Obamacare 2022 Rates for Weber County
Obamacare > Rates > Utah > Weber County
Obamacare > Rates > Utah > Weber County
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Molina HealthcareLocal: 1-801-858-0400 | Toll Free: 1-888-858-3973 |
Toc - Plan #1 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-858-3973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$306.09 $425.46 $452.70 $651.05 $918.26 |
$548.82 $668.19 $695.43 $893.78 |
$791.55 $910.92 $938.16 $1,136.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$612.18 $850.92 $905.40 $1,302.10 $1,836.52 |
$854.91 $1,093.65 $1,148.13 $1,544.83 |
$1,097.64 $1,336.38 $1,390.86 $1,787.56 |
Toc - Plan #2 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
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Benefits & Coverage
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Provider Directory
Customer Service Phone: 1-888-858-3973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$307.00 $426.73 $454.05 $652.99 $921.00 |
$550.45 $670.18 $697.50 $896.44 |
$793.90 $913.63 $940.95 $1,139.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$614.00 $853.46 $908.10 $1,305.98 $1,842.00 |
$857.45 $1,096.91 $1,151.55 $1,549.43 |
$1,100.90 $1,340.36 $1,395.00 $1,792.88 |
Toc - Plan #3 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$304.17 $422.80 $449.87 $646.98 $912.51 |
$545.38 $664.01 $691.08 $888.19 |
$786.59 $905.22 $932.29 $1,129.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.34 $845.60 $899.74 $1,293.96 $1,825.02 |
$849.55 $1,086.81 $1,140.95 $1,535.17 |
$1,090.76 $1,328.02 $1,382.16 $1,776.38 |
Toc - Plan #4 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 7 |
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Benefits & Coverage
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Customer Service Phone: 1-888-858-3973
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 |
$300.67 $417.93 $444.69 $639.52 $902.01 |
$539.10 $656.36 $683.12 $877.95 |
$777.53 $894.79 $921.55 $1,116.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$601.34 $835.86 $889.38 $1,279.04 $1,804.02 |
$839.77 $1,074.29 $1,127.81 $1,517.47 |
$1,078.20 $1,312.72 $1,366.24 $1,755.90 |
Toc - Plan #5 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$311.85 $433.47 $461.22 $663.30 $935.54 |
$559.14 $680.76 $708.51 $910.59 |
$806.43 $928.05 $955.80 $1,157.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.70 $866.94 $922.44 $1,326.60 $1,871.08 |
$870.99 $1,114.23 $1,169.73 $1,573.89 |
$1,118.28 $1,361.52 $1,417.02 $1,821.18 |
Toc - Plan #6 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$309.47 $430.17 $457.71 $658.25 $928.41 |
$554.88 $675.58 $703.12 $903.66 |
$800.29 $920.99 $948.53 $1,149.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$618.94 $860.34 $915.42 $1,316.50 $1,856.82 |
$864.35 $1,105.75 $1,160.83 $1,561.91 |
$1,109.76 $1,351.16 $1,406.24 $1,807.32 |
Toc - Plan #7 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-858-3973
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 |
$304.66 $423.48 $450.59 $648.02 $913.98 |
$546.26 $665.08 $692.19 $889.62 |
$787.86 $906.68 $933.79 $1,131.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$609.32 $846.96 $901.18 $1,296.04 $1,827.96 |
$850.92 $1,088.56 $1,142.78 $1,537.64 |
$1,092.52 $1,330.16 $1,384.38 $1,779.24 |
ADVERTISEMENT
Regence BlueCross BlueShield of UtahLocal: 1-888-231-8424 | Toll Free: 1-888-231-8424 |
Toc - Plan #8 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 |
$323.62 $449.83 $478.63 $688.33 $970.85 |
$580.25 $706.46 $735.26 $944.96 |
$836.88 $963.09 $991.89 $1,201.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$647.24 $899.66 $957.26 $1,376.66 $1,941.70 |
$903.87 $1,156.29 $1,213.89 $1,633.29 |
$1,160.50 $1,412.92 $1,470.52 $1,889.92 |
Toc - Plan #9 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 |
$243.50 $338.46 $360.14 $517.93 $730.50 |
$436.60 $531.56 $553.24 $711.03 |
$629.70 $724.66 $746.34 $904.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$487.00 $676.92 $720.28 $1,035.86 $1,461.00 |
$680.10 $870.02 $913.38 $1,228.96 |
$873.20 $1,063.12 $1,106.48 $1,422.06 |
Toc - Plan #10 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 |
$224.03 $311.40 $331.33 $476.50 $672.08 |
$401.68 $489.05 $508.98 $654.15 |
$579.33 $666.70 $686.63 $831.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$448.06 $622.80 $662.66 $953.00 $1,344.16 |
$625.71 $800.45 $840.31 $1,130.65 |
$803.36 $978.10 $1,017.96 $1,308.30 |
Toc - Plan #11 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 |
$214.55 $298.23 $317.33 $456.36 $643.65 |
$384.70 $468.38 $487.48 $626.51 |
$554.85 $638.53 $657.63 $796.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$429.10 $596.46 $634.66 $912.72 $1,287.30 |
$599.25 $766.61 $804.81 $1,082.87 |
$769.40 $936.76 $974.96 $1,253.02 |
Toc - Plan #12 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 |
$315.41 $438.42 $466.50 $670.88 $946.23 |
$565.53 $688.54 $716.62 $921.00 |
