Obamacare 2023 Rates for Collier County
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Obamacare > Rates > Florida > Collier County
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Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$743.62 $844.01 $950.35 $1,328.11 $2,018.18 |
$1,312.49 $1,412.88 $1,519.22 $1,896.98 |
$1,881.36 $1,981.75 $2,088.09 $2,465.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,487.24 $1,688.02 $1,900.70 $2,656.22 $4,036.36 |
$2,056.11 $2,256.89 $2,469.57 $3,225.09 |
$2,624.98 $2,825.76 $3,038.44 $3,793.96 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$481.10 $546.05 $614.85 $859.24 $1,305.71 |
$849.14 $914.09 $982.89 $1,227.28 |
$1,217.18 $1,282.13 $1,350.93 $1,595.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$962.20 $1,092.10 $1,229.70 $1,718.48 $2,611.42 |
$1,330.24 $1,460.14 $1,597.74 $2,086.52 |
$1,698.28 $1,828.18 $1,965.78 $2,454.56 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$747.70 $848.64 $955.56 $1,335.39 $2,029.26 |
$1,319.69 $1,420.63 $1,527.55 $1,907.38 |
$1,891.68 $1,992.62 $2,099.54 $2,479.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,495.40 $1,697.28 $1,911.12 $2,670.78 $4,058.52 |
$2,067.39 $2,269.27 $2,483.11 $3,242.77 |
$2,639.38 $2,841.26 $3,055.10 $3,814.76 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$940.93 $1,067.96 $1,202.51 $1,680.50 $2,553.68 |
$1,660.74 $1,787.77 $1,922.32 $2,400.31 |
$2,380.55 $2,507.58 $2,642.13 $3,120.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,881.86 $2,135.92 $2,405.02 $3,361.00 $5,107.36 |
$2,601.67 $2,855.73 $3,124.83 $4,080.81 |
$3,321.48 $3,575.54 $3,844.64 $4,800.62 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$501.12 $568.77 $640.43 $895.00 $1,360.04 |
$884.48 $952.13 $1,023.79 $1,278.36 |
$1,267.84 $1,335.49 $1,407.15 $1,661.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,002.24 $1,137.54 $1,280.86 $1,790.00 $2,720.08 |
$1,385.60 $1,520.90 $1,664.22 $2,173.36 |
$1,768.96 $1,904.26 $2,047.58 $2,556.72 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$985.93 $1,119.03 $1,260.02 $1,760.87 $2,675.81 |
$1,740.17 $1,873.27 $2,014.26 $2,515.11 |
$2,494.41 $2,627.51 $2,768.50 $3,269.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,971.86 $2,238.06 $2,520.04 $3,521.74 $5,351.62 |
$2,726.10 $2,992.30 $3,274.28 $4,275.98 |
$3,480.34 $3,746.54 $4,028.52 $5,030.22 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$698.00 $792.23 $892.04 $1,246.63 $1,894.37 |
$1,231.97 $1,326.20 $1,426.01 $1,780.60 |
$1,765.94 $1,860.17 $1,959.98 $2,314.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,396.00 $1,584.46 $1,784.08 $2,493.26 $3,788.74 |
$1,929.97 $2,118.43 $2,318.05 $3,027.23 |
$2,463.94 $2,652.40 $2,852.02 $3,561.20 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$808.09 $917.18 $1,032.74 $1,443.25 $2,193.16 |
$1,426.28 $1,535.37 $1,650.93 $2,061.44 |
$2,044.47 $2,153.56 $2,269.12 $2,679.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,616.18 $1,834.36 $2,065.48 $2,886.50 $4,386.32 |
$2,234.37 $2,452.55 $2,683.67 $3,504.69 |
$2,852.56 $3,070.74 $3,301.86 $4,122.88 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$487.16 $552.93 $622.59 $870.07 $1,322.15 |
$859.84 $925.61 $995.27 $1,242.75 |
$1,232.52 $1,298.29 $1,367.95 $1,615.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$974.32 $1,105.86 $1,245.18 $1,740.14 $2,644.30 |
$1,347.00 $1,478.54 $1,617.86 $2,112.82 |
$1,719.68 $1,851.22 $1,990.54 $2,485.50 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$781.82 $887.37 $999.17 $1,396.33 $2,121.86 |
$1,379.91 $1,485.46 $1,597.26 $1,994.42 |
$1,978.00 $2,083.55 $2,195.35 $2,592.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,563.64 $1,774.74 $1,998.34 $2,792.66 $4,243.72 |
$2,161.73 $2,372.83 $2,596.43 $3,390.75 |
$2,759.82 $2,970.92 $3,194.52 $3,988.84 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$530.73 $602.38 $678.27 $947.88 $1,440.40 |
$936.74 $1,008.39 $1,084.28 $1,353.89 |
$1,342.75 $1,414.40 $1,490.29 $1,759.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,061.46 $1,204.76 $1,356.54 $1,895.76 $2,880.80 |
$1,467.47 $1,610.77 $1,762.55 $2,301.77 |
$1,873.48 $2,016.78 $2,168.56 $2,707.78 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$459.83 $521.91 $587.66 $821.26 $1,247.98 |
$811.60 $873.68 $939.43 $1,173.03 |
$1,163.37 $1,225.45 $1,291.20 $1,524.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$919.66 $1,043.82 $1,175.32 $1,642.52 $2,495.96 |
$1,271.43 $1,395.59 $1,527.09 $1,994.29 |
$1,623.20 $1,747.36 $1,878.86 $2,346.06 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$494.33 $561.06 $631.75 $882.87 $1,341.61 |
$872.49 $939.22 $1,009.91 $1,261.03 |
$1,250.65 $1,317.38 $1,388.07 $1,639.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$988.66 $1,122.12 $1,263.50 $1,765.74 $2,683.22 |
$1,366.82 $1,500.28 $1,641.66 $2,143.90 |
$1,744.98 $1,878.44 $2,019.82 $2,522.06 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$736.02 $835.38 $940.63 $1,314.53 $1,997.56 |
$1,299.08 $1,398.44 $1,503.69 $1,877.59 |
$1,862.14 $1,961.50 $2,066.75 $2,440.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,472.04 $1,670.76 $1,881.26 $2,629.06 $3,995.12 |
$2,035.10 $2,233.82 $2,444.32 $3,192.12 |
$2,598.16 $2,796.88 $3,007.38 $3,755.18 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$751.23 $852.65 $960.07 $1,341.70 $2,038.84 |
$1,325.92 $1,427.34 $1,534.76 $1,916.39 |
$1,900.61 $2,002.03 $2,109.45 $2,491.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,502.46 $1,705.30 $1,920.14 $2,683.40 $4,077.68 |
$2,077.15 $2,279.99 $2,494.83 $3,258.09 |
$2,651.84 $2,854.68 $3,069.52 $3,832.78 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$983.45 $1,116.22 $1,256.85 $1,756.44 $2,669.08 |
$1,735.79 $1,868.56 $2,009.19 $2,508.78 |
$2,488.13 $2,620.90 $2,761.53 $3,261.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,966.90 $2,232.44 $2,513.70 $3,512.88 $5,338.16 |
$2,719.24 $2,984.78 $3,266.04 $4,265.22 |
$3,471.58 $3,737.12 $4,018.38 $5,017.56 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2319 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$520.29 $590.53 $664.93 $929.24 $1,412.07 |
$918.31 $988.55 $1,062.95 $1,327.26 |
$1,316.33 $1,386.57 $1,460.97 $1,725.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,040.58 $1,181.06 $1,329.86 $1,858.48 $2,824.14 |
$1,438.60 $1,579.08 $1,727.88 $2,256.50 |
$1,836.62 $1,977.10 $2,125.90 $2,654.52 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 | TTY: 1-877-336-3915 |
Toc - Plan #18 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$437.95 $497.07 $559.70 $782.17 $1,188.59 |
$772.98 $832.10 $894.73 $1,117.20 |
$1,108.01 $1,167.13 $1,229.76 $1,452.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$875.90 $994.14 $1,119.40 $1,564.34 $2,377.18 |
