Obamacare 2023 Rates for St John The Baptist Parish
Obamacare > Rates > Louisiana > St John The Baptist Parish
ADVERTISEMENT
Obamacare > Rates > Louisiana > St John The Baptist Parish
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
HMO LouisianaLocal: 1-800-392-4087 | Toll Free: 1-800-392-4087 | TTY: 1-800-392-4087 |
Toc - Plan #1 HMO Louisiana | ||||||||||||||||||||
Gold
(POS) Blue POS Copay 80/60 $1000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.60 $597.69 $672.99 $940.51 $1,429.19 |
$929.45 $1,000.54 $1,075.84 $1,343.36 |
$1,332.30 $1,403.39 $1,478.69 $1,746.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.20 $1,195.38 $1,345.98 $1,881.02 $2,858.38 |
$1,456.05 $1,598.23 $1,748.83 $2,283.87 |
$1,858.90 $2,001.08 $2,151.68 $2,686.72 |
Toc - Plan #2 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue POS Copay 60/40 $4300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.47 $558.95 $629.38 $879.55 $1,336.56 |
$869.21 $935.69 $1,006.12 $1,256.29 |
$1,245.95 $1,312.43 $1,382.86 $1,633.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.94 $1,117.90 $1,258.76 $1,759.10 $2,673.12 |
$1,361.68 $1,494.64 $1,635.50 $2,135.84 |
$1,738.42 $1,871.38 $2,012.24 $2,512.58 |
Toc - Plan #3 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue POS 90/70 $3500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.32 $524.73 $590.84 $825.70 $1,254.74 |
$815.99 $878.40 $944.51 $1,179.37 |
$1,169.66 $1,232.07 $1,298.18 $1,533.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$924.64 $1,049.46 $1,181.68 $1,651.40 $2,509.48 |
$1,278.31 $1,403.13 $1,535.35 $2,005.07 |
$1,631.98 $1,756.80 $1,889.02 $2,358.74 |
Toc - Plan #4 HMO Louisiana | ||||||||||||||||||||
Bronze
(POS) Blue POS 60/40 $6500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.25 $383.91 $432.28 $604.11 $918.01 |
$597.01 $642.67 $691.04 $862.87 |
$855.77 $901.43 $949.80 $1,121.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.50 $767.82 $864.56 $1,208.22 $1,836.02 |
$935.26 $1,026.58 $1,123.32 $1,466.98 |
$1,194.02 $1,285.34 $1,382.08 $1,725.74 |
Toc - Plan #5 HMO Louisiana | ||||||||||||||||||||
Expanded Bronze
(POS) Blue POS 70/50 $4550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.33 $424.86 $478.39 $668.55 $1,015.93 |
$660.69 $711.22 $764.75 $954.91 |
$947.05 $997.58 $1,051.11 $1,241.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.66 $849.72 $956.78 $1,337.10 $2,031.86 |
$1,035.02 $1,136.08 $1,243.14 $1,623.46 |
$1,321.38 $1,422.44 $1,529.50 $1,909.82 |
Toc - Plan #6 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue POS 80/60 $3400 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.75 $519.55 $585.00 $817.54 $1,242.33 |
$807.93 $869.73 $935.18 $1,167.72 |
$1,158.11 $1,219.91 $1,285.36 $1,517.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.50 $1,039.10 $1,170.00 $1,635.08 $2,484.66 |
$1,265.68 $1,389.28 $1,520.18 $1,985.26 |
$1,615.86 $1,739.46 $1,870.36 $2,335.44 |
Toc - Plan #7 HMO Louisiana | ||||||||||||||||||||
Bronze
(POS) Blue POS 100/100 $9100 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.00 $375.69 $423.02 $591.17 $898.33 |
$584.22 $628.91 $676.24 $844.39 |
$837.44 $882.13 $929.46 $1,097.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.00 $751.38 $846.04 $1,182.34 $1,796.66 |
$915.22 $1,004.60 $1,099.26 $1,435.56 |
$1,168.44 $1,257.82 $1,352.48 $1,688.78 |
Toc - Plan #8 HMO Louisiana | ||||||||||||||||||||
Expanded Bronze
