Obamacare 2023 Rates for Manatee County
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Obamacare > Rates > Florida > Manatee 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 $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$725.03 $822.91 $926.59 $1,294.90 $1,967.73 |
$1,279.68 $1,377.56 $1,481.24 $1,849.55 |
$1,834.33 $1,932.21 $2,035.89 $2,404.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,450.06 $1,645.82 $1,853.18 $2,589.80 $3,935.46 |
$2,004.71 $2,200.47 $2,407.83 $3,144.45 |
$2,559.36 $2,755.12 $2,962.48 $3,699.10 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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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 |
$469.07 $532.39 $599.47 $837.76 $1,273.06 |
$827.91 $891.23 $958.31 $1,196.60 |
$1,186.75 $1,250.07 $1,317.15 $1,555.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$938.14 $1,064.78 $1,198.94 $1,675.52 $2,546.12 |
$1,296.98 $1,423.62 $1,557.78 $2,034.36 |
$1,655.82 $1,782.46 $1,916.62 $2,393.20 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$729.01 $827.43 $931.67 $1,302.01 $1,978.53 |
$1,286.70 $1,385.12 $1,489.36 $1,859.70 |
$1,844.39 $1,942.81 $2,047.05 $2,417.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,458.02 $1,654.86 $1,863.34 $2,604.02 $3,957.06 |
$2,015.71 $2,212.55 $2,421.03 $3,161.71 |
$2,573.40 $2,770.24 $2,978.72 $3,719.40 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
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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 |
$917.41 $1,041.26 $1,172.45 $1,638.49 $2,489.85 |
$1,619.23 $1,743.08 $1,874.27 $2,340.31 |
$2,321.05 $2,444.90 $2,576.09 $3,042.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,834.82 $2,082.52 $2,344.90 $3,276.98 $4,979.70 |
$2,536.64 $2,784.34 $3,046.72 $3,978.80 |
$3,238.46 $3,486.16 $3,748.54 $4,680.62 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$488.60 $554.56 $624.43 $872.64 $1,326.06 |
$862.38 $928.34 $998.21 $1,246.42 |
$1,236.16 $1,302.12 $1,371.99 $1,620.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$977.20 $1,109.12 $1,248.86 $1,745.28 $2,652.12 |
$1,350.98 $1,482.90 $1,622.64 $2,119.06 |
$1,724.76 $1,856.68 $1,996.42 $2,492.84 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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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 |
$961.28 $1,091.05 $1,228.52 $1,716.85 $2,608.91 |
$1,696.66 $1,826.43 $1,963.90 $2,452.23 |
$2,432.04 $2,561.81 $2,699.28 $3,187.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,922.56 $2,182.10 $2,457.04 $3,433.70 $5,217.82 |
$2,657.94 $2,917.48 $3,192.42 $4,169.08 |
$3,393.32 $3,652.86 $3,927.80 $4,904.46 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$680.55 $772.42 $869.74 $1,215.46 $1,847.01 |
$1,201.17 $1,293.04 $1,390.36 $1,736.08 |
$1,721.79 $1,813.66 $1,910.98 $2,256.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,361.10 $1,544.84 $1,739.48 $2,430.92 $3,694.02 |
$1,881.72 $2,065.46 $2,260.10 $2,951.54 |
$2,402.34 $2,586.08 $2,780.72 $3,472.16 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
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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 |
$787.89 $894.26 $1,006.92 $1,407.17 $2,138.33 |
$1,390.63 $1,497.00 $1,609.66 $2,009.91 |
$1,993.37 $2,099.74 $2,212.40 $2,612.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,575.78 $1,788.52 $2,013.84 $2,814.34 $4,276.66 |
$2,178.52 $2,391.26 $2,616.58 $3,417.08 |
$2,781.26 $2,994.00 $3,219.32 $4,019.82 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$474.98 $539.10 $607.02 $848.31 $1,289.10 |
$838.34 $902.46 $970.38 $1,211.67 |
$1,201.70 $1,265.82 $1,333.74 $1,575.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$949.96 $1,078.20 $1,214.04 $1,696.62 $2,578.20 |
$1,313.32 $1,441.56 $1,577.40 $2,059.98 |
$1,676.68 $1,804.92 $1,940.76 $2,423.34 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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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 |
$762.27 $865.18 $974.18 $1,361.41 $2,068.80 |
$1,345.41 $1,448.32 $1,557.32 $1,944.55 |
$1,928.55 $2,031.46 $2,140.46 $2,527.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,524.54 $1,730.36 $1,948.36 $2,722.82 $4,137.60 |
$2,107.68 $2,313.50 $2,531.50 $3,305.96 |
$2,690.82 $2,896.64 $3,114.64 $3,889.10 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$517.46 $587.32 $661.31 $924.18 $1,404.39 |
$913.32 $983.18 $1,057.17 $1,320.04 |
$1,309.18 $1,379.04 $1,453.03 $1,715.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,034.92 $1,174.64 $1,322.62 $1,848.36 $2,808.78 |
$1,430.78 $1,570.50 $1,718.48 $2,244.22 |
$1,826.64 $1,966.36 $2,114.34 $2,640.08 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
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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 |
$448.34 $508.87 $572.98 $800.74 $1,216.79 |
$791.32 $851.85 $915.96 $1,143.72 |
$1,134.30 $1,194.83 $1,258.94 $1,486.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$896.68 $1,017.74 $1,145.96 $1,601.48 $2,433.58 |
$1,239.66 $1,360.72 $1,488.94 $1,944.46 |
$1,582.64 $1,703.70 $1,831.92 $2,287.44 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$481.97 $547.04 $615.96 $860.80 $1,308.07 |
$850.68 $915.75 $984.67 $1,229.51 |
$1,219.39 $1,284.46 $1,353.38 $1,598.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$963.94 $1,094.08 $1,231.92 $1,721.60 $2,616.14 |
$1,332.65 $1,462.79 $1,600.63 $2,090.31 |
$1,701.36 $1,831.50 $1,969.34 $2,459.02 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
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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 |
$717.62 $814.50 $917.12 $1,281.67 $1,947.62 |
$1,266.60 $1,363.48 $1,466.10 $1,830.65 |
$1,815.58 $1,912.46 $2,015.08 $2,379.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,435.24 $1,629.00 $1,834.24 $2,563.34 $3,895.24 |
$1,984.22 $2,177.98 $2,383.22 $3,112.32 |
$2,533.20 $2,726.96 $2,932.20 $3,661.30 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$732.45 $831.33 $936.07 $1,308.16 $1,987.87 |
$1,292.77 $1,391.65 $1,496.39 $1,868.48 |
$1,853.09 $1,951.97 $2,056.71 $2,428.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,464.90 $1,662.66 $1,872.14 $2,616.32 $3,975.74 |
$2,025.22 $2,222.98 $2,432.46 $3,176.64 |
$2,585.54 $2,783.30 $2,992.78 $3,736.96 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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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 |
$958.87 $1,088.32 $1,225.44 $1,712.54 $2,602.37 |
$1,692.41 $1,821.86 $1,958.98 $2,446.08 |
$2,425.95 $2,555.40 $2,692.52 $3,179.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,917.74 $2,176.64 $2,450.88 $3,425.08 $5,204.74 |
$2,651.28 $2,910.18 $3,184.42 $4,158.62 |
$3,384.82 $3,643.72 $3,917.96 $4,892.16 |
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 |
