Obamacare 2023 Rates for Clay County
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Obamacare > Rates > Missouri > Clay County
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Blue Cross and Blue Shield of Kansas CityLocal: 1-816-395-3558 | Toll Free: 1-888-800-4478 |
Toc - Plan #1 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 BlueSelect Plus EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$472.93 $536.78 $604.41 $844.65 $1,283.53 |
$834.72 $898.57 $966.20 $1,206.44 |
$1,196.51 $1,260.36 $1,327.99 $1,568.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945.86 $1,073.56 $1,208.82 $1,689.30 $2,567.06 |
$1,307.65 $1,435.35 $1,570.61 $2,051.09 |
$1,669.44 $1,797.14 $1,932.40 $2,412.88 |
Toc - Plan #2 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect Plus EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$624.06 $708.30 $797.54 $1,114.57 $1,693.69 |
$1,101.46 $1,185.70 $1,274.94 $1,591.97 |
$1,578.86 $1,663.10 $1,752.34 $2,069.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,248.12 $1,416.60 $1,595.08 $2,229.14 $3,387.38 |
$1,725.52 $1,894.00 $2,072.48 $2,706.54 |
$2,202.92 $2,371.40 $2,549.88 $3,183.94 |
Toc - Plan #3 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$506.25 $574.60 $646.99 $904.17 $1,373.97 |
$893.53 $961.88 $1,034.27 $1,291.45 |
$1,280.81 $1,349.16 $1,421.55 $1,678.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,012.50 $1,149.20 $1,293.98 $1,808.34 $2,747.94 |
$1,399.78 $1,536.48 $1,681.26 $2,195.62 |
$1,787.06 $1,923.76 $2,068.54 $2,582.90 |
Toc - Plan #4 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 5000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$542.26 $615.47 $693.01 $968.48 $1,471.70 |
$957.09 $1,030.30 $1,107.84 $1,383.31 |
$1,371.92 $1,445.13 $1,522.67 $1,798.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,084.52 $1,230.94 $1,386.02 $1,936.96 $2,943.40 |
$1,499.35 $1,645.77 $1,800.85 $2,351.79 |
$1,914.18 $2,060.60 $2,215.68 $2,766.62 |
Toc - Plan #5 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 7000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$411.48 $467.03 $525.87 $734.90 $1,116.75 |
$726.26 $781.81 $840.65 $1,049.68 |
$1,041.04 $1,096.59 $1,155.43 $1,364.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$822.96 $934.06 $1,051.74 $1,469.80 $2,233.50 |
$1,137.74 $1,248.84 $1,366.52 $1,784.58 |
$1,452.52 $1,563.62 $1,681.30 $2,099.36 |
Toc - Plan #6 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Gold
(EPO) Blue KC Standard Gold 2000 with broad Preferred-Care Blue EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$735.19 $834.44 $939.57 $1,313.05 $1,995.31 |
$1,297.61 $1,396.86 $1,501.99 $1,875.47 |
$1,860.03 $1,959.28 $2,064.41 $2,437.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,470.38 $1,668.88 $1,879.14 $2,626.10 $3,990.62 |
$2,032.80 $2,231.30 $2,441.56 $3,188.52 |
$2,595.22 $2,793.72 $3,003.98 $3,750.94 |
Toc - Plan #7 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 8700 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$402.93 $457.33 $514.95 $719.63 $1,093.55 |
$711.17 $765.57 $823.19 $1,027.87 |
$1,019.41 $1,073.81 $1,131.43 $1,336.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$805.86 $914.66 $1,029.90 $1,439.26 $2,187.10 |
$1,114.10 $1,222.90 $1,338.14 $1,747.50 |
$1,422.34 $1,531.14 $1,646.38 $2,055.74 |
Toc - Plan #8 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 6000 BlueSelect EPO with Spira Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$540.23 $613.16 $690.41 $964.84 $1,466.17 |
$953.50 $1,026.43 $1,103.68 $1,378.11 |
$1,366.77 $1,439.70 $1,516.95 $1,791.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,080.46 $1,226.32 $1,380.82 $1,929.68 $2,932.34 |
$1,493.73 $1,639.59 $1,794.09 $2,342.95 |
$1,907.00 $2,052.86 $2,207.36 $2,756.22 |
Toc - Plan #9 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze 6500 with BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$437.24 $496.26 $558.79 $780.90 $1,186.66 |
$771.73 $830.75 $893.28 $1,115.39 |
$1,106.22 $1,165.24 $1,227.77 $1,449.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$874.48 $992.52 $1,117.58 $1,561.80 $2,373.32 |
$1,208.97 $1,327.01 $1,452.07 $1,896.29 |
$1,543.46 $1,661.50 $1,786.56 $2,230.78 |
Toc - Plan #10 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Standard Bronze 7500 BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$405.73 $460.50 $518.52 $724.63 $1,101.15 |
$716.11 $770.88 $828.90 $1,035.01 |
$1,026.49 $1,081.26 $1,139.28 $1,345.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$811.46 $921.00 $1,037.04 $1,449.26 $2,202.30 |
$1,121.84 $1,231.38 $1,347.42 $1,759.64 |
$1,432.22 $1,541.76 $1,657.80 $2,070.02 |