(POS) Blue POS Copay 50/50 $7900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.10 $457.52 $515.16 $719.94 $1,094.01 |
$711.47 $765.89 $823.53 $1,028.31 |
$1,019.84 $1,074.26 $1,131.90 $1,336.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.20 $915.04 $1,030.32 $1,439.88 $2,188.02 |
$1,114.57 $1,223.41 $1,338.69 $1,748.25 |
$1,422.94 $1,531.78 $1,647.06 $2,056.62 |
Toc - Plan #9 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue POS Copay 60/40 $5800 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.80 $558.19 $628.52 $878.35 $1,334.75 |
$868.03 $934.42 $1,004.75 $1,254.58 |
$1,244.26 $1,310.65 $1,380.98 $1,630.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.60 $1,116.38 $1,257.04 $1,756.70 $2,669.50 |
$1,359.83 $1,492.61 $1,633.27 $2,132.93 |
$1,736.06 $1,868.84 $2,009.50 $2,509.16 |
Toc - Plan #10 HMO Louisiana | ||||||||||||||||||||
Gold
(POS) Blue POS Copay 75/55 $2000 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$539.11 $611.89 $688.98 $962.85 $1,463.14 |
$951.53 $1,024.31 $1,101.40 $1,375.27 |
$1,363.95 $1,436.73 $1,513.82 $1,787.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,078.22 $1,223.78 $1,377.96 $1,925.70 $2,926.28 |
$1,490.64 $1,636.20 $1,790.38 $2,338.12 |
$1,903.06 $2,048.62 $2,202.80 $2,750.54 |
Toc - Plan #11 HMO Louisiana | ||||||||||||||||||||
Gold
(POS) Blue Connect Copay 80/60 $1000 (N) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.16 $542.71 $611.09 $853.99 $1,297.73 |
$843.95 $908.50 $976.88 $1,219.78 |
$1,209.74 $1,274.29 $1,342.67 $1,585.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.32 $1,085.42 $1,222.18 $1,707.98 $2,595.46 |
$1,322.11 $1,451.21 $1,587.97 $2,073.77 |
$1,687.90 $1,817.00 $1,953.76 $2,439.56 |
Toc - Plan #12 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue Connect Copay 70/50 $3000 (N) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.63 $493.31 $555.46 $776.25 $1,179.59 |
$767.12 $825.80 $887.95 $1,108.74 |
$1,099.61 $1,158.29 $1,220.44 $1,441.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.26 $986.62 $1,110.92 $1,552.50 $2,359.18 |
$1,201.75 $1,319.11 $1,443.41 $1,884.99 |
$1,534.24 $1,651.60 $1,775.90 $2,217.48 |
Toc - Plan #13 HMO Louisiana | ||||||||||||||||||||
Silver
(POS) Blue Connect 80/60 $3400 (N) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.97 $467.59 $526.50 $735.78 $1,118.09 |
$727.13 $782.75 $841.66 $1,050.94 |
$1,042.29 $1,097.91 $1,156.82 $1,366.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.94 $935.18 $1,053.00 $1,471.56 $2,236.18 |
$1,139.10 $1,250.34 $1,368.16 $1,786.72 |
$1,454.26 $1,565.50 $1,683.32 $2,101.88 |
ADVERTISEMENT
Ambetter from Louisiana Healthcare ConnectionsLocal: 1-833-635-0450 | Toll Free: 1-833-635-0450 | TTY: 1-833-635-0450 |
Toc - Plan #14 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.13 $363.34 $409.12 $571.74 $868.82 |
$565.02 $608.23 $654.01 $816.63 |
$809.91 $853.12 $898.90 $1,061.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.26 $726.68 $818.24 $1,143.48 $1,737.64 |
$885.15 $971.57 $1,063.13 $1,388.37 |
$1,130.04 $1,216.46 $1,308.02 $1,633.26 |
Toc - Plan #15 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.00 $387.03 $435.79 $609.02 $925.46 |
$601.86 $647.89 $696.65 $869.88 |
$862.72 $908.75 $957.51 $1,130.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.00 $774.06 $871.58 $1,218.04 $1,850.92 |
$942.86 $1,034.92 $1,132.44 $1,478.90 |
$1,203.72 $1,295.78 $1,393.30 $1,739.76 |
Toc - Plan #16 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.67 $435.45 $490.32 $685.21 $1,041.25 |