$815.65 $938.66 $966.74 $1,171.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$630.82 $876.84 $933.00 $1,341.76 $1,892.46 |
$880.94 $1,126.96 $1,183.12 $1,591.88 |
$1,131.06 $1,377.08 $1,433.24 $1,842.00 |
Toc - Plan #13 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 |
$291.96 $405.83 $431.81 $621.01 $875.88 |
$523.49 $637.36 $663.34 $852.54 |
$755.02 $868.89 $894.87 $1,084.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$583.92 $811.66 $863.62 $1,242.02 $1,751.76 |
$815.45 $1,043.19 $1,095.15 $1,473.55 |
$1,046.98 $1,274.72 $1,326.68 $1,705.08 |
Toc - Plan #14 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 |
$222.04 $308.64 $328.40 $472.29 $666.12 |
$398.12 $484.72 $504.48 $648.37 |
$574.20 $660.80 $680.56 $824.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$444.08 $617.28 $656.80 $944.58 $1,332.24 |
$620.16 $793.36 $832.88 $1,120.66 |
$796.24 $969.44 $1,008.96 $1,296.74 |
Toc - Plan #15 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 |
$332.02 $461.51 $491.06 $706.21 $996.06 |
$595.31 $724.80 $754.35 $969.50 |
$858.60 $988.09 $1,017.64 $1,232.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$664.04 $923.02 $982.12 $1,412.42 $1,992.12 |
$927.33 $1,186.31 $1,245.41 $1,675.71 |
$1,190.62 $1,449.60 $1,508.70 $1,939.00 |
ADVERTISEMENT
BridgeSpan Health CompanyLocal: 1-855-857-9944 | Toll Free: 1-855-857-9944 | TTY: 1-800-735-2900 |
Toc - Plan #16 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 |
$344.99 $479.53 $510.24 $733.79 $1,034.96 |
$618.56 $753.10 $783.81 $1,007.36 |
$892.13 $1,026.67 $1,057.38 $1,280.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$689.98 $959.06 $1,020.48 $1,467.58 $2,069.92 |
$963.55 $1,232.63 $1,294.05 $1,741.15 |
$1,237.12 $1,506.20 $1,567.62 $2,014.72 |
Toc - Plan #17 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 |
$324.62 $451.22 $480.11 $690.46 $973.85 |
$582.04 $708.64 $737.53 $947.88 |
$839.46 $966.06 $994.95 $1,205.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$649.24 $902.44 $960.22 $1,380.92 $1,947.70 |
$906.66 $1,159.86 $1,217.64 $1,638.34 |
$1,164.08 $1,417.28 $1,475.06 $1,895.76 |
Toc - Plan #18 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze HDHP 6500 |
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Benefits & Coverage
Plan Brochure
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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 |
$235.59 $327.47 $348.44 $501.10 $706.77 |
$422.41 $514.29 $535.26 $687.92 |
$609.23 $701.11 $722.08 $874.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$471.18 $654.94 $696.88 $1,002.20 $1,413.54 |
$658.00 $841.76 $883.70 $1,189.02 |
$844.82 $1,028.58 $1,070.52 $1,375.84 |
Toc - Plan #19 BridgeSpan Health Company | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Virtual Saver 8000 |
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Benefits & Coverage
Plan Brochure
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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 |
$220.83 $306.96 $326.61 $469.71 $662.49 |
$395.95 $482.08 $501.73 $644.83 |
$571.07 $657.20 $676.85 $819.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$441.66 $613.92 $653.22 $939.42 $1,324.98 |
$616.78 $789.04 $828.34 $1,114.54 |
$791.90 $964.16 $1,003.46 $1,289.66 |
ADVERTISEMENT
Bright HealthCareLocal: 1-855-827-4448 | Toll Free: 1-855-827-4448 | TTY: 1-855-827-4448 |
Toc - Plan #20 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-827-4448
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 |
$330.77 $459.77 $489.21 $703.54 $992.30 |
$593.07 $722.07 $751.51 $965.84 |
$855.37 $984.37 $1,013.81 $1,228.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$661.54 $919.54 $978.42 $1,407.08 $1,984.60 |
$923.84 $1,181.84 $1,240.72 $1,669.38 |
$1,186.14 $1,444.14 $1,503.02 $1,931.68 |
Toc - Plan #21 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-827-4448
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 |
$316.58 $440.05 $468.22 $673.36 $949.74 |
$567.63 $691.10 $719.27 $924.41 |
$818.68 $942.15 $970.32 $1,175.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$633.16 $880.10 $936.44 $1,346.72 $1,899.48 |
$884.21 $1,131.15 $1,187.49 $1,597.77 |
$1,135.26 $1,382.20 $1,438.54 $1,848.82 |
Toc - Plan #22 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
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 |
$318.96 $443.36 $471.75 $678.44 $956.88 |
$571.90 $696.30 $724.69 $931.38 |
$824.84 $949.24 $977.63 $1,184.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637.92 $886.72 $943.50 $1,356.88 $1,913.76 |
$890.86 $1,139.66 $1,196.44 $1,609.82 |
$1,143.80 $1,392.60 $1,449.38 $1,862.76 |
Toc - Plan #23 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.03 $462.91 $492.55 $708.36 $999.09 |
$597.12 $727.00 $756.64 $972.45 |
$861.21 $991.09 $1,020.73 $1,236.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.06 $925.82 $985.10 $1,416.72 $1,998.18 |
$930.15 $1,189.91 $1,249.19 $1,680.81 |
$1,194.24 $1,454.00 $1,513.28 $1,944.90 |
Toc - Plan #24 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.39 $449.52 $478.30 $687.86 $970.17 |
