Obamacare 2023 Rates for Allen County
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Obamacare > Rates > Indiana > Allen County
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CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-743-3333 |
Toc - Plan #1 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace HSA Eligible Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$351.91 $399.41 $449.73 $628.50 $955.06 |
$621.12 $668.62 $718.94 $897.71 |
$890.33 $937.83 $988.15 $1,166.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.82 $798.82 $899.46 $1,257.00 $1,910.12 |
$973.03 $1,068.03 $1,168.67 $1,526.21 |
$1,242.24 $1,337.24 $1,437.88 $1,795.42 |
Toc - Plan #2 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$375.17 $425.81 $479.46 $670.04 $1,018.19 |
$662.17 $712.81 $766.46 $957.04 |
$949.17 $999.81 $1,053.46 $1,244.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$750.34 $851.62 $958.92 $1,340.08 $2,036.38 |
$1,037.34 $1,138.62 $1,245.92 $1,627.08 |
$1,324.34 $1,425.62 $1,532.92 $1,914.08 |
Toc - Plan #3 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$612.43 $695.10 $782.68 $1,093.79 $1,662.11 |
$1,080.93 $1,163.60 $1,251.18 $1,562.29 |
$1,549.43 $1,632.10 $1,719.68 $2,030.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,224.86 $1,390.20 $1,565.36 $2,187.58 $3,324.22 |
$1,693.36 $1,858.70 $2,033.86 $2,656.08 |
$2,161.86 $2,327.20 $2,502.36 $3,124.58 |
Toc - Plan #4 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$383.47 $435.23 $490.07 $684.87 $1,040.72 |
$676.82 $728.58 $783.42 $978.22 |
$970.17 $1,021.93 $1,076.77 $1,271.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.94 $870.46 $980.14 $1,369.74 $2,081.44 |
$1,060.29 $1,163.81 $1,273.49 $1,663.09 |
$1,353.64 $1,457.16 $1,566.84 $1,956.44 |
Toc - Plan #5 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$311.84 $353.94 $398.53 $556.95 $846.34 |
$550.40 $592.50 $637.09 $795.51 |
$788.96 $831.06 $875.65 $1,034.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.68 $707.88 $797.06 $1,113.90 $1,692.68 |
$862.24 $946.44 $1,035.62 $1,352.46 |
$1,100.80 $1,185.00 $1,274.18 $1,591.02 |
Toc - Plan #6 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$304.26 $345.33 $388.84 $543.40 $825.76 |
$537.02 $578.09 $621.60 $776.16 |
$769.78 $810.85 $854.36 $1,008.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.52 $690.66 $777.68 $1,086.80 $1,651.52 |
$841.28 $923.42 $1,010.44 $1,319.56 |
$1,074.04 $1,156.18 $1,243.20 $1,552.32 |
Toc - Plan #7 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$429.20 $487.14 $548.52 $766.55 $1,164.85 |
$757.54 $815.48 $876.86 $1,094.89 |
$1,085.88 $1,143.82 $1,205.20 $1,423.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$858.40 $974.28 $1,097.04 $1,533.10 $2,329.70 |
$1,186.74 $1,302.62 $1,425.38 $1,861.44 |
$1,515.08 $1,630.96 $1,753.72 $2,189.78 |
Toc - Plan #8 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$383.35 $435.10 $489.91 $684.65 $1,040.40 |
$676.61 $728.36 $783.17 $977.91 |
$969.87 $1,021.62 $1,076.43 $1,271.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.70 $870.20 $979.82 $1,369.30 $2,080.80 |
$1,059.96 $1,163.46 $1,273.08 $1,662.56 |
$1,353.22 $1,456.72 $1,566.34 $1,955.82 |
Toc - Plan #9 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$622.40 $706.42 $795.42 $1,111.60 $1,689.18 |
$1,098.53 $1,182.55 $1,271.55 $1,587.73 |
$1,574.66 $1,658.68 $1,747.68 $2,063.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,244.80 $1,412.84 $1,590.84 $2,223.20 $3,378.36 |
$1,720.93 $1,888.97 $2,066.97 $2,699.33 |
$2,197.06 $2,365.10 $2,543.10 $3,175.46 |
Toc - Plan #10 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$391.65 $444.52 $500.53 $699.48 $1,062.93 |
$691.26 $744.13 $800.14 $999.09 |
$990.87 $1,043.74 $1,099.75 $1,298.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.30 $889.04 $1,001.06 $1,398.96 $2,125.86 |
$1,082.91 $1,188.65 $1,300.67 $1,698.57 |
$1,382.52 $1,488.26 $1,600.28 $1,998.18 |
Toc - Plan #11 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$319.02 $362.09 $407.71 $569.77 $865.82 |