$1,210.93 $1,329.17 $1,454.43 $1,899.37 |
$1,545.96 $1,664.20 $1,789.46 $2,234.40 |
Toc - Plan #19 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$465.80 $528.69 $595.30 $831.93 $1,264.19 |
$822.14 $885.03 $951.64 $1,188.27 |
$1,178.48 $1,241.37 $1,307.98 $1,544.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.60 $1,057.38 $1,190.60 $1,663.86 $2,528.38 |
$1,287.94 $1,413.72 $1,546.94 $2,020.20 |
$1,644.28 $1,770.06 $1,903.28 $2,376.54 |
Toc - Plan #20 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$412.62 $468.32 $527.32 $736.93 $1,119.84 |
$728.27 $783.97 $842.97 $1,052.58 |
$1,043.92 $1,099.62 $1,158.62 $1,368.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$825.24 $936.64 $1,054.64 $1,473.86 $2,239.68 |
$1,140.89 $1,252.29 $1,370.29 $1,789.51 |
$1,456.54 $1,567.94 $1,685.94 $2,105.16 |
Toc - Plan #21 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.72 $465.03 $523.62 $731.76 $1,111.98 |
$723.16 $778.47 $837.06 $1,045.20 |
$1,036.60 $1,091.91 $1,150.50 $1,358.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.44 $930.06 $1,047.24 $1,463.52 $2,223.96 |
$1,132.88 $1,243.50 $1,360.68 $1,776.96 |
$1,446.32 $1,556.94 $1,674.12 $2,090.40 |
Toc - Plan #22 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.16 $433.75 $488.40 $682.54 $1,037.18 |
$674.51 $726.10 $780.75 $974.89 |
$966.86 $1,018.45 $1,073.10 $1,267.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.32 $867.50 $976.80 $1,365.08 $2,074.36 |
$1,056.67 $1,159.85 $1,269.15 $1,657.43 |
$1,349.02 $1,452.20 $1,561.50 $1,949.78 |
Toc - Plan #23 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.62 $355.96 $400.80 $560.12 $851.16 |
$553.54 $595.88 $640.72 $800.04 |
$793.46 $835.80 $880.64 $1,039.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.24 $711.92 $801.60 $1,120.24 $1,702.32 |
$867.16 $951.84 $1,041.52 $1,360.16 |
$1,107.08 $1,191.76 $1,281.44 $1,600.08 |
Toc - Plan #24 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.58 $451.25 $508.10 $710.07 $1,079.03 |
$701.73 $755.40 $812.25 $1,014.22 |
$1,005.88 $1,059.55 $1,116.40 $1,318.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.16 $902.50 $1,016.20 $1,420.14 $2,158.06 |
$1,099.31 $1,206.65 $1,320.35 $1,724.29 |
$1,403.46 $1,510.80 $1,624.50 $2,028.44 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #25 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.84 $543.47 $611.95 $855.19 $1,299.55 |
$845.15 $909.78 $978.26 $1,221.50 |
$1,211.46 $1,276.09 $1,344.57 $1,587.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$957.68 $1,086.94 $1,223.90 $1,710.38 $2,599.10 |
$1,323.99 $1,453.25 $1,590.21 $2,076.69 |
$1,690.30 $1,819.56 $1,956.52 $2,443.00 |
Toc - Plan #26 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.04 $405.22 $456.28 $637.65 $968.97 |
$630.16 $678.34 $729.40 $910.77 |
$903.28 $951.46 $1,002.52 $1,183.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.08 $810.44 $912.56 $1,275.30 $1,937.94 |
$987.20 $1,083.56 $1,185.68 $1,548.42 |
$1,260.32 $1,356.68 $1,458.80 $1,821.54 |
Toc - Plan #27 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.20 $446.27 $502.50 $702.24 $1,067.12 |
$693.99 $747.06 $803.29 $1,003.03 |
$994.78 $1,047.85 $1,104.08 $1,303.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.40 $892.54 $1,005.00 $1,404.48 $2,134.24 |
$1,087.19 $1,193.33 $1,305.79 $1,705.27 |
$1,387.98 $1,494.12 $1,606.58 $2,006.06 |
Toc - Plan #28 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.95 $549.27 $618.48 $864.32 $1,313.42 |
$854.17 $919.49 $988.70 $1,234.54 |
$1,224.39 $1,289.71 $1,358.92 $1,604.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.90 $1,098.54 $1,236.96 $1,728.64 $2,626.84 |
$1,338.12 $1,468.76 $1,607.18 $2,098.86 |
$1,708.34 $1,838.98 $1,977.40 $2,469.08 |
Toc - Plan #29 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.89 $435.71 $490.60 $685.62 $1,041.86 |
$677.56 $729.38 $784.27 $979.29 |
$971.23 $1,023.05 $1,077.94 $1,272.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.78 $871.42 $981.20 $1,371.24 $2,083.72 |
$1,061.45 $1,165.09 $1,274.87 $1,664.91 |
$1,355.12 $1,458.76 $1,568.54 $1,958.58 |
Toc - Plan #30 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.97 $499.36 $562.27 $785.78 $1,194.06 |
$776.54 $835.93 $898.84 $1,122.35 |
$1,113.11 $1,172.50 $1,235.41 $1,458.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.94 $998.72 $1,124.54 $1,571.56 $2,388.12 |
$1,216.51 $1,335.29 $1,461.11 $1,908.13 |
$1,553.08 $1,671.86 $1,797.68 $2,244.70 |
Toc - Plan #31 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.17 $542.71 $611.08 $853.99 $1,297.71 |
$843.96 $908.50 $976.87 $1,219.78 |
$1,209.75 $1,274.29 $1,342.66 $1,585.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.34 $1,085.42 $1,222.16 $1,707.98 $2,595.42 |
$1,322.13 $1,451.21 $1,587.95 $2,073.77 |
$1,687.92 $1,817.00 $1,953.74 $2,439.56 |
Toc - Plan #32 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$482.22 $547.30 $616.26 $861.22 $1,308.71 |
$851.11 $916.19 $985.15 $1,230.11 |
$1,220.00 $1,285.08 $1,354.04 $1,599.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964.44 $1,094.60 $1,232.52 $1,722.44 $2,617.42 |
$1,333.33 $1,463.49 $1,601.41 $2,091.33 |
$1,702.22 $1,832.38 $1,970.30 $2,460.22 |
Toc - Plan #33 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.95 $518.62 $583.97 $816.09 $1,240.13 |
$806.51 $868.18 $933.53 $1,165.65 |
$1,156.07 $1,217.74 $1,283.09 $1,515.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$913.90 $1,037.24 $1,167.94 $1,632.18 $2,480.26 |
$1,263.46 $1,386.80 $1,517.50 $1,981.74 |
$1,613.02 $1,736.36 $1,867.06 $2,331.30 |
Toc - Plan #34 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.06 $550.53 $619.90 $866.30 $1,316.43 |
$856.12 $921.59 $990.96 $1,237.36 |
$1,227.18 $1,292.65 $1,362.02 $1,608.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.12 $1,101.06 $1,239.80 $1,732.60 $2,632.86 |
$1,341.18 $1,472.12 $1,610.86 $2,103.66 |
$1,712.24 $1,843.18 $1,981.92 $2,474.72 |
Toc - Plan #35 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$531.69 $603.46 $679.49 $949.58 $1,442.98 |
$938.43 $1,010.20 $1,086.23 $1,356.32 |
$1,345.17 $1,416.94 $1,492.97 $1,763.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,063.38 $1,206.92 $1,358.98 $1,899.16 $2,885.96 |
$1,470.12 $1,613.66 $1,765.72 $2,305.90 |
$1,876.86 $2,020.40 $2,172.46 $2,712.64 |
Toc - Plan #36 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.71 $427.55 $481.42 $672.78 $1,022.36 |
$664.88 $715.72 $769.59 $960.95 |
$953.05 $1,003.89 $1,057.76 $1,249.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.42 $855.10 $962.84 $1,345.56 $2,044.72 |
$1,041.59 $1,143.27 $1,251.01 $1,633.73 |
$1,329.76 $1,431.44 $1,539.18 $1,921.90 |