$579.84 $705.97 $734.75 $944.31 |
$836.29 $962.42 $991.20 $1,200.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.78 $899.04 $956.60 $1,375.72 $1,940.34 |
$903.23 $1,155.49 $1,213.05 $1,632.17 |
$1,159.68 $1,411.94 $1,469.50 $1,888.62 |
Toc - Plan #25 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$198.95 $276.54 $294.25 $423.17 $596.85 |
$356.72 $434.31 $452.02 $580.94 |
$514.49 $592.08 $609.79 $738.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$397.90 $553.08 $588.50 $846.34 $1,193.70 |
$555.67 $710.85 $746.27 $1,004.11 |
$713.44 $868.62 $904.04 $1,161.88 |
Toc - Plan #26 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 5300 HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218.48 $303.68 $323.13 $464.70 $655.43 |
$391.73 $476.93 $496.38 $637.95 |
$564.98 $650.18 $669.63 $811.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$436.96 $607.36 $646.26 $929.40 $1,310.86 |
$610.21 $780.61 $819.51 $1,102.65 |
$783.46 $953.86 $992.76 $1,275.90 |
Toc - Plan #27 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$207.16 $287.95 $306.39 $440.62 $621.47 |
$371.44 $452.23 $470.67 $604.90 |
$535.72 $616.51 $634.95 $769.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$414.32 $575.90 $612.78 $881.24 $1,242.94 |
$578.60 $740.18 $777.06 $1,045.52 |
$742.88 $904.46 $941.34 $1,209.80 |
Toc - Plan #28 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.65 $333.11 $354.44 $509.73 $718.94 |
$429.69 $523.15 $544.48 $699.77 |
$619.73 $713.19 $734.52 $889.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$479.30 $666.22 $708.88 $1,019.46 $1,437.88 |
$669.34 $856.26 $898.92 $1,209.50 |
$859.38 $1,046.30 $1,088.96 $1,399.54 |
Toc - Plan #29 Bright HealthCare | ||||||||||||||||||||
Catastrophic
(EPO) Catastrophic 8700 Direct ($0 Primary Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$169.48 $235.58 $250.66 $360.48 $508.44 |
$303.88 $369.98 $385.06 $494.88 |
$438.28 $504.38 $519.46 $629.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$338.96 $471.16 $501.32 $720.96 $1,016.88 |
$473.36 $605.56 $635.72 $855.36 |
$607.76 $739.96 $770.12 $989.76 |
Toc - Plan #30 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8700 ($25 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$195.00 $271.05 $288.41 $414.77 $585.00 |
$349.64 $425.69 $443.05 $569.41 |
$504.28 $580.33 $597.69 $724.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$390.00 $542.10 $576.82 $829.54 $1,170.00 |
$544.64 $696.74 $731.46 $984.18 |
$699.28 $851.38 $886.10 $1,138.82 |
Toc - Plan #31 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 4000 ($35 Primary Care + $15 Generic) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.89 $432.13 $459.80 $661.26 $932.66 |
$557.42 $678.66 $706.33 $907.79 |
$803.95 $925.19 $952.86 $1,154.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.78 $864.26 $919.60 $1,322.52 $1,865.32 |
$868.31 $1,110.79 $1,166.13 $1,569.05 |
$1,114.84 $1,357.32 $1,412.66 $1,815.58 |
Toc - Plan #32 Bright HealthCare | ||||||||||||||||||||
Gold
(EPO) Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription L |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.83 $522.40 $555.85 $799.39 $1,127.49 |
$673.86 $820.43 $853.88 $1,097.42 |
$971.89 $1,118.46 $1,151.91 $1,395.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.66 $1,044.80 $1,111.70 $1,598.78 $2,254.98 |
$1,049.69 $1,342.83 $1,409.73 $1,896.81 |
$1,347.72 $1,640.86 $1,707.76 $2,194.84 |
Toc - Plan #33 Bright HealthCare | ||||||||||||||||||||
Silver
(EPO) Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Presc |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.24 $467.38 $497.30 $715.19 $1,008.72 |
$602.88 $734.02 $763.94 $981.83 |
$869.52 $1,000.66 $1,030.58 $1,248.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.48 $934.76 $994.60 $1,430.38 $2,017.44 |
$939.12 $1,201.40 $1,261.24 $1,697.02 |
$1,205.76 $1,468.04 $1,527.88 $1,963.66 |
Toc - Plan #34 Bright HealthCare | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-827-4448
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$220.01 $305.81 $325.39 $467.96 $660.02 |
$394.48 $480.28 $499.86 $642.43 |
$568.95 $654.75 $674.33 $816.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$440.02 $611.62 $650.78 $935.92 $1,320.04 |
$614.49 $786.09 $825.25 $1,110.39 |
$788.96 $960.56 $999.72 $1,284.86 |
ADVERTISEMENT
University of Utah Health PlansLocal: 1-801-213-4111x1 | Toll Free: 1-888-271-5870 | TTY: 1-800-346-4128 |
Toc - Plan #35 University of Utah Health Plans | ||||||||||||||||||||
Gold
(EPO) Healthy Premier Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.50 $603.96 $642.63 $924.19 $1,303.50 |
$779.06 $948.52 $987.19 $1,268.75 |
$1,123.62 $1,293.08 $1,331.75 $1,613.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.00 $1,207.92 $1,285.26 $1,848.38 $2,607.00 |
$1,213.56 $1,552.48 $1,629.82 $2,192.94 |
$1,558.12 $1,897.04 $1,974.38 $2,537.50 |