$677.17 $728.95 $783.82 $978.71 |
$970.67 $1,022.45 $1,077.32 $1,272.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.34 $870.90 $980.64 $1,370.42 $2,082.50 |
$1,060.84 $1,164.40 $1,274.14 $1,663.92 |
$1,354.34 $1,457.90 $1,567.64 $1,957.42 |
Toc - Plan #17 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.13 $456.40 $513.90 $718.18 $1,091.34 |
$709.75 $764.02 $821.52 $1,025.80 |
$1,017.37 $1,071.64 $1,129.14 $1,333.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.26 $912.80 $1,027.80 $1,436.36 $2,182.68 |
$1,111.88 $1,220.42 $1,335.42 $1,743.98 |
$1,419.50 $1,528.04 $1,643.04 $2,051.60 |
Toc - Plan #18 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.99 $452.84 $509.90 $712.58 $1,082.83 |
$704.21 $758.06 $815.12 $1,017.80 |
$1,009.43 $1,063.28 $1,120.34 $1,323.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.98 $905.68 $1,019.80 $1,425.16 $2,165.66 |
$1,103.20 $1,210.90 $1,325.02 $1,730.38 |
$1,408.42 $1,516.12 $1,630.24 $2,035.60 |
Toc - Plan #19 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.56 $454.62 $511.90 $715.38 $1,087.08 |
$706.98 $761.04 $818.32 $1,021.80 |
$1,013.40 $1,067.46 $1,124.74 $1,328.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.12 $909.24 $1,023.80 $1,430.76 $2,174.16 |
$1,107.54 $1,215.66 $1,330.22 $1,737.18 |
$1,413.96 $1,522.08 $1,636.64 $2,043.60 |
Toc - Plan #20 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.94 $510.67 $575.01 $803.57 $1,221.10 |
$794.13 $854.86 $919.20 $1,147.76 |
$1,138.32 $1,199.05 $1,263.39 $1,491.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.88 $1,021.34 $1,150.02 $1,607.14 $2,442.20 |
$1,244.07 $1,365.53 $1,494.21 $1,951.33 |
$1,588.26 $1,709.72 $1,838.40 $2,295.52 |
Toc - Plan #21 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.73 $491.13 $553.01 $772.83 $1,174.39 |
$763.76 $822.16 $884.04 $1,103.86 |
$1,094.79 $1,153.19 $1,215.07 $1,434.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$865.46 $982.26 $1,106.02 $1,545.66 $2,348.78 |
$1,196.49 $1,313.29 $1,437.05 $1,876.69 |
$1,527.52 $1,644.32 $1,768.08 $2,207.72 |
Toc - Plan #22 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Enhanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.97 $457.36 $514.98 $719.69 $1,093.63 |
$711.23 $765.62 $823.24 $1,027.95 |
$1,019.49 $1,073.88 $1,131.50 $1,336.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.94 $914.72 $1,029.96 $1,439.38 $2,187.26 |
$1,114.20 $1,222.98 $1,338.22 $1,747.64 |
$1,422.46 $1,531.24 $1,646.48 $2,055.90 |
Toc - Plan #23 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$493.57 $560.19 $630.77 $881.49 $1,339.51 |
$871.14 $937.76 $1,008.34 $1,259.06 |
$1,248.71 $1,315.33 $1,385.91 $1,636.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$987.14 $1,120.38 $1,261.54 $1,762.98 $2,679.02 |
$1,364.71 $1,497.95 $1,639.11 $2,140.55 |
$1,742.28 $1,875.52 $2,016.68 $2,518.12 |
Toc - Plan #24 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.34 $347.69 $391.49 $547.11 $831.38 |
$540.68 $582.03 $625.83 $781.45 |
$775.02 $816.37 $860.17 $1,015.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.68 $695.38 $782.98 $1,094.22 $1,662.76 |
$847.02 $929.72 $1,017.32 $1,328.56 |
$1,081.36 $1,164.06 $1,251.66 $1,562.90 |
Toc - Plan #25 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.57 $379.73 $427.57 $597.52 $908.00 |
$590.51 $635.67 $683.51 $853.46 |
$846.45 $891.61 $939.45 $1,109.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.14 $759.46 $855.14 $1,195.04 $1,816.00 |
