Obamacare 2022 Rates for Duchesne County
Obamacare > Rates > Utah > Duchesne County
Obamacare > Rates > Utah > Duchesne County
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Regence BlueCross BlueShield of UtahLocal: 1-888-231-8424 | Toll Free: 1-888-231-8424 |
Toc - Plan #1 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 3750 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$390.10 $542.25 $576.97 $829.75 $1,170.30 |
$699.45 $851.60 $886.32 $1,139.10 |
$1,008.80 $1,160.95 $1,195.67 $1,448.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$780.20 $1,084.50 $1,153.94 $1,659.50 $2,340.60 |
$1,089.55 $1,393.85 $1,463.29 $1,968.85 |
$1,398.90 $1,703.20 $1,772.64 $2,278.20 |
Toc - Plan #2 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze HDHP 6000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$293.53 $408.00 $434.13 $624.34 $880.58 |
$526.30 $640.77 $666.90 $857.11 |
$759.07 $873.54 $899.67 $1,089.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$587.06 $816.00 $868.26 $1,248.68 $1,761.16 |
$819.83 $1,048.77 $1,101.03 $1,481.45 |
$1,052.60 $1,281.54 $1,333.80 $1,714.22 |
Toc - Plan #3 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Essential 8000 With 4 Copay No Deductible Office Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$270.05 $375.37 $399.41 $574.40 $810.15 |
$484.20 $589.52 $613.56 $788.55 |
$698.35 $803.67 $827.71 $1,002.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$540.10 $750.74 $798.82 $1,148.80 $1,620.30 |
$754.25 $964.89 $1,012.97 $1,362.95 |
$968.40 $1,179.04 $1,227.12 $1,577.10 |
Toc - Plan #4 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Virtual Value 8500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$258.64 $359.50 $382.52 $550.11 $775.91 |
$463.74 $564.60 $587.62 $755.21 |
$668.84 $769.70 $792.72 $960.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$517.28 $719.00 $765.04 $1,100.22 $1,551.82 |
$722.38 $924.10 $970.14 $1,305.32 |
$927.48 $1,129.20 $1,175.24 $1,510.42 |
Toc - Plan #5 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 5000 Separate RX Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$380.21 $528.49 $562.34 $808.71 $1,140.63 |
$681.72 $830.00 $863.85 $1,110.22 |
$983.23 $1,131.51 $1,165.36 $1,411.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$760.42 $1,056.98 $1,124.68 $1,617.42 $2,281.26 |
$1,061.93 $1,358.49 $1,426.19 $1,918.93 |
$1,363.44 $1,660.00 $1,727.70 $2,220.44 |
Toc - Plan #6 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Silver
(EPO) Silver 6500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$351.95 $489.21 $520.52 $748.59 $1,055.84 |
$631.04 $768.30 $799.61 $1,027.68 |
$910.13 $1,047.39 $1,078.70 $1,306.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.90 $978.42 $1,041.04 $1,497.18 $2,111.68 |
$982.99 $1,257.51 $1,320.13 $1,776.27 |
$1,262.08 $1,536.60 $1,599.22 $2,055.36 |
Toc - Plan #7 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$267.66 $372.05 $395.88 $569.32 $802.98 |
$479.92 $584.31 $608.14 $781.58 |
$692.18 $796.57 $820.40 $993.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$535.32 $744.10 $791.76 $1,138.64 $1,605.96 |
$747.58 $956.36 $1,004.02 $1,350.90 |
$959.84 $1,168.62 $1,216.28 $1,563.16 |
Toc - Plan #8 Regence BlueCross BlueShield of Utah | ||||||||||||||||||||
Gold
(EPO) Gold 2500 With Dental and Vision Exam |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-231-8424
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 |
$400.23 $556.32 $591.95 $851.30 $1,200.69 |
$717.62 $873.71 $909.34 $1,168.69 |
$1,035.01 $1,191.10 $1,226.73 $1,486.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$800.46 $1,112.64 $1,183.90 $1,702.60 $2,401.38 |
$1,117.85 $1,430.03 $1,501.29 $2,019.99 |
$1,435.24 $1,747.42 $1,818.68 $2,337.38 |
ADVERTISEMENT