Toc - Plan #36 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Premier Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.75 $584.84 $622.29 $894.93 $1,262.24 |
$754.40 $918.49 $955.94 $1,228.58 |
$1,088.05 $1,252.14 $1,289.59 $1,562.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841.50 $1,169.68 $1,244.58 $1,789.86 $2,524.48 |
$1,175.15 $1,503.33 $1,578.23 $2,123.51 |
$1,508.80 $1,836.98 $1,911.88 $2,457.16 |
Toc - Plan #37 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.42 $373.11 $397.00 $570.94 $805.26 |
$481.28 $585.97 $609.86 $783.80 |
$694.14 $798.83 $822.72 $996.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.84 $746.22 $794.00 $1,141.88 $1,610.52 |
$749.70 $959.08 $1,006.86 $1,354.74 |
$962.56 $1,171.94 $1,219.72 $1,567.60 |
Toc - Plan #38 University of Utah Health Plans | ||||||||||||||||||||
Gold
(EPO) Healthy Preferred Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.00 $549.05 $584.21 $840.17 $1,185.00 |
$708.24 $862.29 $897.45 $1,153.41 |
$1,021.48 $1,175.53 $1,210.69 $1,466.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.00 $1,098.10 $1,168.42 $1,680.34 $2,370.00 |
$1,103.24 $1,411.34 $1,481.66 $1,993.58 |
$1,416.48 $1,724.58 $1,794.90 $2,306.82 |
Toc - Plan #39 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Preferred Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.50 $531.68 $565.72 $813.58 $1,147.50 |
$685.82 $835.00 $869.04 $1,116.90 |
$989.14 $1,138.32 $1,172.36 $1,420.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.00 $1,063.36 $1,131.44 $1,627.16 $2,295.00 |
$1,068.32 $1,366.68 $1,434.76 $1,930.48 |
$1,371.64 $1,670.00 $1,738.08 $2,233.80 |
Toc - Plan #40 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Preferred Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.01 $339.18 $360.90 $519.02 $732.03 |
$437.51 $532.68 $554.40 $712.52 |
$631.01 $726.18 $747.90 $906.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$488.02 $678.36 $721.80 $1,038.04 $1,464.06 |
$681.52 $871.86 $915.30 $1,231.54 |
$875.02 $1,065.36 $1,108.80 $1,425.04 |
Toc - Plan #41 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.06 $415.70 $442.32 $636.11 $897.18 |
$536.22 $652.86 $679.48 $873.27 |
$773.38 $890.02 $916.64 $1,110.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.12 $831.40 $884.64 $1,272.22 $1,794.36 |
$835.28 $1,068.56 $1,121.80 $1,509.38 |
$1,072.44 $1,305.72 $1,358.96 $1,746.54 |
Toc - Plan #42 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Preferred Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.88 $377.91 $402.11 $578.29 $815.64 |
$487.48 $593.51 $617.71 $793.89 |
$703.08 $809.11 $833.31 $1,009.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$543.76 $755.82 $804.22 $1,156.58 $1,631.28 |
$759.36 $971.42 $1,019.82 $1,372.18 |
$974.96 $1,187.02 $1,235.42 $1,587.78 |
Toc - Plan #43 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.62 $415.08 $441.65 $635.16 $895.85 |
$535.42 $651.88 $678.45 $871.96 |
$772.22 $888.68 $915.25 $1,108.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.24 $830.16 $883.30 $1,270.32 $1,791.70 |
$834.04 $1,066.96 $1,120.10 $1,507.12 |
$1,070.84 $1,303.76 $1,356.90 $1,743.92 |
Toc - Plan #44 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Preferred 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.47 $377.35 $401.51 $577.42 $814.41 |
$486.75 $592.63 $616.79 $792.70 |
$702.03 $807.91 $832.07 $1,007.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.94 $754.70 $803.02 $1,154.84 $1,628.82 |
$758.22 $969.98 $1,018.30 $1,370.12 |
$973.50 $1,185.26 $1,233.58 $1,585.40 |
Toc - Plan #45 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Premier Silver 2300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.14 $589.55 $627.30 $902.15 $1,272.42 |
$760.48 $925.89 $963.64 $1,238.49 |
$1,096.82 $1,262.23 $1,299.98 $1,574.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848.28 $1,179.10 $1,254.60 $1,804.30 $2,544.84 |
$1,184.62 $1,515.44 $1,590.94 $2,140.64 |
$1,520.96 $1,851.78 $1,927.28 $2,476.98 |
Toc - Plan #46 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Preferred Silver 2300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.58 $535.95 $570.27 $820.13 $1,156.74 |
$691.34 $841.71 $876.03 $1,125.89 |
$997.10 $1,147.47 $1,181.79 $1,431.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.16 $1,071.90 $1,140.54 $1,640.26 $2,313.48 |
$1,076.92 $1,377.66 $1,446.30 $1,946.02 |
$1,382.68 $1,683.42 $1,752.06 $2,251.78 |
Toc - Plan #47 University of Utah Health Plans | ||||||||||||||||||||
Gold
(EPO) Healthy Preferred Wasatch Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.67 $523.57 $557.09 $801.17 $1,130.00 |
$675.37 $822.27 $855.79 $1,099.87 |
$974.07 $1,120.97 $1,154.49 $1,398.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.34 $1,047.14 $1,114.18 $1,602.34 $2,260.00 |
$1,052.04 $1,345.84 $1,412.88 $1,901.04 |
$1,350.74 $1,644.54 $1,711.58 $2,199.74 |
Toc - Plan #48 University of Utah Health Plans | ||||||||||||||||||||
Silver
(EPO) Healthy Preferred Wasatch Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.18 $517.33 $550.45 $791.62 $1,116.54 |
