.09 |
$745.35 $802.35 $862.73 $1,077.26 |
$1,068.40 $1,125.40 $1,185.78 $1,400.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.60 $958.60 $1,079.36 $1,508.42 $2,292.18 |
$1,167.65 $1,281.65 $1,402.41 $1,831.47 |
$1,490.70 $1,604.70 $1,725.46 $2,154.52 |
ADVERTISEMENT
Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #78 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.43 $424.97 $478.52 $668.72 $1,016.19 |
$660.87 $711.41 $764.96 $955.16 |
$947.31 $997.85 $1,051.40 $1,241.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.86 $849.94 $957.04 $1,337.44 $2,032.38 |
$1,035.30 $1,136.38 $1,243.48 $1,623.88 |
$1,321.74 $1,422.82 $1,529.92 $1,910.32 |
Toc - Plan #79 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.29 $312.46 $351.83 $491.68 $747.15 |
$485.89 $523.06 $562.43 $702.28 |
$696.49 $733.66 $773.03 $912.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$550.58 $624.92 $703.66 $983.36 $1,494.30 |
$761.18 $835.52 $914.26 $1,193.96 |
$971.78 $1,046.12 $1,124.86 $1,404.56 |
Toc - Plan #80 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.39 $449.90 $506.59 $707.95 $1,075.80 |
$699.63 $753.14 $809.83 $1,011.19 |
$1,002.87 $1,056.38 $1,113.07 $1,314.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.78 $899.80 $1,013.18 $1,415.90 $2,151.60 |
$1,096.02 $1,203.04 $1,316.42 $1,719.14 |
$1,399.26 $1,506.28 $1,619.66 $2,022.38 |
Toc - Plan #81 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.52 $347.90 $391.73 $547.44 $831.88 |
$541.00 $582.38 $626.21 $781.92 |
$775.48 $816.86 $860.69 $1,016.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.04 $695.80 $783.46 $1,094.88 $1,663.76 |
$847.52 $930.28 $1,017.94 $1,329.36 |
$1,082.00 $1,164.76 $1,252.42 $1,563.84 |
Toc - Plan #82 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 301 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.22 $338.48 $381.13 $532.62 $809.37 |
$526.36 $566.62 $609.27 $760.76 |
$754.50 $794.76 $837.41 $988.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596.44 $676.96 $762.26 $1,065.24 $1,618.74 |
$824.58 $905.10 $990.40 $1,293.38 |
$1,052.72 $1,133.24 $1,218.54 $1,521.52 |
Toc - Plan #83 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 603 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.24 $448.60 $505.11 $705.90 $1,072.68 |
$697.60 $750.96 $807.47 $1,008.26 |
$999.96 $1,053.32 $1,109.83 $1,310.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.48 $897.20 $1,010.22 $1,411.80 $2,145.36 |
$1,092.84 $1,199.56 $1,312.58 $1,714.16 |
$1,395.20 $1,501.92 $1,614.94 $2,016.52 |
Toc - Plan #84 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.63 $470.60 $529.89 $740.52 $1,125.30 |
$731.82 $787.79 $847.08 $1,057.71 |
$1,049.01 $1,104.98 $1,164.27 $1,374.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.26 $941.20 $1,059.78 $1,481.04 $2,250.60 |
$1,146.45 $1,258.39 $1,376.97 $1,798.23 |
$1,463.64 $1,575.58 $1,694.16 $2,115.42 |
Toc - Plan #85 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$440.10 $499.51 $562.44 $786.01 $1,194.42 |
$776.77 $836.18 $899.11 $1,122.68 |
$1,113.44 $1,172.85 $1,235.78 $1,459.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.20 $999.02 $1,124.88 $1,572.02 $2,388.84 |
$1,216.87 $1,335.69 $1,461.55 $1,908.69 |
$1,553.54 $1,672.36 $1,798.22 $2,245.36 |
Toc - Plan #86 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.78 $385.66 $434.24 $606.86 $922.18 |
$599.72 $645.60 $694.18 $866.80 |
$859.66 $905.54 $954.12 $1,126.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.56 $771.32 $868.48 $1,213.72 $1,844.36 |
$939.50 $1,031.26 $1,128.42 $1,473.66 |
$1,199.44 $1,291.20 $1,388.36 $1,733.60 |
Toc - Plan #87 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 305 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.72 $348.13 $391.99 $547.81 $832.45 |
$541.36 $582.77 $626.63 $782.45 |
$776.00 $817.41 $861.27 $1,017.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.44 $696.26 $783.98 $1,095.62 $1,664.90 |
$848.08 $930.90 $1,018.62 $1,330.26 |
$1,082.72 $1,165.54 $1,253.26 $1,564.90 |
Toc - Plan #88 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.79 $508.25 $572.28 $799.76 $1,215.31 |
$790.35 $850.81 $914.84 $1,142.32 |
$1,132.91 $1,193.37 $1,257.40 $1,484.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.58 $1,016.50 $1,144.56 $1,599.52 $2,430.62 |
$1,238.14 $1,359.06 $1,487.12 $1,942.08 |
$1,580.70 $1,701.62 $1,829.68 $2,284.64 |
