Obamacare 2023 Rates for Rock Island County
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Obamacare > Rates > Illinois > Rock Island County
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Health AllianceLocal: 1-866-247-3296 | Toll Free: 1-866-247-3296 | TTY: 1-800-526-0844 |
Toc - Plan #1 Health Alliance | ||||||||||||||||||||
Catastrophic
(HMO) 2023 HMO 9100 Elite Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$272.49 $309.28 $348.25 $486.68 $739.55 |
$480.95 $517.74 $556.71 $695.14 |
$689.41 $726.20 $765.17 $903.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$544.98 $618.56 $696.50 $973.36 $1,479.10 |
$753.44 $827.02 $904.96 $1,181.82 |
$961.90 $1,035.48 $1,113.42 $1,390.28 |
Toc - Plan #2 Health Alliance | ||||||||||||||||||||
Expanded Bronze
(POS) 2023 POS 6500 Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$370.82 $420.88 $473.90 $662.28 $1,006.40 |
$654.50 $704.56 $757.58 $945.96 |
$938.18 $988.24 $1,041.26 $1,229.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741.64 $841.76 $947.80 $1,324.56 $2,012.80 |
$1,025.32 $1,125.44 $1,231.48 $1,608.24 |
$1,309.00 $1,409.12 $1,515.16 $1,891.92 |
Toc - Plan #3 Health Alliance | ||||||||||||||||||||
Silver
(POS) 2023 POS 7250 Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$455.48 $516.97 $582.10 $813.49 $1,236.18 |
$803.92 $865.41 $930.54 $1,161.93 |
$1,152.36 $1,213.85 $1,278.98 $1,510.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$910.96 $1,033.94 $1,164.20 $1,626.98 $2,472.36 |
$1,259.40 $1,382.38 $1,512.64 $1,975.42 |
$1,607.84 $1,730.82 $1,861.08 $2,323.86 |
Toc - Plan #4 Health Alliance | ||||||||||||||||||||
Expanded Bronze
(POS) 2023 POS 6900 Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$364.62 $413.84 $465.98 $651.20 $989.57 |
$643.55 $692.77 $744.91 $930.13 |
$922.48 $971.70 $1,023.84 $1,209.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$729.24 $827.68 $931.96 $1,302.40 $1,979.14 |
$1,008.17 $1,106.61 $1,210.89 $1,581.33 |
$1,287.10 $1,385.54 $1,489.82 $1,860.26 |
Toc - Plan #5 Health Alliance | ||||||||||||||||||||
Gold
(POS) 2023 POS 1000 Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$515.58 $585.19 $658.92 $920.84 $1,399.29 |
$910.01 $979.62 $1,053.35 $1,315.27 |
$1,304.44 $1,374.05 $1,447.78 $1,709.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,031.16 $1,170.38 $1,317.84 $1,841.68 $2,798.58 |
$1,425.59 $1,564.81 $1,712.27 $2,236.11 |
$1,820.02 $1,959.24 $2,106.70 $2,630.54 |
Toc - Plan #6 Health Alliance | ||||||||||||||||||||
Silver
(POS) 2023 POS 7000 Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$468.68 $531.95 $598.97 $837.05 $1,271.99 |
$827.21 $890.48 $957.50 $1,195.58 |
$1,185.74 $1,249.01 $1,316.03 $1,554.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$937.36 $1,063.90 $1,197.94 $1,674.10 $2,543.98 |
$1,295.89 $1,422.43 $1,556.47 $2,032.63 |
$1,654.42 $1,780.96 $1,915.00 $2,391.16 |
Toc - Plan #7 Health Alliance | ||||||||||||||||||||
Gold
(POS) 2023 POS 2500 Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$493.07 $559.64 $630.15 $880.63 $1,338.20 |
$870.27 $936.84 $1,007.35 $1,257.83 |
$1,247.47 $1,314.04 $1,384.55 $1,635.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$986.14 $1,119.28 $1,260.30 $1,761.26 $2,676.40 |
$1,363.34 $1,496.48 $1,637.50 $2,138.46 |
$1,740.54 $1,873.68 $2,014.70 $2,515.66 |
Toc - Plan #8 Health Alliance | ||||||||||||||||||||
Silver
(POS) 2023 POS 3000 Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$467.58 $530.70 $597.56 $835.09 $1,269.00 |
$825.28 $888.40 $955.26 $1,192.79 |
$1,182.98 $1,246.10 $1,312.96 $1,550.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$935.16 $1,061.40 $1,195.12 $1,670.18 $2,538.00 |