$667.32 $812.47 $845.59 $1,086.76 |
$962.46 $1,107.61 $1,140.73 $1,381.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.36 $1,034.66 $1,100.90 $1,583.24 $2,233.08 |
$1,039.50 $1,329.80 $1,396.04 $1,878.38 |
$1,334.64 $1,624.94 $1,691.18 $2,173.52 |
Toc - Plan #49 University of Utah Health Plans | ||||||||||||||||||||
Bronze
(EPO) Healthy Preferred Wasatch Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233.51 $324.57 $345.35 $496.67 $700.52 |
$418.68 $509.74 $530.52 $681.84 |
$603.85 $694.91 $715.69 $867.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$467.02 $649.14 $690.70 $993.34 $1,401.04 |
$652.19 $834.31 $875.87 $1,178.51 |
$837.36 $1,019.48 $1,061.04 $1,363.68 |
Toc - Plan #50 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Premier Bronze w.3 Copays Before Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.83 $373.68 $397.60 $571.80 $806.49 |
$482.01 $586.86 $610.78 $784.98 |
$695.19 $800.04 $823.96 $998.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$537.66 $747.36 $795.20 $1,143.60 $1,612.98 |
$750.84 $960.54 $1,008.38 $1,356.78 |
$964.02 $1,173.72 $1,221.56 $1,569.96 |
Toc - Plan #51 University of Utah Health Plans | ||||||||||||||||||||
Expanded Bronze
(EPO) Healthy Preferred Bronze w.3 Copays Before Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-271-5870
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.40 $339.72 $361.47 $519.84 $733.20 |
$438.21 $533.53 $555.28 $713.65 |
$632.02 $727.34 $749.09 $907.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$488.80 $679.44 $722.94 $1,039.68 $1,466.40 |
$682.61 $873.25 $916.75 $1,233.49 |
$876.42 $1,067.06 $1,110.56 $1,427.30 |
ADVERTISEMENT
SelectHealthLocal: 1-801-442-5038 | Toll Free: 1-800-538-5038 |
Toc - Plan #52 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.77 $511.20 $543.93 $782.24 $1,103.30 |
$659.41 $802.84 $835.57 $1,073.88 |
$951.05 $1,094.48 $1,127.21 $1,365.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.54 $1,022.40 $1,087.86 $1,564.48 $2,206.60 |
$1,027.18 $1,314.04 $1,379.50 $1,856.12 |
$1,318.82 $1,605.68 $1,671.14 $2,147.76 |
Toc - Plan #53 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Med Gold 1500 - 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 |
$441.14 $613.18 $652.44 $938.30 $1,323.41 |
$790.96 $963.00 $1,002.26 $1,288.12 |
$1,140.78 $1,312.82 $1,352.08 $1,637.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.28 $1,226.36 $1,304.88 $1,876.60 $2,646.82 |
$1,232.10 $1,576.18 $1,654.70 $2,226.42 |
$1,581.92 $1,926.00 $2,004.52 $2,576.24 |
Toc - Plan #54 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Med Expanded Bronze 7800 - no deductible for office visits |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
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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 |
$237.99 $330.81 $351.99 $506.21 $713.97 |
$426.72 $519.54 $540.72 $694.94 |
$615.45 $708.27 $729.45 $883.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$475.98 $661.62 $703.98 $1,012.42 $1,427.94 |
$664.71 $850.35 $892.71 $1,201.15 |
$853.44 $1,039.08 $1,081.44 $1,389.88 |
Toc - Plan #55 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 |
$242.12 $336.55 $358.10 $514.99 $726.36 |
$434.12 $528.55 $550.10 $706.99 |
$626.12 $720.55 $742.10 $898.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484.24 $673.10 $716.20 $1,029.98 $1,452.72 |
$676.24 $865.10 $908.20 $1,221.98 |
$868.24 $1,057.10 $1,100.20 $1,413.98 |
Toc - Plan #56 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 |
$202.69 $281.73 $299.77 $431.11 $608.06 |
$363.42 $442.46 $460.50 $591.84 |
$524.15 $603.19 $621.23 $752.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$405.38 $563.46 $599.54 $862.22 $1,216.12 |
$566.11 $724.19 $760.27 $1,022.95 |
$726.84 $884.92 $921.00 $1,183.68 |
Toc - Plan #57 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Value Gold 1500 - 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 |
$390.39 $542.64 $577.39 $830.36 $1,171.17 |
$699.97 $852.22 $886.97 $1,139.94 |
$1,009.55 $1,161.80 $1,196.55 $1,449.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$780.78 $1,085.28 $1,154.78 $1,660.72 $2,342.34 |
$1,090.36 $1,394.86 $1,464.36 $1,970.30 |
$1,399.94 $1,704.44 $1,773.94 $2,279.88 |
Toc - Plan #58 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Value Silver 2500 |
||||||||||||||||||||
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 |
$325.46 $452.39 $481.36 $692.26 $976.38 |
$583.55 $710.48 $739.45 $950.35 |
$841.64 $968.57 $997.54 $1,208.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$650.92 $904.78 $962.72 $1,384.52 $1,952.76 |
$909.01 $1,162.87 $1,220.81 $1,642.61 |
$1,167.10 $1,420.96 $1,478.90 $1,900.70 |
Toc - Plan #59 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$210.62 $292.76 $311.50 $447.98 $631.85 |
$377.64 $459.78 $478.52 $615.00 |
$544.66 $626.80 $645.54 $782.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$421.24 $585.52 $623.00 $895.96 $1,263.70 |
$588.26 $752.54 $790.02 $1,062.98 |