$563.07 $606.14 $651.76 $813.82 |
$807.12 $850.19 $895.81 $1,057.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$638.04 $724.18 $815.42 $1,139.54 $1,731.64 |
$882.09 $968.23 $1,059.47 $1,383.59 |
$1,126.14 $1,212.28 $1,303.52 $1,627.64 |
Toc - Plan #12 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$311.03 $353.01 $397.49 $555.49 $844.11 |
$548.96 $590.94 $635.42 $793.42 |
$786.89 $828.87 $873.35 $1,031.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$622.06 $706.02 $794.98 $1,110.98 $1,688.22 |
$859.99 $943.95 $1,032.91 $1,348.91 |
$1,097.92 $1,181.88 $1,270.84 $1,586.84 |
Toc - Plan #13 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver Dental, Vision, & Fitness |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
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 |
$437.15 $496.16 $558.67 $780.74 $1,186.40 |
$771.56 $830.57 $893.08 $1,115.15 |
$1,105.97 $1,164.98 $1,227.49 $1,449.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$874.30 $992.32 $1,117.34 $1,561.48 $2,372.80 |
$1,208.71 $1,326.73 $1,451.75 $1,895.89 |
$1,543.12 $1,661.14 $1,786.16 $2,230.30 |
ADVERTISEMENT
Ambetter from MHSLocal: 1-877-687-1182 | Toll Free: 1-877-687-1182 | TTY: 1-800-743-3333 |
Toc - Plan #14 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$359.30 $407.80 $459.18 $641.70 $975.13 |
$634.16 $682.66 $734.04 $916.56 |
$909.02 $957.52 $1,008.90 $1,191.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$718.60 $815.60 $918.36 $1,283.40 $1,950.26 |
$993.46 $1,090.46 $1,193.22 $1,558.26 |
$1,268.32 $1,365.32 $1,468.08 $1,833.12 |
Toc - Plan #15 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$445.61 $505.75 $569.47 $795.84 $1,209.35 |
$786.49 $846.63 $910.35 $1,136.72 |
$1,127.37 $1,187.51 $1,251.23 $1,477.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$891.22 $1,011.50 $1,138.94 $1,591.68 $2,418.70 |
$1,232.10 $1,352.38 $1,479.82 $1,932.56 |
$1,572.98 $1,693.26 $1,820.70 $2,273.44 |
Toc - Plan #16 Ambetter from MHS | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$318.60 $361.60 $407.15 $569.00 $864.64 |
$562.32 $605.32 $650.87 $812.72 |
$806.04 $849.04 $894.59 $1,056.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637.20 $723.20 $814.30 $1,138.00 $1,729.28 |
$880.92 $966.92 $1,058.02 $1,381.72 |
$1,124.64 $1,210.64 $1,301.74 $1,625.44 |
Toc - Plan #17 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$379.82 $431.09 $485.40 $678.34 $1,030.81 |
$670.38 $721.65 $775.96 $968.90 |
$960.94 $1,012.21 $1,066.52 $1,259.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$759.64 $862.18 $970.80 $1,356.68 $2,061.62 |
$1,050.20 $1,152.74 $1,261.36 $1,647.24 |
$1,340.76 $1,443.30 $1,551.92 $1,937.80 |
Toc - Plan #18 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$363.98 $413.10 $465.15 $650.04 $987.80 |
$642.41 $691.53 $743.58 $928.47 |
$920.84 $969.96 $1,022.01 $1,206.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$727.96 $826.20 $930.30 $1,300.08 $1,975.60 |
$1,006.39 $1,104.63 $1,208.73 $1,578.51 |
$1,284.82 $1,383.06 $1,487.16 $1,856.94 |
Toc - Plan #19 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$488.51 $554.44 $624.30 $872.46 $1,325.78 |
$862.21 $928.14 $998.00 $1,246.16 |
$1,235.91 $1,301.84 $1,371.70 $1,619.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$977.02 $1,108.88 $1,248.60 $1,744.92 $2,651.56 |
$1,350.72 $1,482.58 $1,622.30 $2,118.62 |
$1,724.42 $1,856.28 $1,996.00 $2,492.32 |
Toc - Plan #20 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$349.75 $396.95 $446.96 $624.63 $949.19 |
$617.30 $664.50 $714.51 $892.18 |
$884.85 $932.05 $982.06 $1,159.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$699.50 $793.90 $893.92 $1,249.26 $1,898.38 |
$967.05 $1,061.45 $1,161.47 $1,516.81 |
$1,234.60 $1,329.00 $1,429.02 $1,784.36 |
Toc - Plan #21 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$338.72 $384.43 $432.87 $604.93 $919.25 |
$597.83 $643.54 $691.98 $864.04 |
$856.94 $902.65 $951.09 $1,123.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$677.44 $768.86 $865.74 $1,209.86 $1,838.50 |