BridgeSpan Health CompanyLocal: 1-855-857-9944 | Toll Free: 1-855-857-9944 | TTY: 1-800-735-2900 |
Toc - Plan #9 BridgeSpan Health Company | ||||||||||||||||||||
Gold
(HMO) Gold Starter HDHP 2000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$415.86 $578.05 $615.07 $884.55 $1,247.58 |
$745.63 $907.82 $944.84 $1,214.32 |
$1,075.40 $1,237.59 $1,274.61 $1,544.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$831.72 $1,156.10 $1,230.14 $1,769.10 $2,495.16 |
$1,161.49 $1,485.87 $1,559.91 $2,098.87 |
$1,491.26 $1,815.64 $1,889.68 $2,428.64 |
Toc - Plan #10 BridgeSpan Health Company | ||||||||||||||||||||
Silver
(HMO) BridgeSpan Silver Essential 4000 With 4 Copay No Deductible Office Visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$391.31 $543.93 $578.75 $832.31 $1,173.93 |
$701.61 $854.23 $889.05 $1,142.61 |
$1,011.91 $1,164.53 $1,199.35 $1,452.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$782.62 $1,087.86 $1,157.50 $1,664.62 $2,347.86 |
$1,092.92 $1,398.16 $1,467.80 $1,974.92 |
$1,403.22 $1,708.46 $1,778.10 $2,285.22 |
Toc - Plan #11 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze HDHP 6500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$283.99 $394.75 $420.03 $604.05 $851.97 |
$509.19 $619.95 $645.23 $829.25 |
$734.39 $845.15 $870.43 $1,054.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$567.98 $789.50 $840.06 $1,208.10 $1,703.94 |
$793.18 $1,014.70 $1,065.26 $1,433.30 |
$1,018.38 $1,239.90 $1,290.46 $1,658.50 |
Toc - Plan #12 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Virtual Saver 8000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-857-9944
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 |
$266.20 $370.02 $393.71 $566.21 $798.60 |
$477.29 $581.11 $604.80 $777.30 |
$688.38 $792.20 $815.89 $988.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$532.40 $740.04 $787.42 $1,132.42 $1,597.20 |
$743.49 $951.13 $998.51 $1,343.51 |
$954.58 $1,162.22 $1,209.60 $1,554.60 |
ADVERTISEMENT
University of Utah Health PlansLocal: 1-801-213-4111x1 | Toll Free: 1-888-271-5870 | TTY: 1-800-346-4128 |
Toc - Plan #13 University of Utah Health Plans | ||||||||||||||||||||
Gold
(EPO) Healthy Premier Gold Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
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 |
$519.06 $721.50 $767.69 $1,104.05 $1,557.18 |
$930.68 $1,133.12 $1,179.31 $1,515.67 |
$1,342.30 $1,544.74 $1,590.93 $1,927.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,038.12 $1,443.00 $1,535.38 $2,208.10 $3,114.36 |
$1,449.74 $1,854.62 $1,947.00 $2,619.72 |
$1,861.36 $2,266.24 $2,358.62 $3,031.34 |
Toc - Plan #14 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Premier Silver Copay |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
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 |
$502.63 $698.66 $743.39 $1,069.10 $1,507.89 |
$901.22 $1,097.25 $1,141.98 $1,467.69 |
$1,299.81 $1,495.84 $1,540.57 $1,866.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,005.26 $1,397.32 $1,486.78 $2,138.20 $3,015.78 |
$1,403.85 $1,795.91 $1,885.37 $2,536.79 |
$1,802.44 $2,194.50 $2,283.96 $2,935.38 |
Toc - Plan #15 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
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 |
$320.66 $445.72 $474.26 $682.05 $961.98 |
$574.95 $700.01 $728.55 $936.34 |
$829.24 $954.30 $982.84 $1,190.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$641.32 $891.44 $948.52 $1,364.10 $1,923.96 |
$895.61 $1,145.73 $1,202.81 $1,618.39 |
$1,149.90 $1,400.02 $1,457.10 $1,872.68 |
Toc - Plan #16 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
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 |
$357.27 $496.60 $528.40 $759.91 $1,071.80 |
$640.58 $779.91 $811.71 $1,043.22 |