Toc - Plan #37 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.88 $542.38 $610.71 $853.47 $1,296.93 |
$843.45 $907.95 $976.28 $1,219.04 |
$1,209.02 $1,273.52 $1,341.85 $1,584.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.76 $1,084.76 $1,221.42 $1,706.94 $2,593.86 |
$1,321.33 $1,450.33 $1,586.99 $2,072.51 |
$1,686.90 $1,815.90 $1,952.56 $2,438.08 |
Toc - Plan #38 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.50 $507.90 $571.89 $799.21 $1,214.48 |
$789.83 $850.23 $914.22 $1,141.54 |
$1,132.16 $1,192.56 $1,256.55 $1,483.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.00 $1,015.80 $1,143.78 $1,598.42 $2,428.96 |
$1,237.33 $1,358.13 $1,486.11 $1,940.75 |
$1,579.66 $1,700.46 $1,828.44 $2,283.08 |
Toc - Plan #39 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.90 $569.65 $641.42 $896.38 $1,362.14 |
$885.85 $953.60 $1,025.37 $1,280.33 |
$1,269.80 $1,337.55 $1,409.32 $1,664.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.80 $1,139.30 $1,282.84 $1,792.76 $2,724.28 |
$1,387.75 $1,523.25 $1,666.79 $2,176.71 |
$1,771.70 $1,907.20 $2,050.74 $2,560.66 |
Toc - Plan #40 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.79 $462.83 $521.14 $728.29 $1,106.70 |
$719.74 $774.78 $833.09 $1,040.24 |
$1,031.69 $1,086.73 $1,145.04 $1,352.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.58 $925.66 $1,042.28 $1,456.58 $2,213.40 |
$1,127.53 $1,237.61 $1,354.23 $1,768.53 |
$1,439.48 $1,549.56 $1,666.18 $2,080.48 |
Toc - Plan #41 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.60 $563.63 $634.65 $886.91 $1,347.75 |
$876.49 $943.52 $1,014.54 $1,266.80 |
$1,256.38 $1,323.41 $1,394.43 $1,646.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$993.20 $1,127.26 $1,269.30 $1,773.82 $2,695.50 |
$1,373.09 $1,507.15 $1,649.19 $2,153.71 |
$1,752.98 $1,887.04 $2,029.08 $2,533.60 |
Toc - Plan #42 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.28 $420.26 $473.20 $661.30 $1,004.91 |
$653.54 $703.52 $756.46 $944.56 |
$936.80 $986.78 $1,039.72 $1,227.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.56 $840.52 $946.40 $1,322.60 $2,009.82 |
$1,023.82 $1,123.78 $1,229.66 $1,605.86 |
$1,307.08 $1,407.04 $1,512.92 $1,889.12 |
Toc - Plan #43 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.90 $562.84 $633.75 $885.66 $1,345.85 |
$875.26 $942.20 $1,013.11 $1,265.02 |
$1,254.62 $1,321.56 $1,392.47 $1,644.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$991.80 $1,125.68 $1,267.50 $1,771.32 $2,691.70 |
$1,371.16 $1,505.04 $1,646.86 $2,150.68 |
$1,750.52 $1,884.40 $2,026.22 $2,530.04 |
Toc - Plan #44 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503.05 $570.95 $642.89 $898.44 $1,365.26 |
$887.88 $955.78 $1,027.72 $1,283.27 |
$1,272.71 $1,340.61 $1,412.55 $1,668.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,006.10 $1,141.90 $1,285.78 $1,796.88 $2,730.52 |
$1,390.93 $1,526.73 $1,670.61 $2,181.71 |
$1,775.76 $1,911.56 $2,055.44 $2,566.54 |
Toc - Plan #45 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$551.41 $625.84 $704.69 $984.81 $1,496.51 |
$973.23 $1,047.66 $1,126.51 $1,406.63 |
$1,395.05 $1,469.48 $1,548.33 $1,828.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,102.82 $1,251.68 $1,409.38 $1,969.62 $2,993.02 |
$1,524.64 $1,673.50 $1,831.20 $2,391.44 |
$1,946.46 $2,095.32 $2,253.02 $2,813.26 |
Toc - Plan #46 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.13 $451.87 $508.80 $711.05 $1,080.51 |
$702.70 $756.44 $813.37 $1,015.62 |
$1,007.27 $1,061.01 $1,117.94 $1,320.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.26 $903.74 $1,017.60 $1,422.10 $2,161.02 |
$1,100.83 $1,208.31 $1,322.17 $1,726.67 |
$1,405.40 $1,512.88 $1,626.74 $2,031.24 |
Toc - Plan #47 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.30 $517.88 $583.13 $814.93 $1,238.36 |
$805.36 $866.94 $932.19 $1,163.99 |
$1,154.42 $1,216.00 $1,281.25 $1,513.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$912.60 $1,035.76 $1,166.26 $1,629.86 $2,476.72 |
$1,261.66 $1,384.82 $1,515.32 $1,978.92 |
$1,610.72 $1,733.88 $1,864.38 $2,327.98 |
Toc - Plan #48 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.10 $567.61 $639.12 $893.17 $1,357.25 |
$882.67 $950.18 $1,021.69 $1,275.74 |
$1,265.24 $1,332.75 $1,404.26 $1,658.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,000.20 $1,135.22 $1,278.24 $1,786.34 $2,714.50 |
$1,382.77 $1,517.79 $1,660.81 $2,168.91 |
$1,765.34 $1,900.36 $2,043.38 $2,551.48 |
Toc - Plan #49 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.90 $537.86 $605.63 $846.36 $1,286.13 |
$836.42 $900.38 $968.15 $1,208.88 |
$1,198.94 $1,262.90 $1,330.67 $1,571.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$947.80 $1,075.72 $1,211.26 $1,692.72 $2,572.26 |
$1,310.32 $1,438.24 $1,573.78 $2,055.24 |
$1,672.84 $1,800.76 $1,936.30 $2,417.76 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #50 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1490 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$529.75 $601.27 $677.02 $946.13 $1,437.74 |
$935.01 $1,006.53 $1,082.28 $1,351.39 |
$1,340.27 $1,411.79 $1,487.54 $1,756.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,059.50 $1,202.54 $1,354.04 $1,892.26 $2,875.48 |
$1,464.76 $1,607.80 $1,759.30 $2,297.52 |
$1,870.02 $2,013.06 $2,164.56 $2,702.78 |
Toc - Plan #51 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.69 $425.27 $478.85 $669.20 $1,016.91 |
$661.33 $711.91 $765.49 $955.84 |
$947.97 $998.55 $1,052.13 $1,242.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.38 $850.54 $957.70 $1,338.40 $2,033.82 |
$1,036.02 $1,137.18 $1,244.34 $1,625.04 |
$1,322.66 $1,423.82 $1,530.98 $1,911.68 |
Toc - Plan #52 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1498 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$542.22 $615.42 $692.96 $968.40 $1,471.59 |
$957.02 $1,030.22 $1,107.76 $1,383.20 |
$1,371.82 $1,445.02 $1,522.56 $1,798.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,084.44 $1,230.84 $1,385.92 $1,936.80 $2,943.18 |
$1,499.24 $1,645.64 $1,800.72 $2,351.60 |
$1,914.04 $2,060.44 $2,215.52 $2,766.40 |
Toc - Plan #53 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$635.47 $721.26 $812.13 $1,134.95 $1,724.67 |
$1,121.60 $1,207.39 $1,298.26 $1,621.08 |
$1,607.73 $1,693.52 $1,784.39 $2,107.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,270.94 $1,442.52 $1,624.26 $2,269.90 $3,449.34 |
$1,757.07 $1,928.65 $2,110.39 $2,756.03 |
$2,243.20 $2,414.78 $2,596.52 $3,242.16 |
Toc - Plan #54 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.15 $450.77 $507.56 $709.31 $1,077.87 |
$700.97 $754.59 $811.38 $1,013.13 |
$1,004.79 $1,058.41 $1,115.20 $1,316.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.30 $901.54 $1,015.12 $1,418.62 $2,155.74 |