$936.55 $1,027.97 $1,124.85 $1,468.97 |
$1,195.66 $1,287.08 $1,383.96 $1,728.08 |
Toc - Plan #22 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
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 |
$353.99 $401.76 $452.38 $632.20 $960.69 |
$624.78 $672.55 $723.17 $902.99 |
$895.57 $943.34 $993.96 $1,173.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$707.98 $803.52 $904.76 $1,264.40 $1,921.38 |
$978.77 $1,074.31 $1,175.55 $1,535.19 |
$1,249.56 $1,345.10 $1,446.34 $1,805.98 |
Toc - Plan #23 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.32 $403.27 $454.08 $634.58 $964.30 |
$627.13 $675.08 $725.89 $906.39 |
$898.94 $946.89 $997.70 $1,178.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.64 $806.54 $908.16 $1,269.16 $1,928.60 |
$982.45 $1,078.35 $1,179.97 $1,540.97 |
$1,254.26 $1,350.16 $1,451.78 $1,812.78 |
Toc - Plan #24 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.57 $485.28 $546.42 $763.62 $1,160.40 |
$754.65 $812.36 $873.50 $1,090.70 |
$1,081.73 $1,139.44 $1,200.58 $1,417.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.14 $970.56 $1,092.84 $1,527.24 $2,320.80 |
$1,182.22 $1,297.64 $1,419.92 $1,854.32 |
$1,509.30 $1,624.72 $1,747.00 $2,181.40 |
Toc - Plan #25 Ambetter from MHS | ||||||||||||||||||||
Bronze
(EPO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.58 $345.69 $389.25 $543.97 $826.61 |
$537.58 $578.69 $622.25 $776.97 |
$770.58 $811.69 $855.25 $1,009.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.16 $691.38 $778.50 $1,087.94 $1,653.22 |
$842.16 $924.38 $1,011.50 $1,320.94 |
$1,075.16 $1,157.38 $1,244.50 $1,553.94 |
Toc - Plan #26 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.36 $377.21 $424.74 $593.57 $901.99 |
$586.61 $631.46 $678.99 $847.82 |
$840.86 $885.71 $933.24 $1,102.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.72 $754.42 $849.48 $1,187.14 $1,803.98 |
$918.97 $1,008.67 $1,103.73 $1,441.39 |
$1,173.22 $1,262.92 $1,357.98 $1,695.64 |
Toc - Plan #27 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.15 $399.68 $450.04 $628.93 $955.72 |
$621.54 $669.07 $719.43 $898.32 |
$890.93 $938.46 $988.82 $1,167.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.30 $799.36 $900.08 $1,257.86 $1,911.44 |
$973.69 $1,068.75 $1,169.47 $1,527.25 |
$1,243.08 $1,338.14 $1,438.86 $1,796.64 |
Toc - Plan #28 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.16 $482.55 $543.35 $759.32 $1,153.87 |
$750.40 $807.79 $868.59 $1,084.56 |
$1,075.64 $1,133.03 $1,193.83 $1,409.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$850.32 $965.10 $1,086.70 $1,518.64 $2,307.74 |
$1,175.56 $1,290.34 $1,411.94 $1,843.88 |
$1,500.80 $1,615.58 $1,737.18 $2,169.12 |
Toc - Plan #29 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.77 $424.22 $477.66 $667.53 $1,014.38 |
$659.70 $710.15 $763.59 $953.46 |
$945.63 $996.08 $1,049.52 $1,239.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.54 $848.44 $955.32 $1,335.06 $2,028.76 |
$1,033.47 $1,134.37 $1,241.25 $1,620.99 |
$1,319.40 $1,420.30 $1,527.18 $1,906.92 |
Toc - Plan #30 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.55 $526.11 $592.40 $827.88 $1,258.04 |
$818.16 $880.72 $947.01 $1,182.49 |
$1,172.77 $1,235.33 $1,301.62 $1,537.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.10 $1,052.22 $1,184.80 $1,655.76 $2,516.08 |
$1,281.71 $1,406.83 $1,539.41 $2,010.37 |
$1,636.32 $1,761.44 $1,894.02 $2,364.98 |
Toc - Plan #31 Ambetter from MHS | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.42 $376.15 $423.54 $591.90 $899.45 |
$584.95 $629.68 $677.07 $845.43 |
$838.48 $883.21 $930.60 $1,098.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.84 $752.30 $847.08 $1,183.80 $1,798.90 |
$916.37 $1,005.83 $1,100.61 $1,437.33 |
$1,169.90 $1,259.36 $1,354.14 $1,690.86 |
Toc - Plan #32 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.83 $412.93 $464.96 $649.78 $987.40 |
$642.15 $691.25 $743.28 $928.10 |
$920.47 $969.57 $1,021.60 $1,206.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.66 $825.86 $929.92 $1,299.56 $1,974.80 |