|||||||||||||||||
21 30 40 50 60 |
$507.28 $575.76 $648.30 $906.00 $1,376.76 |
$895.35 $963.83 $1,036.37 $1,294.07 |
$1,283.42 $1,351.90 $1,424.44 $1,682.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,014.56 $1,151.52 $1,296.60 $1,812.00 $2,753.52 |
$1,402.63 $1,539.59 $1,684.67 $2,200.07 |
$1,790.70 $1,927.66 $2,072.74 $2,588.14 |
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 | ||||||||||||||||||||
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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.70 $396.91 $446.92 $624.57 $949.10 |
$617.22 $664.43 $714.44 $892.09 |
$884.74 $931.95 $981.96 $1,159.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.40 $793.82 $893.84 $1,249.14 $1,898.20 |
$966.92 $1,061.34 $1,161.36 $1,516.66 |
$1,234.44 $1,328.86 $1,428.88 $1,784.18 |
Toc - Plan #19 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.92 $425.54 $479.15 $669.61 $1,017.54 |
$661.74 $712.36 $765.97 $956.43 |
$948.56 $999.18 $1,052.79 $1,243.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.84 $851.08 $958.30 $1,339.22 $2,035.08 |
$1,036.66 $1,137.90 $1,245.12 $1,626.04 |
$1,323.48 $1,424.72 $1,531.94 $1,912.86 |
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 |
$377.57 $428.55 $482.54 $674.35 $1,024.74 |
$666.41 $717.39 $771.38 $963.19 |
$955.25 $1,006.23 $1,060.22 $1,252.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.14 $857.10 $965.08 $1,348.70 $2,049.48 |
$1,043.98 $1,145.94 $1,253.92 $1,637.54 |
$1,332.82 $1,434.78 $1,542.76 $1,926.38 |
Toc - Plan #21 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.75 $454.86 $512.16 $715.75 $1,087.65 |
$707.33 $761.44 $818.74 $1,022.33 |
$1,013.91 $1,068.02 $1,125.32 $1,328.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.50 $909.72 $1,024.32 $1,431.50 $2,175.30 |
$1,108.08 $1,216.30 $1,330.90 $1,738.08 |
$1,414.66 $1,522.88 $1,637.48 $2,044.66 |
Toc - Plan #22 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.25 $483.79 $544.74 $761.28 $1,156.83 |
$752.33 $809.87 $870.82 $1,087.36 |
$1,078.41 $1,135.95 $1,196.90 $1,413.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.50 $967.58 $1,089.48 $1,522.56 $2,313.66 |
$1,178.58 $1,293.66 $1,415.56 $1,848.64 |
$1,504.66 $1,619.74 $1,741.64 $2,174.72 |
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 |
$286.98 $325.73 $366.77 $512.55 $778.87 |
$506.52 $545.27 $586.31 $732.09 |
$726.06 $764.81 $805.85 $951.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.96 $651.46 $733.54 $1,025.10 $1,557.74 |
$793.50 $871.00 $953.08 $1,244.64 |
$1,013.04 $1,090.54 $1,172.62 $1,464.18 |
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 |
$365.81 $415.19 $467.51 $653.34 $992.81 |
$645.66 $695.04 $747.36 $933.19 |
$925.51 $974.89 $1,027.21 $1,213.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.62 $830.38 $935.02 $1,306.68 $1,985.62 |
$1,011.47 $1,110.23 $1,214.87 $1,586.53 |
$1,291.32 $1,390.08 $1,494.72 $1,866.38 |
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 |
$366.39 $415.84 $468.23 $654.35 $994.35 |
$646.67 $696.12 $748.51 $934.63 |
$926.95 $976.40 $1,028.79 $1,214.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.78 $831.68 $936.46 $1,308.70 $1,988.70 |
$1,013.06 $1,111.96 $1,216.74 $1,588.98 |
$1,293.34 $1,392.24 $1,497.02 $1,869.26 |
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 |
$273.19 $310.06 $349.12 $487.90 $741.41 |
$482.17 $519.04 $558.10 $696.88 |
$691.15 $728.02 $767.08 $905.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.38 $620.12 $698.24 $975.80 $1,482.82 |
$755.36 $829.10 $907.22 $1,184.78 |
$964.34 $1,038.08 $1,116.20 $1,393.76 |
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 |
$300.86 $341.47 $384.49 $537.32 $816.51 |
$531.01 $571.62 $614.64 $767.47 |
$761.16 $801.77 $844.79 $997.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.72 $682.94 $768.98 $1,074.64 $1,633.02 |
$831.87 $913.09 $999.13 $1,304.79 |
$1,062.02 $1,143.24 $1,229.28 $1,534.94 |
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 |
$370.30 $420.28 $473.23 $661.34 $1,004.96 |
$653.57 $703.55 $756.50 $944.61 |
$936.84 $986.82 $1,039.77 $1,227.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.60 $840.56 $946.46 $1,322.68 $2,009.92 |
$1,023.87 $1,123.83 $1,229.73 $1,605.95 |
$1,307.14 $1,407.10 $1,513.00 $1,889.22 |
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 |
$293.74 $333.38 $375.39 $524.60 $797.18 |
$518.44 $558.08 $600.09 $749.30 |
$743.14 $782.78 $824.79 $974.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.48 $666.76 $750.78 $1,049.20 $1,594.36 |
$812.18 $891.46 $975.48 $1,273.90 |
$1,036.88 $1,116.16 $1,200.18 $1,498.60 |
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 |
$336.65 $382.09 $430.23 $601.24 $913.64 |
$594.18 $639.62 $687.76 $858.77 |
$851.71 $897.15 $945.29 $1,116.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.30 $764.18 $860.46 $1,202.48 $1,827.28 |
$930.83 $1,021.71 $1,117.99 $1,460.01 |
$1,188.36 $1,279.24 $1,375.52 $1,717.54 |
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 |
$365.87 $415.25 $467.57 $653.43 $992.95 |
$645.75 $695.13 $747.45 $933.31 |
$925.63 $975.01 $1,027.33 $1,213.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.74 $830.50 $935.14 $1,306.86 $1,985.90 |
$1,011.62 $1,110.38 $1,215.02 $1,586.74 |
$1,291.50 $1,390.26 $1,494.90 $1,866.62 |
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 |
$368.97 $418.77 $471.53 $658.96 $1,001.36 |
$651.23 $701.03 $753.79 $941.22 |
$933.49 $983.29 $1,036.05 $1,223.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.94 $837.54 $943.06 $1,317.92 $2,002.72 |
$1,020.20 $1,119.80 $1,225.32 $1,600.18 |
$1,302.46 $1,402.06 $1,507.58 $1,882.44 |
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 |
$349.64 $396.83 $446.82 $624.43 $948.89 |
$617.10 $664.29 $714.28 $891.89 |
$884.56 $931.75 $981.74 $1,159.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.28 $793.66 $893.64 $1,248.86 $1,897.78 |
$966.74 $1,061.12 $1,161.10 $1,516.32 |
$1,234.20 $1,328.58 $1,428.56 $1,783.78 |
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 |
$371.15 $421.24 $474.31 $662.85 $1,007.27 |
$655.07 $705.16 $758.23 $946.77 |
$938.99 $989.08 $1,042.15 $1,230.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.30 $842.48 $948.62 $1,325.70 $2,014.54 |
$1,026.22 $1,126.40 $1,232.54 $1,609.62 |
$1,310.14 $1,410.32 $1,516.46 $1,893.54 |
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 |
$406.83 $461.74 $519.91 $726.57 $1,104.10 |
$718.04 $772.95 $831.12 $1,037.78 |
$1,029.25 $1,084.16 $1,142.33 $1,348.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.66 $923.48 $1,039.82 $1,453.14 $2,208.20 |
$1,124.87 $1,234.69 $1,351.03 $1,764.35 |
$1,436.08 $1,545.90 $1,662.24 $2,075.56 |
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 |
$288.24 $327.14 $368.36 $514.78 $782.26 |
$508.74 $547.64 $588.86 $735.28 |
$729.24 $768.14 $809.36 $955.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576.48 $654.28 $736.72 $1,029.56 $1,564.52 |