Toc - Plan #11 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Standard Silver 5800 BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$552.27 $626.83 $705.80 $986.35 $1,498.86 |
$974.76 $1,049.32 $1,128.29 $1,408.84 |
$1,397.25 $1,471.81 $1,550.78 $1,831.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,104.54 $1,253.66 $1,411.60 $1,972.70 $2,997.72 |
$1,527.03 $1,676.15 $1,834.09 $2,395.19 |
$1,949.52 $2,098.64 $2,256.58 $2,817.68 |
Toc - Plan #12 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Catastrophic
(EPO) Blue KC Catastrophic BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$335.16 $380.41 $428.34 $598.60 $909.64 |
$591.56 $636.81 $684.74 $855.00 |
$847.96 $893.21 $941.14 $1,111.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.32 $760.82 $856.68 $1,197.20 $1,819.28 |
$926.72 $1,017.22 $1,113.08 $1,453.60 |
$1,183.12 $1,273.62 $1,369.48 $1,710.00 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 | TTY: 1-877-336-3915 |
Toc - Plan #13 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze: Aetna network of doctors & hospitals + Low-cost MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$327.23 $371.41 $418.20 $584.44 $888.11 |
$577.56 $621.74 $668.53 $834.77 |
$827.89 $872.07 $918.86 $1,085.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$654.46 $742.82 $836.40 $1,168.88 $1,776.22 |
$904.79 $993.15 $1,086.73 $1,419.21 |
$1,155.12 $1,243.48 $1,337.06 $1,669.54 |
Toc - Plan #14 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$327.65 $371.88 $418.73 $585.18 $889.23 |
$578.30 $622.53 $669.38 $835.83 |
$828.95 $873.18 $920.03 $1,086.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$655.30 $743.76 $837.46 $1,170.36 $1,778.46 |
$905.95 $994.41 $1,088.11 $1,421.01 |
$1,156.60 $1,245.06 $1,338.76 $1,671.66 |
Toc - Plan #15 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) Gold: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$504.98 $573.16 $645.37 $901.90 $1,370.52 |
$891.29 $959.47 $1,031.68 $1,288.21 |
$1,277.60 $1,345.78 $1,417.99 $1,674.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,009.96 $1,146.32 $1,290.74 $1,803.80 $2,741.04 |
$1,396.27 $1,532.63 $1,677.05 $2,190.11 |
$1,782.58 $1,918.94 $2,063.36 $2,576.42 |
Toc - Plan #16 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 2: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$406.92 $461.85 $520.04 $726.75 $1,104.37 |
$718.21 $773.14 $831.33 $1,038.04 |
$1,029.50 $1,084.43 $1,142.62 $1,349.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$813.84 $923.70 $1,040.08 $1,453.50 $2,208.74 |
$1,125.13 $1,234.99 $1,351.37 $1,764.79 |
$1,436.42 $1,546.28 $1,662.66 $2,076.08 |
Toc - Plan #17 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 1: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$409.26 $464.51 $523.03 $730.94 $1,110.73 |
$722.34 $777.59 $836.11 $1,044.02 |
$1,035.42 $1,090.67 $1,149.19 $1,357.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$818.52 $929.02 $1,046.06 $1,461.88 $2,221.46 |
$1,131.60 $1,242.10 $1,359.14 $1,774.96 |
$1,444.68 $1,555.18 $1,672.22 $2,088.04 |
Toc - Plan #18 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$316.87 $359.65 $404.96 $565.93 $859.98 |
$559.28 $602.06 $647.37 $808.34 |
$801.69 $844.47 $889.78 $1,050.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$633.74 $719.30 $809.92 $1,131.86 $1,719.96 |
$876.15 $961.71 $1,052.33 $1,374.27 |
$1,118.56 $1,204.12 $1,294.74 $1,616.68 |
Toc - Plan #19 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$460.80 $523.01 $588.90 $822.99 $1,250.61 |
$813.31 $875.52 $941.41 $1,175.50 |
$1,165.82 $1,228.03 $1,293.92 $1,528.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$921.60 $1,046.02 $1,177.80 $1,645.98 $2,501.22 |
$1,274.11 $1,398.53 $1,530.31 $1,998.49 |
$1,626.62 $1,751.04 $1,882.82 $2,351.00 |
Toc - Plan #20 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$387.31 $439.60 $494.98 $691.73 $1,051.16 |
$683.60 $735.89 $791.27 $988.02 |
$979.89 $1,032.18 $1,087.56 $1,284.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.62 $879.20 $989.96 $1,383.46 $2,102.32 |
$1,070.91 $1,175.49 $1,286.25 $1,679.75 |
$1,367.20 $1,471.78 $1,582.54 $1,976.04 |
Toc - Plan #21 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 Telehealth 24/7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$379.74 $431.00 $485.30 $678.21 $1,030.60 |
$670.24 $721.50 $775.80 $968.71 |
$960.74 $1,012.00 $1,066.30 $1,259.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.48 $862.00 $970.60 $1,356.42 $2,061.20 |
$1,049.98 $1,152.50 $1,261.10 $1,646.92 |
$1,340.48 $1,443.00 $1,551.60 $1,937.42 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #22 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.49 $509.03 $573.16 $800.99 $1,217.18 |
