Obamacare 2023 Rates for Monroe County
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Obamacare > Rates > Illinois > Monroe 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 |
$374.95 $425.55 $479.17 $669.64 $1,017.58 |
$661.78 $712.38 $766.00 $956.47 |
$948.61 $999.21 $1,052.83 $1,243.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$749.90 $851.10 $958.34 $1,339.28 $2,035.16 |
$1,036.73 $1,137.93 $1,245.17 $1,626.11 |
$1,323.56 $1,424.76 $1,532.00 $1,912.94 |
Toc - Plan #2 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
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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 |
$438.05 $497.17 $559.81 $782.34 $1,188.83 |
$773.15 $832.27 $894.91 $1,117.44 |
$1,108.25 $1,167.37 $1,230.01 $1,452.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$876.10 $994.34 $1,119.62 $1,564.68 $2,377.66 |
$1,211.20 $1,329.44 $1,454.72 $1,899.78 |
$1,546.30 $1,664.54 $1,789.82 $2,234.88 |
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 |
$374.42 $424.96 $478.50 $668.70 $1,016.15 |
$660.84 $711.38 $764.92 $955.12 |
$947.26 $997.80 $1,051.34 $1,241.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$748.84 $849.92 $957.00 $1,337.40 $2,032.30 |
$1,035.26 $1,136.34 $1,243.42 $1,623.82 |
$1,321.68 $1,422.76 $1,529.84 $1,910.24 |
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 |
$311.58 $353.63 $398.19 $556.47 $845.61 |
$549.93 $591.98 $636.54 $794.82 |
$788.28 $830.33 $874.89 $1,033.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.16 $707.26 $796.38 $1,112.94 $1,691.22 |
$861.51 $945.61 $1,034.73 $1,351.29 |
$1,099.86 $1,183.96 $1,273.08 $1,589.64 |
Toc - Plan #5 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Everyday 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 |
$368.61 $418.36 $471.07 $658.32 $1,000.38 |
$650.59 $700.34 $753.05 $940.30 |
$932.57 $982.32 $1,035.03 $1,222.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$737.22 $836.72 $942.14 $1,316.64 $2,000.76 |
$1,019.20 $1,118.70 $1,224.12 $1,598.62 |
$1,301.18 $1,400.68 $1,506.10 $1,880.60 |
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 |
$394.97 $448.28 $504.76 $705.39 $1,071.92 |
$697.11 $750.42 $806.90 $1,007.53 |
$999.25 $1,052.56 $1,109.04 $1,309.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$789.94 $896.56 $1,009.52 $1,410.78 $2,143.84 |
$1,092.08 $1,198.70 $1,311.66 $1,712.92 |
$1,394.22 $1,500.84 $1,613.80 $2,015.06 |
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:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$302.25 $343.04 $386.26 $539.79 $820.27 |
$533.46 $574.25 $617.47 $771.00 |
$764.67 $805.46 $848.68 $1,002.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$604.50 $686.08 $772.52 $1,079.58 $1,640.54 |
$835.71 $917.29 $1,003.73 $1,310.79 |
$1,066.92 $1,148.50 $1,234.94 $1,542.00 |
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 |
$361.94 $410.79 $462.54 $646.40 $982.27 |
$638.81 $687.66 $739.41 $923.27 |
$915.68 $964.53 $1,016.28 $1,200.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$723.88 $821.58 $925.08 $1,292.80 $1,964.54 |
$1,000.75 $1,098.45 $1,201.95 $1,569.67 |
$1,277.62 $1,375.32 $1,478.82 $1,846.54 |
Toc - Plan #9 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear 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 |
$357.44 $405.68 $456.79 $638.36 $970.06 |
$630.87 $679.11 $730.22 $911.79 |
$904.30 $952.54 $1,003.65 $1,185.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$714.88 $811.36 $913.58 $1,276.72 $1,940.12 |