ADVERTISEMENT
Aetna Life Insurance CompanyLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #89 Aetna Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Aetna CVS Bronze: Low-Cost Walk-In Clinic Visits, Telehealth, Store Discounts, San Antonio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.30 $323.82 $364.62 $509.55 $774.31 |
$503.56 $542.08 $582.88 $727.81 |
$721.82 $760.34 $801.14 $946.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.60 $647.64 $729.24 $1,019.10 $1,548.62 |
$788.86 $865.90 $947.50 $1,237.36 |
$1,007.12 $1,084.16 $1,165.76 $1,455.62 |
Toc - Plan #90 Aetna Life Insurance Company | ||||||||||||||||||||
Bronze
(HMO) Aetna CVS Bronze: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, San Antonio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.38 $290.99 $327.65 $457.89 $695.81 |
$452.51 $487.12 $523.78 $654.02 |
$648.64 $683.25 $719.91 $850.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$512.76 $581.98 $655.30 $915.78 $1,391.62 |
$708.89 $778.11 $851.43 $1,111.91 |
$905.02 $974.24 $1,047.56 $1,308.04 |
Toc - Plan #91 Aetna Life Insurance Company | ||||||||||||||||||||
Gold
(HMO) Aetna CVS Gold: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, San Antonio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.26 $448.62 $505.14 $705.94 $1,072.74 |
$697.64 $751.00 $807.52 $1,008.32 |
$1,000.02 $1,053.38 $1,109.90 $1,310.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.52 $897.24 $1,010.28 $1,411.88 $2,145.48 |
$1,092.90 $1,199.62 $1,312.66 $1,714.26 |
$1,395.28 $1,502.00 $1,615.04 $2,016.64 |
Toc - Plan #92 Aetna Life Insurance Company | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 2: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, San Antonio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.07 $389.38 $438.44 $612.72 $931.08 |
$605.52 $651.83 $700.89 $875.17 |
$867.97 $914.28 $963.34 $1,137.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.14 $778.76 $876.88 $1,225.44 $1,862.16 |
$948.59 $1,041.21 $1,139.33 $1,487.89 |
$1,211.04 $1,303.66 $1,401.78 $1,750.34 |
Toc - Plan #93 Aetna Life Insurance Company | ||||||||||||||||||||
Silver
(HMO) Aetna CVS Silver 1: $0 Walk-In Clinic Visits, Telehealth, Store Discounts, San Antonio |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.17 $449.65 $506.31 $707.56 $1,075.21 |
$699.24 $752.72 $809.38 $1,010.63 |
$1,002.31 $1,055.79 $1,112.45 $1,313.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.34 $899.30 $1,012.62 $1,415.12 $2,150.42 |
$1,095.41 $1,202.37 $1,315.69 $1,718.19 |
$1,398.48 $1,505.44 $1,618.76 $2,021.26 |
ADVERTISEMENT
CHRISTUS Health PlanLocal: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331 |
Toc - Plan #94 CHRISTUS Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) CHP TX Catastrophic - Three Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$203.13 $230.55 $259.60 $362.79 $551.30 |
$358.52 $385.94 $414.99 $518.18 |
$513.91 $541.33 $570.38 $673.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$406.26 $461.10 $519.20 $725.58 $1,102.60 |
$561.65 $616.49 $674.59 $880.97 |
$717.04 $771.88 $829.98 $1,036.36 |
Toc - Plan #95 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHP TX Bronze - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$252.17 $286.21 $322.27 $450.37 $684.38 |
$445.08 $479.12 $515.18 $643.28 |
$637.99 $672.03 $708.09 $836.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$504.34 $572.42 $644.54 $900.74 $1,368.76 |
$697.25 $765.33 $837.45 $1,093.65 |
$890.16 $958.24 $1,030.36 $1,286.56 |
Toc - Plan #96 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHP TX Silver HD - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.43 $401.15 $451.69 $631.23 $959.22 |
$623.81 $671.53 $722.07 $901.61 |
$894.19 $941.91 $992.45 $1,171.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.86 $802.30 $903.38 $1,262.46 $1,918.44 |
$977.24 $1,072.68 $1,173.76 $1,532.84 |
$1,247.62 $1,343.06 $1,444.14 $1,803.22 |
Toc - Plan #97 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHP TX Silver LD - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.37 $419.24 $472.06 $659.70 $1,002.47 |
$651.94 $701.81 $754.63 $942.27 |
$934.51 $984.38 $1,037.20 $1,224.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.74 $838.48 $944.12 $1,319.40 $2,004.94 |
$1,021.31 $1,121.05 $1,226.69 $1,601.97 |
$1,303.88 $1,403.62 $1,509.26 $1,884.54 |