$791.58 $852.12 $916.25 $1,144.08 |
$1,134.67 $1,195.21 $1,259.34 $1,487.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$896.98 $1,018.06 $1,146.32 $1,601.98 $2,434.36 |
$1,240.07 $1,361.15 $1,489.41 $1,945.07 |
$1,583.16 $1,704.24 $1,832.50 $2,288.16 |
Toc - Plan #23 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Select by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.52 $300.22 $338.05 $472.42 $717.89 |
$466.87 $502.57 $540.40 $674.77 |
$669.22 $704.92 $742.75 $877.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$529.04 $600.44 $676.10 $944.84 $1,435.78 |
$731.39 $802.79 $878.45 $1,147.19 |
$933.74 $1,005.14 $1,080.80 $1,349.54 |
Toc - Plan #24 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.82 $433.35 $487.95 $681.91 $1,036.22 |
$673.90 $725.43 $780.03 $973.99 |
$965.98 $1,017.51 $1,072.11 $1,266.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.64 $866.70 $975.90 $1,363.82 $2,072.44 |
$1,055.72 $1,158.78 $1,267.98 $1,655.90 |
$1,347.80 $1,450.86 $1,560.06 $1,947.98 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.96 $421.03 $474.07 $662.51 $1,006.76 |
$654.74 $704.81 $757.85 $946.29 |
$938.52 $988.59 $1,041.63 $1,230.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$741.92 $842.06 $948.14 $1,325.02 $2,013.52 |
$1,025.70 $1,125.84 $1,231.92 $1,608.80 |
$1,309.48 $1,409.62 $1,515.70 $1,892.58 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$553.50 $628.21 $707.36 $988.54 $1,502.18 |
$976.92 $1,051.63 $1,130.78 $1,411.96 |
$1,400.34 $1,475.05 $1,554.20 $1,835.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,107.00 $1,256.42 $1,414.72 $1,977.08 $3,004.36 |
$1,530.42 $1,679.84 $1,838.14 $2,400.50 |
$1,953.84 $2,103.26 $2,261.56 $2,823.92 |
Toc - Plan #27 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.28 $422.53 $475.77 $664.88 $1,010.35 |
$657.07 $707.32 $760.56 $949.67 |
$941.86 $992.11 $1,045.35 $1,234.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.56 $845.06 $951.54 $1,329.76 $2,020.70 |
$1,029.35 $1,129.85 $1,236.33 $1,614.55 |
$1,314.14 $1,414.64 $1,521.12 $1,899.34 |
Toc - Plan #28 Medica | ||||||||||||||||||||
Gold
(EPO) Select by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.43 $597.49 $672.77 $940.19 $1,428.72 |
$929.14 $1,000.20 $1,075.48 $1,342.90 |
$1,331.85 $1,402.91 $1,478.19 $1,745.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,052.86 $1,194.98 $1,345.54 $1,880.38 $2,857.44 |
$1,455.57 $1,597.69 $1,748.25 $2,283.09 |
$1,858.28 $2,000.40 $2,150.96 $2,685.80 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Silver
(EPO) Select by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.84 $568.45 $640.07 $894.49 $1,359.27 |
$883.98 $951.59 $1,023.21 $1,277.63 |
$1,267.12 $1,334.73 $1,406.35 $1,660.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,001.68 $1,136.90 $1,280.14 $1,788.98 $2,718.54 |
$1,384.82 $1,520.04 $1,663.28 $2,172.12 |
$1,767.96 $1,903.18 $2,046.42 $2,555.26 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Bronze
(EPO) Select by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.63 $404.77 $455.77 $636.93 $967.88 |
$629.45 $677.59 $728.59 $909.75 |
$902.27 $950.41 $1,001.41 $1,182.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.26 $809.54 $911.54 $1,273.86 $1,935.76 |
$986.08 $1,082.36 $1,184.36 $1,546.68 |
$1,258.90 $1,355.18 $1,457.18 $1,819.50 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #31 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.43 $355.74 $400.55 $559.77 $850.63 |
$553.20 $595.51 $640.32 $799.54 |
$792.97 $835.28 $880.09 $1,039.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.86 $711.48 $801.10 $1,119.54 $1,701.26 |
$866.63 $951.25 $1,040.87 $1,359.31 |
$1,106.40 $1,191.02 $1,280.64 $1,599.08 |
Toc - Plan #32 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- $0 Ded+PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.07 $406.40 $457.61 $639.50 $971.79 |
$631.99 $680.32 $731.53 $913.42 |
$905.91 $954.24 $1,005.45 $1,187.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.14 $812.80 $915.22 $1,279.00 $1,943.58 |
$990.06 $1,086.72 $1,189.14 $1,552.92 |
$1,263.98 $1,360.64 $1,463.06 $1,826.84 |
Toc - Plan #33 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.80 $445.81 $501.98 $701.52 $1,066.02 |
$693.28 $746.29 $802.46 $1,002.00 |
$993.76 $1,046.77 $1,102.94 $1,302.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.60 $891.62 $1,003.96 $1,403.04 $2,132.04 |
$1,086.08 $1,192.10 $1,304.44 $1,703.52 |
$1,386.56 $1,492.58 $1,604.92 $2,004.00 |
Toc - Plan #34 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.22 $439.48 $494.85 $691.55 $1,050.88 |
$683.43 $735.69 $791.06 $987.76 |
