Obamacare 2023 Rates for Montgomery County
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Obamacare > Rates > Georgia > Montgomery County
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Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #1 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$245.30 $278.40 $313.48 $438.09 $665.72 |
$432.95 $466.05 $501.13 $625.74 |
$620.60 $653.70 $688.78 $813.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$490.60 $556.80 $626.96 $876.18 $1,331.44 |
$678.25 $744.45 $814.61 $1,063.83 |
$865.90 $932.10 $1,002.26 $1,251.48 |
Toc - Plan #2 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$294.58 $334.34 $376.46 $526.11 $799.47 |
$519.93 $559.69 $601.81 $751.46 |
$745.28 $785.04 $827.16 $976.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$589.16 $668.68 $752.92 $1,052.22 $1,598.94 |
$814.51 $894.03 $978.27 $1,277.57 |
$1,039.86 $1,119.38 $1,203.62 $1,502.92 |
Toc - Plan #3 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$291.31 $330.63 $372.28 $520.27 $790.59 |
$514.16 $553.48 $595.13 $743.12 |
$737.01 $776.33 $817.98 $965.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$582.62 $661.26 $744.56 $1,040.54 $1,581.18 |
$805.47 $884.11 $967.41 $1,263.39 |
$1,028.32 $1,106.96 $1,190.26 $1,486.24 |
Toc - Plan #4 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$308.22 $349.82 $393.89 $550.46 $836.48 |
$544.00 $585.60 $629.67 $786.24 |
$779.78 $821.38 $865.45 $1,022.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$616.44 $699.64 $787.78 $1,100.92 $1,672.96 |
$852.22 $935.42 $1,023.56 $1,336.70 |
$1,088.00 $1,171.20 $1,259.34 $1,572.48 |
Toc - Plan #5 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$288.28 $327.18 $368.41 $514.85 $782.36 |
$508.81 $547.71 $588.94 $735.38 |
$729.34 $768.24 $809.47 $955.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$576.56 $654.36 $736.82 $1,029.70 $1,564.72 |
$797.09 $874.89 $957.35 $1,250.23 |
$1,017.62 $1,095.42 $1,177.88 $1,470.76 |
Toc - Plan #6 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$269.54 $305.92 $344.46 $481.39 $731.51 |
$475.73 $512.11 $550.65 $687.58 |
$681.92 $718.30 $756.84 $893.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$539.08 $611.84 $688.92 $962.78 $1,463.02 |
$745.27 $818.03 $895.11 $1,168.97 |
$951.46 $1,024.22 $1,101.30 $1,375.16 |
Toc - Plan #7 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$263.92 $299.53 $337.27 $471.34 $716.24 |
$465.81 $501.42 $539.16 $673.23 |
$667.70 $703.31 $741.05 $875.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$527.84 $599.06 $674.54 $942.68 $1,432.48 |
$729.73 $800.95 $876.43 $1,144.57 |
$931.62 $1,002.84 $1,078.32 $1,346.46 |
Toc - Plan #8 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$298.62 $338.92 $381.62 $533.31 $810.42 |
$527.05 $567.35 $610.05 $761.74 |
$755.48 $795.78 $838.48 $990.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$597.24 $677.84 $763.24 $1,066.62 $1,620.84 |
$825.67 $906.27 $991.67 $1,295.05 |
$1,054.10 $1,134.70 $1,220.10 $1,523.48 |
Toc - Plan #9 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$283.98 $322.30 $362.91 $507.17 $770.69 |
$501.22 $539.54 $580.15 $724.41 |
$718.46 $756.78 $797.39 $941.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$567.96 $644.60 $725.82 $1,014.34 $1,541.38 |
$785.20 $861.84 $943.06 $1,231.58 |
$1,002.44 $1,079.08 $1,160.30 $1,448.82 |
Toc - Plan #10 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$287.19 $325.95 $367.01 $512.90 $779.40 |
$506.88 $545.64 $586.70 $732.59 |
$726.57 $765.33 $806.39 $952.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$574.38 $651.90 $734.02 $1,025.80 $1,558.80 |
$794.07 $871.59 $953.71 $1,245.49 |
$1,013.76 $1,091.28 $1,173.40 $1,465.18 |
Toc - Plan #11 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$294.61 $334.37 $376.50 $526.16 $799.55 |
$519.98 $559.74 $601.87 $751.53 |
$745.35 $785.11 $827.24 $976.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$589.22 $668.74 $753.00 $1,052.32 $1,599.10 |