Toc - Plan #98 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHP TX Gold - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.62 $396.82 $446.81 $624.42 $948.87 |
$617.08 $664.28 $714.27 $891.88 |
$884.54 $931.74 $981.73 $1,159.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.24 $793.64 $893.62 $1,248.84 $1,897.74 |
$966.70 $1,061.10 $1,161.08 $1,516.30 |
$1,234.16 $1,328.56 $1,428.54 $1,783.76 |
Toc - Plan #99 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHP TX Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.82 $310.79 $349.94 $489.05 $743.15 |
$483.29 $520.26 $559.41 $698.52 |
$692.76 $729.73 $768.88 $907.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$547.64 $621.58 $699.88 $978.10 $1,486.30 |
$757.11 $831.05 $909.35 $1,187.57 |
$966.58 $1,040.52 $1,118.82 $1,397.04 |
Toc - Plan #100 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHP TX Gold Plus - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.23 $414.54 $466.77 $652.30 $991.24 |
$644.63 $693.94 $746.17 $931.70 |
$924.03 $973.34 $1,025.57 $1,211.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.46 $829.08 $933.54 $1,304.60 $1,982.48 |
$1,009.86 $1,108.48 $1,212.94 $1,584.00 |
$1,289.26 $1,387.88 $1,492.34 $1,863.40 |
Toc - Plan #101 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHP TX Bronze Plus - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$267.78 $303.93 $342.22 $478.25 $726.75 |
$472.63 $508.78 $547.07 $683.10 |
$677.48 $713.63 $751.92 $887.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$535.56 $607.86 $684.44 $956.50 $1,453.50 |
$740.41 $812.71 $889.29 $1,161.35 |
$945.26 $1,017.56 $1,094.14 $1,366.20 |
Toc - Plan #102 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHP TX Silver Plus HD - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.05 $418.87 $471.64 $659.12 $1,001.59 |
$651.37 $701.19 $753.96 $941.44 |
$933.69 $983.51 $1,036.28 $1,223.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.10 $837.74 $943.28 $1,318.24 $2,003.18 |
$1,020.42 $1,120.06 $1,225.60 $1,600.56 |
$1,302.74 $1,402.38 $1,507.92 $1,882.88 |
Toc - Plan #103 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHP TX Basic Silver - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.90 $357.41 $402.44 $562.40 $854.63 |
$555.80 $598.31 $643.34 $803.30 |
$796.70 $839.21 $884.24 $1,044.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.80 $714.82 $804.88 $1,124.80 $1,709.26 |
$870.70 $955.72 $1,045.78 $1,365.70 |
$1,111.60 $1,196.62 $1,286.68 $1,606.60 |
Toc - Plan #104 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHP TX Basic Bronze - Two Free PCP Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.77 $276.67 $311.53 $435.36 $661.58 |
$430.25 $463.15 $498.01 $621.84 |
$616.73 $649.63 $684.49 $808.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$487.54 $553.34 $623.06 $870.72 $1,323.16 |
$674.02 $739.82 $809.54 $1,057.20 |
$860.50 $926.30 $996.02 $1,243.68 |
ADVERTISEMENT
Ambetter from Superior HealthplanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-877-941-9237 |
Toc - Plan #105 Ambetter from Superior Healthplan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.49 $423.90 $477.31 $667.04 $1,013.63 |
$659.20 $709.61 $763.02 $952.75 |
$944.91 $995.32 $1,048.73 $1,238.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.98 $847.80 $954.62 $1,334.08 $2,027.26 |
$1,032.69 $1,133.51 $1,240.33 $1,619.79 |
$1,318.40 $1,419.22 $1,526.04 $1,905.50 |
Toc - Plan #106 Ambetter from Superior Healthplan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.79 $456.02 $513.48 $717.58 $1,090.44 |
$709.15 $763.38 $820.84 $1,024.94 |
$1,016.51 $1,070.74 $1,128.20 $1,332.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.58 $912.04 $1,026.96 $1,435.16 $2,180.88 |
$1,110.94 $1,219.40 $1,334.32 $1,742.52 |
$1,418.30 $1,526.76 $1,641.68 $2,049.88 |
Toc - Plan #107 Ambetter from Superior Healthplan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$534.19 $606.29 $682.68 $954.04 $1,449.76 |
$942.84 $1,014.94 $1,091.33 $1,362.69 |
$1,351.49 $1,423.59 $1,499.98 $1,771.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,068.38 $1,212.58 $1,365.36 $1,908.08 $2,899.52 |
$1,477.03 $1,621.23 $1,774.01 $2,316.73 |
$1,885.68 $2,029.88 $2,182.66 $2,725.38 |
‡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 Guadalupe County here.
Guadalupe County is in “Rating Area 19” of Texas.
Currently, there are 107 plans offered in Rating Area 19.