$979.64 $1,031.90 $1,087.27 $1,283.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.44 $878.96 $989.70 $1,383.10 $2,101.76 |
$1,070.65 $1,175.17 $1,285.91 $1,679.31 |
$1,366.86 $1,471.38 $1,582.12 $1,975.52 |
Toc - Plan #35 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.59 $295.76 $333.02 $465.40 $707.22 |
$459.93 $495.10 $532.36 $664.74 |
$659.27 $694.44 $731.70 $864.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$521.18 $591.52 $666.04 $930.80 $1,414.44 |
$720.52 $790.86 $865.38 $1,130.14 |
$919.86 $990.20 $1,064.72 $1,329.48 |
Toc - Plan #36 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.10 $379.19 $426.97 $596.69 $906.72 |
$589.68 $634.77 $682.55 $852.27 |
$845.26 $890.35 $938.13 $1,107.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.20 $758.38 $853.94 $1,193.38 $1,813.44 |
$923.78 $1,013.96 $1,109.52 $1,448.96 |
$1,179.36 $1,269.54 $1,365.10 $1,704.54 |
Toc - Plan #37 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.14 $379.24 $427.02 $596.76 $906.84 |
$589.75 $634.85 $682.63 $852.37 |
$845.36 $890.46 $938.24 $1,107.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.28 $758.48 $854.04 $1,193.52 $1,813.68 |
$923.89 $1,014.09 $1,109.65 $1,449.13 |
$1,179.50 $1,269.70 $1,365.26 $1,704.74 |
Toc - Plan #38 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- $4700 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.28 $386.20 $434.86 $607.72 $923.49 |
$600.59 $646.51 $695.17 $868.03 |
$860.90 $906.82 $955.48 $1,128.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.56 $772.40 $869.72 $1,215.44 $1,846.98 |
$940.87 $1,032.71 $1,130.03 $1,475.75 |
$1,201.18 $1,293.02 $1,390.34 $1,736.06 |
Toc - Plan #39 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.08 $427.97 $481.90 $673.45 $1,023.37 |
$665.54 $716.43 $770.36 $961.91 |
$954.00 $1,004.89 $1,058.82 $1,250.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.16 $855.94 $963.80 $1,346.90 $2,046.74 |
$1,042.62 $1,144.40 $1,252.26 $1,635.36 |
$1,331.08 $1,432.86 $1,540.72 $1,923.82 |
Toc - Plan #40 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite- $0 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.01 $450.60 $507.37 $709.05 $1,077.46 |
$700.72 $754.31 $811.08 $1,012.76 |
$1,004.43 $1,058.02 $1,114.79 $1,316.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.02 $901.20 $1,014.74 $1,418.10 $2,154.92 |
$1,097.73 $1,204.91 $1,318.45 $1,721.81 |
$1,401.44 $1,508.62 $1,622.16 $2,025.52 |
Toc - Plan #41 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.80 $441.28 $496.87 $694.38 $1,055.18 |
$686.22 $738.70 $794.29 $991.80 |
$983.64 $1,036.12 $1,091.71 $1,289.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.60 $882.56 $993.74 $1,388.76 $2,110.36 |
$1,075.02 $1,179.98 $1,291.16 $1,686.18 |
$1,372.44 $1,477.40 $1,588.58 $1,983.60 |
Toc - Plan #42 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.14 $376.96 $424.46 $593.18 $901.39 |
$586.22 $631.04 $678.54 $847.26 |
$840.30 $885.12 $932.62 $1,101.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.28 $753.92 $848.92 $1,186.36 $1,802.78 |
$918.36 $1,008.00 $1,103.00 $1,440.44 |
$1,172.44 $1,262.08 $1,357.08 $1,694.52 |
Toc - Plan #43 Oscar Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.11 $338.34 $380.97 $532.40 $809.04 |
$526.15 $566.38 $609.01 $760.44 |
$754.19 $794.42 $837.05 $988.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596.22 $676.68 $761.94 $1,064.80 $1,618.08 |
$824.26 $904.72 $989.98 $1,292.84 |
$1,052.30 $1,132.76 $1,218.02 $1,520.88 |
Toc - Plan #44 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.71 $432.09 $486.53 $679.93 $1,033.21 |
$671.94 $723.32 $777.76 $971.16 |
$963.17 $1,014.55 $1,068.99 $1,262.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.42 $864.18 $973.06 $1,359.86 $2,066.42 |
$1,052.65 $1,155.41 $1,264.29 $1,651.09 |
$1,343.88 $1,446.64 $1,555.52 $1,942.32 |
Toc - Plan #45 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.63 $505.78 $569.50 $795.88 $1,209.42 |
$786.53 $846.68 $910.40 $1,136.78 |
$1,127.43 $1,187.58 $1,251.30 $1,477.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.26 $1,011.56 $1,139.00 $1,591.76 $2,418.84 |
$1,232.16 $1,352.46 $1,479.90 $1,932.66 |
$1,573.06 $1,693.36 $1,820.80 $2,273.56 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #46 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.04 $536.90 $604.54 $844.84 $1,283.82 |
$834.91 $898.77 $966.41 $1,206.71 |
$1,196.78 $1,260.64 $1,328.28 $1,568.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$946.08 $1,073.80 $1,209.08 $1,689.68 $2,567.64 |
$1,307.95 $1,435.67 $1,570.95 $2,051.55 |
$1,669.82 $1,797.54 $1,932.82 $2,413.42 |
Toc - Plan #47 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.08 $591.43 $665.94 $930.65 $1,414.22 |
$919.71 $990.06 $1,064.57 $1,329.28 |