$1,098.12 $1,205.36 $1,318.94 $1,722.44 |
$1,401.94 $1,509.18 $1,622.76 $2,026.26 |
Toc - Plan #55 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$675.56 $766.76 $863.37 $1,206.55 $1,833.47 |
$1,192.36 $1,283.56 $1,380.17 $1,723.35 |
$1,709.16 $1,800.36 $1,896.97 $2,240.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,351.12 $1,533.52 $1,726.74 $2,413.10 $3,666.94 |
$1,867.92 $2,050.32 $2,243.54 $2,929.90 |
$2,384.72 $2,567.12 $2,760.34 $3,446.70 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1477 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$488.61 $554.57 $624.44 $872.66 $1,326.09 |
$862.40 $928.36 $998.23 $1,246.45 |
$1,236.19 $1,302.15 $1,372.02 $1,620.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$977.22 $1,109.14 $1,248.88 $1,745.32 $2,652.18 |
$1,351.01 $1,482.93 $1,622.67 $2,119.11 |
$1,724.80 $1,856.72 $1,996.46 $2,492.90 |
Toc - Plan #57 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1565 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$596.06 $676.53 $761.76 $1,064.56 $1,617.71 |
$1,052.05 $1,132.52 $1,217.75 $1,520.55 |
$1,508.04 $1,588.51 $1,673.74 $1,976.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,192.12 $1,353.06 $1,523.52 $2,129.12 $3,235.42 |
$1,648.11 $1,809.05 $1,979.51 $2,585.11 |
$2,104.10 $2,265.04 $2,435.50 $3,041.10 |
Toc - Plan #58 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze (HSA) 1765 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.13 $430.31 $484.53 $677.13 $1,028.96 |
$669.16 $720.34 $774.56 $967.16 |
$959.19 $1,010.37 $1,064.59 $1,257.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.26 $860.62 $969.06 $1,354.26 $2,057.92 |
$1,048.29 $1,150.65 $1,259.09 $1,644.29 |
$1,338.32 $1,440.68 $1,549.12 $1,934.32 |
Toc - Plan #59 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1865 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$570.45 $647.46 $729.04 $1,018.82 $1,548.20 |
$1,006.84 $1,083.85 $1,165.43 $1,455.21 |
$1,443.23 $1,520.24 $1,601.82 $1,891.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,140.90 $1,294.92 $1,458.08 $2,037.64 $3,096.40 |
$1,577.29 $1,731.31 $1,894.47 $2,474.03 |
$2,013.68 $2,167.70 $2,330.86 $2,910.42 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2179 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.01 $489.20 $550.83 $769.78 $1,169.76 |
$760.73 $818.92 $880.55 $1,099.50 |
$1,090.45 $1,148.64 $1,210.27 $1,429.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.02 $978.40 $1,101.66 $1,539.56 $2,339.52 |
$1,191.74 $1,308.12 $1,431.38 $1,869.28 |
$1,521.46 $1,637.84 $1,761.10 $2,199.00 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2361S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.81 $401.57 $452.17 $631.90 $960.24 |
$624.47 $672.23 $722.83 $902.56 |
$895.13 $942.89 $993.49 $1,173.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.62 $803.14 $904.34 $1,263.80 $1,920.48 |
$978.28 $1,073.80 $1,175.00 $1,534.46 |
$1,248.94 $1,344.46 $1,445.66 $1,805.12 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2362S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.79 $442.41 $498.15 $696.16 $1,057.89 |
$687.98 $740.60 $796.34 $994.35 |
$986.17 $1,038.79 $1,094.53 $1,292.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.58 $884.82 $996.30 $1,392.32 $2,115.78 |
$1,077.77 $1,183.01 $1,294.49 $1,690.51 |
$1,375.96 $1,481.20 $1,592.68 $1,988.70 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2363S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.03 $594.77 $669.71 $935.92 $1,422.22 |
$924.91 $995.65 $1,070.59 $1,336.80 |
$1,325.79 $1,396.53 $1,471.47 $1,737.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,048.06 $1,189.54 $1,339.42 $1,871.84 $2,844.44 |
$1,448.94 $1,590.42 $1,740.30 $2,272.72 |
$1,849.82 $1,991.30 $2,141.18 $2,673.60 |
Toc - Plan #64 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2364S ($30 PCP Visit / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$540.26 $613.20 $690.45 $964.90 $1,466.27 |
$953.56 $1,026.50 $1,103.75 $1,378.20 |
$1,366.86 $1,439.80 $1,517.05 $1,791.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,080.52 $1,226.40 $1,380.90 $1,929.80 $2,932.54 |
$1,493.82 $1,639.70 $1,794.20 $2,343.10 |
$1,907.12 $2,053.00 $2,207.50 $2,756.40 |
Toc - Plan #65 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2365S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$673.70 $764.65 $860.99 $1,203.23 $1,828.42 |
$1,189.08 $1,280.03 $1,376.37 $1,718.61 |
$1,704.46 $1,795.41 $1,891.75 $2,233.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,347.40 $1,529.30 $1,721.98 $2,406.46 $3,656.84 |
$1,862.78 $2,044.68 $2,237.36 $2,921.84 |
$2,378.16 $2,560.06 $2,752.74 $3,437.22 |
Toc - Plan #66 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2379 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.80 $473.07 $532.67 $744.40 $1,131.20 |
$735.65 $791.92 $851.52 $1,063.25 |
$1,054.50 $1,110.77 $1,170.37 $1,382.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.60 $946.14 $1,065.34 $1,488.80 $2,262.40 |
$1,152.45 $1,264.99 $1,384.19 $1,807.65 |
$1,471.30 $1,583.84 $1,703.04 $2,126.50 |
Toc - Plan #67 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2010 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.78 $449.21 $505.81 $706.86 $1,074.15 |
$698.55 $751.98 $808.58 $1,009.63 |
$1,001.32 $1,054.75 $1,111.35 $1,312.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.56 $898.42 $1,011.62 $1,413.72 $2,148.30 |
$1,094.33 $1,201.19 $1,314.39 $1,716.49 |
$1,397.10 $1,503.96 $1,617.16 $2,019.26 |
Toc - Plan #68 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2011 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.99 $542.52 $610.87 $853.69 $1,297.26 |
$843.65 $908.18 $976.53 $1,219.35 |
$1,209.31 $1,273.84 $1,342.19 $1,585.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.98 $1,085.04 $1,221.74 $1,707.38 $2,594.52 |
$1,321.64 $1,450.70 $1,587.40 $2,073.04 |
$1,687.30 $1,816.36 $1,953.06 $2,438.70 |
Toc - Plan #69 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2013 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.84 $389.12 $438.15 $612.31 $930.47 |
$605.11 $651.39 $700.42 $874.58 |
$867.38 $913.66 $962.69 $1,136.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.68 $778.24 $876.30 $1,224.62 $1,860.94 |
$947.95 $1,040.51 $1,138.57 $1,486.89 |
$1,210.22 $1,302.78 $1,400.84 $1,749.16 |
Toc - Plan #70 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2014 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.74 $366.31 $412.46 $576.41 $875.92 |
$569.64 $613.21 $659.36 $823.31 |
$816.54 $860.11 $906.26 $1,070.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.48 $732.62 $824.92 $1,152.82 $1,751.84 |
