Obamacare 2023 Rates for Grundy County
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Obamacare > Rates > Illinois > Grundy County
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Ambetter of IllinoisLocal: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-844-517-3431 |
Toc - Plan #1 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$330.96 $375.63 $422.96 $591.08 $898.20 |
$584.14 $628.81 $676.14 $844.26 |
$837.32 $881.99 $929.32 $1,097.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$661.92 $751.26 $845.92 $1,182.16 $1,796.40 |
$915.10 $1,004.44 $1,099.10 $1,435.34 |
$1,168.28 $1,257.62 $1,352.28 $1,688.52 |
Toc - Plan #2 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$386.66 $438.85 $494.14 $690.56 $1,049.37 |
$682.45 $734.64 $789.93 $986.35 |
$978.24 $1,030.43 $1,085.72 $1,282.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$773.32 $877.70 $988.28 $1,381.12 $2,098.74 |
$1,069.11 $1,173.49 $1,284.07 $1,676.91 |
$1,364.90 $1,469.28 $1,579.86 $1,972.70 |
Toc - Plan #3 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$330.50 $375.10 $422.36 $590.25 $896.94 |
$583.32 $627.92 $675.18 $843.07 |
$836.14 $880.74 $928.00 $1,095.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$661.00 $750.20 $844.72 $1,180.50 $1,793.88 |
$913.82 $1,003.02 $1,097.54 $1,433.32 |
$1,166.64 $1,255.84 $1,350.36 $1,686.14 |
Toc - Plan #4 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$275.03 $312.15 $351.48 $491.19 $746.40 |
$485.42 $522.54 $561.87 $701.58 |
$695.81 $732.93 $772.26 $911.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.06 $624.30 $702.96 $982.38 $1,492.80 |
$760.45 $834.69 $913.35 $1,192.77 |
$970.84 $1,045.08 $1,123.74 $1,403.16 |
Toc - Plan #5 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$325.37 $369.28 $415.81 $581.09 $883.02 |
$574.27 $618.18 $664.71 $829.99 |
$823.17 $867.08 $913.61 $1,078.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$650.74 $738.56 $831.62 $1,162.18 $1,766.04 |
$899.64 $987.46 $1,080.52 $1,411.08 |
$1,148.54 $1,236.36 $1,329.42 $1,659.98 |
Toc - Plan #6 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$348.63 $395.69 $445.54 $622.64 $946.16 |
$615.33 $662.39 $712.24 $889.34 |
$882.03 $929.09 $978.94 $1,156.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$697.26 $791.38 $891.08 $1,245.28 $1,892.32 |
$963.96 $1,058.08 $1,157.78 $1,511.98 |
$1,230.66 $1,324.78 $1,424.48 $1,778.68 |
Toc - Plan #7 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$266.79 $302.79 $340.94 $476.47 $724.04 |
$470.88 $506.88 $545.03 $680.56 |
$674.97 $710.97 $749.12 $884.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$533.58 $605.58 $681.88 $952.94 $1,448.08 |
$737.67 $809.67 $885.97 $1,157.03 |
$941.76 $1,013.76 $1,090.06 $1,361.12 |
Toc - Plan #8 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$319.48 $362.59 $408.28 $570.57 $867.03 |
$563.87 $606.98 $652.67 $814.96 |
$808.26 $851.37 $897.06 $1,059.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$638.96 $725.18 $816.56 $1,141.14 $1,734.06 |
$883.35 $969.57 $1,060.95 $1,385.53 |
$1,127.74 $1,213.96 $1,305.34 $1,629.92 |
Toc - Plan #9 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
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Benefits & Coverage
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Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$315.51 $358.09 $403.20 $563.47 $856.25 |
$556.86 $599.44 $644.55 $804.82 |
$798.21 $840.79 $885.90 $1,046.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$631.02 $716.18 $806.40 $1,126.94 $1,712.50 |
$872.37 $957.53 $1,047.75 $1,368.29 |
$1,113.72 $1,198.88 $1,289.10 $1,609.64 |