$755.28 $919.56 $957.04 $1,230.00 |
Toc - Plan #60 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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 |
$214.27 $297.83 $316.90 $455.75 $642.81 |
$384.19 $467.75 $486.82 $625.67 |
$554.11 $637.67 $656.74 $795.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$428.54 $595.66 $633.80 $911.50 $1,285.62 |
$598.46 $765.58 $803.72 $1,081.42 |
$768.38 $935.50 $973.64 $1,251.34 |
Toc - Plan #61 SelectHealth | ||||||||||||||||||||
Catastrophic
(HMO) Value 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 |
$179.37 $249.32 $265.29 $381.52 $538.11 |
$321.61 $391.56 $407.53 $523.76 |
$463.85 $533.80 $549.77 $666.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$358.74 $498.64 $530.58 $763.04 $1,076.22 |
$500.98 $640.88 $672.82 $905.28 |
$643.22 $783.12 $815.06 $1,047.52 |
Toc - Plan #62 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value Expanded Bronze 5900 Copay Plan - 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 |
$257.69 $358.19 $381.12 $548.11 $773.07 |
$462.04 $562.54 $585.47 $752.46 |
$666.39 $766.89 $789.82 $956.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$515.38 $716.38 $762.24 $1,096.22 $1,546.14 |
$719.73 $920.73 $966.59 $1,300.57 |
$924.08 $1,125.08 $1,170.94 $1,504.92 |
Toc - Plan #63 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 |
$291.19 $404.75 $430.67 $619.36 $873.56 |
$522.10 $635.66 $661.58 $850.27 |
$753.01 $866.57 $892.49 $1,081.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.38 $809.50 $861.34 $1,238.72 $1,747.12 |
$813.29 $1,040.41 $1,092.25 $1,469.63 |
$1,044.20 $1,271.32 $1,323.16 $1,700.54 |
Toc - Plan #64 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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 |
$256.07 $355.93 $378.72 $544.66 $768.20 |
$459.13 $558.99 $581.78 $747.72 |
$662.19 $762.05 $784.84 $950.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$512.14 $711.86 $757.44 $1,089.32 $1,536.40 |
$715.20 $914.92 $960.50 $1,292.38 |
$918.26 $1,117.98 $1,163.56 $1,495.44 |
Toc - Plan #65 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 |
$289.35 $402.20 $427.95 $615.46 $868.05 |
$518.81 $631.66 $657.41 $844.92 |
$748.27 $861.12 $886.87 $1,074.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.70 $804.40 $855.90 $1,230.92 $1,736.10 |
$808.16 $1,033.86 $1,085.36 $1,460.38 |
$1,037.62 $1,263.32 $1,314.82 $1,689.84 |
Toc - Plan #66 SelectHealth | ||||||||||||||||||||
Gold
(HMO) Signature Gold 1500 - 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 |
$380.70 $529.17 $563.06 $809.75 $1,142.10 |
$682.60 $831.07 $864.96 $1,111.65 |
$984.50 $1,132.97 $1,166.86 $1,413.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.40 $1,058.34 $1,126.12 $1,619.50 $2,284.20 |
$1,063.30 $1,360.24 $1,428.02 $1,921.40 |
$1,365.20 $1,662.14 $1,729.92 $2,223.30 |
Toc - Plan #67 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Signature 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 |
$249.71 $347.10 $369.32 $531.14 $749.13 |
$447.73 $545.12 $567.34 $729.16 |
$645.75 $743.14 $765.36 $927.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.42 $694.20 $738.64 $1,062.28 $1,498.26 |
$697.44 $892.22 $936.66 $1,260.30 |
$895.46 $1,090.24 $1,134.68 $1,458.32 |
Toc - Plan #68 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Signature Silver 2500 |
||||||||||||||||||||
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 |
$317.38 $441.16 $469.41 $675.07 $952.14 |
$569.06 $692.84 $721.09 $926.75 |
$820.74 $944.52 $972.77 $1,178.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.76 $882.32 $938.82 $1,350.14 $1,904.28 |
$886.44 $1,134.00 $1,190.50 $1,601.82 |
$1,138.12 $1,385.68 $1,442.18 $1,853.50 |
Toc - Plan #69 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Signature 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$205.39 $285.49 $303.77 $436.86 $616.16 |
$368.26 $448.36 $466.64 $599.73 |
$531.13 $611.23 $629.51 $762.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$410.78 $570.98 $607.54 $873.72 $1,232.32 |
$573.65 $733.85 $770.41 $1,036.59 |
$736.52 $896.72 $933.28 $1,199.46 |
Toc - Plan #70 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 |
$230.24 $320.03 $340.52 $489.71 $690.71 |
$412.82 $502.61 $523.10 $672.29 |
$595.40 $685.19 $705.68 $854.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$460.48 $640.06 $681.04 $979.42 $1,381.42 |
$643.06 $822.64 $863.62 $1,162.00 |
$825.64 $1,005.22 $1,046.20 $1,344.58 |
Toc - Plan #71 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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 |
$203.75 $283.21 $301.35 $433.38 $611.25 |
$365.32 $444.78 $462.92 $594.95 |
$526.89 $606.35 $624.49 $756.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$407.50 $566.42 $602.70 $866.76 $1,222.50 |
$569.07 $727.99 $764.27 $1,028.33 |
$730.64 $889.56 $925.84 $1,189.90 |
Toc - Plan #72 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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 |
$236.19 $328.31 $349.33 $502.39 $708.57 |