$1,292.86 $1,419.10 $1,552.82 $2,027.88 |
$1,650.56 $1,776.80 $1,910.52 $2,385.58 |
Toc - Plan #9 Health Alliance | ||||||||||||||||||||
Silver
(POS) 2023 POS 4200 Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$477.68 $542.16 $610.47 $853.13 $1,296.41 |
$843.10 $907.58 $975.89 $1,218.55 |
$1,208.52 $1,273.00 $1,341.31 $1,583.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$955.36 $1,084.32 $1,220.94 $1,706.26 $2,592.82 |
$1,320.78 $1,449.74 $1,586.36 $2,071.68 |
$1,686.20 $1,815.16 $1,951.78 $2,437.10 |
Toc - Plan #10 Health Alliance | ||||||||||||||||||||
Expanded Bronze
(POS) 2023 POS 8000 Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$355.83 $403.87 $454.75 $635.52 $965.73 |
$628.04 $676.08 $726.96 $907.73 |
$900.25 $948.29 $999.17 $1,179.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$711.66 $807.74 $909.50 $1,271.04 $1,931.46 |
$983.87 $1,079.95 $1,181.71 $1,543.25 |
$1,256.08 $1,352.16 $1,453.92 $1,815.46 |
Toc - Plan #11 Health Alliance | ||||||||||||||||||||
Platinum
(POS) 2023 POS 0 Elite Platinum |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$600.03 $681.03 $766.84 $1,071.66 $1,628.48 |
$1,059.06 $1,140.06 $1,225.87 $1,530.69 |
$1,518.09 $1,599.09 $1,684.90 $1,989.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,200.06 $1,362.06 $1,533.68 $2,143.32 $3,256.96 |
$1,659.09 $1,821.09 $1,992.71 $2,602.35 |
$2,118.12 $2,280.12 $2,451.74 $3,061.38 |
Toc - Plan #12 Health Alliance | ||||||||||||||||||||
Gold
(POS) 2023 POS 2000 Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$469.15 $532.49 $599.58 $837.91 $1,273.28 |
$828.05 $891.39 $958.48 $1,196.81 |
$1,186.95 $1,250.29 $1,317.38 $1,555.71 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$938.30 $1,064.98 $1,199.16 $1,675.82 $2,546.56 |
$1,297.20 $1,423.88 $1,558.06 $2,034.72 |
$1,656.10 $1,782.78 $1,916.96 $2,393.62 |
Toc - Plan #13 Health Alliance | ||||||||||||||||||||
Silver
(POS) 2023 POS 5800 Elite Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$459.05 $521.03 $586.67 $819.87 $1,245.87 |
$810.23 $872.21 $937.85 $1,171.05 |
$1,161.41 $1,223.39 $1,289.03 $1,522.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$918.10 $1,042.06 $1,173.34 $1,639.74 $2,491.74 |
$1,269.28 $1,393.24 $1,524.52 $1,990.92 |
$1,620.46 $1,744.42 $1,875.70 $2,342.10 |
Toc - Plan #14 Health Alliance | ||||||||||||||||||||
Expanded Bronze
(POS) 2023 POS 7500 Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-247-3296
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 |
$377.66 $428.64 $482.64 $674.50 $1,024.97 |
$666.57 $717.55 $771.55 $963.41 |
$955.48 $1,006.46 $1,060.46 $1,252.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$755.32 $857.28 $965.28 $1,349.00 $2,049.94 |
$1,044.23 $1,146.19 $1,254.19 $1,637.91 |
$1,333.14 $1,435.10 $1,543.10 $1,926.82 |
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Ambetter of IllinoisLocal: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-844-517-3431 |
Toc - Plan #15 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 |
$419.12 $475.69 $535.63 $748.54 $1,137.48 |
$739.74 $796.31 $856.25 $1,069.16 |
$1,060.36 $1,116.93 $1,176.87 $1,389.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$838.24 $951.38 $1,071.26 $1,497.08 $2,274.96 |
$1,158.86 $1,272.00 $1,391.88 $1,817.70 |
$1,479.48 $1,592.62 $1,712.50 $2,138.32 |
Toc - Plan #16 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 |
$489.66 $555.75 $625.77 $874.52 $1,328.91 |
$864.24 $930.33 $1,000.35 $1,249.10 |
$1,238.82 $1,304.91 $1,374.93 $1,623.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$979.32 $1,111.50 $1,251.54 $1,749.04 $2,657.82 |