Toc - Plan #10 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
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Benefits & Coverage
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Customer Service Phone: 1-855-745-5507
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 |
$321.20 $364.55 $410.48 $573.64 $871.70 |
$566.91 $610.26 $656.19 $819.35 |
$812.62 $855.97 $901.90 $1,065.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$642.40 $729.10 $820.96 $1,147.28 $1,743.40 |
$888.11 $974.81 $1,066.67 $1,392.99 |
$1,133.82 $1,220.52 $1,312.38 $1,638.70 |
Toc - Plan #11 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$366.54 $416.01 $468.42 $654.62 $994.76 |
$646.93 $696.40 $748.81 $935.01 |
$927.32 $976.79 $1,029.20 $1,215.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$733.08 $832.02 $936.84 $1,309.24 $1,989.52 |
$1,013.47 $1,112.41 $1,217.23 $1,589.63 |
$1,293.86 $1,392.80 $1,497.62 $1,870.02 |
Toc - Plan #12 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$245.38 $278.49 $313.58 $438.23 $665.93 |
$433.09 $466.20 $501.29 $625.94 |
$620.80 $653.91 $689.00 $813.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$490.76 $556.98 $627.16 $876.46 $1,331.86 |
$678.47 $744.69 $814.87 $1,064.17 |
$866.18 $932.40 $1,002.58 $1,251.88 |
Toc - Plan #13 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$433.82 $492.37 $554.41 $774.79 $1,177.36 |
$765.68 $824.23 $886.27 $1,106.65 |
$1,097.54 $1,156.09 $1,218.13 $1,438.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$867.64 $984.74 $1,108.82 $1,549.58 $2,354.72 |
$1,199.50 $1,316.60 $1,440.68 $1,881.44 |
$1,531.36 $1,648.46 $1,772.54 $2,213.30 |
Toc - Plan #14 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Central Bronze |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$271.72 $308.39 $347.25 $485.28 $737.42 |
$479.58 $516.25 $555.11 $693.14 |
$687.44 $724.11 $762.97 $901.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$543.44 $616.78 $694.50 $970.56 $1,474.84 |
$751.30 $824.64 $902.36 $1,178.42 |
$959.16 $1,032.50 $1,110.22 $1,386.28 |
Toc - Plan #15 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Central Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$339.60 $385.43 $433.99 $606.51 $921.64 |
$599.39 $645.22 $693.78 $866.30 |
$859.18 $905.01 $953.57 $1,126.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$679.20 $770.86 $867.98 $1,213.02 $1,843.28 |
$938.99 $1,030.65 $1,127.77 $1,472.81 |
$1,198.78 $1,290.44 $1,387.56 $1,732.60 |
Toc - Plan #16 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$374.58 $425.14 $478.70 $668.98 $1,016.58 |
$661.13 $711.69 $765.25 $955.53 |
$947.68 $998.24 $1,051.80 $1,242.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$749.16 $850.28 $957.40 $1,337.96 $2,033.16 |
$1,035.71 $1,136.83 $1,243.95 $1,624.51 |
$1,322.26 $1,423.38 $1,530.50 $1,911.06 |
Toc - Plan #17 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$230.32 $261.40 $294.33 $411.33 $625.06 |
$406.51 $437.59 $470.52 $587.52 |
$582.70 $613.78 $646.71 $763.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$460.64 $522.80 $588.66 $822.66 $1,250.12 |
$636.83 $698.99 $764.85 $998.85 |
$813.02 $875.18 $941.04 $1,175.04 |
Toc - Plan #18 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$267.02 $303.06 $341.24 $476.88 $724.67 |
$471.28 $507.32 $545.50 $681.14 |
$675.54 $711.58 $749.76 $885.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$534.04 $606.12 $682.48 $953.76 $1,449.34 |
$738.30 $810.38 $886.74 $1,158.02 |
$942.56 $1,014.64 $1,091.00 $1,362.28 |
Toc - Plan #19 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$318.85 $361.88 $407.48 $569.44 $865.33 |