$925.08 $1,015.40 $1,111.08 $1,450.98 |
$1,181.02 $1,271.34 $1,367.02 $1,706.92 |
Toc - Plan #26 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.46 $451.11 $507.94 $709.85 $1,078.68 |
$701.51 $755.16 $811.99 $1,013.90 |
$1,005.56 $1,059.21 $1,116.04 $1,317.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.92 $902.22 $1,015.88 $1,419.70 $2,157.36 |
$1,098.97 $1,206.27 $1,319.93 $1,723.75 |
$1,403.02 $1,510.32 $1,623.98 $2,027.80 |
Toc - Plan #27 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.92 $481.14 $541.76 $757.10 $1,150.49 |
$748.21 $805.43 $866.05 $1,081.39 |
$1,072.50 $1,129.72 $1,190.34 $1,405.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.84 $962.28 $1,083.52 $1,514.20 $2,300.98 |
$1,172.13 $1,286.57 $1,407.81 $1,838.49 |
$1,496.42 $1,610.86 $1,732.10 $2,162.78 |
Toc - Plan #28 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.07 $376.89 $424.38 $593.06 $901.22 |
$586.10 $630.92 $678.41 $847.09 |
$840.13 $884.95 $932.44 $1,101.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.14 $753.78 $848.76 $1,186.12 $1,802.44 |
$918.17 $1,007.81 $1,102.79 $1,440.15 |
$1,172.20 $1,261.84 $1,356.82 $1,694.18 |
Toc - Plan #29 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.72 $401.46 $452.04 $631.73 $959.97 |
$624.31 $672.05 $722.63 $902.32 |
$894.90 $942.64 $993.22 $1,172.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.44 $802.92 $904.08 $1,263.46 $1,919.94 |
$978.03 $1,073.51 $1,174.67 $1,534.05 |
$1,248.62 $1,344.10 $1,445.26 $1,804.64 |
Toc - Plan #30 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.98 $451.69 $508.60 $710.77 $1,080.08 |
$702.42 $756.13 $813.04 $1,015.21 |
$1,006.86 $1,060.57 $1,117.48 $1,319.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.96 $903.38 $1,017.20 $1,421.54 $2,160.16 |
$1,100.40 $1,207.82 $1,321.64 $1,725.98 |
$1,404.84 $1,512.26 $1,626.08 $2,030.42 |
Toc - Plan #31 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.12 $473.42 $533.07 $744.96 $1,132.04 |
$736.21 $792.51 $852.16 $1,064.05 |
$1,055.30 $1,111.60 $1,171.25 $1,383.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.24 $946.84 $1,066.14 $1,489.92 $2,264.08 |
$1,153.33 $1,265.93 $1,385.23 $1,809.01 |
$1,472.42 $1,585.02 $1,704.32 $2,128.10 |
Toc - Plan #32 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.49 $471.58 $530.99 $742.06 $1,127.63 |
$733.34 $789.43 $848.84 $1,059.91 |
$1,051.19 $1,107.28 $1,166.69 $1,377.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.98 $943.16 $1,061.98 $1,484.12 $2,255.26 |
$1,148.83 $1,261.01 $1,379.83 $1,801.97 |
$1,466.68 $1,578.86 $1,697.68 $2,119.82 |
Toc - Plan #33 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.72 $529.71 $596.45 $833.54 $1,266.64 |
$823.75 $886.74 $953.48 $1,190.57 |
$1,180.78 $1,243.77 $1,310.51 $1,547.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$933.44 $1,059.42 $1,192.90 $1,667.08 $2,533.28 |
$1,290.47 $1,416.45 $1,549.93 $2,024.11 |
$1,647.50 $1,773.48 $1,906.96 $2,381.14 |
Toc - Plan #34 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.86 $509.45 $573.63 $801.65 $1,218.19 |
$792.23 $852.82 $917.00 $1,145.02 |
$1,135.60 $1,196.19 $1,260.37 $1,488.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.72 $1,018.90 $1,147.26 $1,603.30 $2,436.38 |
$1,241.09 $1,362.27 $1,490.63 $1,946.67 |
$1,584.46 $1,705.64 $1,834.00 $2,290.04 |
Toc - Plan #35 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.87 $469.73 $528.91 $739.15 $1,123.21 |