$814.59 $894.11 $978.37 $1,277.69 |
$1,039.96 $1,119.48 $1,203.74 $1,503.06 |
Toc - Plan #12 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$291.19 $330.49 $372.13 $520.06 $790.27 |
$513.95 $553.25 $594.89 $742.82 |
$736.71 $776.01 $817.65 $965.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$582.38 $660.98 $744.26 $1,040.12 $1,580.54 |
$805.14 $883.74 $967.02 $1,262.88 |
$1,027.90 $1,106.50 $1,189.78 $1,485.64 |
Toc - Plan #13 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$340.03 $385.93 $434.55 $607.28 $922.83 |
$600.15 $646.05 $694.67 $867.40 |
$860.27 $906.17 $954.79 $1,127.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.06 $771.86 $869.10 $1,214.56 $1,845.66 |
$940.18 $1,031.98 $1,129.22 $1,474.68 |
$1,200.30 $1,292.10 $1,389.34 $1,734.80 |
Toc - Plan #14 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$233.52 $265.03 $298.42 $417.04 $633.74 |
$412.15 $443.66 $477.05 $595.67 |
$590.78 $622.29 $655.68 $774.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$467.04 $530.06 $596.84 $834.08 $1,267.48 |
$645.67 $708.69 $775.47 $1,012.71 |
$824.30 $887.32 $954.10 $1,191.34 |
Toc - Plan #15 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$258.38 $293.25 $330.20 $461.45 $701.21 |
$456.03 $490.90 $527.85 $659.10 |
$653.68 $688.55 $725.50 $856.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$516.76 $586.50 $660.40 $922.90 $1,402.42 |
$714.41 $784.15 $858.05 $1,120.55 |
$912.06 $981.80 $1,055.70 $1,318.20 |
Toc - Plan #16 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$284.60 $323.01 $363.70 $508.27 $772.37 |
$502.31 $540.72 $581.41 $725.98 |
$720.02 $758.43 $799.12 $943.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$569.20 $646.02 $727.40 $1,016.54 $1,544.74 |
$786.91 $863.73 $945.11 $1,234.25 |
$1,004.62 $1,081.44 $1,162.82 $1,451.96 |
Toc - Plan #17 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$291.84 $331.23 $372.96 $521.21 $792.03 |
$515.09 $554.48 $596.21 $744.46 |
$738.34 $777.73 $819.46 $967.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$583.68 $662.46 $745.92 $1,042.42 $1,584.06 |
$806.93 $885.71 $969.17 $1,265.67 |
$1,030.18 $1,108.96 $1,192.42 $1,488.92 |
Toc - Plan #18 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$299.70 $340.14 $383.00 $535.24 $813.35 |
$528.96 $569.40 $612.26 $764.50 |
$758.22 $798.66 $841.52 $993.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$599.40 $680.28 $766.00 $1,070.48 $1,626.70 |
$828.66 $909.54 $995.26 $1,299.74 |
$1,057.92 $1,138.80 $1,224.52 $1,529.00 |
Toc - Plan #19 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$306.25 $347.58 $391.37 $546.94 $831.13 |
$540.52 $581.85 $625.64 $781.21 |
$774.79 $816.12 $859.91 $1,015.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$612.50 $695.16 $782.74 $1,093.88 $1,662.26 |
$846.77 $929.43 $1,017.01 $1,328.15 |
$1,081.04 $1,163.70 $1,251.28 $1,562.42 |
Toc - Plan #20 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$302.85 $343.72 $387.03 $540.87 $821.91 |
$534.52 $575.39 $618.70 $772.54 |
$766.19 $807.06 $850.37 $1,004.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$605.70 $687.44 $774.06 $1,081.74 $1,643.82 |
$837.37 $919.11 $1,005.73 $1,313.41 |
$1,069.04 $1,150.78 $1,237.40 $1,545.08 |
Toc - Plan #21 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$255.02 $289.43 $325.90 $455.44 $692.09 |
$450.10 $484.51 $520.98 $650.52 |
$645.18 $679.59 $716.06 $845.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$510.04 $578.86 $651.80 $910.88 $1,384.18 |
$705.12 $773.94 $846.88 $1,105.96 |
$900.20 $969.02 $1,041.96 $1,301.04 |
Toc - Plan #22 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$320.43 $363.68 $409.49 $572.27 $869.62 |
$565.55 $608.80 $654.61 $817.39 |
$810.67 $853.92 $899.73 $1,062.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$640.86 $727.36 $818.98 $1,144.54 $1,739.24 |
$885.98 $972.48 $1,064.10 $1,389.66 |
$1,131.10 $1,217.60 $1,309.22 $1,634.78 |
Toc - Plan #23 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