$562.76 $605.79 $651.39 $813.35 |
$806.67 $849.70 $895.30 $1,057.26 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637.70 $723.76 $814.96 $1,138.88 $1,730.66 |
$881.61 $967.67 $1,058.87 $1,382.79 |
$1,125.52 $1,211.58 $1,302.78 $1,626.70 |
Toc - Plan #20 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$357.57 $405.83 $456.96 $638.60 $970.42 |
$631.10 $679.36 $730.49 $912.13 |
$904.63 $952.89 $1,004.02 $1,185.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$715.14 $811.66 $913.92 $1,277.20 $1,940.84 |
$988.67 $1,085.19 $1,187.45 $1,550.73 |
$1,262.20 $1,358.72 $1,460.98 $1,824.26 |
Toc - Plan #21 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Premier Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-855-745-5507
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 |
$343.69 $390.08 $439.23 $613.82 $932.76 |
$606.61 $653.00 $702.15 $876.74 |
$869.53 $915.92 $965.07 $1,139.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$687.38 $780.16 $878.46 $1,227.64 $1,865.52 |
$950.30 $1,043.08 $1,141.38 $1,490.56 |
$1,213.22 $1,306.00 $1,404.30 $1,753.48 |
Toc - Plan #22 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$401.54 $455.73 $513.15 $717.12 $1,089.74 |
$708.71 $762.90 $820.32 $1,024.29 |
$1,015.88 $1,070.07 $1,127.49 $1,331.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$803.08 $911.46 $1,026.30 $1,434.24 $2,179.48 |
$1,110.25 $1,218.63 $1,333.47 $1,741.41 |
$1,417.42 $1,525.80 $1,640.64 $2,048.58 |
Toc - Plan #23 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$343.21 $389.53 $438.61 $612.96 $931.45 |
$605.76 $652.08 $701.16 $875.51 |
$868.31 $914.63 $963.71 $1,138.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.42 $779.06 $877.22 $1,225.92 $1,862.90 |
$948.97 $1,041.61 $1,139.77 $1,488.47 |
$1,211.52 $1,304.16 $1,402.32 $1,751.02 |
Toc - Plan #24 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.61 $324.16 $365.00 $510.08 $775.12 |
$504.09 $542.64 $583.48 $728.56 |
$722.57 $761.12 $801.96 $947.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.22 $648.32 $730.00 $1,020.16 $1,550.24 |
$789.70 $866.80 $948.48 $1,238.64 |
$1,008.18 $1,085.28 $1,166.96 $1,457.12 |
Toc - Plan #25 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Elite Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.05 $410.91 $462.68 $646.60 $982.57 |
$639.01 $687.87 $739.64 $923.56 |
$915.97 $964.83 $1,016.60 $1,200.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.10 $821.82 $925.36 $1,293.20 $1,965.14 |
$1,001.06 $1,098.78 $1,202.32 $1,570.16 |
$1,278.02 $1,375.74 $1,479.28 $1,847.12 |
Toc - Plan #26 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.05 $314.44 $354.06 $494.80 $751.89 |
$488.99 $526.38 $566.00 $706.74 |
$700.93 $738.32 $777.94 $918.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554.10 $628.88 $708.12 $989.60 $1,503.78 |
$766.04 $840.82 $920.06 $1,201.54 |
$977.98 $1,052.76 $1,132.00 $1,413.48 |
Toc - Plan #27 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.77 $376.54 $423.99 $592.52 $900.39 |
$585.56 $630.33 $677.78 $846.31 |
$839.35 $884.12 $931.57 $1,100.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.54 $753.08 $847.98 $1,185.04 $1,800.78 |
$917.33 $1,006.87 $1,101.77 $1,438.83 |
$1,171.12 $1,260.66 $1,355.56 $1,692.62 |
Toc - Plan #28 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$333.55 $378.57 $426.27 $595.71 $905.24 |
$588.71 $633.73 $681.43 $850.87 |
$843.87 $888.89 $936.59 $1,106.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$667.10 $757.14 $852.54 $1,191.42 $1,810.48 |
$922.26 $1,012.30 $1,107.70 $1,446.58 |