$730.47 $786.33 $845.51 $1,055.75 |
$1,047.07 $1,102.93 $1,162.11 $1,372.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.74 $939.46 $1,057.82 $1,478.30 $2,246.42 |
$1,144.34 $1,256.06 $1,374.42 $1,794.90 |
$1,460.94 $1,572.66 $1,691.02 $2,111.50 |
Toc - Plan #36 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Silver
(HMO) Enhanced Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.00 $474.42 $534.19 $746.53 $1,134.42 |
$737.76 $794.18 $853.95 $1,066.29 |
$1,057.52 $1,113.94 $1,173.71 $1,386.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.00 $948.84 $1,068.38 $1,493.06 $2,268.84 |
$1,155.76 $1,268.60 $1,388.14 $1,812.82 |
$1,475.52 $1,588.36 $1,707.90 $2,132.58 |
Toc - Plan #37 Ambetter from Louisiana Healthcare Connections | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-635-0450
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.97 $581.08 $654.29 $914.37 $1,389.47 |
$903.62 $972.73 $1,045.94 $1,306.02 |
$1,295.27 $1,364.38 $1,437.59 $1,697.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,023.94 $1,162.16 $1,308.58 $1,828.74 $2,778.94 |
$1,415.59 $1,553.81 $1,700.23 $2,220.39 |
$1,807.24 $1,945.46 $2,091.88 $2,612.04 |
ADVERTISEMENT
Vantage Health PlanLocal: 1-318-361-0900 | Toll Free: 1-888-823-1910 | TTY: 1-866-524-5144 |
Toc - Plan #38 Vantage Health Plan | ||||||||||||||||||||
Silver
(POS) Freedom Silver 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$640.24 $726.67 $818.22 $1,143.47 $1,737.61 |
$1,130.02 $1,216.45 $1,308.00 $1,633.25 |
$1,619.80 $1,706.23 $1,797.78 $2,123.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,280.48 $1,453.34 $1,636.44 $2,286.94 $3,475.22 |
$1,770.26 $1,943.12 $2,126.22 $2,776.72 |
$2,260.04 $2,432.90 $2,616.00 $3,266.50 |
Toc - Plan #39 Vantage Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) Essential Bronze 6500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.11 $435.97 $490.90 $686.03 $1,042.49 |
$677.96 $729.82 $784.75 $979.88 |
$971.81 $1,023.67 $1,078.60 $1,273.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.22 $871.94 $981.80 $1,372.06 $2,084.98 |
$1,062.07 $1,165.79 $1,275.65 $1,665.91 |
$1,355.92 $1,459.64 $1,569.50 $1,959.76 |
Toc - Plan #40 Vantage Health Plan | ||||||||||||||||||||
Gold
(POS) Essential Gold 1500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$579.04 $657.21 $740.01 $1,034.17 $1,571.52 |
$1,022.01 $1,100.18 $1,182.98 $1,477.14 |
$1,464.98 $1,543.15 $1,625.95 $1,920.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,158.08 $1,314.42 $1,480.02 $2,068.34 $3,143.04 |
$1,601.05 $1,757.39 $1,922.99 $2,511.31 |
$2,044.02 $2,200.36 $2,365.96 $2,954.28 |
Toc - Plan #41 Vantage Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) Savings Bronze 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.09 $426.86 $480.64 $671.69 $1,020.70 |
$663.80 $714.57 $768.35 $959.40 |
$951.51 $1,002.28 $1,056.06 $1,247.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.18 $853.72 $961.28 $1,343.38 $2,041.40 |
$1,039.89 $1,141.43 $1,248.99 $1,631.09 |
$1,327.60 $1,429.14 $1,536.70 $1,918.80 |
Toc - Plan #42 Vantage Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) Savings Bronze 7200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.18 $428.10 $482.03 $673.64 $1,023.66 |
$665.72 $716.64 $770.57 $962.18 |
$954.26 $1,005.18 $1,059.11 $1,250.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.36 $856.20 $964.06 $1,347.28 $2,047.32 |
$1,042.90 $1,144.74 $1,252.60 $1,635.82 |