$1,353.90 $1,486.08 $1,626.12 $2,123.62 |
$1,728.48 $1,860.66 $2,000.70 $2,498.20 |
Toc - Plan #17 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 |
$418.54 $475.03 $534.88 $747.49 $1,135.88 |
$738.71 $795.20 $855.05 $1,067.66 |
$1,058.88 $1,115.37 $1,175.22 $1,387.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$837.08 $950.06 $1,069.76 $1,494.98 $2,271.76 |
$1,157.25 $1,270.23 $1,389.93 $1,815.15 |
$1,477.42 $1,590.40 $1,710.10 $2,135.32 |
Toc - Plan #18 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 |
$348.29 $395.30 $445.11 $622.04 $945.24 |
$614.73 $661.74 $711.55 $888.48 |
$881.17 $928.18 $977.99 $1,154.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$696.58 $790.60 $890.22 $1,244.08 $1,890.48 |
$963.02 $1,057.04 $1,156.66 $1,510.52 |
$1,229.46 $1,323.48 $1,423.10 $1,776.96 |
Toc - Plan #19 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 |
$412.04 $467.66 $526.58 $735.89 $1,118.25 |
$727.24 $782.86 $841.78 $1,051.09 |
$1,042.44 $1,098.06 $1,156.98 $1,366.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.08 $935.32 $1,053.16 $1,471.78 $2,236.50 |
$1,139.28 $1,250.52 $1,368.36 $1,786.98 |
$1,454.48 $1,565.72 $1,683.56 $2,102.18 |
Toc - Plan #20 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 |
$441.51 $501.10 $564.23 $788.51 $1,198.22 |
$779.25 $838.84 $901.97 $1,126.25 |
$1,116.99 $1,176.58 $1,239.71 $1,463.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$883.02 $1,002.20 $1,128.46 $1,577.02 $2,396.44 |
$1,220.76 $1,339.94 $1,466.20 $1,914.76 |
$1,558.50 $1,677.68 $1,803.94 $2,252.50 |
Toc - Plan #21 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
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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 |
$337.86 $383.46 $431.77 $603.40 $916.92 |
$596.31 $641.91 $690.22 $861.85 |
$854.76 $900.36 $948.67 $1,120.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$675.72 $766.92 $863.54 $1,206.80 $1,833.84 |
$934.17 $1,025.37 $1,121.99 $1,465.25 |
$1,192.62 $1,283.82 $1,380.44 $1,723.70 |
Toc - Plan #22 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 |
$404.58 $459.19 $517.04 $722.56 $1,098.01 |
$714.08 $768.69 $826.54 $1,032.06 |
$1,023.58 $1,078.19 $1,136.04 $1,341.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809.16 $918.38 $1,034.08 $1,445.12 $2,196.02 |
$1,118.66 $1,227.88 $1,343.58 $1,754.62 |
$1,428.16 $1,537.38 $1,653.08 $2,064.12 |
Toc - Plan #23 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
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 |
$399.55 $453.48 $510.61 $713.58 $1,084.36 |
$705.20 $759.13 $816.26 $1,019.23 |
$1,010.85 $1,064.78 $1,121.91 $1,324.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.10 $906.96 $1,021.22 $1,427.16 $2,168.72 |
$1,104.75 $1,212.61 $1,326.87 $1,732.81 |
$1,410.40 $1,518.26 $1,632.52 $2,038.46 |
Toc - Plan #24 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
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 |
$406.76 $461.66 $519.83 $726.46 $1,103.92 |
$717.92 $772.82 $830.99 $1,037.62 |
$1,029.08 $1,083.98 $1,142.15 $1,348.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.52 $923.32 $1,039.66 $1,452.92 $2,207.84 |
$1,124.68 $1,234.48 $1,350.82 $1,764.08 |
$1,435.84 $1,545.64 $1,661.98 $2,075.24 |
Toc - Plan #25 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
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 |
$464.18 $526.83 $593.21 $829.01 $1,259.76 |
$819.27 $881.92 $948.30 $1,184.10 |
$1,174.36 $1,237.01 $1,303.39 $1,539.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.36 $1,053.66 $1,186.42 $1,658.02 $2,519.52 |