$923.89 $1,063.22 $1,095.02 $1,326.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$714.54 $993.20 $1,056.80 $1,519.82 $2,143.60 |
$997.85 $1,276.51 $1,340.11 $1,803.13 |
$1,281.16 $1,559.82 $1,623.42 $2,086.44 |
Toc - Plan #17 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Expanded Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
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 |
$356.73 $495.86 $527.60 $758.77 $1,070.19 |
$639.62 $778.75 $810.49 $1,041.66 |
$922.51 $1,061.64 $1,093.38 $1,324.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$713.46 $991.72 $1,055.20 $1,517.54 $2,140.38 |
$996.35 $1,274.61 $1,338.09 $1,800.43 |
$1,279.24 $1,557.50 $1,620.98 $2,083.32 |
Toc - Plan #18 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Premier Silver 2300 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$506.68 $704.29 $749.39 $1,077.72 $1,520.04 |
$908.48 $1,106.09 $1,151.19 $1,479.52 |
$1,310.28 $1,507.89 $1,552.99 $1,881.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,013.36 $1,408.58 $1,498.78 $2,155.44 $3,040.08 |
$1,415.16 $1,810.38 $1,900.58 $2,557.24 |
$1,816.96 $2,212.18 $2,302.38 $2,959.04 |
Toc - Plan #19 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Bronze w.3 Copays Before Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.15 $446.40 $474.98 $683.09 $963.45 |
$575.82 $701.07 $729.65 $937.76 |
$830.49 $955.74 $984.32 $1,192.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$642.30 $892.80 $949.96 $1,366.18 $1,926.90 |
$896.97 $1,147.47 $1,204.63 $1,620.85 |
$1,151.64 $1,402.14 $1,459.30 $1,875.52 |
ADVERTISEMENT
SelectHealthLocal: 1-801-442-5038 | Toll Free: 1-800-538-5038 |
Toc - Plan #20 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Silver 2500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.69 $556.96 $592.62 $852.27 $1,202.07 |
$718.44 $874.71 $910.37 $1,170.02 |
$1,036.19 $1,192.46 $1,228.12 $1,487.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$801.38 $1,113.92 $1,185.24 $1,704.54 $2,404.14 |
$1,119.13 $1,431.67 $1,502.99 $2,022.29 |
$1,436.88 $1,749.42 $1,820.74 $2,340.04 |
Toc - Plan #21 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Med Gold 1500 - no deductible for office visits |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
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 |
$480.63 $668.08 $710.85 $1,022.30 $1,441.89 |
$861.77 $1,049.22 $1,091.99 $1,403.44 |
$1,242.91 $1,430.36 $1,473.13 $1,784.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$961.26 $1,336.16 $1,421.70 $2,044.60 $2,883.78 |
$1,342.40 $1,717.30 $1,802.84 $2,425.74 |
$1,723.54 $2,098.44 $2,183.98 $2,806.88 |
Toc - Plan #22 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 7800 - no deductible for office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.30 $360.43 $383.51 $551.53 $777.90 |
$464.93 $566.06 $589.14 $757.16 |
$670.56 $771.69 $794.77 $962.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$518.60 $720.86 $767.02 $1,103.06 $1,555.80 |
$724.23 $926.49 $972.65 $1,308.69 |
$929.86 $1,132.12 $1,178.28 $1,514.32 |
Toc - Plan #23 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 6900 HSA Qualified |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.80 $366.68 $390.16 $561.10 $791.39 |
$472.99 $575.87 $599.35 $770.29 |
$682.18 $785.06 $808.54 $979.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$527.60 $733.36 $780.32 $1,122.20 $1,582.78 |
$736.79 $942.55 $989.51 $1,331.39 |
$945.98 $1,151.74 $1,198.70 $1,540.58 |
Toc - Plan #24 SelectHealth | ||||||||||||||||||||
Catastrophic
(HMO) Med Catastrophic 8700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$220.83 $306.95 $326.61 $469.71 $662.49 |
$395.95 $482.07 $501.73 $644.83 |
$571.07 $657.19 $676.85 $819.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$441.66 $613.90 $653.22 $939.42 $1,324.98 |
$616.78 $789.02 $828.34 $1,114.54 |