$1,177.42 $1,267.46 $1,362.86 $1,701.74 |
Toc - Plan #29 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.64 $432.01 $486.44 $679.80 $1,033.03 |
$671.82 $723.19 $777.62 $970.98 |
$963.00 $1,014.37 $1,068.80 $1,262.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.28 $864.02 $972.88 $1,359.60 $2,066.06 |
$1,052.46 $1,155.20 $1,264.06 $1,650.78 |
$1,343.64 $1,446.38 $1,555.24 $1,941.96 |
Toc - Plan #30 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.89 $383.49 $431.80 $603.44 $916.99 |
$596.36 $641.96 $690.27 $861.91 |
$854.83 $900.43 $948.74 $1,120.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.78 $766.98 $863.60 $1,206.88 $1,833.98 |
$934.25 $1,025.45 $1,122.07 $1,465.35 |
$1,192.72 $1,283.92 $1,380.54 $1,723.82 |
Toc - Plan #31 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$327.64 $371.86 $418.72 $585.15 $889.20 |
$578.28 $622.50 $669.36 $835.79 |
$828.92 $873.14 $920.00 $1,086.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$655.28 $743.72 $837.44 $1,170.30 $1,778.40 |
$905.92 $994.36 $1,088.08 $1,420.94 |
$1,156.56 $1,245.00 $1,338.72 $1,671.58 |
Toc - Plan #32 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$254.82 $289.21 $325.64 $455.08 $691.55 |
$449.75 $484.14 $520.57 $650.01 |
$644.68 $679.07 $715.50 $844.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$509.64 $578.42 $651.28 $910.16 $1,383.10 |
$704.57 $773.35 $846.21 $1,105.09 |
$899.50 $968.28 $1,041.14 $1,300.02 |
Toc - Plan #33 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.51 $511.32 $575.74 $804.59 $1,222.66 |
$795.14 $855.95 $920.37 $1,149.22 |
$1,139.77 $1,200.58 $1,265.00 $1,493.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$901.02 $1,022.64 $1,151.48 $1,609.18 $2,445.32 |
$1,245.65 $1,367.27 $1,496.11 $1,953.81 |
$1,590.28 $1,711.90 $1,840.74 $2,298.44 |
Toc - Plan #34 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Central Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.17 $320.26 $360.61 $503.94 $765.79 |
$498.03 $536.12 $576.47 $719.80 |
$713.89 $751.98 $792.33 $935.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564.34 $640.52 $721.22 $1,007.88 $1,531.58 |
$780.20 $856.38 $937.08 $1,223.74 |
$996.06 $1,072.24 $1,152.94 $1,439.60 |
Toc - Plan #35 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Central Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.66 $400.26 $450.69 $629.84 $957.10 |
$622.44 $670.04 $720.47 $899.62 |
$892.22 $939.82 $990.25 $1,169.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.32 $800.52 $901.38 $1,259.68 $1,914.20 |
$975.10 $1,070.30 $1,171.16 $1,529.46 |
$1,244.88 $1,340.08 $1,440.94 $1,799.24 |
Toc - Plan #36 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.99 $441.49 $497.12 $694.72 $1,055.69 |
$686.56 $739.06 $794.69 $992.29 |
$984.13 $1,036.63 $1,092.26 $1,289.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.98 $882.98 $994.24 $1,389.44 $2,111.38 |
$1,075.55 $1,180.55 $1,291.81 $1,687.01 |
$1,373.12 $1,478.12 $1,589.38 $1,984.58 |
ADVERTISEMENT
Blue Cross and Blue Shield of IllinoisLocal: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844 |
Toc - Plan #37 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) Blue Precision Gold HMO? 207 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.96 $478.92 $539.26 $753.61 $1,145.19 |
$744.76 $801.72 $862.06 $1,076.41 |
$1,067.56 $1,124.52 $1,184.86 $1,399.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.92 $957.84 $1,078.52 $1,507.22 $2,290.38 |
$1,166.72 $1,280.64 $1,401.32 $1,830.02 |
$1,489.52 $1,603.44 $1,724.12 $2,152.82 |