$1,331.44 $1,433.28 $1,541.14 $1,924.36 |
Toc - Plan #43 Vantage Health Plan | ||||||||||||||||||||
Gold
(POS) Standard Gold 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$596.40 $676.92 $762.20 $1,065.18 $1,618.64 |
$1,052.65 $1,133.17 $1,218.45 $1,521.43 |
$1,508.90 $1,589.42 $1,674.70 $1,977.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,192.80 $1,353.84 $1,524.40 $2,130.36 $3,237.28 |
$1,649.05 $1,810.09 $1,980.65 $2,586.61 |
$2,105.30 $2,266.34 $2,436.90 $3,042.86 |
Toc - Plan #44 Vantage Health Plan | ||||||||||||||||||||
Silver
(POS) Standard Silver 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$600.60 $681.68 $767.57 $1,072.67 $1,630.03 |
$1,060.06 $1,141.14 $1,227.03 $1,532.13 |
$1,519.52 $1,600.60 $1,686.49 $1,991.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,201.20 $1,363.36 $1,535.14 $2,145.34 $3,260.06 |
$1,660.66 $1,822.82 $1,994.60 $2,604.80 |
$2,120.12 $2,282.28 $2,454.06 $3,064.26 |
Toc - Plan #45 Vantage Health Plan | ||||||||||||||||||||
Expanded Bronze
(POS) Standard Bronze 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-823-1910
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.84 $447.01 $503.33 $703.40 $1,068.88 |
$695.13 $748.30 $804.62 $1,004.69 |
$996.42 $1,049.59 $1,105.91 $1,305.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.68 $894.02 $1,006.66 $1,406.80 $2,137.76 |
$1,088.97 $1,195.31 $1,307.95 $1,708.09 |
$1,390.26 $1,496.60 $1,609.24 $2,009.38 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-866-268-6438 | Toll Free: 1-866-268-6438 | TTY: 1-866-268-6438 |
Toc - Plan #46 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.44 $490.81 $552.65 $772.33 $1,173.63 |
$763.25 $821.62 $883.46 $1,103.14 |
$1,094.06 $1,152.43 $1,214.27 $1,433.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$864.88 $981.62 $1,105.30 $1,544.66 $2,347.26 |
$1,195.69 $1,312.43 $1,436.11 $1,875.47 |
$1,526.50 $1,643.24 $1,766.92 $2,206.28 |
Toc - Plan #47 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Essential ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.61 $472.85 $532.43 $744.07 $1,130.68 |
$735.32 $791.56 $851.14 $1,062.78 |
$1,054.03 $1,110.27 $1,169.85 $1,381.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.22 $945.70 $1,064.86 $1,488.14 $2,261.36 |
$1,151.93 $1,264.41 $1,383.57 $1,806.85 |
$1,470.64 $1,583.12 $1,702.28 $2,125.56 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$579.01 $657.17 $739.97 $1,034.11 $1,571.43 |
$1,021.95 $1,100.11 $1,182.91 $1,477.05 |
$1,464.89 $1,543.05 $1,625.85 $1,919.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,158.02 $1,314.34 $1,479.94 $2,068.22 $3,142.86 |
$1,600.96 $1,757.28 $1,922.88 $2,511.16 |
$2,043.90 $2,200.22 $2,365.82 $2,954.10 |
Toc - Plan #49 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.94 $666.18 $750.11 $1,048.27 $1,592.96 |
$1,035.95 $1,115.19 $1,199.12 $1,497.28 |
$1,484.96 $1,564.20 $1,648.13 $1,946.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,173.88 $1,332.36 $1,500.22 $2,096.54 $3,185.92 |
$1,622.89 $1,781.37 $1,949.23 $2,545.55 |
$2,071.90 $2,230.38 $2,398.24 $2,994.56 |
Toc - Plan #50 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$584.52 $663.43 $747.02 $1,043.95 $1,586.38 |
$1,031.68 $1,110.59 $1,194.18 $1,491.11 |
$1,478.84 $1,557.75 $1,641.34 $1,938.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,169.04 $1,326.86 $1,494.04 $2,087.90 $3,172.76 |
$1,616.20 $1,774.02 $1,941.20 $2,535.06 |