$892.38 $979.52 $1,071.82 $1,399.72 |
$1,139.28 $1,226.42 $1,318.72 $1,646.62 |
Toc - Plan #71 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 2015 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$583.15 $661.88 $745.27 $1,041.51 $1,582.67 |
$1,029.26 $1,107.99 $1,191.38 $1,487.62 |
$1,475.37 $1,554.10 $1,637.49 $1,933.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,166.30 $1,323.76 $1,490.54 $2,083.02 $3,165.34 |
$1,612.41 $1,769.87 $1,936.65 $2,529.13 |
$2,058.52 $2,215.98 $2,382.76 $2,975.24 |
Toc - Plan #72 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2016 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$514.20 $583.62 $657.15 $918.36 $1,395.54 |
$907.56 $976.98 $1,050.51 $1,311.72 |
$1,300.92 $1,370.34 $1,443.87 $1,705.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,028.40 $1,167.24 $1,314.30 $1,836.72 $2,791.08 |
$1,421.76 $1,560.60 $1,707.66 $2,230.08 |
$1,815.12 $1,953.96 $2,101.02 $2,623.44 |
Toc - Plan #73 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2146 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.24 $389.58 $438.66 $613.03 $931.55 |
$605.82 $652.16 $701.24 $875.61 |
$868.40 $914.74 $963.82 $1,138.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.48 $779.16 $877.32 $1,226.06 $1,863.10 |
$949.06 $1,041.74 $1,139.90 $1,488.64 |
$1,211.64 $1,304.32 $1,402.48 $1,751.22 |
Toc - Plan #74 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2149 ($0 Deductible / $0 Virtual Visits / $35 PCP Visits / $80 Specialist Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.75 $423.07 $476.37 $665.73 $1,011.64 |
$657.90 $708.22 $761.52 $950.88 |
$943.05 $993.37 $1,046.67 $1,236.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.50 $846.14 $952.74 $1,331.46 $2,023.28 |
$1,030.65 $1,131.29 $1,237.89 $1,616.61 |
$1,315.80 $1,416.44 $1,523.04 $1,901.76 |
Toc - Plan #75 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2349 ($0 Deductible / $0 Virtual Visits / Multilingual Available /Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.91 $405.09 $456.13 $637.44 $968.65 |
$629.95 $678.13 $729.17 $910.48 |
$902.99 $951.17 $1,002.21 $1,183.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.82 $810.18 $912.26 $1,274.88 $1,937.30 |
$986.86 $1,083.22 $1,185.30 $1,547.92 |
$1,259.90 $1,356.26 $1,458.34 $1,820.96 |
Toc - Plan #76 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2204 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.66 $464.96 $523.55 $731.65 $1,111.82 |
$723.05 $778.35 $836.94 $1,045.04 |
$1,036.44 $1,091.74 $1,150.33 $1,358.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.32 $929.92 $1,047.10 $1,463.30 $2,223.64 |
$1,132.71 $1,243.31 $1,360.49 $1,776.69 |
$1,446.10 $1,556.70 $1,673.88 $2,090.08 |
Toc - Plan #77 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2211 ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.72 $382.18 $430.33 $601.38 $913.86 |
$594.31 $639.77 $687.92 $858.97 |
$851.90 $897.36 $945.51 $1,116.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.44 $764.36 $860.66 $1,202.76 $1,827.72 |
$931.03 $1,021.95 $1,118.25 $1,460.35 |
$1,188.62 $1,279.54 $1,375.84 $1,717.94 |
Toc - Plan #78 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2286 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.19 $381.58 $429.65 $600.44 $912.42 |
$593.38 $638.77 $686.84 $857.63 |
$850.57 $895.96 $944.03 $1,114.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.38 $763.16 $859.30 $1,200.88 $1,824.84 |
$929.57 $1,020.35 $1,116.49 $1,458.07 |
$1,186.76 $1,277.54 $1,373.68 $1,715.26 |
Toc - Plan #79 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) myBlue Bronze 2321S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.44 $346.67 $390.35 $545.52 $828.96 |
$539.10 $580.33 $624.01 $779.18 |
$772.76 $813.99 $857.67 $1,012.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.88 $693.34 $780.70 $1,091.04 $1,657.92 |
$844.54 $927.00 $1,014.36 $1,324.70 |
$1,078.20 $1,160.66 $1,248.02 $1,558.36 |
Toc - Plan #80 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2322S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.67 $371.91 $418.76 $585.22 $889.30 |
$578.34 $622.58 $669.43 $835.89 |
$829.01 $873.25 $920.10 $1,086.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.34 $743.82 $837.52 $1,170.44 $1,778.60 |
$906.01 $994.49 $1,088.19 $1,421.11 |
$1,156.68 $1,245.16 $1,338.86 $1,671.78 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2323S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.95 $466.43 $525.19 $733.96 $1,115.32 |
$725.33 $780.81 $839.57 $1,048.34 |
$1,039.71 $1,095.19 $1,153.95 $1,362.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.90 $932.86 $1,050.38 $1,467.92 $2,230.64 |
$1,136.28 $1,247.24 $1,364.76 $1,782.30 |
$1,450.66 $1,561.62 $1,679.14 $2,096.68 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2325S ($30 PCP Visits / $60 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.44 $513.52 $578.22 $808.06 $1,227.92 |
$798.56 $859.64 $924.34 $1,154.18 |
$1,144.68 $1,205.76 $1,270.46 $1,500.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.88 $1,027.04 $1,156.44 $1,616.12 $2,455.84 |
$1,251.00 $1,373.16 $1,502.56 $1,962.24 |
$1,597.12 $1,719.28 $1,848.68 $2,308.36 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$572.99 $650.34 $732.28 $1,023.36 $1,555.09 |
$1,011.33 $1,088.68 $1,170.62 $1,461.70 |
$1,449.67 $1,527.02 $1,608.96 $1,900.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,145.98 $1,300.68 $1,464.56 $2,046.72 $3,110.18 |
$1,584.32 $1,739.02 $1,902.90 $2,485.06 |
$2,022.66 $2,177.36 $2,341.24 $2,923.40 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #84 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8700 |
||||||||||||||||||||
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 |
$377.84 $428.85 $482.88 $674.82 $1,025.45 |
$666.89 $717.90 $771.93 $963.87 |
$955.94 $1,006.95 $1,060.98 $1,252.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.68 $857.70 $965.76 $1,349.64 $2,050.90 |
$1,044.73 $1,146.75 $1,254.81 $1,638.69 |
$1,333.78 $1,435.80 $1,543.86 $1,927.74 |
Toc - Plan #85 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7300 |
||||||||||||||||||||
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 |
$392.43 $445.41 $501.53 $700.88 $1,065.06 |
$692.64 $745.62 $801.74 $1,001.09 |
$992.85 $1,045.83 $1,101.95 $1,301.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.86 $890.82 $1,003.06 $1,401.76 $2,130.12 |
$1,085.07 $1,191.03 $1,303.27 $1,701.97 |
$1,385.28 $1,491.24 $1,603.48 $2,002.18 |
Toc - Plan #86 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8200 |
||||||||||||||||||||
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 |
$392.59 $445.59 $501.73 $701.16 $1,065.48 |
$692.92 $745.92 $802.06 $1,001.49 |