$988.31 $1,084.79 $1,187.01 $1,550.15 |
$1,261.74 $1,358.22 $1,460.44 $1,823.58 |
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 |
$363.89 $413.00 $465.03 $649.88 $987.56 |
$642.25 $691.36 $743.39 $928.24 |
$920.61 $969.72 $1,021.75 $1,206.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$727.78 $826.00 $930.06 $1,299.76 $1,975.12 |
$1,006.14 $1,104.36 $1,208.42 $1,578.12 |
$1,284.50 $1,382.72 $1,486.78 $1,856.48 |
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 |
$415.25 $471.30 $530.68 $741.62 $1,126.97 |
$732.91 $788.96 $848.34 $1,059.28 |
$1,050.57 $1,106.62 $1,166.00 $1,376.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$830.50 $942.60 $1,061.36 $1,483.24 $2,253.94 |
$1,148.16 $1,260.26 $1,379.02 $1,800.90 |
$1,465.82 $1,577.92 $1,696.68 $2,118.56 |
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:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$277.99 $315.50 $355.26 $496.47 $754.43 |
$490.64 $528.15 $567.91 $709.12 |
$703.29 $740.80 $780.56 $921.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$555.98 $631.00 $710.52 $992.94 $1,508.86 |
$768.63 $843.65 $923.17 $1,205.59 |
$981.28 $1,056.30 $1,135.82 $1,418.24 |
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 |
$491.48 $557.81 $628.09 $877.76 $1,333.84 |
$867.45 $933.78 $1,004.06 $1,253.73 |
$1,243.42 $1,309.75 $1,380.03 $1,629.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$982.96 $1,115.62 $1,256.18 $1,755.52 $2,667.68 |
$1,358.93 $1,491.59 $1,632.15 $2,131.49 |
$1,734.90 $1,867.56 $2,008.12 $2,507.46 |
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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|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$307.83 $349.38 $393.40 $549.77 $835.43 |
$543.31 $584.86 $628.88 $785.25 |
$778.79 $820.34 $864.36 $1,020.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$615.66 $698.76 $786.80 $1,099.54 $1,670.86 |
$851.14 $934.24 $1,022.28 $1,335.02 |
$1,086.62 $1,169.72 $1,257.76 $1,570.50 |
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 |
$384.73 $436.66 $491.67 $687.11 $1,044.14 |
$679.04 $730.97 $785.98 $981.42 |
$973.35 $1,025.28 $1,080.29 $1,275.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$769.46 $873.32 $983.34 $1,374.22 $2,088.28 |
$1,063.77 $1,167.63 $1,277.65 $1,668.53 |
$1,358.08 $1,461.94 $1,571.96 $1,962.84 |
Toc - Plan #16 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold |
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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 |
$424.36 $481.64 $542.32 $757.89 $1,151.69 |
$748.99 $806.27 $866.95 $1,082.52 |
$1,073.62 $1,130.90 $1,191.58 $1,407.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$848.72 $963.28 $1,084.64 $1,515.78 $2,303.38 |
$1,173.35 $1,287.91 $1,409.27 $1,840.41 |
$1,497.98 $1,612.54 $1,733.90 $2,165.04 |
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 |
$260.93 $296.14 $333.45 $466.00 $708.13 |
$460.53 $495.74 $533.05 $665.60 |
$660.13 $695.34 $732.65 $865.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$521.86 $592.28 $666.90 $932.00 $1,416.26 |
$721.46 $791.88 $866.50 $1,131.60 |
$921.06 $991.48 $1,066.10 $1,331.20 |
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 |
$302.51 $343.34 $386.59 $540.26 $820.98 |
$533.92 $574.75 $618.00 $771.67 |
$765.33 $806.16 $849.41 $1,003.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$605.02 $686.68 $773.18 $1,080.52 $1,641.96 |
$836.43 $918.09 $1,004.59 $1,311.93 |
$1,067.84 $1,149.50 $1,236.00 $1,543.34 |