$2,063.36 $2,221.18 $2,388.36 $2,982.22 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value $4,000 Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$545.92 $619.62 $697.69 $975.02 $1,481.64 |
$963.55 $1,037.25 $1,115.32 $1,392.65 |
$1,381.18 $1,454.88 $1,532.95 $1,810.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,091.84 $1,239.24 $1,395.38 $1,950.04 $2,963.28 |
$1,509.47 $1,656.87 $1,813.01 $2,367.67 |
$1,927.10 $2,074.50 $2,230.64 $2,785.30 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value $3,350 Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$544.68 $618.22 $696.11 $972.81 $1,478.27 |
$961.36 $1,034.90 $1,112.79 $1,389.49 |
$1,378.04 $1,451.58 $1,529.47 $1,806.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,089.36 $1,236.44 $1,392.22 $1,945.62 $2,956.54 |
$1,506.04 $1,653.12 $1,808.90 $2,362.30 |
$1,922.72 $2,069.80 $2,225.58 $2,778.98 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$536.28 $608.68 $685.36 $957.79 $1,455.46 |
$946.53 $1,018.93 $1,095.61 $1,368.04 |
$1,356.78 $1,429.18 $1,505.86 $1,778.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,072.56 $1,217.36 $1,370.72 $1,915.58 $2,910.92 |
$1,482.81 $1,627.61 $1,780.97 $2,325.83 |
$1,893.06 $2,037.86 $2,191.22 $2,736.08 |
Toc - Plan #54 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$550.88 $625.25 $704.03 $983.88 $1,495.10 |
$972.31 $1,046.68 $1,125.46 $1,405.31 |
$1,393.74 $1,468.11 $1,546.89 $1,826.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,101.76 $1,250.50 $1,408.06 $1,967.76 $2,990.20 |
$1,523.19 $1,671.93 $1,829.49 $2,389.19 |
$1,944.62 $2,093.36 $2,250.92 $2,810.62 |
Toc - Plan #55 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$547.43 $621.33 $699.61 $977.70 $1,485.71 |
$966.21 $1,040.11 $1,118.39 $1,396.48 |
$1,384.99 $1,458.89 $1,537.17 $1,815.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,094.86 $1,242.66 $1,399.22 $1,955.40 $2,971.42 |
$1,513.64 $1,661.44 $1,818.00 $2,374.18 |
$1,932.42 $2,080.22 $2,236.78 $2,792.96 |
Toc - Plan #56 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.52 $494.31 $556.59 $777.83 $1,181.99 |
$768.69 $827.48 $889.76 $1,111.00 |
$1,101.86 $1,160.65 $1,222.93 $1,444.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$871.04 $988.62 $1,113.18 $1,555.66 $2,363.98 |
$1,204.21 $1,321.79 $1,446.35 $1,888.83 |
$1,537.38 $1,654.96 $1,779.52 $2,222.00 |
Toc - Plan #57 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Standard $9,100 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-268-6438
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.74 $462.78 $521.09 $728.22 $1,106.60 |
$719.66 $774.70 $833.01 $1,040.14 |
$1,031.58 $1,086.62 $1,144.93 $1,352.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.48 $925.56 $1,042.18 $1,456.44 $2,213.20 |
$1,127.40 $1,237.48 $1,354.10 $1,768.36 |
$1,439.32 $1,549.40 $1,666.02 $2,080.28 |
ADVERTISEMENT
Blue Cross and Blue Shield of LouisianaLocal: 1-800-392-4087 | Toll Free: 1-800-392-4087 | TTY: 1-800-392-4087 |
Toc - Plan #58 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Silver
(PPO) Blue Max Copay 50/50 $3200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$576.63 $654.48 $736.93 $1,029.86 $1,564.97 |
$1,017.75 $1,095.60 $1,178.05 $1,470.98 |
$1,458.87 $1,536.72 $1,619.17 $1,912.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,153.26 $1,308.96 $1,473.86 $2,059.72 $3,129.94 |
$1,594.38 $1,750.08 $1,914.98 $2,500.84 |
$2,035.50 $2,191.20 $2,356.10 $2,941.96 |
Toc - Plan #59 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Gold