Toc - Plan #38 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) Blue Precision Silver HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.65 $393.45 $443.02 $619.12 $940.81 |
$611.84 $658.64 $708.21 $884.31 |
$877.03 $923.83 $973.40 $1,149.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.30 $786.90 $886.04 $1,238.24 $1,881.62 |
$958.49 $1,052.09 $1,151.23 $1,503.43 |
$1,223.68 $1,317.28 $1,416.42 $1,768.62 |
Toc - Plan #39 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Precision Bronze HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.26 $341.93 $385.01 $538.05 $817.62 |
$531.72 $572.39 $615.47 $768.51 |
$762.18 $802.85 $845.93 $998.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.52 $683.86 $770.02 $1,076.10 $1,635.24 |
$832.98 $914.32 $1,000.48 $1,306.56 |
$1,063.44 $1,144.78 $1,230.94 $1,537.02 |
Toc - Plan #40 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) Blue Precision Gold HMO? 703 - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$450.34 $511.14 $575.54 $804.31 $1,222.23 |
$794.85 $855.65 $920.05 $1,148.82 |
$1,139.36 $1,200.16 $1,264.56 $1,493.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$900.68 $1,022.28 $1,151.08 $1,608.62 $2,444.46 |
$1,245.19 $1,366.79 $1,495.59 $1,953.13 |
$1,589.70 $1,711.30 $1,840.10 $2,297.64 |
Toc - Plan #41 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) Blue Precision Silver HMO 704? - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.34 $430.55 $484.80 $677.50 $1,029.53 |
$669.54 $720.75 $775.00 $967.70 |
$959.74 $1,010.95 $1,065.20 $1,257.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.68 $861.10 $969.60 $1,355.00 $2,059.06 |
$1,048.88 $1,151.30 $1,259.80 $1,645.20 |
$1,339.08 $1,441.50 $1,550.00 $1,935.40 |
Toc - Plan #42 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Precision Bronze HMO? 701 - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.10 $337.21 $379.69 $530.62 $806.33 |
$524.38 $564.49 $606.97 $757.90 |
$751.66 $791.77 $834.25 $985.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.20 $674.42 $759.38 $1,061.24 $1,612.66 |
$821.48 $901.70 $986.66 $1,288.52 |
$1,048.76 $1,128.98 $1,213.94 $1,515.80 |
Toc - Plan #43 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(HMO) Blue Precision Gold HMO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.87 $517.41 $582.60 $814.18 $1,237.23 |
$804.61 $866.15 $931.34 $1,162.92 |
$1,153.35 $1,214.89 $1,280.08 $1,511.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.74 $1,034.82 $1,165.20 $1,628.36 $2,474.46 |
$1,260.48 $1,383.56 $1,513.94 $1,977.10 |
$1,609.22 $1,732.30 $1,862.68 $2,325.84 |
Toc - Plan #44 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(HMO) Blue Precision Silver HMO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.57 $471.68 $531.10 $742.22 $1,127.87 |
$733.48 $789.59 $849.01 $1,060.13 |
$1,051.39 $1,107.50 $1,166.92 $1,378.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$831.14 $943.36 $1,062.20 $1,484.44 $2,255.74 |
$1,149.05 $1,261.27 $1,380.11 $1,802.35 |
$1,466.96 $1,579.18 $1,698.02 $2,120.26 |
Toc - Plan #45 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Precision Bronze HMO? 708 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.95 $399.47 $449.80 $628.59 $955.20 |
$621.20 $668.72 $719.05 $897.84 |
$890.45 $937.97 $988.30 $1,167.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.90 $798.94 $899.60 $1,257.18 $1,910.40 |
$973.15 $1,068.19 $1,168.85 $1,526.43 |
$1,242.40 $1,337.44 $1,438.10 $1,795.68 |
Toc - Plan #46 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(PPO) Blue Choice Preferred Gold PPO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.61 $592.03 $666.62 $931.59 $1,415.65 |
$920.64 $991.06 $1,065.65 $1,330.62 |