$993.25 $1,046.25 $1,102.39 $1,301.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.18 $891.18 $1,003.46 $1,402.32 $2,130.96 |
$1,085.51 $1,191.51 $1,303.79 $1,702.65 |
$1,385.84 $1,491.84 $1,604.12 $2,002.98 |
Toc - Plan #87 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4400 |
||||||||||||||||||||
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 |
$451.07 $511.96 $576.47 $805.61 $1,224.20 |
$796.14 $857.03 $921.54 $1,150.68 |
$1,141.21 $1,202.10 $1,266.61 $1,495.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.14 $1,023.92 $1,152.94 $1,611.22 $2,448.40 |
$1,247.21 $1,368.99 $1,498.01 $1,956.29 |
$1,592.28 $1,714.06 $1,843.08 $2,301.36 |
Toc - Plan #88 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 |
||||||||||||||||||||
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 |
$455.74 $517.27 $582.44 $813.96 $1,236.89 |
$804.38 $865.91 $931.08 $1,162.60 |
$1,153.02 $1,214.55 $1,279.72 $1,511.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.48 $1,034.54 $1,164.88 $1,627.92 $2,473.78 |
$1,260.12 $1,383.18 $1,513.52 $1,976.56 |
$1,608.76 $1,731.82 $1,862.16 $2,325.20 |
Toc - Plan #89 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 8900 |
||||||||||||||||||||
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 |
$459.33 $521.34 $587.02 $820.36 $1,246.61 |
$810.71 $872.72 $938.40 $1,171.74 |
$1,162.09 $1,224.10 $1,289.78 $1,523.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.66 $1,042.68 $1,174.04 $1,640.72 $2,493.22 |
$1,270.04 $1,394.06 $1,525.42 $1,992.10 |
$1,621.42 $1,745.44 $1,876.80 $2,343.48 |
Toc - Plan #90 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 |
||||||||||||||||||||
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 |
$460.05 $522.16 $587.95 $821.66 $1,248.59 |
$811.99 $874.10 $939.89 $1,173.60 |
$1,163.93 $1,226.04 $1,291.83 $1,525.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$920.10 $1,044.32 $1,175.90 $1,643.32 $2,497.18 |
$1,272.04 $1,396.26 $1,527.84 $1,995.26 |
$1,623.98 $1,748.20 $1,879.78 $2,347.20 |
Toc - Plan #91 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1950 |
||||||||||||||||||||
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 |
$547.57 $621.49 $699.79 $977.95 $1,486.10 |
$966.46 $1,040.38 $1,118.68 $1,396.84 |
$1,385.35 $1,459.27 $1,537.57 $1,815.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,095.14 $1,242.98 $1,399.58 $1,955.90 $2,972.20 |
$1,514.03 $1,661.87 $1,818.47 $2,374.79 |
$1,932.92 $2,080.76 $2,237.36 $2,793.68 |
Toc - Plan #92 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8000 |
||||||||||||||||||||
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 |
$391.55 $444.41 $500.40 $699.31 $1,062.67 |
$691.09 $743.95 $799.94 $998.85 |
$990.63 $1,043.49 $1,099.48 $1,298.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.10 $888.82 $1,000.80 $1,398.62 $2,125.34 |
$1,082.64 $1,188.36 $1,300.34 $1,698.16 |
$1,382.18 $1,487.90 $1,599.88 $1,997.70 |
Toc - Plan #93 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$391.29 $444.11 $500.07 $698.84 $1,061.96 |
$690.63 $743.45 $799.41 $998.18 |
$989.97 $1,042.79 $1,098.75 $1,297.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.58 $888.22 $1,000.14 $1,397.68 $2,123.92 |
$1,081.92 $1,187.56 $1,299.48 $1,697.02 |
$1,381.26 $1,486.90 $1,598.82 $1,996.36 |
Toc - Plan #94 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3000 |
||||||||||||||||||||
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 |
$452.52 $513.61 $578.32 $808.21 $1,228.15 |
$798.70 $859.79 $924.50 $1,154.39 |
$1,144.88 $1,205.97 $1,270.68 $1,500.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.04 $1,027.22 $1,156.64 $1,616.42 $2,456.30 |
$1,251.22 $1,373.40 $1,502.82 $1,962.60 |
$1,597.40 $1,719.58 $1,849.00 $2,308.78 |
Toc - Plan #95 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 0B |
||||||||||||||||||||
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 |
$472.26 $536.01 $603.55 $843.45 $1,281.71 |
$833.54 $897.29 $964.83 $1,204.73 |
$1,194.82 $1,258.57 $1,326.11 $1,566.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.52 $1,072.02 $1,207.10 $1,686.90 $2,563.42 |
$1,305.80 $1,433.30 $1,568.38 $2,048.18 |
$1,667.08 $1,794.58 $1,929.66 $2,409.46 |
Toc - Plan #96 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
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 |
$456.52 $518.15 $583.44 $815.35 $1,239.00 |
$805.76 $867.39 $932.68 $1,164.59 |
$1,155.00 $1,216.63 $1,281.92 $1,513.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$913.04 $1,036.30 $1,166.88 $1,630.70 $2,478.00 |
$1,262.28 $1,385.54 $1,516.12 $1,979.94 |
$1,611.52 $1,734.78 $1,865.36 $2,329.18 |
Toc - Plan #97 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 900 |
||||||||||||||||||||
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 |
$569.17 $646.01 $727.40 $1,016.54 $1,544.73 |
$1,004.59 $1,081.43 $1,162.82 $1,451.96 |
$1,440.01 $1,516.85 $1,598.24 $1,887.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,138.34 $1,292.02 $1,454.80 $2,033.08 $3,089.46 |
$1,573.76 $1,727.44 $1,890.22 $2,468.50 |
$2,009.18 $2,162.86 $2,325.64 $2,903.92 |
Toc - Plan #98 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1900 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$550.84 $625.20 $703.97 $983.80 $1,494.98 |
$972.23 $1,046.59 $1,125.36 $1,405.19 |
$1,393.62 $1,467.98 $1,546.75 $1,826.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,101.68 $1,250.40 $1,407.94 $1,967.60 $2,989.96 |
$1,523.07 $1,671.79 $1,829.33 $2,388.99 |
$1,944.46 $2,093.18 $2,250.72 $2,810.38 |
Toc - Plan #99 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Simple Choice 2000 |
||||||||||||||||||||
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 |
$548.29 $622.31 $700.72 $979.25 $1,488.07 |
$967.73 $1,041.75 $1,120.16 $1,398.69 |
$1,387.17 $1,461.19 $1,539.60 $1,818.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,096.58 $1,244.62 $1,401.44 $1,958.50 $2,976.14 |
$1,516.02 $1,664.06 $1,820.88 $2,377.94 |
$1,935.46 $2,083.50 $2,240.32 $2,797.38 |
Toc - Plan #100 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Simple Choice 5800 |
||||||||||||||||||||
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 |
$451.54 $512.49 $577.06 $806.44 $1,225.47 |
$796.97 $857.92 $922.49 $1,151.87 |
$1,142.40 $1,203.35 $1,267.92 $1,497.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.08 $1,024.98 $1,154.12 $1,612.88 $2,450.94 |
$1,248.51 $1,370.41 $1,499.55 $1,958.31 |
$1,593.94 $1,715.84 $1,844.98 $2,303.74 |
Toc - Plan #101 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Simple Choice 9100 |
||||||||||||||||||||
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 |
$374.20 $424.72 $478.23 $668.33 $1,015.59 |