$1,283.45 $1,408.75 $1,541.51 $2,013.11 |
$1,638.54 $1,763.84 $1,896.60 $2,368.20 |
Toc - Plan #26 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
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 |
$310.74 $352.68 $397.11 $554.97 $843.32 |
$548.45 $590.39 $634.82 $792.68 |
$786.16 $828.10 $872.53 $1,030.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.48 $705.36 $794.22 $1,109.94 $1,686.64 |
$859.19 $943.07 $1,031.93 $1,347.65 |
$1,096.90 $1,180.78 $1,269.64 $1,585.36 |
Toc - Plan #27 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
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 |
$549.39 $623.54 $702.10 $981.18 $1,491.00 |
$969.66 $1,043.81 $1,122.37 $1,401.45 |
$1,389.93 $1,464.08 $1,542.64 $1,821.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,098.78 $1,247.08 $1,404.20 $1,962.36 $2,982.00 |
$1,519.05 $1,667.35 $1,824.47 $2,382.63 |
$1,939.32 $2,087.62 $2,244.74 $2,802.90 |
Toc - Plan #28 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Central Bronze |
||||||||||||||||||||
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 |
$344.10 $390.55 $439.75 $614.55 $933.87 |
$607.33 $653.78 $702.98 $877.78 |
$870.56 $917.01 $966.21 $1,141.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.20 $781.10 $879.50 $1,229.10 $1,867.74 |
$951.43 $1,044.33 $1,142.73 $1,492.33 |
$1,214.66 $1,307.56 $1,405.96 $1,755.56 |
Toc - Plan #29 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Central Silver |
||||||||||||||||||||
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 |
$430.06 $488.11 $549.61 $768.08 $1,167.16 |
$759.05 $817.10 $878.60 $1,097.07 |
$1,088.04 $1,146.09 $1,207.59 $1,426.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.12 $976.22 $1,099.22 $1,536.16 $2,334.32 |
$1,189.11 $1,305.21 $1,428.21 $1,865.15 |
$1,518.10 $1,634.20 $1,757.20 $2,194.14 |
Toc - Plan #30 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold |
||||||||||||||||||||
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 |
$474.36 $538.39 $606.22 $847.20 $1,287.40 |
$837.24 $901.27 $969.10 $1,210.08 |
$1,200.12 $1,264.15 $1,331.98 $1,572.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$948.72 $1,076.78 $1,212.44 $1,694.40 $2,574.80 |
$1,311.60 $1,439.66 $1,575.32 $2,057.28 |
$1,674.48 $1,802.54 $1,938.20 $2,420.16 |
Toc - Plan #31 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
||||||||||||||||||||
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 |
$291.67 $331.04 $372.74 $520.91 $791.57 |
$514.79 $554.16 $595.86 $744.03 |
$737.91 $777.28 $818.98 $967.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.34 $662.08 $745.48 $1,041.82 $1,583.14 |
$806.46 $885.20 $968.60 $1,264.94 |
$1,029.58 $1,108.32 $1,191.72 $1,488.06 |
Toc - Plan #32 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
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 |
$338.15 $383.79 $432.14 $603.92 $917.72 |
$596.83 $642.47 $690.82 $862.60 |
$855.51 $901.15 $949.50 $1,121.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.30 $767.58 $864.28 $1,207.84 $1,835.44 |
$934.98 $1,026.26 $1,122.96 $1,466.52 |
$1,193.66 $1,284.94 $1,381.64 $1,725.20 |
Toc - Plan #33 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
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 |
$403.78 $458.28 $516.02 $721.14 $1,095.84 |
$712.67 $767.17 $824.91 $1,030.03 |
$1,021.56 $1,076.06 $1,133.80 $1,338.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$807.56 $916.56 $1,032.04 $1,442.28 $2,191.68 |
$1,116.45 $1,225.45 $1,340.93 $1,751.17 |
$1,425.34 $1,534.34 $1,649.82 $2,060.06 |
Toc - Plan #34 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
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 |