$796.98 $874.78 $957.22 $1,250.06 |
$1,017.48 $1,095.28 $1,177.72 $1,470.56 |
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 |
$365.65 $415.00 $467.29 $653.03 $992.35 |
$645.36 $694.71 $747.00 $932.74 |
$925.07 $974.42 $1,026.71 $1,212.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.30 $830.00 $934.58 $1,306.06 $1,984.70 |
$1,011.01 $1,109.71 $1,214.29 $1,585.77 |
$1,290.72 $1,389.42 $1,494.00 $1,865.48 |
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 |
$342.41 $388.62 $437.58 $611.52 $929.26 |
$604.34 $650.55 $699.51 $873.45 |
$866.27 $912.48 $961.44 $1,135.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.82 $777.24 $875.16 $1,223.04 $1,858.52 |
$946.75 $1,039.17 $1,137.09 $1,484.97 |
$1,208.68 $1,301.10 $1,399.02 $1,746.90 |
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 |
$384.03 $435.87 $490.78 $685.87 $1,042.24 |
$677.81 $729.65 $784.56 $979.65 |
$971.59 $1,023.43 $1,078.34 $1,273.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.06 $871.74 $981.56 $1,371.74 $2,084.48 |
$1,061.84 $1,165.52 $1,275.34 $1,665.52 |
$1,355.62 $1,459.30 $1,569.12 $1,959.30 |
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 |
$312.02 $354.13 $398.75 $557.25 $846.80 |
$550.71 $592.82 $637.44 $795.94 |
$789.40 $831.51 $876.13 $1,034.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.04 $708.26 $797.50 $1,114.50 $1,693.60 |
$862.73 $946.95 $1,036.19 $1,353.19 |
$1,101.42 $1,185.64 $1,274.88 $1,591.88 |
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 |
$379.98 $431.26 $485.60 $678.62 $1,031.24 |
$670.66 $721.94 $776.28 $969.30 |
$961.34 $1,012.62 $1,066.96 $1,259.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.96 $862.52 $971.20 $1,357.24 $2,062.48 |
$1,050.64 $1,153.20 $1,261.88 $1,647.92 |
$1,341.32 $1,443.88 $1,552.56 $1,938.60 |
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 |
$283.32 $321.56 $362.07 $506.00 $768.91 |
$500.05 $538.29 $578.80 $722.73 |
$716.78 $755.02 $795.53 $939.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$566.64 $643.12 $724.14 $1,012.00 $1,537.82 |
$783.37 $859.85 $940.87 $1,228.73 |
$1,000.10 $1,076.58 $1,157.60 $1,445.46 |
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 |
$379.44 $430.66 $484.92 $677.67 $1,029.78 |
$669.71 $720.93 $775.19 $967.94 |
$959.98 $1,011.20 $1,065.46 $1,258.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.88 $861.32 $969.84 $1,355.34 $2,059.56 |
$1,049.15 $1,151.59 $1,260.11 $1,645.61 |
$1,339.42 $1,441.86 $1,550.38 $1,935.88 |
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 |
$384.92 $436.87 $491.91 $687.44 $1,044.63 |
$679.37 $731.32 $786.36 $981.89 |
$973.82 $1,025.77 $1,080.81 $1,276.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.84 $873.74 $983.82 $1,374.88 $2,089.26 |
$1,064.29 $1,168.19 $1,278.27 $1,669.33 |
$1,358.74 $1,462.64 $1,572.72 $1,963.78 |
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 |
$421.92 $478.86 $539.20 $753.53 $1,145.06 |
$744.68 $801.62 $861.96 $1,076.29 |
$1,067.44 $1,124.38 $1,184.72 $1,399.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.84 $957.72 $1,078.40 $1,507.06 $2,290.12 |
$1,166.60 $1,280.48 $1,401.16 $1,829.82 |
$1,489.36 $1,603.24 $1,723.92 $2,152.58 |
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 |
$304.64 $345.75 $389.31 $544.06 $826.75 |
$537.68 $578.79 $622.35 $777.10 |
$770.72 $811.83 $855.39 $1,010.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.28 $691.50 $778.62 $1,088.12 $1,653.50 |
$842.32 $924.54 $1,011.66 $1,321.16 |
$1,075.36 $1,157.58 $1,244.70 $1,554.20 |
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 |
$349.14 $396.26 $446.18 $623.54 $947.53 |
$616.22 $663.34 $713.26 $890.62 |
$883.30 $930.42 $980.34 $1,157.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.28 $792.52 $892.36 $1,247.08 $1,895.06 |
$965.36 $1,059.60 $1,159.44 $1,514.16 |
$1,232.44 $1,326.68 $1,426.52 $1,781.24 |
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 |
$382.66 $434.30 $489.02 $683.41 $1,038.51 |
$675.39 $727.03 $781.75 $976.14 |
$968.12 $1,019.76 $1,074.48 $1,268.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.32 $868.60 $978.04 $1,366.82 $2,077.02 |
$1,058.05 $1,161.33 $1,270.77 $1,659.55 |
$1,350.78 $1,454.06 $1,563.50 $1,952.28 |
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 |
$362.61 $411.55 $463.40 $647.60 $984.09 |
$640.00 $688.94 $740.79 $924.99 |
$917.39 $966.33 $1,018.18 $1,202.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.22 $823.10 $926.80 $1,295.20 $1,968.18 |
$1,002.61 $1,100.49 $1,204.19 $1,572.59 |
$1,280.00 $1,377.88 $1,481.58 $1,849.98 |
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 |
$469.48 $532.86 $600.00 $838.49 $1,274.17 |
$828.63 $892.01 $959.15 $1,197.64 |
$1,187.78 $1,251.16 $1,318.30 $1,556.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.96 $1,065.72 $1,200.00 $1,676.98 $2,548.34 |
$1,298.11 $1,424.87 $1,559.15 $2,036.13 |
$1,657.26 $1,784.02 $1,918.30 $2,395.28 |
Toc - Plan #51 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.06 $376.89 $424.37 $593.06 $901.21 |
$586.09 $630.92 $678.40 $847.09 |
$840.12 $884.95 $932.43 $1,101.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.12 $753.78 $848.74 $1,186.12 $1,802.42 |
$918.15 $1,007.81 $1,102.77 $1,440.15 |
$1,172.18 $1,261.84 $1,356.80 $1,694.18 |
Toc - Plan #52 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1498 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$480.52 $545.39 $614.10 $858.21 $1,304.13 |
$848.12 $912.99 $981.70 $1,225.81 |
$1,215.72 $1,280.59 $1,349.30 $1,593.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.04 $1,090.78 $1,228.20 $1,716.42 $2,608.26 |
$1,328.64 $1,458.38 $1,595.80 $2,084.02 |
$1,696.24 $1,825.98 $1,963.40 $2,451.62 |
Toc - Plan #53 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$563.16 $639.19 $719.72 $1,005.80 $1,528.42 |
$993.98 $1,070.01 $1,150.54 $1,436.62 |
$1,424.80 $1,500.83 $1,581.36 $1,867.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,126.32 $1,278.38 $1,439.44 $2,011.60 $3,056.84 |
$1,557.14 $1,709.20 $1,870.26 $2,442.42 |
$1,987.96 $2,140.02 $2,301.08 $2,873.24 |
Toc - Plan #54 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
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 |
$351.96 $399.47 $449.80 $628.60 $955.22 |
$621.21 $668.72 $719.05 $897.85 |
$890.46 $937.97 $988.30 $1,167.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.92 $798.94 $899.60 $1,257.20 $1,910.44 |
$973.17 $1,068.19 $1,168.85 $1,526.45 |
$1,242.42 $1,337.44 $1,438.10 $1,795.70 |
Toc - Plan #55 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$598.69 $679.51 $765.13 $1,069.26 $1,624.84 |
$1,056.69 $1,137.51 $1,223.13 $1,527.26 |
$1,514.69 $1,595.51 $1,681.13 $1,985.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,197.38 $1,359.02 $1,530.26 $2,138.52 $3,249.68 |
$1,655.38 $1,817.02 $1,988.26 $2,596.52 |