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 |
$361.22 $409.98 $461.63 $645.13 $980.33 |
$637.55 $686.31 $737.96 $921.46 |
$913.88 $962.64 $1,014.29 $1,197.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$722.44 $819.96 $923.26 $1,290.26 $1,960.66 |
$998.77 $1,096.29 $1,199.59 $1,566.59 |
$1,275.10 $1,372.62 $1,475.92 $1,842.92 |
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 |
$405.09 $459.77 $517.69 $723.47 $1,099.39 |
$714.98 $769.66 $827.58 $1,033.36 |
$1,024.87 $1,079.55 $1,137.47 $1,343.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.18 $919.54 $1,035.38 $1,446.94 $2,198.78 |
$1,120.07 $1,229.43 $1,345.27 $1,756.83 |
$1,429.96 $1,539.32 $1,655.16 $2,066.72 |
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 |
$389.37 $441.92 $497.60 $695.40 $1,056.73 |
$687.23 $739.78 $795.46 $993.26 |
$985.09 $1,037.64 $1,093.32 $1,291.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$778.74 $883.84 $995.20 $1,390.80 $2,113.46 |
$1,076.60 $1,181.70 $1,293.06 $1,688.66 |
$1,374.46 $1,479.56 $1,590.92 $1,986.52 |
Toc - Plan #22 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold + 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 |
$454.90 $516.30 $581.35 $812.43 $1,234.57 |
$802.89 $864.29 $929.34 $1,160.42 |
$1,150.88 $1,212.28 $1,277.33 $1,508.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$909.80 $1,032.60 $1,162.70 $1,624.86 $2,469.14 |
$1,257.79 $1,380.59 $1,510.69 $1,972.85 |
$1,605.78 $1,728.58 $1,858.68 $2,320.84 |
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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.83 $441.31 $496.91 $694.42 $1,055.25 |
$686.27 $738.75 $794.35 $991.86 |
$983.71 $1,036.19 $1,091.79 $1,289.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.66 $882.62 $993.82 $1,388.84 $2,110.50 |
$1,075.10 $1,180.06 $1,291.26 $1,686.28 |
$1,372.54 $1,477.50 $1,588.70 $1,983.72 |
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 |
$323.57 $367.24 $413.51 $577.88 $878.14 |
$571.09 $614.76 $661.03 $825.40 |
$818.61 $862.28 $908.55 $1,072.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647.14 $734.48 $827.02 $1,155.76 $1,756.28 |
$894.66 $982.00 $1,074.54 $1,403.28 |
$1,142.18 $1,229.52 $1,322.06 $1,650.80 |
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 |
$410.16 $465.52 $524.18 $732.53 $1,113.15 |
$723.93 $779.29 $837.95 $1,046.30 |
$1,037.70 $1,093.06 $1,151.72 $1,360.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.32 $931.04 $1,048.36 $1,465.06 $2,226.30 |
$1,134.09 $1,244.81 $1,362.13 $1,778.83 |
$1,447.86 $1,558.58 $1,675.90 $2,092.60 |
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 |
$313.87 $356.24 $401.12 $560.56 $851.83 |
$553.98 $596.35 $641.23 $800.67 |
$794.09 $836.46 $881.34 $1,040.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.74 $712.48 $802.24 $1,121.12 $1,703.66 |
$867.85 $952.59 $1,042.35 $1,361.23 |
$1,107.96 $1,192.70 $1,282.46 $1,601.34 |
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 |
$375.86 $426.59 $480.34 $671.27 $1,020.06 |
$663.39 $714.12 $767.87 $958.80 |
$950.92 $1,001.65 $1,055.40 $1,246.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$751.72 $853.18 $960.68 $1,342.54 $2,040.12 |
$1,039.25 $1,140.71 $1,248.21 $1,630.07 |
$1,326.78 $1,428.24 $1,535.74 $1,917.60 |
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 |
$377.88 $428.89 $482.92 $674.88 $1,025.55 |
$666.95 $717.96 $771.99 $963.95 |
$956.02 $1,007.03 $1,061.06 $1,253.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.76 $857.78 $965.84 $1,349.76 $2,051.10 |