$1,318.34 $1,388.69 $1,463.20 $1,727.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.16 $1,182.86 $1,331.88 $1,861.30 $2,828.44 |
$1,440.79 $1,581.49 $1,730.51 $2,259.93 |
$1,839.42 $1,980.12 $2,129.14 $2,658.56 |
Toc - Plan #48 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 2800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.29 $595.07 $670.05 $936.39 $1,422.94 |
$925.38 $996.16 $1,071.14 $1,337.48 |
$1,326.47 $1,397.25 $1,472.23 $1,738.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,048.58 $1,190.14 $1,340.10 $1,872.78 $2,845.88 |
$1,449.67 $1,591.23 $1,741.19 $2,273.87 |
$1,850.76 $1,992.32 $2,142.28 $2,674.96 |
Toc - Plan #49 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$742.11 $842.30 $948.42 $1,325.41 $2,014.09 |
$1,309.82 $1,410.01 $1,516.13 $1,893.12 |
$1,877.53 $1,977.72 $2,083.84 $2,460.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,484.22 $1,684.60 $1,896.84 $2,650.82 $4,028.18 |
$2,051.93 $2,252.31 $2,464.55 $3,218.53 |
$2,619.64 $2,820.02 $3,032.26 $3,786.24 |
Toc - Plan #50 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7150 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$478.14 $542.69 $611.06 $853.95 $1,297.66 |
$843.91 $908.46 $976.83 $1,219.72 |
$1,209.68 $1,274.23 $1,342.60 $1,585.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.28 $1,085.38 $1,222.12 $1,707.90 $2,595.32 |
$1,322.05 $1,451.15 $1,587.89 $2,073.67 |
$1,687.82 $1,816.92 $1,953.66 $2,439.44 |
Toc - Plan #51 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 6100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$522.47 $593.00 $667.71 $933.13 $1,417.98 |
$922.16 $992.69 $1,067.40 $1,332.82 |
$1,321.85 $1,392.38 $1,467.09 $1,732.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.94 $1,186.00 $1,335.42 $1,866.26 $2,835.96 |
$1,444.63 $1,585.69 $1,735.11 $2,265.95 |
$1,844.32 $1,985.38 $2,134.80 $2,665.64 |
Toc - Plan #52 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.43 $596.36 $671.50 $938.41 $1,426.01 |
$927.38 $998.31 $1,073.45 $1,340.36 |
$1,329.33 $1,400.26 $1,475.40 $1,742.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,050.86 $1,192.72 $1,343.00 $1,876.82 $2,852.02 |
$1,452.81 $1,594.67 $1,744.95 $2,278.77 |
$1,854.76 $1,996.62 $2,146.90 $2,680.72 |
Toc - Plan #53 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$475.74 $539.97 $608.00 $849.68 $1,291.17 |
$839.68 $903.91 $971.94 $1,213.62 |
$1,203.62 $1,267.85 $1,335.88 $1,577.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$951.48 $1,079.94 $1,216.00 $1,699.36 $2,582.34 |
$1,315.42 $1,443.88 $1,579.94 $2,063.30 |
$1,679.36 $1,807.82 $1,943.88 $2,427.24 |
Toc - Plan #54 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect HSA 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$476.25 $540.54 $608.64 $850.58 $1,292.54 |
$840.58 $904.87 $972.97 $1,214.91 |
$1,204.91 $1,269.20 $1,337.30 $1,579.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$952.50 $1,081.08 $1,217.28 $1,701.16 $2,585.08 |
$1,316.83 $1,445.41 $1,581.61 $2,065.49 |
$1,681.16 $1,809.74 $1,945.94 $2,429.82 |
Toc - Plan #55 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$523.41 $594.07 $668.92 $934.82 $1,420.54 |
$923.82 $994.48 $1,069.33 $1,335.23 |
$1,324.23 $1,394.89 $1,469.74 $1,735.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,046.82 $1,188.14 $1,337.84 $1,869.64 $2,841.08 |
$1,447.23 $1,588.55 $1,738.25 $2,270.05 |
$1,847.64 $1,988.96 $2,138.66 $2,670.46 |
Toc - Plan #56 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$526.81 $597.93 $673.27 $940.89 $1,429.77 |
$929.82 $1,000.94 $1,076.28 $1,343.90 |
$1,332.83 $1,403.95 $1,479.29 $1,746.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,053.62 $1,195.86 $1,346.54 $1,881.78 $2,859.54 |
$1,456.63 $1,598.87 $1,749.55 $2,284.79 |
$1,859.64 $2,001.88 $2,152.56 $2,687.80 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Simple Choice 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.64 $514.88 $579.75 $810.20 $1,231.18 |
$800.68 $861.92 $926.79 $1,157.24 |
$1,147.72 $1,208.96 $1,273.83 $1,504.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.28 $1,029.76 $1,159.50 $1,620.40 $2,462.36 |
$1,254.32 $1,376.80 $1,506.54 $1,967.44 |
$1,601.36 $1,723.84 $1,853.58 $2,314.48 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Simple Choice 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.02 $591.36 $665.86 $930.54 $1,414.05 |
$919.60 $989.94 $1,064.44 $1,329.12 |
$1,318.18 $1,388.52 $1,463.02 $1,727.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.04 $1,182.72 $1,331.72 $1,861.08 $2,828.10 |
$1,440.62 $1,581.30 $1,730.30 $2,259.66 |