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 |
$280.22 $318.04 $358.11 $500.45 $760.49 |
$494.58 $532.40 $572.47 $714.81 |
$708.94 $746.76 $786.83 $929.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$560.44 $636.08 $716.22 $1,000.90 $1,520.98 |
$774.80 $850.44 $930.58 $1,215.26 |
$989.16 $1,064.80 $1,144.94 $1,429.62 |
Toc - Plan #24 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.37 $311.40 $350.63 $490.01 $744.61 |
$484.26 $521.29 $560.52 $699.90 |
$694.15 $731.18 $770.41 $909.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.74 $622.80 $701.26 $980.02 $1,489.22 |
$758.63 $832.69 $911.15 $1,189.91 |
$968.52 $1,042.58 $1,121.04 $1,399.80 |
Toc - Plan #25 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.45 $352.34 $396.74 $554.44 $842.52 |
$547.93 $589.82 $634.22 $791.92 |
$785.41 $827.30 $871.70 $1,029.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.90 $704.68 $793.48 $1,108.88 $1,685.04 |
$858.38 $942.16 $1,030.96 $1,346.36 |
$1,095.86 $1,179.64 $1,268.44 $1,583.84 |
Toc - Plan #26 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.56 $338.86 $381.55 $533.22 $810.27 |
$526.95 $567.25 $609.94 $761.61 |
$755.34 $795.64 $838.33 $990.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.12 $677.72 $763.10 $1,066.44 $1,620.54 |
$825.51 $906.11 $991.49 $1,294.83 |
$1,053.90 $1,134.50 $1,219.88 $1,523.22 |
Toc - Plan #27 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.28 $347.62 $391.41 $547.00 $831.22 |
$540.58 $581.92 $625.71 $781.30 |
$774.88 $816.22 $860.01 $1,015.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.56 $695.24 $782.82 $1,094.00 $1,662.44 |
$846.86 $929.54 $1,017.12 $1,328.30 |
$1,081.16 $1,163.84 $1,251.42 $1,562.60 |
Toc - Plan #28 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.23 $335.07 $377.28 $527.25 $801.21 |
$521.07 $560.91 $603.12 $753.09 |
$746.91 $786.75 $828.96 $978.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.46 $670.14 $754.56 $1,054.50 $1,602.42 |
$816.30 $895.98 $980.40 $1,280.34 |
$1,042.14 $1,121.82 $1,206.24 $1,506.18 |
Toc - Plan #29 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.73 $343.58 $386.87 $540.65 $821.58 |
$534.31 $575.16 $618.45 $772.23 |
$765.89 $806.74 $850.03 $1,003.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$605.46 $687.16 $773.74 $1,081.30 $1,643.16 |
$837.04 $918.74 $1,005.32 $1,312.88 |
$1,068.62 $1,150.32 $1,236.90 $1,544.46 |
Toc - Plan #30 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.50 $401.21 $451.76 $631.34 $959.38 |
$623.92 $671.63 $722.18 $901.76 |
$894.34 $942.05 $992.60 $1,172.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.00 $802.42 $903.52 $1,262.68 $1,918.76 |
$977.42 $1,072.84 $1,173.94 $1,533.10 |
$1,247.84 $1,343.26 $1,444.36 $1,803.52 |
Toc - Plan #31 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.82 $291.48 $328.20 $458.66 $696.98 |
$453.28 $487.94 $524.66 $655.12 |
$649.74 $684.40 $721.12 $851.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$513.64 $582.96 $656.40 $917.32 $1,393.96 |
$710.10 $779.42 $852.86 $1,113.78 |
$906.56 $975.88 $1,049.32 $1,310.24 |
Toc - Plan #32 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.00 $318.93 $359.11 $501.85 $762.61 |
$495.96 $533.89 $574.07 $716.81 |
$710.92 $748.85 $789.03 $931.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$562.00 $637.86 $718.22 $1,003.70 $1,525.22 |
$776.96 $852.82 $933.18 $1,218.66 |
$991.92 $1,067.78 $1,148.14 $1,433.62 |
Toc - Plan #33 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.41 $339.82 $382.64 $534.73 $812.58 |
$528.45 $568.86 $611.68 $763.77 |
$757.49 $797.90 $840.72 $992.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$598.82 $679.64 $765.28 $1,069.46 $1,625.16 |
$827.86 $908.68 $994.32 $1,298.50 |
$1,056.90 $1,137.72 $1,223.36 $1,527.54 |
‡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 Montgomery County here.
Montgomery County is in “Rating Area 11” of Georgia.
Currently, there are 33 plans offered in Rating Area 11.