$1,044.83 $1,146.85 $1,254.91 $1,638.83 |
$1,333.90 $1,435.92 $1,543.98 $1,927.90 |
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 |
$431.23 $489.43 $551.10 $770.15 $1,170.32 |
$761.11 $819.31 $880.98 $1,100.03 |
$1,090.99 $1,149.19 $1,210.86 $1,429.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.46 $978.86 $1,102.20 $1,540.30 $2,340.64 |
$1,192.34 $1,308.74 $1,432.08 $1,870.18 |
$1,522.22 $1,638.62 $1,761.96 $2,200.06 |
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 |
$382.79 $434.46 $489.19 $683.65 $1,038.87 |
$675.62 $727.29 $782.02 $976.48 |
$968.45 $1,020.12 $1,074.85 $1,269.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.58 $868.92 $978.38 $1,367.30 $2,077.74 |
$1,058.41 $1,161.75 $1,271.21 $1,660.13 |
$1,351.24 $1,454.58 $1,564.04 $1,952.96 |
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 |
$371.19 $421.29 $474.37 $662.92 $1,007.38 |
$655.14 $705.24 $758.32 $946.87 |
$939.09 $989.19 $1,042.27 $1,230.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$742.38 $842.58 $948.74 $1,325.84 $2,014.76 |
$1,026.33 $1,126.53 $1,232.69 $1,609.79 |
$1,310.28 $1,410.48 $1,516.64 $1,893.74 |
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 |
$288.68 $327.64 $368.92 $515.57 $783.46 |
$509.51 $548.47 $589.75 $736.40 |
$730.34 $769.30 $810.58 $957.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.36 $655.28 $737.84 $1,031.14 $1,566.92 |
$798.19 $876.11 $958.67 $1,251.97 |
$1,019.02 $1,096.94 $1,179.50 $1,472.80 |
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 |
$510.38 $579.27 $652.26 $911.53 $1,385.16 |
$900.82 $969.71 $1,042.70 $1,301.97 |
$1,291.26 $1,360.15 $1,433.14 $1,692.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.76 $1,158.54 $1,304.52 $1,823.06 $2,770.32 |
$1,411.20 $1,548.98 $1,694.96 $2,213.50 |
$1,801.64 $1,939.42 $2,085.40 $2,603.94 |
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 |
$319.68 $362.82 $408.53 $570.92 $867.57 |
$564.22 $607.36 $653.07 $815.46 |
$808.76 $851.90 $897.61 $1,060.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.36 $725.64 $817.06 $1,141.84 $1,735.14 |
$883.90 $970.18 $1,061.60 $1,386.38 |
$1,128.44 $1,214.72 $1,306.14 $1,630.92 |
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 |
$399.53 $453.46 $510.59 $713.55 $1,084.31 |
$705.17 $759.10 $816.23 $1,019.19 |
$1,010.81 $1,064.74 $1,121.87 $1,324.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.06 $906.92 $1,021.18 $1,427.10 $2,168.62 |
$1,104.70 $1,212.56 $1,326.82 $1,732.74 |
$1,410.34 $1,518.20 $1,632.46 $2,038.38 |
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 |
$440.69 $500.17 $563.19 $787.05 $1,196.00 |
$777.81 $837.29 $900.31 $1,124.17 |
$1,114.93 $1,174.41 $1,237.43 $1,461.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$881.38 $1,000.34 $1,126.38 $1,574.10 $2,392.00 |
$1,218.50 $1,337.46 $1,463.50 $1,911.22 |
$1,555.62 $1,674.58 $1,800.62 $2,248.34 |
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
(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 |
$533.49 $605.51 $681.80 $952.81 $1,447.89 |
$941.61 $1,013.63 $1,089.92 $1,360.93 |
$1,349.73 $1,421.75 $1,498.04 $1,769.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,066.98 $1,211.02 $1,363.60 $1,905.62 $2,895.78 |
$1,475.10 $1,619.14 $1,771.72 $2,313.74 |
$1,883.22 $2,027.26 $2,179.84 $2,721.86 |
Toc - Plan #38 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 |
$447.01 $507.35 $571.28 $798.36 $1,213.18 |
$788.97 $849.31 $913.24 $1,140.32 |