$1,839.20 $1,979.88 $2,128.88 $2,658.24 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Simple Choice 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$739.40 $839.22 $944.96 $1,320.57 $2,006.74 |
$1,305.04 $1,404.86 $1,510.60 $1,886.21 |
$1,870.68 $1,970.50 $2,076.24 $2,451.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,478.80 $1,678.44 $1,889.92 $2,641.14 $4,013.48 |
$2,044.44 $2,244.08 $2,455.56 $3,206.78 |
$2,610.08 $2,809.72 $3,021.20 $3,772.42 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-632-4195 | Toll Free: 1-877-632-4195 | TTY: 1-877-940-4172 |
Toc - Plan #60 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Value (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.27 $471.33 $530.72 $741.68 $1,127.05 |
$732.95 $789.01 $848.40 $1,059.36 |
$1,050.63 $1,106.69 $1,166.08 $1,377.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.54 $942.66 $1,061.44 $1,483.36 $2,254.10 |
$1,148.22 $1,260.34 $1,379.12 $1,801.04 |
$1,465.90 $1,578.02 $1,696.80 $2,118.72 |
Toc - Plan #61 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.14 $496.15 $558.66 $780.73 $1,186.39 |
$771.55 $830.56 $893.07 $1,115.14 |
$1,105.96 $1,164.97 $1,227.48 $1,449.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.28 $992.30 $1,117.32 $1,561.46 $2,372.78 |
$1,208.69 $1,326.71 $1,451.73 $1,895.87 |
$1,543.10 $1,661.12 $1,786.14 $2,230.28 |
Toc - Plan #62 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value $4,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.62 $437.68 $492.82 $688.72 $1,046.57 |
$680.62 $732.68 $787.82 $983.72 |
$975.62 $1,027.68 $1,082.82 $1,278.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.24 $875.36 $985.64 $1,377.44 $2,093.14 |
$1,066.24 $1,170.36 $1,280.64 $1,672.44 |
$1,361.24 $1,465.36 $1,575.64 $1,967.44 |
Toc - Plan #63 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.31 $432.79 $487.32 $681.03 $1,034.89 |
$673.02 $724.50 $779.03 $972.74 |
$964.73 $1,016.21 $1,070.74 $1,264.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.62 $865.58 $974.64 $1,362.06 $2,069.78 |
$1,054.33 $1,157.29 $1,266.35 $1,653.77 |
$1,346.04 $1,449.00 $1,558.06 $1,945.48 |
Toc - Plan #64 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.48 $451.14 $507.98 $709.90 $1,078.76 |
$701.55 $755.21 $812.05 $1,013.97 |
$1,005.62 $1,059.28 $1,116.12 $1,318.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.96 $902.28 $1,015.96 $1,419.80 $2,157.52 |
$1,099.03 $1,206.35 $1,320.03 $1,723.87 |
$1,403.10 $1,510.42 $1,624.10 $2,027.94 |
Toc - Plan #65 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage $0 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.88 $443.65 $499.55 $698.11 $1,060.85 |
$689.90 $742.67 $798.57 $997.13 |
$988.92 $1,041.69 $1,097.59 $1,296.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.76 $887.30 $999.10 $1,396.22 $2,121.70 |
$1,080.78 $1,186.32 $1,298.12 $1,695.24 |
$1,379.80 $1,485.34 $1,597.14 $1,994.26 |
Toc - Plan #66 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value HSA $5,400 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.67 $441.13 $496.71 $694.16 $1,054.84 |
$686.00 $738.46 $794.04 $991.49 |
$983.33 $1,035.79 $1,091.37 $1,288.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.34 $882.26 $993.42 $1,388.32 $2,109.68 |
$1,074.67 $1,179.59 $1,290.75 $1,685.65 |
$1,372.00 $1,476.92 $1,588.08 $1,982.98 |
Toc - Plan #67 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.61 $439.93 $495.36 $692.27 $1,051.96 |
$684.13 $736.45 $791.88 $988.79 |
$980.65 $1,032.97 $1,088.40 $1,285.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.22 $879.86 $990.72 $1,384.54 $2,103.92 |
$1,071.74 $1,176.38 $1,287.24 $1,681.06 |
$1,368.26 $1,472.90 $1,583.76 $1,977.58 |
Toc - Plan #68 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.33 $482.75 $543.57 $759.64 $1,154.34 |
$750.71 $808.13 $868.95 $1,085.02 |
$1,076.09 $1,133.51 $1,194.33 $1,410.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$850.66 $965.50 $1,087.14 $1,519.28 $2,308.68 |
$1,176.04 $1,290.88 $1,412.52 $1,844.66 |
$1,501.42 $1,616.26 $1,737.90 $2,170.04 |
Toc - Plan #69 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Essential ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.13 $362.21 $407.84 $569.96 $866.11 |
$563.26 $606.34 $651.97 $814.09 |
$807.39 $850.47 $896.10 $1,058.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.26 $724.42 $815.68 $1,139.92 $1,732.22 |
$882.39 $968.55 $1,059.81 $1,384.05 |
$1,126.52 $1,212.68 $1,303.94 $1,628.18 |
Toc - Plan #70 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value $6,500 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.33 $377.19 $424.71 $593.53 $901.93 |
$586.56 $631.42 $678.94 $847.76 |
$840.79 $885.65 $933.17 $1,101.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.66 $754.38 $849.42 $1,187.06 $1,803.86 |