$2,113.38 $2,275.02 $2,446.26 $3,054.52 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 1477 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$433.01 $491.47 $553.39 $773.36 $1,175.19 |
$764.26 $822.72 $884.64 $1,104.61 |
$1,095.51 $1,153.97 $1,215.89 $1,435.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.02 $982.94 $1,106.78 $1,546.72 $2,350.38 |
$1,197.27 $1,314.19 $1,438.03 $1,877.97 |
$1,528.52 $1,645.44 $1,769.28 $2,209.22 |
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 $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$528.23 $599.54 $675.08 $943.42 $1,433.62 |
$932.33 $1,003.64 $1,079.18 $1,347.52 |
$1,336.43 $1,407.74 $1,483.28 $1,751.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,056.46 $1,199.08 $1,350.16 $1,886.84 $2,867.24 |
$1,460.56 $1,603.18 $1,754.26 $2,290.94 |
$1,864.66 $2,007.28 $2,158.36 $2,695.04 |
Toc - Plan #58 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze (HSA) 1765 (Rewards $$$ / $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 |
$335.99 $381.35 $429.40 $600.08 $911.88 |
$593.02 $638.38 $686.43 $857.11 |
$850.05 $895.41 $943.46 $1,114.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.98 $762.70 $858.80 $1,200.16 $1,823.76 |
$929.01 $1,019.73 $1,115.83 $1,457.19 |
$1,186.04 $1,276.76 $1,372.86 $1,714.22 |
Toc - Plan #59 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 1865 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.55 $573.80 $646.09 $902.91 $1,372.06 |
$892.30 $960.55 $1,032.84 $1,289.66 |
$1,279.05 $1,347.30 $1,419.59 $1,676.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.10 $1,147.60 $1,292.18 $1,805.82 $2,744.12 |
$1,397.85 $1,534.35 $1,678.93 $2,192.57 |
$1,784.60 $1,921.10 $2,065.68 $2,579.32 |
Toc - Plan #60 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2179 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
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 |
$381.96 $433.52 $488.14 $682.18 $1,036.64 |
$674.16 $725.72 $780.34 $974.38 |
$966.36 $1,017.92 $1,072.54 $1,266.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.92 $867.04 $976.28 $1,364.36 $2,073.28 |
$1,056.12 $1,159.24 $1,268.48 $1,656.56 |
$1,348.32 $1,451.44 $1,560.68 $1,948.76 |
Toc - Plan #61 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2361S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.55 $355.88 $400.72 $560.00 $850.97 |
$553.42 $595.75 $640.59 $799.87 |
$793.29 $835.62 $880.46 $1,039.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.10 $711.76 $801.44 $1,120.00 $1,701.94 |
$866.97 $951.63 $1,041.31 $1,359.87 |
$1,106.84 $1,191.50 $1,281.18 $1,599.74 |
Toc - Plan #62 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2362S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$345.44 $392.07 $441.47 $616.96 $937.52 |
$609.70 $656.33 $705.73 $881.22 |
$873.96 $920.59 $969.99 $1,145.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.88 $784.14 $882.94 $1,233.92 $1,875.04 |
$955.14 $1,048.40 $1,147.20 $1,498.18 |
$1,219.40 $1,312.66 $1,411.46 $1,762.44 |
Toc - Plan #63 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2363S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.41 $527.11 $593.52 $829.44 $1,260.41 |
$819.68 $882.38 $948.79 $1,184.71 |
$1,174.95 $1,237.65 $1,304.06 $1,539.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.82 $1,054.22 $1,187.04 $1,658.88 $2,520.82 |
$1,284.09 $1,409.49 $1,542.31 $2,014.15 |
$1,639.36 $1,764.76 $1,897.58 $2,369.42 |
Toc - Plan #64 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2364S ($30 PCP Visit / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$478.78 $543.42 $611.88 $855.10 $1,299.41 |
$845.05 $909.69 $978.15 $1,221.37 |
$1,211.32 $1,275.96 $1,344.42 $1,587.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$957.56 $1,086.84 $1,223.76 $1,710.20 $2,598.82 |
$1,323.83 $1,453.11 $1,590.03 $2,076.47 |
$1,690.10 $1,819.38 $1,956.30 $2,442.74 |
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 $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$597.04 $677.64 $763.02 $1,066.31 $1,620.37 |
$1,053.78 $1,134.38 $1,219.76 $1,523.05 |
$1,510.52 $1,591.12 $1,676.50 $1,979.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,194.08 $1,355.28 $1,526.04 $2,132.62 $3,240.74 |
$1,650.82 $1,812.02 $1,982.78 $2,589.36 |
$2,107.56 $2,268.76 $2,439.52 $3,046.10 |
Toc - Plan #66 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2379 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$369.38 $419.25 $472.07 $659.71 $1,002.50 |
$651.96 $701.83 $754.65 $942.29 |
$934.54 $984.41 $1,037.23 $1,224.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.76 $838.50 $944.14 $1,319.42 $2,005.00 |
$1,021.34 $1,121.08 $1,226.72 $1,602.00 |
$1,303.92 $1,403.66 $1,509.30 $1,884.58 |
Toc - Plan #67 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.32 $376.05 $423.43 $591.74 $899.20 |
$584.78 $629.51 $676.89 $845.20 |
$838.24 $882.97 $930.35 $1,098.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.64 $752.10 $846.86 $1,183.48 $1,798.40 |
$916.10 $1,005.56 $1,100.32 $1,436.94 |
$1,169.56 $1,259.02 $1,353.78 $1,690.40 |
Toc - Plan #68 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
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 |
$311.90 $354.01 $398.61 $557.05 $846.50 |
$550.50 $592.61 $637.21 $795.65 |
$789.10 $831.21 $875.81 $1,034.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.80 $708.02 $797.22 $1,114.10 $1,693.00 |
$862.40 $946.62 $1,035.82 $1,352.70 |
$1,101.00 $1,185.22 $1,274.42 $1,591.30 |
Toc - Plan #69 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.04 $463.13 $521.48 $728.76 $1,107.42 |
$720.19 $775.28 $833.63 $1,040.91 |
$1,032.34 $1,087.43 $1,145.78 $1,353.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.08 $926.26 $1,042.96 $1,457.52 $2,214.84 |
$1,128.23 $1,238.41 $1,355.11 $1,769.67 |
$1,440.38 $1,550.56 $1,667.26 $2,081.82 |
Toc - Plan #70 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$388.95 $441.46 $497.08 $694.66 $1,055.61 |
$686.50 $739.01 $794.63 $992.21 |
$984.05 $1,036.56 $1,092.18 $1,289.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.90 $882.92 $994.16 $1,389.32 $2,111.22 |
$1,075.45 $1,180.47 $1,291.71 $1,686.87 |
$1,373.00 $1,478.02 $1,589.26 $1,984.42 |
Toc - Plan #71 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.93 $524.29 $590.35 $825.01 $1,253.68 |
$815.31 $877.67 $943.73 $1,178.39 |
$1,168.69 $1,231.05 $1,297.11 $1,531.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.86 $1,048.58 $1,180.70 $1,650.02 $2,507.36 |
$1,277.24 $1,401.96 $1,534.08 $2,003.40 |
$1,630.62 $1,755.34 $1,887.46 $2,356.78 |
Toc - Plan #72 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$414.55 $470.51 $529.79 $740.39 $1,125.09 |
$731.68 $787.64 $846.92 $1,057.52 |
$1,048.81 $1,104.77 $1,164.05 $1,374.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.10 $941.02 $1,059.58 $1,480.78 $2,250.18 |
$1,146.23 $1,258.15 $1,376.71 $1,797.91 |
$1,463.36 $1,575.28 $1,693.84 $2,115.04 |