$423.49 $515.61 $536.63 $689.69 |
$610.79 $702.91 $723.93 $876.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.38 $656.62 $698.66 $1,004.78 $1,417.14 |
$659.68 $843.92 $885.96 $1,192.08 |
$846.98 $1,031.22 $1,073.26 $1,379.38 |
Toc - Plan #73 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 |
$266.90 $370.99 $394.74 $567.69 $800.69 |
$478.55 $582.64 $606.39 $779.34 |
$690.20 $794.29 $818.04 $990.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533.80 $741.98 $789.48 $1,135.38 $1,601.38 |
$745.45 $953.63 $1,001.13 $1,347.03 |
$957.10 $1,165.28 $1,212.78 $1,558.68 |
Toc - Plan #74 SelectHealth | ||||||||||||||||||||
Bronze
(HMO) Value 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 |
$196.84 $273.60 $291.12 $418.67 $590.51 |
$352.93 $429.69 $447.21 $574.76 |
$509.02 $585.78 $603.30 $730.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$393.68 $547.20 $582.24 $837.34 $1,181.02 |
$549.77 $703.29 $738.33 $993.43 |
$705.86 $859.38 $894.42 $1,149.52 |
Toc - Plan #75 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 |
$222.42 $309.17 $328.96 $473.09 $667.26 |
$398.80 $485.55 $505.34 $649.47 |
$575.18 $661.93 $681.72 $825.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$444.84 $618.34 $657.92 $946.18 $1,334.52 |
$621.22 $794.72 $834.30 $1,122.56 |
$797.60 $971.10 $1,010.68 $1,298.94 |
Toc - Plan #76 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Value 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 |
$314.55 $437.23 $465.22 $669.05 $943.65 |
$563.99 $686.67 $714.66 $918.49 |
$813.43 $936.11 $964.10 $1,167.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.10 $874.46 $930.44 $1,338.10 $1,887.30 |
$878.54 $1,123.90 $1,179.88 $1,587.54 |
$1,127.98 $1,373.34 $1,429.32 $1,836.98 |
Toc - Plan #77 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 |
$355.44 $494.06 $525.69 $756.02 $1,066.32 |
$637.30 $775.92 $807.55 $1,037.88 |
$919.16 $1,057.78 $1,089.41 $1,319.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.88 $988.12 $1,051.38 $1,512.04 $2,132.64 |
$992.74 $1,269.98 $1,333.24 $1,793.90 |
$1,274.60 $1,551.84 $1,615.10 $2,075.76 |
Toc - Plan #78 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Value 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 |
$231.73 $322.11 $342.73 $492.89 $695.19 |
$415.49 $505.87 $526.49 $676.65 |
$599.25 $689.63 $710.25 $860.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$463.46 $644.22 $685.46 $985.78 $1,390.38 |
$647.22 $827.98 $869.22 $1,169.54 |
$830.98 $1,011.74 $1,052.98 $1,353.30 |
Toc - Plan #79 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 |
$261.85 $363.98 $387.28 $556.96 $785.55 |
$469.50 $571.63 $594.93 $764.61 |
$677.15 $779.28 $802.58 $972.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$523.70 $727.96 $774.56 $1,113.92 $1,571.10 |
$731.35 $935.61 $982.21 $1,321.57 |
$939.00 $1,143.26 $1,189.86 $1,529.22 |
Toc - Plan #80 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Value 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 |
$321.83 $447.34 $475.98 $684.53 $965.48 |
$577.04 $702.55 $731.19 $939.74 |
$832.25 $957.76 $986.40 $1,194.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.66 $894.68 $951.96 $1,369.06 $1,930.96 |
$898.87 $1,149.89 $1,207.17 $1,624.27 |
$1,154.08 $1,405.10 $1,462.38 $1,879.48 |
Toc - Plan #81 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 |
$363.66 $505.49 $537.86 $773.51 $1,090.98 |
$652.04 $793.87 $826.24 $1,061.89 |
$940.42 $1,082.25 $1,114.62 $1,350.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.32 $1,010.98 $1,075.72 $1,547.02 $2,181.96 |
$1,015.70 $1,299.36 $1,364.10 $1,835.40 |
$1,304.08 $1,587.74 $1,652.48 $2,123.78 |
Toc - Plan #82 SelectHealth | ||||||||||||||||||||
Bronze
(HMO) Signature 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 |
$191.95 $266.81 $283.89 $408.28 $575.85 |
$344.17 $419.03 $436.11 $560.50 |
$496.39 $571.25 $588.33 $712.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$383.90 $533.62 $567.78 $816.56 $1,151.70 |
$536.12 $685.84 $720.00 $968.78 |
$688.34 $838.06 $872.22 $1,121.00 |
Toc - Plan #83 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Signature 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 |
$306.74 $426.37 $453.67 $652.44 $920.22 |
$549.99 $669.62 $696.92 $895.69 |
$793.24 $912.87 $940.17 $1,138.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.48 $852.74 $907.34 $1,304.88 $1,840.44 |
$856.73 $1,095.99 $1,150.59 $1,548.13 |
$1,099.98 $1,339.24 $1,393.84 $1,791.38 |
Toc - Plan #84 SelectHealth | ||||||||||||||||||||
Expanded Bronze
(HMO) Signature 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 |
$225.98 $314.11 $334.22 $480.66 $677.94 |
$405.18 $493.31 $513.42 $659.86 |
$584.38 $672.51 $692.62 $839.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$451.96 $628.22 $668.44 $961.32 $1,355.88 |
$631.16 $807.42 $847.64 $1,140.52 |
$810.36 $986.62 $1,026.84 $1,319.72 |
Toc - Plan #85 SelectHealth | ||||||||||||||||||||
Silver
(HMO) Signature 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 |