$918.89 $1,008.61 $1,103.65 $1,441.29 |
$1,173.12 $1,262.84 $1,357.88 $1,695.52 |
Toc - Plan #71 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value HSA $6,700 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.80 $375.46 $422.77 $590.81 $897.80 |
$583.86 $628.52 $675.83 $843.87 |
$836.92 $881.58 $928.89 $1,096.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.60 $750.92 $845.54 $1,181.62 $1,795.60 |
$914.66 $1,003.98 $1,098.60 $1,434.68 |
$1,167.72 $1,257.04 $1,351.66 $1,687.74 |
Toc - Plan #72 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.53 $379.69 $427.53 $597.46 $907.91 |
$590.44 $635.60 $683.44 $853.37 |
$846.35 $891.51 $939.35 $1,109.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.06 $759.38 $855.06 $1,194.92 $1,815.82 |
$924.97 $1,015.29 $1,110.97 $1,450.83 |
$1,180.88 $1,271.20 $1,366.88 $1,706.74 |
Toc - Plan #73 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Standard $9,100 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-632-4195
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.69 $352.64 $397.07 $554.90 $843.23 |
$548.37 $590.32 $634.75 $792.58 |
$786.05 $828.00 $872.43 $1,030.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.38 $705.28 $794.14 $1,109.80 $1,686.46 |
$859.06 $942.96 $1,031.82 $1,347.48 |
$1,096.74 $1,180.64 $1,269.50 $1,585.16 |
ADVERTISEMENT
Ambetter from Home State HealthLocal: 1-855-650-3789 | Toll Free: 1-855-650-3789 | TTY: 1-855-650-3789 |
Toc - Plan #74 Ambetter from Home State Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.64 $372.99 $419.99 $586.93 $891.90 |
$580.04 $624.39 $671.39 $838.33 |
$831.44 $875.79 $922.79 $1,089.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$657.28 $745.98 $839.98 $1,173.86 $1,783.80 |
$908.68 $997.38 $1,091.38 $1,425.26 |
$1,160.08 $1,248.78 $1,342.78 $1,676.66 |
Toc - Plan #75 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.63 $432.01 $486.44 $679.79 $1,033.01 |
$671.81 $723.19 $777.62 $970.97 |
$962.99 $1,014.37 $1,068.80 $1,262.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.26 $864.02 $972.88 $1,359.58 $2,066.02 |
$1,052.44 $1,155.20 $1,264.06 $1,650.76 |
$1,343.62 $1,446.38 $1,555.24 $1,941.94 |
Toc - Plan #76 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.22 $430.41 $484.64 $677.28 $1,029.19 |
$669.32 $720.51 $774.74 $967.38 |
$959.42 $1,010.61 $1,064.84 $1,257.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.44 $860.82 $969.28 $1,354.56 $2,058.38 |
$1,048.54 $1,150.92 $1,259.38 $1,644.66 |
$1,338.64 $1,441.02 $1,549.48 $1,934.76 |
Toc - Plan #77 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.52 $535.17 $602.60 $842.13 $1,279.69 |
$832.23 $895.88 $963.31 $1,202.84 |
$1,192.94 $1,256.59 $1,324.02 $1,563.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$943.04 $1,070.34 $1,205.20 $1,684.26 $2,559.38 |
$1,303.75 $1,431.05 $1,565.91 $2,044.97 |
$1,664.46 $1,791.76 $1,926.62 $2,405.68 |
Toc - Plan #78 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.85 $403.88 $454.77 $635.54 $965.76 |
$628.07 $676.10 $726.99 $907.76 |
$900.29 $948.32 $999.21 $1,179.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.70 $807.76 $909.54 $1,271.08 $1,931.52 |
$983.92 $1,079.98 $1,181.76 $1,543.30 |
$1,256.14 $1,352.20 $1,453.98 $1,815.52 |
Toc - Plan #79 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.22 $409.97 $461.63 $645.12 $980.33 |
$637.55 $686.30 $737.96 $921.45 |
$913.88 $962.63 $1,014.29 $1,197.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.44 $819.94 $923.26 $1,290.24 $1,960.66 |
$998.77 $1,096.27 $1,199.59 $1,566.57 |
$1,275.10 $1,372.60 $1,475.92 $1,842.90 |
Toc - Plan #80 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.56 $452.35 $509.35 $711.81 $1,081.66 |
$703.45 $757.24 $814.24 $1,016.70 |
$1,008.34 $1,062.13 $1,119.13 $1,321.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.12 $904.70 $1,018.70 $1,423.62 $2,163.32 |
$1,102.01 $1,209.59 $1,323.59 $1,728.51 |
$1,406.90 $1,514.48 $1,628.48 $2,033.40 |
Toc - Plan #81 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.97 $416.50 $468.97 $655.39 $995.92 |
$647.69 $697.22 $749.69 $936.11 |
$928.41 $977.94 $1,030.41 $1,216.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.94 $833.00 $937.94 $1,310.78 $1,991.84 |
$1,014.66 $1,113.72 $1,218.66 $1,591.50 |
$1,295.38 $1,394.44 $1,499.38 $1,872.22 |
Toc - Plan #82 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.86 $424.32 $477.78 $667.69 $1,014.62 |
$659.85 $710.31 $763.77 $953.68 |
$945.84 $996.30 $1,049.76 $1,239.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.72 $848.64 $955.56 $1,335.38 $2,029.24 |
$1,033.71 $1,134.63 $1,241.55 $1,621.37 |
$1,319.70 $1,420.62 $1,527.54 $1,907.36 |