Toc - Plan #73 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.82 $437.91 $493.08 $689.07 $1,047.12 |
$680.97 $733.06 $788.23 $984.22 |
$976.12 $1,028.21 $1,083.38 $1,279.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.64 $875.82 $986.16 $1,378.14 $2,094.24 |
$1,066.79 $1,170.97 $1,281.31 $1,673.29 |
$1,361.94 $1,466.12 $1,576.46 $1,968.44 |
Toc - Plan #74 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Virtual Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
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 |
$384.36 $436.25 $491.21 $686.47 $1,043.15 |
$678.40 $730.29 $785.25 $980.51 |
$972.44 $1,024.33 $1,079.29 $1,274.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.72 $872.50 $982.42 $1,372.94 $2,086.30 |
$1,062.76 $1,166.54 $1,276.46 $1,666.98 |
$1,356.80 $1,460.58 $1,570.50 $1,961.02 |
Toc - Plan #75 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visit / $80 Specialist Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.43 $406.82 $458.07 $640.16 $972.78 |
$632.63 $681.02 $732.27 $914.36 |
$906.83 $955.22 $1,006.47 $1,188.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.86 $813.64 $916.14 $1,280.32 $1,945.56 |
$991.06 $1,087.84 $1,190.34 $1,554.52 |
$1,265.26 $1,362.04 $1,464.54 $1,828.72 |
Toc - Plan #76 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
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 |
$331.71 $376.49 $423.93 $592.43 $900.26 |
$585.47 $630.25 $677.69 $846.19 |
$839.23 $884.01 $931.45 $1,099.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.42 $752.98 $847.86 $1,184.86 $1,800.52 |
$917.18 $1,006.74 $1,101.62 $1,438.62 |
$1,170.94 $1,260.50 $1,355.38 $1,692.38 |
Toc - Plan #77 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $80 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.63 $428.61 $482.61 $674.45 $1,024.89 |
$666.52 $717.50 $771.50 $963.34 |
$955.41 $1,006.39 $1,060.39 $1,252.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.26 $857.22 $965.22 $1,348.90 $2,049.78 |
$1,044.15 $1,146.11 $1,254.11 $1,637.79 |
$1,333.04 $1,435.00 $1,543.00 $1,926.68 |
Toc - Plan #78 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
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 |
$324.20 $367.97 $414.33 $579.02 $879.88 |
$572.21 $615.98 $662.34 $827.03 |
$820.22 $863.99 $910.35 $1,075.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.40 $735.94 $828.66 $1,158.04 $1,759.76 |
$896.41 $983.95 $1,076.67 $1,406.05 |
$1,144.42 $1,231.96 $1,324.68 $1,654.06 |
Toc - Plan #79 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.89 $368.75 $415.21 $580.25 $881.75 |
$573.43 $617.29 $663.75 $828.79 |
$821.97 $865.83 $912.29 $1,077.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.78 $737.50 $830.42 $1,160.50 $1,763.50 |
$898.32 $986.04 $1,078.96 $1,409.04 |
$1,146.86 $1,234.58 $1,327.50 $1,657.58 |
Toc - Plan #80 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) myBlue Bronze 2311S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$295.18 $335.03 $377.24 $527.19 $801.12 |
$520.99 $560.84 $603.05 $753.00 |
$746.80 $786.65 $828.86 $978.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.36 $670.06 $754.48 $1,054.38 $1,602.24 |
$816.17 $895.87 $980.29 $1,280.19 |
$1,041.98 $1,121.68 $1,206.10 $1,506.00 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.66 $359.41 $404.69 $565.55 $859.42 |
$558.90 $601.65 $646.93 $807.79 |
$801.14 $843.89 $889.17 $1,050.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.32 $718.82 $809.38 $1,131.10 $1,718.84 |
$875.56 $961.06 $1,051.62 $1,373.34 |
$1,117.80 $1,203.30 $1,293.86 $1,615.58 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$347.06 $393.91 $443.54 $619.85 $941.92 |
$612.56 $659.41 $709.04 $885.35 |
$878.06 $924.91 $974.54 $1,150.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.12 $787.82 $887.08 $1,239.70 $1,883.84 |
$959.62 $1,053.32 $1,152.58 $1,505.20 |
$1,225.12 $1,318.82 $1,418.08 $1,770.70 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.54 $414.89 $467.16 $652.85 $992.08 |
$645.18 $694.53 $746.80 $932.49 |
$924.82 $974.17 $1,026.44 $1,212.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.08 $829.78 $934.32 $1,305.70 $1,984.16 |
$1,010.72 $1,109.42 $1,213.96 $1,585.34 |
$1,290.36 $1,389.06 $1,493.60 $1,864.98 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
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 |
$380.12 $431.44 $485.79 $678.89 $1,031.65 |
$670.91 $722.23 $776.58 $969.68 |
$961.70 $1,013.02 $1,067.37 $1,260.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.24 $862.88 $971.58 $1,357.78 $2,063.30 |
$1,051.03 $1,153.67 $1,262.37 $1,648.57 |
$1,341.82 $1,444.46 $1,553.16 $1,939.36 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.24 $496.27 $558.79 $780.91 $1,186.67 |
$771.73 $830.76 $893.28 $1,115.40 |
$1,106.22 $1,165.25 $1,227.77 $1,449.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.48 $992.54 $1,117.58 $1,561.82 $2,373.34 |
$1,208.97 $1,327.03 $1,452.07 $1,896.31 |
$1,543.46 $1,661.52 $1,786.56 $2,230.80 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $80 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
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 |
$385.31 $437.33 $492.43 $688.16 $1,045.73 |
$680.07 $732.09 $787.19 $982.92 |
$974.83 $1,026.85 $1,081.95 $1,277.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.62 $874.66 $984.86 $1,376.32 $2,091.46 |
$1,065.38 $1,169.42 $1,279.62 $1,671.08 |
$1,360.14 $1,464.18 $1,574.38 $1,965.84 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337D ($0 Virtual Visits / Adult Dental / $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 |
$373.19 $423.57 $476.94 $666.52 $1,012.84 |
$658.68 $709.06 $762.43 $952.01 |
$944.17 $994.55 $1,047.92 $1,237.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.38 $847.14 $953.88 $1,333.04 $2,025.68 |
$1,031.87 $1,132.63 $1,239.37 $1,618.53 |
$1,317.36 $1,418.12 $1,524.86 $1,904.02 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #88 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.83 $332.35 $374.22 $522.97 $794.70 |
$516.83 $556.35 $598.22 $746.97 |
$740.83 $780.35 $822.22 $970.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.66 $664.70 $748.44 $1,045.94 $1,589.40 |
$809.66 $888.70 $972.44 $1,269.94 |
$1,033.66 $1,112.70 $1,196.44 $1,493.94 |
Toc - Plan #89 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.03 $322.36 $362.98 $507.26 $770.83 |
$501.30 $539.63 $580.25 $724.53 |
$718.57 $756.90 $797.52 $941.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.06 $644.72 $725.96 $1,014.52 $1,541.66 |
$785.33 $861.99 $943.23 $1,231.79 |
$1,002.60 $1,079.26 $1,160.50 $1,449.06 |
Toc - Plan #90 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.85 $392.53 $441.98 $617.67 $938.61 |
$610.42 $657.10 $706.55 $882.24 |
$874.99 $921.67 $971.12 $1,146.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.70 $785.06 $883.96 $1,235.34 $1,877.22 |
$956.27 $1,049.63 $1,148.53 $1,499.91 |