$1,130.93 $1,191.27 $1,255.20 $1,482.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.02 $1,014.70 $1,142.56 $1,596.72 $2,426.36 |
$1,235.98 $1,356.66 $1,484.52 $1,938.68 |
$1,577.94 $1,698.62 $1,826.48 $2,280.64 |
Toc - Plan #39 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 |
$392.72 $445.74 $501.89 $701.40 $1,065.84 |
$693.15 $746.17 $802.32 $1,001.83 |
$993.58 $1,046.60 $1,102.75 $1,302.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.44 $891.48 $1,003.78 $1,402.80 $2,131.68 |
$1,085.87 $1,191.91 $1,304.21 $1,703.23 |
$1,386.30 $1,492.34 $1,604.64 $2,003.66 |
Toc - Plan #40 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 |
$323.55 $367.23 $413.49 $577.86 $878.11 |
$571.06 $614.74 $661.00 $825.37 |
$818.57 $862.25 $908.51 $1,072.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$647.10 $734.46 $826.98 $1,155.72 $1,756.22 |
$894.61 $981.97 $1,074.49 $1,403.23 |
$1,142.12 $1,229.48 $1,322.00 $1,650.74 |
Toc - Plan #41 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 |
$353.36 $401.06 $451.59 $631.10 $959.02 |
$623.68 $671.38 $721.91 $901.42 |
$894.00 $941.70 $992.23 $1,171.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.72 $802.12 $903.18 $1,262.20 $1,918.04 |
$977.04 $1,072.44 $1,173.50 $1,532.52 |
$1,247.36 $1,342.76 $1,443.82 $1,802.84 |
Toc - Plan #42 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 |
$345.02 $391.60 $440.94 $616.21 $936.39 |
$608.96 $655.54 $704.88 $880.15 |
$872.90 $919.48 $968.82 $1,144.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.04 $783.20 $881.88 $1,232.42 $1,872.78 |
$953.98 $1,047.14 $1,145.82 $1,496.36 |
$1,217.92 $1,311.08 $1,409.76 $1,760.30 |
Toc - Plan #43 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 |
$325.71 $369.68 $416.26 $581.72 $883.99 |
$574.88 $618.85 $665.43 $830.89 |
$824.05 $868.02 $914.60 $1,080.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.42 $739.36 $832.52 $1,163.44 $1,767.98 |
$900.59 $988.53 $1,081.69 $1,412.61 |
$1,149.76 $1,237.70 $1,330.86 $1,661.78 |
Toc - Plan #44 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 |
$520.46 $590.72 $665.15 $929.55 $1,412.53 |
$918.61 $988.87 $1,063.30 $1,327.70 |
$1,316.76 $1,387.02 $1,461.45 $1,725.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,040.92 $1,181.44 $1,330.30 $1,859.10 $2,825.06 |
$1,439.07 $1,579.59 $1,728.45 $2,257.25 |
$1,837.22 $1,977.74 $2,126.60 $2,655.40 |
Toc - Plan #45 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 |
$397.91 $451.63 $508.53 $710.68 $1,079.94 |
$702.31 $756.03 $812.93 $1,015.08 |
$1,006.71 $1,060.43 $1,117.33 $1,319.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.82 $903.26 $1,017.06 $1,421.36 $2,159.88 |
$1,100.22 $1,207.66 $1,321.46 $1,725.76 |
$1,404.62 $1,512.06 $1,625.86 $2,030.16 |
Toc - Plan #46 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 706 |
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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 |
$452.45 $513.53 $578.23 $808.07 $1,227.94 |
$798.57 $859.65 $924.35 $1,154.19 |
$1,144.69 $1,205.77 $1,270.47 $1,500.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.90 $1,027.06 $1,156.46 $1,616.14 $2,455.88 |
$1,251.02 $1,373.18 $1,502.58 $1,962.26 |
$1,597.14 $1,719.30 $1,848.70 $2,308.38 |
Toc - Plan #47 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 |
$338.98 $384.74 $433.21 $605.41 $919.98 |
$598.30 $644.06 $692.53 $864.73 |
$857.62 $903.38 $951.85 $1,124.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.96 $769.48 $866.42 $1,210.82 $1,839.96 |