$660.47 $710.99 $764.50 $954.60 |
$946.74 $997.26 $1,050.77 $1,240.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.40 $849.44 $956.46 $1,336.66 $2,031.18 |
$1,034.67 $1,135.71 $1,242.73 $1,622.93 |
$1,320.94 $1,421.98 $1,529.00 $1,909.20 |
Toc - Plan #102 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Simple Choice 7500 |
||||||||||||||||||||
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 |
$389.94 $442.58 $498.34 $696.43 $1,058.30 |
$688.24 $740.88 $796.64 $994.73 |
$986.54 $1,039.18 $1,094.94 $1,293.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.88 $885.16 $996.68 $1,392.86 $2,116.60 |
$1,078.18 $1,183.46 $1,294.98 $1,691.16 |
$1,376.48 $1,481.76 $1,593.28 $1,989.46 |
Toc - Plan #103 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 0A |
||||||||||||||||||||
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 |
$420.17 $476.89 $536.97 $750.42 $1,140.33 |
$741.60 $798.32 $858.40 $1,071.85 |
$1,063.03 $1,119.75 $1,179.83 $1,393.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.34 $953.78 $1,073.94 $1,500.84 $2,280.66 |
$1,161.77 $1,275.21 $1,395.37 $1,822.27 |
$1,483.20 $1,596.64 $1,716.80 $2,143.70 |
Toc - Plan #104 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7600 Enhanced Asthma COPD Care |
||||||||||||||||||||
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 |
$391.19 $444.00 $499.94 $698.66 $1,061.68 |
$690.45 $743.26 $799.20 $997.92 |
$989.71 $1,042.52 $1,098.46 $1,297.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.38 $888.00 $999.88 $1,397.32 $2,123.36 |
$1,081.64 $1,187.26 $1,299.14 $1,696.58 |
$1,380.90 $1,486.52 $1,598.40 $1,995.84 |
Toc - Plan #105 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2100 Enhanced Asthma COPD Care |
||||||||||||||||||||
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 |
$547.62 $621.55 $699.86 $978.05 $1,486.24 |
$966.55 $1,040.48 $1,118.79 $1,396.98 |
$1,385.48 $1,459.41 $1,537.72 $1,815.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,095.24 $1,243.10 $1,399.72 $1,956.10 $2,972.48 |
$1,514.17 $1,662.03 $1,818.65 $2,375.03 |
$1,933.10 $2,080.96 $2,237.58 $2,793.96 |
Toc - Plan #106 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5400 |
||||||||||||||||||||
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 |
$398.61 $452.43 $509.43 $711.92 $1,081.84 |
$703.55 $757.37 $814.37 $1,016.86 |
$1,008.49 $1,062.31 $1,119.31 $1,321.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.22 $904.86 $1,018.86 $1,423.84 $2,163.68 |
$1,102.16 $1,209.80 $1,323.80 $1,728.78 |
$1,407.10 $1,514.74 $1,628.74 $2,033.72 |
Toc - Plan #107 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
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 |
$455.95 $517.50 $582.71 $814.33 $1,237.45 |
$804.75 $866.30 $931.51 $1,163.13 |
$1,153.55 $1,215.10 $1,280.31 $1,511.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.90 $1,035.00 $1,165.42 $1,628.66 $2,474.90 |
$1,260.70 $1,383.80 $1,514.22 $1,977.46 |
$1,609.50 $1,732.60 $1,863.02 $2,326.26 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #108 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,150 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$502.73 $570.60 $642.49 $897.87 $1,364.41 |
$887.32 $955.19 $1,027.08 $1,282.46 |
$1,271.91 $1,339.78 $1,411.67 $1,667.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,005.46 $1,141.20 $1,284.98 $1,795.74 $2,728.82 |
$1,390.05 $1,525.79 $1,669.57 $2,180.33 |
$1,774.64 $1,910.38 $2,054.16 $2,564.92 |
Toc - Plan #109 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,200 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.52 $569.23 $640.95 $895.72 $1,361.13 |
$885.18 $952.89 $1,024.61 $1,279.38 |
$1,268.84 $1,336.55 $1,408.27 $1,663.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.04 $1,138.46 $1,281.90 $1,791.44 $2,722.26 |
$1,386.70 $1,522.12 $1,665.56 $2,175.10 |
$1,770.36 $1,905.78 $2,049.22 $2,558.76 |
Toc - Plan #110 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.82 $509.41 $573.59 $801.60 $1,218.10 |
$792.17 $852.76 $916.94 $1,144.95 |
$1,135.52 $1,196.11 $1,260.29 $1,488.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.64 $1,018.82 $1,147.18 $1,603.20 $2,436.20 |
$1,240.99 $1,362.17 $1,490.53 $1,946.55 |
$1,584.34 $1,705.52 $1,833.88 $2,289.90 |
Toc - Plan #111 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,800 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.59 $494.39 $556.68 $777.96 $1,182.19 |
$768.82 $827.62 $889.91 $1,111.19 |
$1,102.05 $1,160.85 $1,223.14 $1,444.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$871.18 $988.78 $1,113.36 $1,555.92 $2,364.38 |
$1,204.41 $1,322.01 $1,446.59 $1,889.15 |
$1,537.64 $1,655.24 $1,779.82 $2,222.38 |
Toc - Plan #112 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,400 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.57 $507.99 $572.00 $799.36 $1,214.71 |
$789.96 $850.38 $914.39 $1,141.75 |
$1,132.35 $1,192.77 $1,256.78 $1,484.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.14 $1,015.98 $1,144.00 $1,598.72 $2,429.42 |
$1,237.53 $1,358.37 $1,486.39 $1,941.11 |
$1,579.92 $1,700.76 $1,828.78 $2,283.50 |
Toc - Plan #113 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.37 $507.76 $571.74 $799.00 $1,214.15 |
$789.61 $850.00 $913.98 $1,141.24 |
$1,131.85 $1,192.24 $1,256.22 $1,483.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.74 $1,015.52 $1,143.48 $1,598.00 $2,428.30 |
$1,236.98 $1,357.76 $1,485.72 $1,940.24 |
$1,579.22 $1,700.00 $1,827.96 $2,282.48 |
Toc - Plan #114 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,400 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.18 $495.07 $557.44 $779.02 $1,183.80 |
$769.86 $828.75 $891.12 $1,112.70 |
$1,103.54 $1,162.43 $1,224.80 $1,446.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.36 $990.14 $1,114.88 $1,558.04 $2,367.60 |
$1,206.04 $1,323.82 $1,448.56 $1,891.72 |
$1,539.72 $1,657.50 $1,782.24 $2,225.40 |
Toc - Plan #115 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $9,100 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.34 $396.50 $446.45 $623.91 $948.10 |
$616.58 $663.74 $713.69 $891.15 |
$883.82 $930.98 $980.93 $1,158.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.68 $793.00 $892.90 $1,247.82 $1,896.20 |
$965.92 $1,060.24 $1,160.14 $1,515.06 |
$1,233.16 $1,327.48 $1,427.38 $1,782.30 |
Toc - Plan #116 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.26 $406.62 $457.85 $639.85 $972.31 |
$632.33 $680.69 $731.92 $913.92 |
$906.40 $954.76 $1,005.99 $1,187.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.52 $813.24 $915.70 $1,279.70 $1,944.62 |
$990.59 $1,087.31 $1,189.77 $1,553.77 |
$1,264.66 $1,361.38 $1,463.84 $1,827.84 |