$1,220.84 $1,314.20 $1,413.10 $1,764.48 |
Toc - Plan #91 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.49 $436.38 $491.36 $686.68 $1,043.47 |
$678.61 $730.50 $785.48 $980.80 |
$972.73 $1,024.62 $1,079.60 $1,274.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.98 $872.76 $982.72 $1,373.36 $2,086.94 |
$1,063.10 $1,166.88 $1,276.84 $1,667.48 |
$1,357.22 $1,461.00 $1,570.96 $1,961.60 |
Toc - Plan #92 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.25 $433.85 $488.51 $682.69 $1,037.41 |
$674.67 $726.27 $780.93 $975.11 |
$967.09 $1,018.69 $1,073.35 $1,267.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.50 $867.70 $977.02 $1,365.38 $2,074.82 |
$1,056.92 $1,160.12 $1,269.44 $1,657.80 |
$1,349.34 $1,452.54 $1,561.86 $1,950.22 |
Toc - Plan #93 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.05 $437.02 $492.08 $687.67 $1,044.99 |
$679.60 $731.57 $786.63 $982.22 |
$974.15 $1,026.12 $1,081.18 $1,276.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.10 $874.04 $984.16 $1,375.34 $2,089.98 |
$1,064.65 $1,168.59 $1,278.71 $1,669.89 |
$1,359.20 $1,463.14 $1,573.26 $1,964.44 |
Toc - Plan #94 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$219.28 $248.87 $280.22 $391.61 $595.09 |
$387.02 $416.61 $447.96 $559.35 |
$554.76 $584.35 $615.70 $727.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$438.56 $497.74 $560.44 $783.22 $1,190.18 |
$606.30 $665.48 $728.18 $950.96 |
$774.04 $833.22 $895.92 $1,118.70 |
Toc - Plan #95 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+Specialist Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.95 $391.51 $440.83 $616.06 $936.17 |
$608.83 $655.39 $704.71 $879.94 |
$872.71 $919.27 $968.59 $1,143.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.90 $783.02 $881.66 $1,232.12 $1,872.34 |
$953.78 $1,046.90 $1,145.54 $1,496.00 |
$1,217.66 $1,310.78 $1,409.42 $1,759.88 |
Toc - Plan #96 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.07 $462.02 $520.23 $727.01 $1,104.77 |
$718.47 $773.42 $831.63 $1,038.41 |
$1,029.87 $1,084.82 $1,143.03 $1,349.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.14 $924.04 $1,040.46 $1,454.02 $2,209.54 |
$1,125.54 $1,235.44 $1,351.86 $1,765.42 |
$1,436.94 $1,546.84 $1,663.26 $2,076.82 |
Toc - Plan #97 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.74 $344.73 $388.16 $542.46 $824.31 |
$536.09 $577.08 $620.51 $774.81 |
$768.44 $809.43 $852.86 $1,007.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.48 $689.46 $776.32 $1,084.92 $1,648.62 |
$839.83 $921.81 $1,008.67 $1,317.27 |
$1,072.18 $1,154.16 $1,241.02 $1,549.62 |
Toc - Plan #98 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.70 $433.21 $487.79 $681.69 $1,035.89 |
$673.69 $725.20 $779.78 $973.68 |
$965.68 $1,017.19 $1,071.77 $1,265.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.40 $866.42 $975.58 $1,363.38 $2,071.78 |
$1,055.39 $1,158.41 $1,267.57 $1,655.37 |
$1,347.38 $1,450.40 $1,559.56 $1,947.36 |
Toc - Plan #99 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.52 $442.09 $497.79 $695.66 $1,057.12 |
$687.49 $740.06 $795.76 $993.63 |
$985.46 $1,038.03 $1,093.73 $1,291.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.04 $884.18 $995.58 $1,391.32 $2,114.24 |
$1,077.01 $1,182.15 $1,293.55 $1,689.29 |
$1,374.98 $1,480.12 $1,591.52 $1,987.26 |
Toc - Plan #100 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.32 $445.27 $501.37 $700.66 $1,064.72 |
$692.43 $745.38 $801.48 $1,000.77 |
$992.54 $1,045.49 $1,101.59 $1,300.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.64 $890.54 $1,002.74 $1,401.32 $2,129.44 |
$1,084.75 $1,190.65 $1,302.85 $1,701.43 |
$1,384.86 $1,490.76 $1,602.96 $2,001.54 |
Toc - Plan #101 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.10 $342.87 $386.07 $539.53 $819.87 |
$533.20 $573.97 $617.17 $770.63 |
$764.30 $805.07 $848.27 $1,001.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.20 $685.74 $772.14 $1,079.06 $1,639.74 |
$835.30 $916.84 $1,003.24 $1,310.16 |
$1,066.40 $1,147.94 $1,234.34 $1,541.26 |
Toc - Plan #102 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.96 $352.93 $397.40 $555.36 $843.93 |
$548.84 $590.81 $635.28 $793.24 |
$786.72 $828.69 $873.16 $1,031.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.92 $705.86 $794.80 $1,110.72 $1,687.86 |
$859.80 $943.74 $1,032.68 $1,348.60 |
$1,097.68 $1,181.62 $1,270.56 $1,586.48 |
Toc - Plan #103 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.91 $430.05 $484.23 $676.71 $1,028.33 |
$668.77 $719.91 $774.09 $966.57 |
$958.63 $1,009.77 $1,063.95 $1,256.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.82 $860.10 $968.46 $1,353.42 $2,056.66 |
$1,047.68 $1,149.96 $1,258.32 $1,643.28 |
$1,337.54 $1,439.82 $1,548.18 $1,933.14 |
Toc - Plan #104 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.00 $447.17 $503.52 $703.66 $1,069.28 |
$695.40 $748.57 $804.92 $1,005.06 |
$996.80 $1,049.97 $1,106.32 $1,306.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.00 $894.34 $1,007.04 $1,407.32 $2,138.56 |
$1,089.40 $1,195.74 $1,308.44 $1,708.72 |
$1,390.80 $1,497.14 $1,609.84 $2,010.12 |
Toc - Plan #105 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.49 $436.38 $491.36 $686.68 $1,043.47 |
$678.61 $730.50 $785.48 $980.80 |
$972.73 $1,024.62 $1,079.60 $1,274.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.98 $872.76 $982.72 $1,373.36 $2,086.94 |
$1,063.10 $1,166.88 $1,276.84 $1,667.48 |
$1,357.22 $1,461.00 $1,570.96 $1,961.60 |
Toc - Plan #106 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.27 $506.51 $570.32 $797.03 $1,211.16 |
$787.66 $847.90 $911.71 $1,138.42 |
$1,129.05 $1,189.29 $1,253.10 $1,479.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$892.54 $1,013.02 $1,140.64 $1,594.06 $2,422.32 |
$1,233.93 $1,354.41 $1,482.03 $1,935.45 |
$1,575.32 $1,695.80 $1,823.42 $2,276.84 |
Toc - Plan #107 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.85 $474.25 $534.00 $746.26 $1,134.02 |
$737.50 $793.90 $853.65 $1,065.91 |
$1,057.15 $1,113.55 $1,173.30 $1,385.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$835.70 $948.50 $1,068.00 $1,492.52 $2,268.04 |
$1,155.35 $1,268.15 $1,387.65 $1,812.17 |
$1,475.00 $1,587.80 $1,707.30 $2,131.82 |
Toc - Plan #108 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.86 $382.32 $430.49 $601.61 $914.20 |
$594.55 $640.01 $688.18 $859.30 |
$852.24 $897.70 $945.87 $1,116.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.72 $764.64 $860.98 $1,203.22 $1,828.40 |
$931.41 $1,022.33 $1,118.67 $1,460.91 |
$1,189.10 $1,280.02 $1,376.36 $1,718.60 |
Toc - Plan #109 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.37 $435.11 $489.93 $684.68 $1,040.44 |
$676.64 $728.38 $783.20 $977.95 |
$969.91 $1,021.65 $1,076.47 $1,271.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.74 $870.22 $979.86 $1,369.36 $2,080.88 |
$1,060.01 $1,163.49 $1,273.13 $1,662.63 |
$1,353.28 $1,456.76 $1,566.40 $1,955.90 |
Toc - Plan #110 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.86 $349.41 $393.43 $549.81 $835.49 |