$313.84 $436.24 $464.17 $667.53 $941.52 |
$562.71 $685.11 $713.04 $916.40 |
$811.58 $933.98 $961.91 $1,165.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.68 $872.48 $928.34 $1,335.06 $1,883.04 |
$876.55 $1,121.35 $1,177.21 $1,583.93 |
$1,125.42 $1,370.22 $1,426.08 $1,832.80 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #86 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 3400 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.23 $383.97 $408.55 $587.55 $828.69 |
$495.28 $603.02 $627.60 $806.60 |
$714.33 $822.07 $846.65 $1,025.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$552.46 $767.94 $817.10 $1,175.10 $1,657.38 |
$771.51 $986.99 $1,036.15 $1,394.15 |
$990.56 $1,206.04 $1,255.20 $1,613.20 |
Toc - Plan #87 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7800 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.41 $386.98 $411.76 $592.17 $835.22 |
$499.19 $607.76 $632.54 $812.95 |
$719.97 $828.54 $853.32 $1,033.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.82 $773.96 $823.52 $1,184.34 $1,670.44 |
$777.60 $994.74 $1,044.30 $1,405.12 |
$998.38 $1,215.52 $1,265.08 $1,625.90 |
Toc - Plan #88 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 1900 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.38 $493.98 $525.60 $755.89 $1,066.13 |
$637.19 $775.79 $807.41 $1,037.70 |
$919.00 $1,057.60 $1,089.22 $1,319.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.76 $987.96 $1,051.20 $1,511.78 $2,132.26 |
$992.57 $1,269.77 $1,333.01 $1,793.59 |
$1,274.38 $1,551.58 $1,614.82 $2,075.40 |
Toc - Plan #89 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 2200 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.02 $497.65 $529.52 $761.51 $1,074.06 |
$641.93 $781.56 $813.43 $1,045.42 |
$925.84 $1,065.47 $1,097.34 $1,329.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.04 $995.30 $1,059.04 $1,523.02 $2,148.12 |
$999.95 $1,279.21 $1,342.95 $1,806.93 |
$1,283.86 $1,563.12 $1,626.86 $2,090.84 |
Toc - Plan #90 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1800 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.42 $594.11 $632.15 $909.12 $1,282.25 |
$766.36 $933.05 $971.09 $1,248.06 |
$1,105.30 $1,271.99 $1,310.03 $1,587.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.84 $1,188.22 $1,264.30 $1,818.24 $2,564.50 |
$1,193.78 $1,527.16 $1,603.24 $2,157.18 |
$1,532.72 $1,866.10 $1,942.18 $2,496.12 |
Toc - Plan #91 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.23 $496.55 $528.35 $759.84 $1,071.69 |
$640.52 $779.84 $811.64 $1,043.13 |
$923.81 $1,063.13 $1,094.93 $1,326.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.46 $993.10 $1,056.70 $1,519.68 $2,143.38 |
$997.75 $1,276.39 $1,339.99 $1,802.97 |
$1,281.04 $1,559.68 $1,623.28 $2,086.26 |
Toc - Plan #92 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5500 ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.37 $491.18 $522.63 $751.61 $1,060.10 |
$633.59 $771.40 $802.85 $1,031.83 |
$913.81 $1,051.62 $1,083.07 $1,312.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.74 $982.36 $1,045.26 $1,503.22 $2,120.20 |
$986.96 $1,262.58 $1,325.48 $1,783.44 |
$1,267.18 $1,542.80 $1,605.70 $2,063.66 |
Toc - Plan #93 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care ($0 Preferred Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.47 $384.29 $408.90 $588.05 $829.41 |
$495.71 $603.53 $628.14 $807.29 |
$714.95 $822.77 $847.38 $1,026.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$552.94 $768.58 $817.80 $1,176.10 $1,658.82 |
$772.18 $987.82 $1,037.04 $1,395.34 |
$991.42 $1,207.06 $1,256.28 $1,614.58 |
Toc - Plan #94 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect HSA 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.46 $385.67 $410.36 $590.15 $832.37 |
$497.48 $605.69 $630.38 $810.17 |
$717.50 $825.71 $850.40 $1,030.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554.92 $771.34 $820.72 $1,180.30 $1,664.74 |
$774.94 $991.36 $1,040.74 $1,400.32 |
$994.96 $1,211.38 $1,260.76 $1,620.34 |
Toc - Plan #95 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.58 $494.25 $525.90 $756.31 $1,066.73 |
$637.55 $776.22 $807.87 $1,038.28 |
$919.52 $1,058.19 $1,089.84 $1,320.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.16 $988.50 $1,051.80 $1,512.62 $2,133.46 |
$993.13 $1,270.47 $1,333.77 $1,794.59 |
$1,275.10 $1,552.44 $1,615.74 $2,076.56 |
Toc - Plan #96 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5000 + Acupuncture ($0 Telehealth) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.91 $497.49 $529.35 $761.27 $1,073.73 |
$641.73 $781.31 $813.17 $1,045.09 |
$925.55 $1,065.13 $1,096.99 $1,328.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.82 $994.98 $1,058.70 $1,522.54 $2,147.46 |
$999.64 $1,278.80 $1,342.52 $1,806.36 |
$1,283.46 $1,562.62 $1,626.34 $2,090.18 |
‡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 Weber County here.
Weber County is in “Rating Area 2” of Utah.
Currently, there are 96 plans offered in Rating Area 2.