$452.82 $513.94 $578.69 $808.72 $1,228.93 |
$799.22 $860.34 $925.09 $1,155.12 |
$1,145.62 $1,206.74 $1,271.49 $1,501.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.64 $1,027.88 $1,157.38 $1,617.44 $2,457.86 |
$1,252.04 $1,374.28 $1,503.78 $1,963.84 |
$1,598.44 $1,720.68 $1,850.18 $2,310.24 |
Toc - Plan #35 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Premier 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 |
$435.25 $494.00 $556.23 $777.34 $1,181.24 |
$768.21 $826.96 $889.19 $1,110.30 |
$1,101.17 $1,159.92 $1,222.15 $1,443.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$870.50 $988.00 $1,112.46 $1,554.68 $2,362.48 |
$1,203.46 $1,320.96 $1,445.42 $1,887.64 |
$1,536.42 $1,653.92 $1,778.38 $2,220.60 |
Toc - Plan #36 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete 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 |
$508.50 $577.14 $649.85 $908.16 $1,380.04 |
$897.49 $966.13 $1,038.84 $1,297.15 |
$1,286.48 $1,355.12 $1,427.83 $1,686.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,017.00 $1,154.28 $1,299.70 $1,816.32 $2,760.08 |
$1,405.99 $1,543.27 $1,688.69 $2,205.31 |
$1,794.98 $1,932.26 $2,077.68 $2,594.30 |
Toc - Plan #37 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Complete 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 |
$434.64 $493.30 $555.46 $776.25 $1,179.58 |
$767.13 $825.79 $887.95 $1,108.74 |
$1,099.62 $1,158.28 $1,220.44 $1,441.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.28 $986.60 $1,110.92 $1,552.50 $2,359.16 |
$1,201.77 $1,319.09 $1,443.41 $1,884.99 |
$1,534.26 $1,651.58 $1,775.90 $2,217.48 |
Toc - Plan #38 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 |
$361.69 $410.51 $462.23 $645.97 $981.61 |
$638.38 $687.20 $738.92 $922.66 |
$915.07 $963.89 $1,015.61 $1,199.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.38 $821.02 $924.46 $1,291.94 $1,963.22 |
$1,000.07 $1,097.71 $1,201.15 $1,568.63 |
$1,276.76 $1,374.40 $1,477.84 $1,845.32 |
Toc - Plan #39 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 |
$458.49 $520.38 $585.94 $818.85 $1,244.32 |
$809.23 $871.12 $936.68 $1,169.59 |
$1,159.97 $1,221.86 $1,287.42 $1,520.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.98 $1,040.76 $1,171.88 $1,637.70 $2,488.64 |
$1,267.72 $1,391.50 $1,522.62 $1,988.44 |
$1,618.46 $1,742.24 $1,873.36 $2,339.18 |
Toc - Plan #40 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 |
$350.86 $398.21 $448.38 $626.61 $952.20 |
$619.26 $666.61 $716.78 $895.01 |
$887.66 $935.01 $985.18 $1,163.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.72 $796.42 $896.76 $1,253.22 $1,904.40 |
$970.12 $1,064.82 $1,165.16 $1,521.62 |
$1,238.52 $1,333.22 $1,433.56 $1,790.02 |
Toc - Plan #41 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 |
$420.15 $476.85 $536.93 $750.36 $1,140.25 |
$741.55 $798.25 $858.33 $1,071.76 |
$1,062.95 $1,119.65 $1,179.73 $1,393.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.30 $953.70 $1,073.86 $1,500.72 $2,280.50 |
$1,161.70 $1,275.10 $1,395.26 $1,822.12 |
$1,483.10 $1,596.50 $1,716.66 $2,143.52 |
Toc - Plan #42 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 |
$422.41 $479.42 $539.83 $754.40 $1,146.39 |
$745.55 $802.56 $862.97 $1,077.54 |
$1,068.69 $1,125.70 $1,186.11 $1,400.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.82 $958.84 $1,079.66 $1,508.80 $2,292.78 |
$1,167.96 $1,281.98 $1,402.80 $1,831.94 |
$1,491.10 $1,605.12 $1,725.94 $2,155.08 |
Toc - Plan #43 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 |
$482.04 $547.10 $616.03 $860.90 $1,308.22 |
$850.79 $915.85 $984.78 $1,229.65 |