$543.36 $584.91 $628.93 $785.31 |
$778.86 $820.41 $864.43 $1,020.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.72 $698.82 $786.86 $1,099.62 $1,670.98 |
$851.22 $934.32 $1,022.36 $1,335.12 |
$1,086.72 $1,169.82 $1,257.86 $1,570.62 |
Toc - Plan #111 Oscar Insurance Company of Florida | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.89 $307.45 $346.19 $483.80 $735.18 |
$478.12 $514.68 $553.42 $691.03 |
$685.35 $721.91 $760.65 $898.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.78 $614.90 $692.38 $967.60 $1,470.36 |
$749.01 $822.13 $899.61 $1,174.83 |
$956.24 $1,029.36 $1,106.84 $1,382.06 |
Toc - Plan #112 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.46 $430.68 $484.94 $677.71 $1,029.84 |
$669.74 $720.96 $775.22 $967.99 |
$960.02 $1,011.24 $1,065.50 $1,258.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.92 $861.36 $969.88 $1,355.42 $2,059.68 |
$1,049.20 $1,151.64 $1,260.16 $1,645.70 |
$1,339.48 $1,441.92 $1,550.44 $1,935.98 |
Toc - Plan #113 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.18 $440.58 $496.09 $693.28 $1,053.50 |
$685.13 $737.53 $793.04 $990.23 |
$982.08 $1,034.48 $1,089.99 $1,287.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.36 $881.16 $992.18 $1,386.56 $2,107.00 |
$1,073.31 $1,178.11 $1,289.13 $1,683.51 |
$1,370.26 $1,475.06 $1,586.08 $1,980.46 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #114 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 |
$509.35 $578.12 $650.96 $909.71 $1,382.39 |
$899.01 $967.78 $1,040.62 $1,299.37 |
$1,288.67 $1,357.44 $1,430.28 $1,689.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.70 $1,156.24 $1,301.92 $1,819.42 $2,764.78 |
$1,408.36 $1,545.90 $1,691.58 $2,209.08 |
$1,798.02 $1,935.56 $2,081.24 $2,598.74 |
Toc - Plan #115 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 |
$508.13 $576.73 $649.39 $907.52 $1,379.07 |
$896.85 $965.45 $1,038.11 $1,296.24 |
$1,285.57 $1,354.17 $1,426.83 $1,684.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,016.26 $1,153.46 $1,298.78 $1,815.04 $2,758.14 |
$1,404.98 $1,542.18 $1,687.50 $2,203.76 |
$1,793.70 $1,930.90 $2,076.22 $2,592.48 |
Toc - Plan #116 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 |
$454.74 $516.13 $581.15 $812.16 $1,234.16 |
$802.61 $864.00 $929.02 $1,160.03 |
$1,150.48 $1,211.87 $1,276.89 $1,507.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.48 $1,032.26 $1,162.30 $1,624.32 $2,468.32 |
$1,257.35 $1,380.13 $1,510.17 $1,972.19 |
$1,605.22 $1,728.00 $1,858.04 $2,320.06 |
Toc - Plan #117 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 |
$441.33 $500.91 $564.02 $788.22 $1,197.77 |
$778.95 $838.53 $901.64 $1,125.84 |
$1,116.57 $1,176.15 $1,239.26 $1,463.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.66 $1,001.82 $1,128.04 $1,576.44 $2,395.54 |
$1,220.28 $1,339.44 $1,465.66 $1,914.06 |
$1,557.90 $1,677.06 $1,803.28 $2,251.68 |
Toc - Plan #118 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 |
$453.47 $514.69 $579.54 $809.90 $1,230.72 |
$800.37 $861.59 $926.44 $1,156.80 |
$1,147.27 $1,208.49 $1,273.34 $1,503.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.94 $1,029.38 $1,159.08 $1,619.80 $2,461.44 |
$1,253.84 $1,376.28 $1,505.98 $1,966.70 |
$1,600.74 $1,723.18 $1,852.88 $2,313.60 |
Toc - Plan #119 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 |
$453.26 $514.45 $579.27 $809.53 $1,230.16 |
$800.01 $861.20 $926.02 $1,156.28 |
$1,146.76 $1,207.95 $1,272.77 $1,503.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.52 $1,028.90 $1,158.54 $1,619.06 $2,460.32 |
$1,253.27 $1,375.65 $1,505.29 $1,965.81 |
$1,600.02 $1,722.40 $1,852.04 $2,312.56 |
Toc - Plan #120 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 |
$441.93 $501.59 $564.79 $789.29 $1,199.40 |
$780.01 $839.67 $902.87 $1,127.37 |
$1,118.09 $1,177.75 $1,240.95 $1,465.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.86 $1,003.18 $1,129.58 $1,578.58 $2,398.80 |
$1,221.94 $1,341.26 $1,467.66 $1,916.66 |
$1,560.02 $1,679.34 $1,805.74 $2,254.74 |
Toc - Plan #121 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 |
$353.94 $401.72 $452.34 $632.14 $960.59 |
$624.70 $672.48 $723.10 $902.90 |
$895.46 $943.24 $993.86 $1,173.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.88 $803.44 $904.68 $1,264.28 $1,921.18 |
$978.64 $1,074.20 $1,175.44 $1,535.04 |
$1,249.40 $1,344.96 $1,446.20 $1,805.80 |
Toc - Plan #122 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 |
$362.98 $411.98 $463.89 $648.28 $985.13 |
$640.66 $689.66 $741.57 $925.96 |
$918.34 $967.34 $1,019.25 $1,203.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.96 $823.96 $927.78 $1,296.56 $1,970.26 |
$1,003.64 $1,101.64 $1,205.46 $1,574.24 |
$1,281.32 $1,379.32 $1,483.14 $1,851.92 |
Toc - Plan #123 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 |
$353.21 $400.89 $451.40 $630.83 $958.61 |
$623.41 $671.09 $721.60 $901.03 |
$893.61 $941.29 $991.80 $1,171.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.42 $801.78 $902.80 $1,261.66 $1,917.22 |
$976.62 $1,071.98 $1,173.00 $1,531.86 |
$1,246.82 $1,342.18 $1,443.20 $1,802.06 |
Toc - Plan #124 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 |
$541.48 $614.58 $692.02 $967.09 $1,469.59 |
$955.71 $1,028.81 $1,106.25 $1,381.32 |
$1,369.94 $1,443.04 $1,520.48 $1,795.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,082.96 $1,229.16 $1,384.04 $1,934.18 $2,939.18 |
$1,497.19 $1,643.39 $1,798.27 $2,348.41 |
$1,911.42 $2,057.62 $2,212.50 $2,762.64 |
Toc - Plan #125 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 |
$541.82 $614.97 $692.45 $967.69 $1,470.50 |
$956.31 $1,029.46 $1,106.94 $1,382.18 |
$1,370.80 $1,443.95 $1,521.43 $1,796.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,083.64 $1,229.94 $1,384.90 $1,935.38 $2,941.00 |
$1,498.13 $1,644.43 $1,799.39 $2,349.87 |
$1,912.62 $2,058.92 $2,213.88 $2,764.36 |
Toc - Plan #126 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 |
$517.76 $587.66 $661.70 $924.72 $1,405.20 |
$913.85 $983.75 $1,057.79 $1,320.81 |
$1,309.94 $1,379.84 $1,453.88 $1,716.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,035.52 $1,175.32 $1,323.40 $1,849.44 $2,810.40 |
$1,431.61 $1,571.41 $1,719.49 $2,245.53 |
$1,827.70 $1,967.50 $2,115.58 $2,641.62 |
Toc - Plan #127 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 |
$455.15 $516.60 $581.68 $812.90 $1,235.28 |
$803.34 $864.79 $929.87 $1,161.09 |
$1,151.53 $1,212.98 $1,278.06 $1,509.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.30 $1,033.20 $1,163.36 $1,625.80 $2,470.56 |
$1,258.49 $1,381.39 $1,511.55 $1,973.99 |
$1,606.68 $1,729.58 $1,859.74 $2,322.18 |
Toc - Plan #128 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 |
$475.34 $539.51 $607.48 $848.95 $1,290.06 |
$838.97 $903.14 $971.11 $1,212.58 |
$1,202.60 $1,266.77 $1,334.74 $1,576.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$950.68 $1,079.02 $1,214.96 $1,697.90 $2,580.12 |