$937.28 $1,028.80 $1,125.74 $1,470.14 |
$1,196.60 $1,288.12 $1,385.06 $1,729.46 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0325 | Toll Free: 1-888-200-0325 | TTY: 1-888-200-0325 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited App-based Care, Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.54 $342.25 $385.37 $538.56 $818.39 |
$532.22 $572.93 $616.05 $769.24 |
$762.90 $803.61 $846.73 $999.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.08 $684.50 $770.74 $1,077.12 $1,636.78 |
$833.76 $915.18 $1,001.42 $1,307.80 |
$1,064.44 $1,145.86 $1,232.10 $1,538.48 |
Toc - Plan #49 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value 1 (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.87 $414.13 $466.31 $651.66 $990.26 |
$644.00 $693.26 $745.44 $930.79 |
$923.13 $972.39 $1,024.57 $1,209.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.74 $828.26 $932.62 $1,303.32 $1,980.52 |
$1,008.87 $1,107.39 $1,211.75 $1,582.45 |
$1,288.00 $1,386.52 $1,490.88 $1,861.58 |
Toc - Plan #50 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited App-based Care, Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.48 $408.01 $459.42 $642.03 $975.63 |
$634.48 $683.01 $734.42 $917.03 |
$909.48 $958.01 $1,009.42 $1,192.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.96 $816.02 $918.84 $1,284.06 $1,951.26 |
$993.96 $1,091.02 $1,193.84 $1,559.06 |
$1,268.96 $1,366.02 $1,468.84 $1,834.06 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.47 $484.05 $545.03 $761.68 $1,157.44 |
$752.72 $810.30 $871.28 $1,087.93 |
$1,078.97 $1,136.55 $1,197.53 $1,414.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.94 $968.10 $1,090.06 $1,523.36 $2,314.88 |
$1,179.19 $1,294.35 $1,416.31 $1,849.61 |
$1,505.44 $1,620.60 $1,742.56 $2,175.86 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.32 $506.57 $570.39 $797.12 $1,211.30 |
$787.75 $848.00 $911.82 $1,138.55 |
$1,129.18 $1,189.43 $1,253.25 $1,479.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$892.64 $1,013.14 $1,140.78 $1,594.24 $2,422.60 |
$1,234.07 $1,354.57 $1,482.21 $1,935.67 |
$1,575.50 $1,696.00 $1,823.64 $2,277.10 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.28 $529.23 $595.91 $832.78 $1,265.49 |
$822.99 $885.94 $952.62 $1,189.49 |
$1,179.70 $1,242.65 $1,309.33 $1,546.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.56 $1,058.46 $1,191.82 $1,665.56 $2,530.98 |
$1,289.27 $1,415.17 $1,548.53 $2,022.27 |
$1,645.98 $1,771.88 $1,905.24 $2,378.98 |
Toc - Plan #54 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard (Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.84 $492.40 $554.44 $774.83 $1,177.43 |
$765.72 $824.28 $886.32 $1,106.71 |
$1,097.60 $1,156.16 $1,218.20 $1,438.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.68 $984.80 $1,108.88 $1,549.66 $2,354.86 |
$1,199.56 $1,316.68 $1,440.76 $1,881.54 |
$1,531.44 $1,648.56 $1,772.64 $2,213.42 |
Toc - Plan #55 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage 1 (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.63 $421.80 $474.94 $663.72 $1,008.59 |
$655.92 $706.09 $759.23 $948.01 |
$940.21 $990.38 $1,043.52 $1,232.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.26 $843.60 $949.88 $1,327.44 $2,017.18 |
$1,027.55 $1,127.89 $1,234.17 $1,611.73 |
$1,311.84 $1,412.18 $1,518.46 $1,896.02 |
Toc - Plan #56 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.15 $432.61 $487.11 $680.73 $1,034.44 |
$672.73 $724.19 $778.69 $972.31 |