$791.90 $964.14 $1,003.46 $1,289.66 |
Toc - Plan #25 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 5900 Copay Plan - no deductible for all office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.26 $440.99 $469.22 $674.80 $951.77 |
$568.84 $692.57 $720.80 $926.38 |
$820.42 $944.15 $972.38 $1,177.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.52 $881.98 $938.44 $1,349.60 $1,903.54 |
$886.10 $1,133.56 $1,190.02 $1,601.18 |
$1,137.68 $1,385.14 $1,441.60 $1,852.76 |
Toc - Plan #26 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 8700 - $0 PCP Office Visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.26 $438.21 $466.27 $670.55 $945.77 |
$565.26 $688.21 $716.27 $920.55 |
$815.26 $938.21 $966.27 $1,170.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.52 $876.42 $932.54 $1,341.10 $1,891.54 |
$880.52 $1,126.42 $1,182.54 $1,591.10 |
$1,130.52 $1,376.42 $1,432.54 $1,841.10 |
Toc - Plan #27 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Benchmark Expanded Bronze 6800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$250.85 $348.68 $371.00 $533.55 $752.54 |
$449.77 $547.60 $569.92 $732.47 |
$648.69 $746.52 $768.84 $931.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$501.70 $697.36 $742.00 $1,067.10 $1,505.08 |
$700.62 $896.28 $940.92 $1,266.02 |
$899.54 $1,095.20 $1,139.84 $1,464.94 |
Toc - Plan #28 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Benchmark Expanded Bronze 3800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.79 $404.20 $430.08 $618.51 $872.37 |
$521.39 $634.80 $660.68 $849.11 |
$751.99 $865.40 $891.28 $1,079.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$581.58 $808.40 $860.16 $1,237.02 $1,744.74 |
$812.18 $1,039.00 $1,090.76 $1,467.62 |
$1,042.78 $1,269.60 $1,321.36 $1,698.22 |
Toc - Plan #29 SelectHealth | ||||||||||||||||||||
Bronze
(HMO) Med Benchmark Bronze 8700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.33 $336.84 $358.41 $515.44 $726.99 |
$434.50 $529.01 $550.58 $707.61 |
$626.67 $721.18 $742.75 $899.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484.66 $673.68 $716.82 $1,030.88 $1,453.98 |
$676.83 $865.85 $908.99 $1,223.05 |
$869.00 $1,058.02 $1,101.16 $1,415.22 |
Toc - Plan #30 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Benchmark Silver 6500 - no deductible for office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.26 $538.29 $572.76 $823.70 $1,161.78 |
$694.36 $845.39 $879.86 $1,130.80 |
$1,001.46 $1,152.49 $1,186.96 $1,437.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.52 $1,076.58 $1,145.52 $1,647.40 $2,323.56 |
$1,081.62 $1,383.68 $1,452.62 $1,954.50 |
$1,388.72 $1,690.78 $1,759.72 $2,261.60 |
Toc - Plan #31 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Benchmark Expanded Bronze 0 Copay Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.30 $396.56 $421.95 $606.83 $855.89 |
$511.54 $622.80 $648.19 $833.07 |
$737.78 $849.04 $874.43 $1,059.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.60 $793.12 $843.90 $1,213.66 $1,711.78 |
$796.84 $1,019.36 $1,070.14 $1,439.90 |
$1,023.08 $1,245.60 $1,296.38 $1,666.14 |
Toc - Plan #32 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Med Benchmark Silver 0 Copay Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-5038
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.22 $550.74 $586.01 $842.76 $1,188.65 |
$710.42 $864.94 $900.21 $1,156.96 |
$1,024.62 $1,179.14 $1,214.41 $1,471.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.44 $1,101.48 $1,172.02 $1,685.52 $2,377.30 |
$1,106.64 $1,415.68 $1,486.22 $1,999.72 |
$1,420.84 $1,729.88 $1,800.42 $2,313.92 |
‡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 Duchesne County here.
Duchesne County is in “Rating Area 6” of Utah.
Currently, there are 32 plans offered in Rating Area 6.