$1,314.31 $1,442.65 $1,578.59 $2,061.53 |
$1,677.94 $1,806.28 $1,942.22 $2,425.16 |
Toc - Plan #129 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 |
$477.59 $542.06 $610.35 $852.97 $1,296.17 |
$842.94 $907.41 $975.70 $1,218.32 |
$1,208.29 $1,272.76 $1,341.05 $1,583.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.18 $1,084.12 $1,220.70 $1,705.94 $2,592.34 |
$1,320.53 $1,449.47 $1,586.05 $2,071.29 |
$1,685.88 $1,814.82 $1,951.40 $2,436.64 |
Toc - Plan #130 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 |
$455.53 $517.03 $582.17 $813.58 $1,236.32 |
$804.01 $865.51 $930.65 $1,162.06 |
$1,152.49 $1,213.99 $1,279.13 $1,510.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.06 $1,034.06 $1,164.34 $1,627.16 $2,472.64 |
$1,259.54 $1,382.54 $1,512.82 $1,975.64 |
$1,608.02 $1,731.02 $1,861.30 $2,324.12 |
Toc - Plan #131 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 |
$352.34 $399.90 $450.28 $629.27 $956.24 |
$621.88 $669.44 $719.82 $898.81 |
$891.42 $938.98 $989.36 $1,168.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.68 $799.80 $900.56 $1,258.54 $1,912.48 |
$974.22 $1,069.34 $1,170.10 $1,528.08 |
$1,243.76 $1,338.88 $1,439.64 $1,797.62 |
Toc - Plan #132 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 |
$365.13 $414.42 $466.64 $652.12 $990.96 |
$644.45 $693.74 $745.96 $931.44 |
$923.77 $973.06 $1,025.28 $1,210.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.26 $828.84 $933.28 $1,304.24 $1,981.92 |
$1,009.58 $1,108.16 $1,212.60 $1,583.56 |
$1,288.90 $1,387.48 $1,491.92 $1,862.88 |
Toc - Plan #133 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 |
$345.13 $391.72 $441.08 $616.40 $936.68 |
$609.15 $655.74 $705.10 $880.42 |
$873.17 $919.76 $969.12 $1,144.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.26 $783.44 $882.16 $1,232.80 $1,873.36 |
$954.28 $1,047.46 $1,146.18 $1,496.82 |
$1,218.30 $1,311.48 $1,410.20 $1,760.84 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #134 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 |
$294.00 $333.68 $375.72 $525.07 $797.89 |
$518.90 $558.58 $600.62 $749.97 |
$743.80 $783.48 $825.52 $974.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.00 $667.36 $751.44 $1,050.14 $1,595.78 |
$812.90 $892.26 $976.34 $1,275.04 |
$1,037.80 $1,117.16 $1,201.24 $1,499.94 |
Toc - Plan #135 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 |
$370.84 $420.89 $473.92 $662.30 $1,006.43 |
$654.52 $704.57 $757.60 $945.98 |
$938.20 $988.25 $1,041.28 $1,229.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.68 $841.78 $947.84 $1,324.60 $2,012.86 |
$1,025.36 $1,125.46 $1,231.52 $1,608.28 |
$1,309.04 $1,409.14 $1,515.20 $1,891.96 |
Toc - Plan #136 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 |
$365.50 $414.83 $467.09 $652.76 $991.94 |
$645.10 $694.43 $746.69 $932.36 |
$924.70 $974.03 $1,026.29 $1,211.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.00 $829.66 $934.18 $1,305.52 $1,983.88 |
$1,010.60 $1,109.26 $1,213.78 $1,585.12 |
$1,290.20 $1,388.86 $1,493.38 $1,864.72 |
Toc - Plan #137 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 |
$303.70 $344.69 $388.12 $542.39 $824.21 |
$536.02 $577.01 $620.44 $774.71 |
$768.34 $809.33 $852.76 $1,007.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.40 $689.38 $776.24 $1,084.78 $1,648.42 |
$839.72 $921.70 $1,008.56 $1,317.10 |
$1,072.04 $1,154.02 $1,240.88 $1,549.42 |
Toc - Plan #138 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 |
$385.26 $437.26 $492.35 $688.06 $1,045.58 |
$679.98 $731.98 $787.07 $982.78 |
$974.70 $1,026.70 $1,081.79 $1,277.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.52 $874.52 $984.70 $1,376.12 $2,091.16 |
$1,065.24 $1,169.24 $1,279.42 $1,670.84 |
$1,359.96 $1,463.96 $1,574.14 $1,965.56 |
Toc - Plan #139 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 |
$360.78 $409.47 $461.06 $644.33 $979.12 |
$636.77 $685.46 $737.05 $920.32 |
$912.76 $961.45 $1,013.04 $1,196.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.56 $818.94 $922.12 $1,288.66 $1,958.24 |
$997.55 $1,094.93 $1,198.11 $1,564.65 |
$1,273.54 $1,370.92 $1,474.10 $1,840.64 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-195-485-8300 | Toll Free: 1-888-275-2700 |
Toc - Plan #140 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.08 $488.14 $549.64 $768.13 $1,167.24 |
$759.09 $817.15 $878.65 $1,097.14 |
$1,088.10 $1,146.16 $1,207.66 $1,426.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.16 $976.28 $1,099.28 $1,536.26 $2,334.48 |
$1,189.17 $1,305.29 $1,428.29 $1,865.27 |
$1,518.18 $1,634.30 $1,757.30 $2,194.28 |
Toc - Plan #141 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.97 $432.40 $486.88 $680.42 $1,033.96 |
$672.41 $723.84 $778.32 $971.86 |
$963.85 $1,015.28 $1,069.76 $1,263.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.94 $864.80 $973.76 $1,360.84 $2,067.92 |
$1,053.38 $1,156.24 $1,265.20 $1,652.28 |
$1,344.82 $1,447.68 $1,556.64 $1,943.72 |
Toc - Plan #142 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.30 $429.37 $483.46 $675.64 $1,026.70 |
$667.70 $718.77 $772.86 $965.04 |
$957.10 $1,008.17 $1,062.26 $1,254.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.60 $858.74 $966.92 $1,351.28 $2,053.40 |
$1,046.00 $1,148.14 $1,256.32 $1,640.68 |
$1,335.40 $1,437.54 $1,545.72 $1,930.08 |
Toc - Plan #143 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.57 $328.66 $370.07 $517.17 $785.88 |
$511.09 $550.18 $591.59 $738.69 |
$732.61 $771.70 $813.11 $960.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.14 $657.32 $740.14 $1,034.34 $1,571.76 |
$800.66 $878.84 $961.66 $1,255.86 |
$1,022.18 $1,100.36 $1,183.18 $1,477.38 |
Toc - Plan #144 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.09 $416.64 $469.14 $655.62 $996.28 |
$647.91 $697.46 $749.96 $936.44 |
$928.73 $978.28 $1,030.78 $1,217.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.18 $833.28 $938.28 $1,311.24 $1,992.56 |
$1,015.00 $1,114.10 $1,219.10 $1,592.06 |
$1,295.82 $1,394.92 $1,499.92 $1,872.88 |
Toc - Plan #145 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.85 $400.49 $450.94 $630.19 $957.64 |
$622.78 $670.42 $720.87 $900.12 |
$892.71 $940.35 $990.80 $1,170.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.70 $800.98 $901.88 $1,260.38 $1,915.28 |
$975.63 $1,070.91 $1,171.81 $1,530.31 |
$1,245.56 $1,340.84 $1,441.74 $1,800.24 |
Toc - Plan #146 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: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.36 $458.95 $516.77 $722.19 $1,097.43 |
$713.70 $768.29 $826.11 $1,031.53 |
$1,023.04 $1,077.63 $1,135.45 $1,340.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.72 $917.90 $1,033.54 $1,444.38 $2,194.86 |
$1,118.06 $1,227.24 $1,342.88 $1,753.72 |
$1,427.40 $1,536.58 $1,652.22 $2,063.06 |
‡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 Manatee County here.
Manatee County is in “Rating Area 40” of Florida.
Currently, there are 146 plans offered in Rating Area 40.