$964.31 $1,015.77 $1,070.27 $1,263.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.30 $865.22 $974.22 $1,361.46 $2,068.88 |
$1,053.88 $1,156.80 $1,265.80 $1,653.04 |
$1,345.46 $1,448.38 $1,557.38 $1,944.62 |
Toc - Plan #57 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value (Unlimited Virtual Urgent Care + Primary Care Visits, Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.02 $412.03 $463.94 $648.36 $985.25 |
$640.73 $689.74 $741.65 $926.07 |
$918.44 $967.45 $1,019.36 $1,203.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.04 $824.06 $927.88 $1,296.72 $1,970.50 |
$1,003.75 $1,101.77 $1,205.59 $1,574.43 |
$1,281.46 $1,379.48 $1,483.30 $1,852.14 |
Toc - Plan #58 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Unlimited Virtual Urgent Care + Primary Care Visits, Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.78 $416.29 $468.74 $655.06 $995.43 |
$647.36 $696.87 $749.32 $935.64 |
$927.94 $977.45 $1,029.90 $1,216.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.56 $832.58 $937.48 $1,310.12 $1,990.86 |
$1,014.14 $1,113.16 $1,218.06 $1,590.70 |
$1,294.72 $1,393.74 $1,498.64 $1,871.28 |
Toc - Plan #59 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.34 $416.93 $469.46 $656.06 $996.95 |
$648.35 $697.94 $750.47 $937.07 |
$929.36 $978.95 $1,031.48 $1,218.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.68 $833.86 $938.92 $1,312.12 $1,993.90 |
$1,015.69 $1,114.87 $1,219.93 $1,593.13 |
$1,296.70 $1,395.88 $1,500.94 $1,874.14 |
Toc - Plan #60 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value (Unlimited Virtual Urgent Care + Primary Care Visits, Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.99 $355.24 $400.00 $558.99 $849.45 |
$552.42 $594.67 $639.43 $798.42 |
$791.85 $834.10 $878.86 $1,037.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.98 $710.48 $800.00 $1,117.98 $1,698.90 |
$865.41 $949.91 $1,039.43 $1,357.41 |
$1,104.84 $1,189.34 $1,278.86 $1,596.84 |
Toc - Plan #61 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential (Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.24 $340.77 $383.71 $536.23 $814.85 |
$529.92 $570.45 $613.39 $765.91 |
$759.60 $800.13 $843.07 $995.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.48 $681.54 $767.42 $1,072.46 $1,629.70 |
$830.16 $911.22 $997.10 $1,302.14 |
$1,059.84 $1,140.90 $1,226.78 $1,531.82 |
Toc - Plan #62 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.75 $351.57 $395.86 $553.21 $840.66 |
$546.71 $588.53 $632.82 $790.17 |
$783.67 $825.49 $869.78 $1,027.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.50 $703.14 $791.72 $1,106.42 $1,681.32 |
$856.46 $940.10 $1,028.68 $1,343.38 |
$1,093.42 $1,177.06 $1,265.64 $1,580.34 |
Toc - Plan #63 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.94 $352.92 $397.38 $555.34 $843.89 |
$548.81 $590.79 $635.25 $793.21 |
$786.68 $828.66 $873.12 $1,031.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.88 $705.84 $794.76 $1,110.68 $1,687.78 |
$859.75 $943.71 $1,032.63 $1,348.55 |
$1,097.62 $1,181.58 $1,270.50 $1,586.42 |
Toc - Plan #64 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.52 $330.88 $372.56 $520.66 $791.19 |
$514.53 $553.89 $595.57 $743.67 |
$737.54 $776.90 $818.58 $966.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.04 $661.76 $745.12 $1,041.32 $1,582.38 |
$806.05 $884.77 $968.13 $1,264.33 |
$1,029.06 $1,107.78 $1,191.14 $1,487.34 |
‡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 Monroe County here.
Monroe County is in “Rating Area 12” of Illinois.
Currently, there are 64 plans offered in Rating Area 12.