$1,319.67 $1,390.09 $1,464.68 $1,729.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,043.22 $1,184.06 $1,333.24 $1,863.18 $2,831.30 |
$1,442.25 $1,583.09 $1,732.27 $2,262.21 |
$1,841.28 $1,982.12 $2,131.30 $2,661.24 |
Toc - Plan #47 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.69 $492.24 $554.26 $774.57 $1,177.04 |
$765.46 $824.01 $886.03 $1,106.34 |
$1,097.23 $1,155.78 $1,217.80 $1,438.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.38 $984.48 $1,108.52 $1,549.14 $2,354.08 |
$1,199.15 $1,316.25 $1,440.29 $1,880.91 |
$1,530.92 $1,648.02 $1,772.06 $2,212.68 |
Toc - Plan #48 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.09 $430.26 $484.47 $677.05 $1,028.84 |
$669.09 $720.26 $774.47 $967.05 |
$959.09 $1,010.26 $1,064.47 $1,257.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.18 $860.52 $968.94 $1,354.10 $2,057.68 |
$1,048.18 $1,150.52 $1,258.94 $1,644.10 |
$1,338.18 $1,440.52 $1,548.94 $1,934.10 |
Toc - Plan #49 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Catastrophic
(PPO) Blue Choice Preferred Security PPO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.71 $352.65 $397.09 $554.93 $843.26 |
$548.40 $590.34 $634.78 $792.62 |
$786.09 $828.03 $872.47 $1,030.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.42 $705.30 $794.18 $1,109.86 $1,686.52 |
$859.11 $942.99 $1,031.87 $1,347.55 |
$1,096.80 $1,180.68 $1,269.56 $1,585.24 |
Toc - Plan #50 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.34 $386.29 $434.95 $607.85 $923.68 |
$600.70 $646.65 $695.31 $868.21 |
$861.06 $907.01 $955.67 $1,128.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.68 $772.58 $869.90 $1,215.70 $1,847.36 |
$941.04 $1,032.94 $1,130.26 $1,476.06 |
$1,201.40 $1,293.30 $1,390.62 $1,736.42 |
Toc - Plan #51 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Bronze
(PPO) Blue Choice Preferred Bronze PPO? 601 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.77 $377.70 $425.29 $594.33 $903.15 |
$587.34 $632.27 $679.86 $848.90 |
$841.91 $886.84 $934.43 $1,103.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.54 $755.40 $850.58 $1,188.66 $1,806.30 |
$920.11 $1,009.97 $1,105.15 $1,443.23 |
$1,174.68 $1,264.54 $1,359.72 $1,697.80 |
Toc - Plan #52 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Bronze
(PPO) Blue Choice Preferred Bronze PPO? 701 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.22 $354.37 $399.02 $557.63 $847.37 |
$551.07 $593.22 $637.87 $796.48 |
$789.92 $832.07 $876.72 $1,035.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.44 $708.74 $798.04 $1,115.26 $1,694.74 |
$863.29 $947.59 $1,036.89 $1,354.11 |
$1,102.14 $1,186.44 $1,275.74 $1,592.96 |
Toc - Plan #53 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(PPO) Blue Choice Preferred Gold PPO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.16 $577.90 $650.71 $909.36 $1,381.87 |
$898.67 $967.41 $1,040.22 $1,298.87 |
$1,288.18 $1,356.92 $1,429.73 $1,688.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.32 $1,155.80 $1,301.42 $1,818.72 $2,763.74 |
$1,407.83 $1,545.31 $1,690.93 $2,208.23 |
$1,797.34 $1,934.82 $2,080.44 $2,597.74 |
Toc - Plan #54 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$440.37 $499.81 $562.79 $786.49 $1,195.15 |
$777.25 $836.69 $899.67 $1,123.37 |
$1,114.13 $1,173.57 $1,236.55 $1,460.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.74 $999.62 $1,125.58 $1,572.98 $2,390.30 |
$1,217.62 $1,336.50 $1,462.46 $1,909.86 |
$1,554.50 $1,673.38 $1,799.34 $2,246.74 |
Toc - Plan #55 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 708 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.51 $438.68 $493.95 $690.30 $1,048.98 |