$1,219.54 $1,284.60 $1,353.53 $1,598.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$964.08 $1,094.20 $1,232.06 $1,721.80 $2,616.44 |
$1,332.83 $1,462.95 $1,600.81 $2,090.55 |
$1,701.58 $1,831.70 $1,969.56 $2,459.30 |
Toc - Plan #44 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 |
$427.89 $485.65 $546.83 $764.20 $1,161.27 |
$755.22 $812.98 $874.16 $1,091.53 |
$1,082.55 $1,140.31 $1,201.49 $1,418.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.78 $971.30 $1,093.66 $1,528.40 $2,322.54 |
$1,183.11 $1,298.63 $1,420.99 $1,855.73 |
$1,510.44 $1,625.96 $1,748.32 $2,183.06 |
Toc - Plan #45 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear 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 |
$414.92 $470.93 $530.26 $741.03 $1,126.07 |
$732.33 $788.34 $847.67 $1,058.44 |
$1,049.74 $1,105.75 $1,165.08 $1,375.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.84 $941.86 $1,060.52 $1,482.06 $2,252.14 |
$1,147.25 $1,259.27 $1,377.93 $1,799.47 |
$1,464.66 $1,576.68 $1,695.34 $2,116.88 |
Toc - Plan #46 Ambetter of Illinois | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + 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 |
$322.70 $366.25 $412.39 $576.32 $875.77 |
$569.55 $613.10 $659.24 $823.17 |
$816.40 $859.95 $906.09 $1,070.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.40 $732.50 $824.78 $1,152.64 $1,751.54 |
$892.25 $979.35 $1,071.63 $1,399.49 |
$1,139.10 $1,226.20 $1,318.48 $1,646.34 |
Toc - Plan #47 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite 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]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$570.52 $647.53 $729.11 $1,018.93 $1,548.37 |
$1,006.96 $1,083.97 $1,165.55 $1,455.37 |
$1,443.40 $1,520.41 $1,601.99 $1,891.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,141.04 $1,295.06 $1,458.22 $2,037.86 $3,096.74 |
$1,577.48 $1,731.50 $1,894.66 $2,474.30 |
$2,013.92 $2,167.94 $2,331.10 $2,910.74 |
Toc - Plan #48 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 |
$357.34 $405.57 $456.67 $638.19 $969.80 |
$630.70 $678.93 $730.03 $911.55 |
$904.06 $952.29 $1,003.39 $1,184.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.68 $811.14 $913.34 $1,276.38 $1,939.60 |
$988.04 $1,084.50 $1,186.70 $1,549.74 |
$1,261.40 $1,357.86 $1,460.06 $1,823.10 |
Toc - Plan #49 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 |
$446.61 $506.89 $570.75 $797.62 $1,212.07 |
$788.26 $848.54 $912.40 $1,139.27 |
$1,129.91 $1,190.19 $1,254.05 $1,480.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.22 $1,013.78 $1,141.50 $1,595.24 $2,424.14 |
$1,234.87 $1,355.43 $1,483.15 $1,936.89 |
$1,576.52 $1,697.08 $1,824.80 $2,278.54 |
Toc - Plan #50 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 |
$492.61 $559.10 $629.55 $879.79 $1,336.92 |
$869.45 $935.94 $1,006.39 $1,256.63 |
$1,246.29 $1,312.78 $1,383.23 $1,633.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985.22 $1,118.20 $1,259.10 $1,759.58 $2,673.84 |
$1,362.06 $1,495.04 $1,635.94 $2,136.42 |
$1,738.90 $1,871.88 $2,012.78 $2,513.26 |
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 #51 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 |
$563.76 $639.87 $720.49 $1,006.88 $1,530.05 |
$995.04 $1,071.15 $1,151.77 $1,438.16 |
$1,426.32 $1,502.43 $1,583.05 $1,869.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,127.52 $1,279.74 $1,440.98 $2,013.76 $3,060.10 |
$1,558.80 $1,711.02 $1,872.26 $2,445.04 |
$1,990.08 $2,142.30 $2,303.54 $2,876.32 |
Toc - Plan #52 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 |
$474.52 $538.58 $606.44 $847.49 $1,287.84 |
$837.53 $901.59 $969.45 $1,210.50 |