$1,005.98 $1,104.18 $1,208.24 $1,577.88 |
$1,284.30 $1,382.50 $1,486.56 $1,856.20 |
Toc - Plan #33 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.35 $399.91 $450.29 $629.28 $956.26 |
$621.89 $669.45 $719.83 $898.82 |
$891.43 $938.99 $989.37 $1,168.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$704.70 $799.82 $900.58 $1,258.56 $1,912.52 |
$974.24 $1,069.36 $1,170.12 $1,528.10 |
$1,243.78 $1,338.90 $1,439.66 $1,797.64 |
Toc - Plan #34 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.24 $417.94 $470.59 $657.65 $999.37 |
$649.93 $699.63 $752.28 $939.34 |
$931.62 $981.32 $1,033.97 $1,221.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.48 $835.88 $941.18 $1,315.30 $1,998.74 |
$1,018.17 $1,117.57 $1,222.87 $1,596.99 |
$1,299.86 $1,399.26 $1,504.56 $1,878.68 |
Toc - Plan #35 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.62 $419.51 $472.36 $660.12 $1,003.12 |
$652.37 $702.26 $755.11 $942.87 |
$935.12 $985.01 $1,037.86 $1,225.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.24 $839.02 $944.72 $1,320.24 $2,006.24 |
$1,021.99 $1,121.77 $1,227.47 $1,602.99 |
$1,304.74 $1,404.52 $1,510.22 $1,885.74 |
Toc - Plan #36 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.78 $504.82 $568.42 $794.37 $1,207.11 |
$785.03 $845.07 $908.67 $1,134.62 |
$1,125.28 $1,185.32 $1,248.92 $1,474.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.56 $1,009.64 $1,136.84 $1,588.74 $2,414.22 |
$1,229.81 $1,349.89 $1,477.09 $1,928.99 |
$1,570.06 $1,690.14 $1,817.34 $2,269.24 |
Toc - Plan #37 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.11 $448.44 $504.94 $705.65 $1,072.30 |
$697.36 $750.69 $807.19 $1,007.90 |
$999.61 $1,052.94 $1,109.44 $1,310.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.22 $896.88 $1,009.88 $1,411.30 $2,144.60 |
$1,092.47 $1,199.13 $1,312.13 $1,713.55 |
$1,394.72 $1,501.38 $1,614.38 $2,015.80 |
Toc - Plan #38 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.63 $429.73 $483.87 $676.21 $1,027.57 |
$668.27 $719.37 $773.51 $965.85 |
$957.91 $1,009.01 $1,063.15 $1,255.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.26 $859.46 $967.74 $1,352.42 $2,055.14 |
$1,046.90 $1,149.10 $1,257.38 $1,642.06 |
$1,336.54 $1,438.74 $1,547.02 $1,931.70 |
Toc - Plan #39 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.17 $576.76 $649.43 $907.58 $1,379.15 |
$896.91 $965.50 $1,038.17 $1,296.32 |
$1,285.65 $1,354.24 $1,426.91 $1,685.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,016.34 $1,153.52 $1,298.86 $1,815.16 $2,758.30 |
$1,405.08 $1,542.26 $1,687.60 $2,203.90 |
$1,793.82 $1,931.00 $2,076.34 $2,592.64 |
Toc - Plan #40 Ambetter from MHS | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.03 $376.85 $424.33 $593.00 $901.11 |
$586.03 $630.85 $678.33 $847.00 |
$840.03 $884.85 $932.33 $1,101.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.06 $753.70 $848.66 $1,186.00 $1,802.22 |
$918.06 $1,007.70 $1,102.66 $1,440.00 |
$1,172.06 $1,261.70 $1,356.66 $1,694.00 |
Toc - Plan #41 Ambetter from MHS | ||||||||||||||||||||
Silver
(EPO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.85 $395.93 $445.82 $623.03 $946.75 |
$615.71 $662.79 $712.68 $889.89 |
$882.57 $929.65 $979.54 $1,156.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.70 $791.86 $891.64 $1,246.06 $1,893.50 |
$964.56 $1,058.72 $1,158.50 $1,512.92 |
$1,231.42 $1,325.58 $1,425.36 $1,779.78 |
Toc - Plan #42 Ambetter from MHS | ||||||||||||||||||||
Gold
(EPO) Ambetter Virtual Access Gold - Virtual PCP selection required |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1182
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.65 $486.51 $547.80 $765.55 $1,163.33 |
$756.56 $814.42 $875.71 $1,093.46 |
$1,084.47 $1,142.33 $1,203.62 $1,421.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$857.30 $973.02 $1,095.60 $1,531.10 $2,326.66 |
$1,185.21 $1,300.93 $1,423.51 $1,859.01 |
$1,513.12 $1,628.84 $1,751.42 $2,186.92 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Allen County here.
Allen County is in “” of Indiana.
Currently, there are 42 plans offered in .