$682.19 $734.36 $789.63 $985.98 |
$977.87 $1,030.04 $1,085.31 $1,281.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.02 $877.36 $987.90 $1,380.60 $2,097.96 |
$1,068.70 $1,173.04 $1,283.58 $1,676.28 |
$1,364.38 $1,468.72 $1,579.26 $1,971.96 |
Toc - Plan #56 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Bronze
(PPO) Blue Choice Preferred Bronze PPO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.33 $369.25 $415.78 $581.05 $882.96 |
$574.21 $618.13 $664.66 $829.93 |
$823.09 $867.01 $913.54 $1,078.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$650.66 $738.50 $831.56 $1,162.10 $1,765.92 |
$899.54 $987.38 $1,080.44 $1,410.98 |
$1,148.42 $1,236.26 $1,329.32 $1,659.86 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 5000 Rx Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.88 $333.56 $375.58 $524.88 $797.60 |
$518.70 $558.38 $600.40 $749.70 |
$743.52 $783.20 $825.22 $974.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.76 $667.12 $751.16 $1,049.76 $1,595.20 |
$812.58 $891.94 $975.98 $1,274.58 |
$1,037.40 $1,116.76 $1,200.80 $1,499.40 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3000 Rx Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.25 $380.51 $428.45 $598.76 $909.87 |
$591.72 $636.98 $684.92 $855.23 |
$848.19 $893.45 $941.39 $1,111.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.50 $761.02 $856.90 $1,197.52 $1,819.74 |
$926.97 $1,017.49 $1,113.37 $1,453.99 |
$1,183.44 $1,273.96 $1,369.84 $1,710.46 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Connect 1000 Rx Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.94 $452.80 $509.84 $712.51 $1,082.72 |
$704.13 $757.99 $815.03 $1,017.70 |
$1,009.32 $1,063.18 $1,120.22 $1,322.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.88 $905.60 $1,019.68 $1,425.02 $2,165.44 |
$1,103.07 $1,210.79 $1,324.87 $1,730.21 |
$1,408.26 $1,515.98 $1,630.06 $2,035.40 |
Toc - Plan #60 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 0A |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.21 $355.49 $400.28 $559.39 $850.05 |
$552.82 $595.10 $639.89 $799.00 |
$792.43 $834.71 $879.50 $1,038.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.42 $710.98 $800.56 $1,118.78 $1,700.10 |
$866.03 $950.59 $1,040.17 $1,358.39 |
$1,105.64 $1,190.20 $1,279.78 $1,598.00 |
Toc - Plan #61 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 6000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.85 $383.46 $431.77 $603.39 $916.92 |
$596.30 $641.91 $690.22 $861.84 |
$854.75 $900.36 $948.67 $1,120.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$675.70 $766.92 $863.54 $1,206.78 $1,833.84 |
$934.15 $1,025.37 $1,121.99 $1,465.23 |
$1,192.60 $1,283.82 $1,380.44 $1,723.68 |
Toc - Plan #62 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 8000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.96 $386.99 $435.75 $608.96 $925.37 |
$601.80 $647.83 $696.59 $869.80 |
$862.64 $908.67 $957.43 $1,130.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$681.92 $773.98 $871.50 $1,217.92 $1,850.74 |
$942.76 $1,034.82 $1,132.34 $1,478.76 |
$1,203.60 $1,295.66 $1,393.18 $1,739.60 |
Toc - Plan #63 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.52 $387.63 $436.46 $609.95 $926.89 |
$602.78 $648.89 $697.72 $871.21 |
$864.04 $910.15 $958.98 $1,132.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.04 $775.26 $872.92 $1,219.90 $1,853.78 |
$944.30 $1,036.52 $1,134.18 $1,481.16 |
$1,205.56 $1,297.78 $1,395.44 $1,742.42 |
Toc - Plan #64 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect HSA 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.45 $329.66 $371.19 $518.74 $788.28 |