$1,200.54 $1,264.60 $1,332.46 $1,573.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.04 $1,077.16 $1,212.88 $1,694.98 $2,575.68 |
$1,312.05 $1,440.17 $1,575.89 $2,057.99 |
$1,675.06 $1,803.18 $1,938.90 $2,421.00 |
Toc - Plan #53 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 |
$418.41 $474.90 $534.73 $747.29 $1,135.57 |
$738.50 $794.99 $854.82 $1,067.38 |
$1,058.59 $1,115.08 $1,174.91 $1,387.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.82 $949.80 $1,069.46 $1,494.58 $2,271.14 |
$1,156.91 $1,269.89 $1,389.55 $1,814.67 |
$1,477.00 $1,589.98 $1,709.64 $2,134.76 |
Toc - Plan #54 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 |
$345.65 $392.31 $441.74 $617.32 $938.08 |
$610.07 $656.73 $706.16 $881.74 |
$874.49 $921.15 $970.58 $1,146.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.30 $784.62 $883.48 $1,234.64 $1,876.16 |
$955.72 $1,049.04 $1,147.90 $1,499.06 |
$1,220.14 $1,313.46 $1,412.32 $1,763.48 |
Toc - Plan #55 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 |
$376.92 $427.80 $481.70 $673.18 $1,022.96 |
$665.26 $716.14 $770.04 $961.52 |
$953.60 $1,004.48 $1,058.38 $1,249.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.84 $855.60 $963.40 $1,346.36 $2,045.92 |
$1,042.18 $1,143.94 $1,251.74 $1,634.70 |
$1,330.52 $1,432.28 $1,540.08 $1,923.04 |
Toc - Plan #56 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 |
$367.74 $417.38 $469.97 $656.78 $998.05 |
$649.06 $698.70 $751.29 $938.10 |
$930.38 $980.02 $1,032.61 $1,219.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.48 $834.76 $939.94 $1,313.56 $1,996.10 |
$1,016.80 $1,116.08 $1,221.26 $1,594.88 |
$1,298.12 $1,397.40 $1,502.58 $1,876.20 |
Toc - Plan #57 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 |
$348.57 $395.63 $445.48 $622.55 $946.03 |
$615.23 $662.29 $712.14 $889.21 |
$881.89 $928.95 $978.80 $1,155.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.14 $791.26 $890.96 $1,245.10 $1,892.06 |
$963.80 $1,057.92 $1,157.62 $1,511.76 |
$1,230.46 $1,324.58 $1,424.28 $1,778.42 |
Toc - Plan #58 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 |
$549.70 $623.91 $702.51 $981.76 $1,491.88 |
$970.22 $1,044.43 $1,123.03 $1,402.28 |
$1,390.74 $1,464.95 $1,543.55 $1,822.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,099.40 $1,247.82 $1,405.02 $1,963.52 $2,983.76 |
$1,519.92 $1,668.34 $1,825.54 $2,384.04 |
$1,940.44 $2,088.86 $2,246.06 $2,804.56 |
Toc - Plan #59 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 |
$479.31 $544.01 $612.55 $856.04 $1,300.84 |
$845.98 $910.68 $979.22 $1,222.71 |
$1,212.65 $1,277.35 $1,345.89 $1,589.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$958.62 $1,088.02 $1,225.10 $1,712.08 $2,601.68 |
$1,325.29 $1,454.69 $1,591.77 $2,078.75 |
$1,691.96 $1,821.36 $1,958.44 $2,445.42 |
Toc - Plan #60 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 |
$422.11 $479.10 $539.46 $753.90 $1,145.62 |
$745.03 $802.02 $862.38 $1,076.82 |
$1,067.95 $1,124.94 $1,185.30 $1,399.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.22 $958.20 $1,078.92 $1,507.80 $2,291.24 |
$1,167.14 $1,281.12 $1,401.84 $1,830.72 |
$1,490.06 $1,604.04 $1,724.76 $2,153.64 |
Toc - Plan #61 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 |
$362.25 $411.16 $462.96 $646.99 $983.16 |
$639.37 $688.28 $740.08 $924.11 |
$916.49 $965.40 $1,017.20 $1,201.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.50 $822.32 $925.92 $1,293.98 $1,966.32 |
$1,001.62 $1,099.44 $1,203.04 $1,571.10 |
$1,278.74 $1,376.56 $1,480.16 $1,848.22 |
‡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 Rock Island County here.
Rock Island County is in “Rating Area 6” of Illinois.
Currently, there are 61 plans offered in Rating Area 6.