Toc - Plan #117 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.61 $395.68 $445.53 $622.63 $946.14 |
$615.30 $662.37 $712.22 $889.32 |
$881.99 $929.06 $978.91 $1,156.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.22 $791.36 $891.06 $1,245.26 $1,892.28 |
$963.91 $1,058.05 $1,157.75 $1,511.95 |
$1,230.60 $1,324.74 $1,424.44 $1,778.64 |
Toc - Plan #118 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$534.44 $606.59 $683.01 $954.51 $1,450.47 |
$943.29 $1,015.44 $1,091.86 $1,363.36 |
$1,352.14 $1,424.29 $1,500.71 $1,772.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,068.88 $1,213.18 $1,366.02 $1,909.02 $2,900.94 |
$1,477.73 $1,622.03 $1,774.87 $2,317.87 |
$1,886.58 $2,030.88 $2,183.72 $2,726.72 |
Toc - Plan #119 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$534.77 $606.97 $683.44 $955.11 $1,451.38 |
$943.87 $1,016.07 $1,092.54 $1,364.21 |
$1,352.97 $1,425.17 $1,501.64 $1,773.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,069.54 $1,213.94 $1,366.88 $1,910.22 $2,902.76 |
$1,478.64 $1,623.04 $1,775.98 $2,319.32 |
$1,887.74 $2,032.14 $2,185.08 $2,728.42 |
Toc - Plan #120 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.03 $580.01 $653.09 $912.69 $1,386.92 |
$901.96 $970.94 $1,044.02 $1,303.62 |
$1,292.89 $1,361.87 $1,434.95 $1,694.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,022.06 $1,160.02 $1,306.18 $1,825.38 $2,773.84 |
$1,412.99 $1,550.95 $1,697.11 $2,216.31 |
$1,803.92 $1,941.88 $2,088.04 $2,607.24 |
Toc - Plan #121 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.23 $509.88 $574.12 $802.33 $1,219.21 |
$792.89 $853.54 $917.78 $1,145.99 |
$1,136.55 $1,197.20 $1,261.44 $1,489.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$898.46 $1,019.76 $1,148.24 $1,604.66 $2,438.42 |
$1,242.12 $1,363.42 $1,491.90 $1,948.32 |
$1,585.78 $1,707.08 $1,835.56 $2,291.98 |
Toc - Plan #122 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.15 $532.49 $599.58 $837.91 $1,273.28 |
$828.05 $891.39 $958.48 $1,196.81 |
$1,186.95 $1,250.29 $1,317.38 $1,555.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.30 $1,064.98 $1,199.16 $1,675.82 $2,546.56 |
$1,297.20 $1,423.88 $1,558.06 $2,034.72 |
$1,656.10 $1,782.78 $1,916.96 $2,393.62 |
Toc - Plan #123 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.37 $535.01 $602.42 $841.87 $1,279.31 |
$831.97 $895.61 $963.02 $1,202.47 |
$1,192.57 $1,256.21 $1,323.62 $1,563.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.74 $1,070.02 $1,204.84 $1,683.74 $2,558.62 |
$1,303.34 $1,430.62 $1,565.44 $2,044.34 |
$1,663.94 $1,791.22 $1,926.04 $2,404.94 |
Toc - Plan #124 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.61 $510.31 $574.60 $803.00 $1,220.24 |
$793.56 $854.26 $918.55 $1,146.95 |
$1,137.51 $1,198.21 $1,262.50 $1,490.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.22 $1,020.62 $1,149.20 $1,606.00 $2,440.48 |
$1,243.17 $1,364.57 $1,493.15 $1,949.95 |
$1,587.12 $1,708.52 $1,837.10 $2,293.90 |
Toc - Plan #125 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $6,350 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.75 $394.70 $444.43 $621.09 $943.80 |
$613.78 $660.73 $710.46 $887.12 |
$879.81 $926.76 $976.49 $1,153.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.50 $789.40 $888.86 $1,242.18 $1,887.60 |
$961.53 $1,055.43 $1,154.89 $1,508.21 |
$1,227.56 $1,321.46 $1,420.92 $1,774.24 |
Toc - Plan #126 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.38 $409.03 $460.57 $643.64 $978.07 |
$636.07 $684.72 $736.26 $919.33 |
$911.76 $960.41 $1,011.95 $1,195.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.76 $818.06 $921.14 $1,287.28 $1,956.14 |
$996.45 $1,093.75 $1,196.83 $1,562.97 |
$1,272.14 $1,369.44 $1,472.52 $1,838.66 |
Toc - Plan #127 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.64 $386.63 $435.34 $608.38 $924.50 |
$601.23 $647.22 $695.93 $868.97 |
$861.82 $907.81 $956.52 $1,129.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.28 $773.26 $870.68 $1,216.76 $1,849.00 |
$941.87 $1,033.85 $1,131.27 $1,477.35 |
$1,202.46 $1,294.44 $1,391.86 $1,737.94 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #128 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.94 $435.77 $490.67 $685.71 $1,042.00 |
$677.65 $729.48 $784.38 $979.42 |
$971.36 $1,023.19 $1,078.09 $1,273.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.88 $871.54 $981.34 $1,371.42 $2,084.00 |
$1,061.59 $1,165.25 $1,275.05 $1,665.13 |
$1,355.30 $1,458.96 $1,568.76 $1,958.84 |
Toc - Plan #129 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.29 $549.66 $618.91 $864.93 $1,314.34 |
$854.77 $920.14 $989.39 $1,235.41 |
$1,225.25 $1,290.62 $1,359.87 $1,605.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.58 $1,099.32 $1,237.82 $1,729.86 $2,628.68 |
$1,339.06 $1,469.80 $1,608.30 $2,100.34 |
$1,709.54 $1,840.28 $1,978.78 $2,470.82 |
Toc - Plan #130 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.32 $541.74 $610.00 $852.47 $1,295.41 |
$842.46 $906.88 $975.14 $1,217.61 |
$1,207.60 $1,272.02 $1,340.28 $1,582.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.64 $1,083.48 $1,220.00 $1,704.94 $2,590.82 |
$1,319.78 $1,448.62 $1,585.14 $2,070.08 |
$1,684.92 $1,813.76 $1,950.28 $2,435.22 |
Toc - Plan #131 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Virtual Access Basic Bronze - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.61 $450.14 $506.86 $708.33 $1,076.38 |
$700.01 $753.54 $810.26 $1,011.73 |
$1,003.41 $1,056.94 $1,113.66 $1,315.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.22 $900.28 $1,013.72 $1,416.66 $2,152.76 |
$1,096.62 $1,203.68 $1,317.12 $1,720.06 |
$1,400.02 $1,507.08 $1,620.52 $2,023.46 |
Toc - Plan #132 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Virtual Access Basic Silver - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503.13 $571.04 $642.99 $898.57 $1,365.46 |
$888.02 $955.93 $1,027.88 $1,283.46 |
$1,272.91 $1,340.82 $1,412.77 $1,668.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,006.26 $1,142.08 $1,285.98 $1,797.14 $2,730.92 |
$1,391.15 $1,526.97 $1,670.87 $2,182.03 |
$1,776.04 $1,911.86 $2,055.76 $2,566.92 |
Toc - Plan #133 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Virtual Access Basic Gold - Virtual PCP Selection Required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.15 $534.74 $602.12 $841.46 $1,278.67 |
$831.57 $895.16 $962.54 $1,201.88 |
$1,191.99 $1,255.58 $1,322.96 $1,562.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.30 $1,069.48 $1,204.24 $1,682.92 $2,557.34 |
$1,302.72 $1,429.90 $1,564.66 $2,043.34 |
$1,663.14 $1,790.32 $1,925.08 $2,403.76 |
‡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 Collier County here.
Collier County is in “Rating Area 11” of Florida.
Currently, there are 133 plans offered in Rating Area 11.