$512.64 $551.85 $593.38 $740.93 |
$734.83 $774.04 $815.57 $963.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.90 $659.32 $742.38 $1,037.48 $1,576.56 |
$803.09 $881.51 $964.57 $1,259.67 |
$1,025.28 $1,103.70 $1,186.76 $1,481.86 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.13 $328.16 $369.51 $516.39 $784.70 |
$510.32 $549.35 $590.70 $737.58 |
$731.51 $770.54 $811.89 $958.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.26 $656.32 $739.02 $1,032.78 $1,569.40 |
$799.45 $877.51 $960.21 $1,253.97 |
$1,020.64 $1,098.70 $1,181.40 $1,475.16 |
Toc - Plan #66 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 0B |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.16 $384.95 $433.45 $605.75 $920.49 |
$598.62 $644.41 $692.91 $865.21 |
$858.08 $903.87 $952.37 $1,124.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.32 $769.90 $866.90 $1,211.50 $1,840.98 |
$937.78 $1,029.36 $1,126.36 $1,470.96 |
$1,197.24 $1,288.82 $1,385.82 $1,730.42 |
Toc - Plan #67 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.16 $386.08 $434.73 $607.53 $923.20 |
$600.38 $646.30 $694.95 $867.75 |
$860.60 $906.52 $955.17 $1,127.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.32 $772.16 $869.46 $1,215.06 $1,846.40 |
$940.54 $1,032.38 $1,129.68 $1,475.28 |
$1,200.76 $1,292.60 $1,389.90 $1,735.50 |
Toc - Plan #68 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Cigna Simple Choice 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.19 $313.48 $352.98 $493.28 $749.59 |
$487.48 $524.77 $564.27 $704.57 |
$698.77 $736.06 $775.56 $915.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$552.38 $626.96 $705.96 $986.56 $1,499.18 |
$763.67 $838.25 $917.25 $1,197.85 |
$974.96 $1,049.54 $1,128.54 $1,409.14 |
Toc - Plan #69 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Simple Choice 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.98 $325.72 $366.76 $512.54 $778.85 |
$506.52 $545.26 $586.30 $732.08 |
$726.06 $764.80 $805.84 $951.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.96 $651.44 $733.52 $1,025.08 $1,557.70 |
$793.50 $870.98 $953.06 $1,244.62 |
$1,013.04 $1,090.52 $1,172.60 $1,464.16 |
Toc - Plan #70 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Cigna Simple Choice 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.25 $379.38 $427.18 $596.98 $907.16 |
$589.95 $635.08 $682.88 $852.68 |
$845.65 $890.78 $938.58 $1,108.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.50 $758.76 $854.36 $1,193.96 $1,814.32 |
$924.20 $1,014.46 $1,110.06 $1,449.66 |
$1,179.90 $1,270.16 $1,365.76 $1,705.36 |
Toc - Plan #71 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) Cigna Simple Choice 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.87 $444.77 $500.81 $699.88 $1,063.54 |
$691.65 $744.55 $800.59 $999.66 |
$991.43 $1,044.33 $1,100.37 $1,299.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.74 $889.54 $1,001.62 $1,399.76 $2,127.08 |
$1,083.52 $1,189.32 $1,301.40 $1,699.54 |
$1,383.30 $1,489.10 $1,601.18 $1,999.32 |
Toc - Plan #72 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Cigna Connect 7600 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.89 $327.89 $369.20 $515.96 $784.05 |
$509.89 $548.89 $590.20 $736.96 |
$730.89 $769.89 $811.20 $957.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.78 $655.78 $738.40 $1,031.92 $1,568.10 |
$798.78 $876.78 $959.40 $1,252.92 |
$1,019.78 $1,097.78 $1,180.40 $1,473.92 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Grundy County here.
Grundy County is in “Rating Area 4” of Illinois.
Currently, there are 72 plans offered in Rating Area 4.