(PPO) Blue Max 90/70 $1500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$644.06 $731.01 $823.11 $1,150.29 $1,747.98 |
$1,136.77 $1,223.72 $1,315.82 $1,643.00 |
$1,629.48 $1,716.43 $1,808.53 $2,135.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,288.12 $1,462.02 $1,646.22 $2,300.58 $3,495.96 |
$1,780.83 $1,954.73 $2,138.93 $2,793.29 |
$2,273.54 $2,447.44 $2,631.64 $3,286.00 |
Toc - Plan #60 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Bronze
(PPO) Blue Max 70/50 $6700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.14 $436.00 $490.93 $686.07 $1,042.56 |
$678.01 $729.87 $784.80 $979.94 |
$971.88 $1,023.74 $1,078.67 $1,273.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.28 $872.00 $981.86 $1,372.14 $2,085.12 |
$1,062.15 $1,165.87 $1,275.73 $1,666.01 |
$1,356.02 $1,459.74 $1,569.60 $1,959.88 |
Toc - Plan #61 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Bronze
(PPO) Blue Max 100/100 $9100 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.23 $424.75 $478.27 $668.37 $1,015.66 |
$660.52 $711.04 $764.56 $954.66 |
$946.81 $997.33 $1,050.85 $1,240.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.46 $849.50 $956.54 $1,336.74 $2,031.32 |
$1,034.75 $1,135.79 $1,242.83 $1,623.03 |
$1,321.04 $1,422.08 $1,529.12 $1,909.32 |
Toc - Plan #62 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Gold
(PPO) Blue Max Copay 75/55 $2000 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$635.72 $721.54 $812.45 $1,135.40 $1,725.34 |
$1,122.05 $1,207.87 $1,298.78 $1,621.73 |
$1,608.38 $1,694.20 $1,785.11 $2,108.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,271.44 $1,443.08 $1,624.90 $2,270.80 $3,450.68 |
$1,757.77 $1,929.41 $2,111.23 $2,757.13 |
$2,244.10 $2,415.74 $2,597.56 $3,243.46 |
Toc - Plan #63 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Silver
(PPO) Blue Max Copay 60/40 $5800 Standardized Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$580.71 $659.11 $742.15 $1,037.15 $1,576.05 |
$1,024.95 $1,103.35 $1,186.39 $1,481.39 |
$1,469.19 $1,547.59 $1,630.63 $1,925.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,161.42 $1,318.22 $1,484.30 $2,074.30 $3,152.10 |
$1,605.66 $1,762.46 $1,928.54 $2,518.54 |
$2,049.90 $2,206.70 $2,372.78 $2,962.78 |
Toc - Plan #64 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Silver
(PPO) Blue Saver 90/70 $3200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$581.48 $659.98 $743.13 $1,038.52 $1,578.14 |
$1,026.31 $1,104.81 $1,187.96 $1,483.35 |
$1,471.14 $1,549.64 $1,632.79 $1,928.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,162.96 $1,319.96 $1,486.26 $2,077.04 $3,156.28 |
$1,607.79 $1,764.79 $1,931.09 $2,521.87 |
$2,052.62 $2,209.62 $2,375.92 $2,966.70 |
Toc - Plan #65 Blue Cross and Blue Shield of Louisiana | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Saver 60/40 $6100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-392-4087
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.24 $514.43 $579.24 $809.49 $1,230.09 |
$799.97 $861.16 $925.97 $1,156.22 |
$1,146.70 $1,207.89 $1,272.70 $1,502.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.48 $1,028.86 $1,158.48 $1,618.98 $2,460.18 |
$1,253.21 $1,375.59 $1,505.21 $1,965.71 |
$1,599.94 $1,722.32 $1,851.94 $2,312.44 |
‡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 St John The Baptist Parish here.
St John The Baptist Parish is in “Rating Area 1” of Louisiana.
Currently, there are 65 plans offered in Rating Area 1.