Toc - Plan #83 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.62 $512.58 $577.16 $806.57 $1,225.67 |
$797.10 $858.06 $922.64 $1,152.05 |
$1,142.58 $1,203.54 $1,268.12 $1,497.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.24 $1,025.16 $1,154.32 $1,613.14 $2,451.34 |
$1,248.72 $1,370.64 $1,499.80 $1,958.62 |
$1,594.20 $1,716.12 $1,845.28 $2,304.10 |
Toc - Plan #84 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.92 $504.97 $568.59 $794.61 $1,207.48 |
$785.28 $845.33 $908.95 $1,134.97 |
$1,125.64 $1,185.69 $1,249.31 $1,475.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.84 $1,009.94 $1,137.18 $1,589.22 $2,414.96 |
$1,230.20 $1,350.30 $1,477.54 $1,929.58 |
$1,570.56 $1,690.66 $1,817.90 $2,269.94 |
Toc - Plan #85 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.10 $585.76 $659.56 $921.73 $1,400.66 |
$910.91 $980.57 $1,054.37 $1,316.54 |
$1,305.72 $1,375.38 $1,449.18 $1,711.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,032.20 $1,171.52 $1,319.12 $1,843.46 $2,801.32 |
$1,427.01 $1,566.33 $1,713.93 $2,238.27 |
$1,821.82 $1,961.14 $2,108.74 $2,633.08 |
Toc - Plan #86 Ambetter from Home State Health | ||||||||||||||||||||
Bronze
(EPO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.30 $355.58 $400.38 $559.54 $850.27 |
$552.97 $595.25 $640.05 $799.21 |
$792.64 $834.92 $879.72 $1,038.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.60 $711.16 $800.76 $1,119.08 $1,700.54 |
$866.27 $950.83 $1,040.43 $1,358.75 |
$1,105.94 $1,190.50 $1,280.10 $1,598.42 |
Toc - Plan #87 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.66 $391.18 $440.47 $615.55 $935.39 |
$608.32 $654.84 $704.13 $879.21 |
$871.98 $918.50 $967.79 $1,142.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.32 $782.36 $880.94 $1,231.10 $1,870.78 |
$952.98 $1,046.02 $1,144.60 $1,494.76 |
$1,216.64 $1,309.68 $1,408.26 $1,758.42 |
Toc - Plan #88 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.28 $415.72 $468.10 $654.16 $994.06 |
$646.48 $695.92 $748.30 $934.36 |
$926.68 $976.12 $1,028.50 $1,214.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.56 $831.44 $936.20 $1,308.32 $1,988.12 |
$1,012.76 $1,111.64 $1,216.40 $1,588.52 |
$1,292.96 $1,391.84 $1,496.60 $1,868.72 |
Toc - Plan #89 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.22 $505.32 $568.98 $795.15 $1,208.31 |
$785.81 $845.91 $909.57 $1,135.74 |
$1,126.40 $1,186.50 $1,250.16 $1,476.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$890.44 $1,010.64 $1,137.96 $1,590.30 $2,416.62 |
$1,231.03 $1,351.23 $1,478.55 $1,930.89 |
$1,571.62 $1,691.82 $1,819.14 $2,271.48 |
Toc - Plan #90 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.34 $385.14 $433.66 $606.04 $920.94 |
$598.93 $644.73 $693.25 $865.63 |
$858.52 $904.32 $952.84 $1,125.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.68 $770.28 $867.32 $1,212.08 $1,841.88 |
$938.27 $1,029.87 $1,126.91 $1,471.67 |
$1,197.86 $1,289.46 $1,386.50 $1,731.26 |
Toc - Plan #91 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.44 $417.03 $469.57 $656.23 $997.20 |
$648.52 $698.11 $750.65 $937.31 |
$929.60 $979.19 $1,031.73 $1,218.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.88 $834.06 $939.14 $1,312.46 $1,994.40 |
$1,015.96 $1,115.14 $1,220.22 $1,593.54 |
$1,297.04 $1,396.22 $1,501.30 $1,874.62 |
Toc - Plan #92 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.88 $552.59 $622.21 $869.54 $1,321.35 |
$859.33 $925.04 $994.66 $1,241.99 |
$1,231.78 $1,297.49 $1,367.11 $1,614.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$973.76 $1,105.18 $1,244.42 $1,739.08 $2,642.70 |
$1,346.21 $1,477.63 $1,616.87 $2,111.53 |
$1,718.66 $1,850.08 $1,989.32 $2,483.98 |
Toc - Plan #93 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.57 $444.42 $500.41 $699.33 $1,062.69 |
$691.11 $743.96 $799.95 $998.87 |
$990.65 $1,043.50 $1,099.49 $1,298.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.14 $888.84 $1,000.82 $1,398.66 $2,125.38 |
$1,082.68 $1,188.38 $1,300.36 $1,698.20 |
$1,382.22 $1,487.92 $1,599.90 $1,997.74 |
Toc - Plan #94 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.02 $446.07 $502.27 $701.92 $1,066.64 |
$693.68 $746.73 $802.93 $1,002.58 |
$994.34 $1,047.39 $1,103.59 $1,303.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.04 $892.14 $1,004.54 $1,403.84 $2,133.28 |
$1,086.70 $1,192.80 $1,305.20 $1,704.50 |
$1,387.36 $1,493.46 $1,605.86 $2,005.16 |
Toc - Plan #95 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.98 $423.32 $476.66 $666.12 $1,012.24 |
$658.30 $708.64 $761.98 $951.44 |
$943.62 $993.96 $1,047.30 $1,236.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.96 $846.64 $953.32 $1,332.24 $2,024.48 |
$1,031.28 $1,131.96 $1,238.64 $1,617.56 |
$1,316.60 $1,417.28 $1,523.96 $1,902.88 |
Toc - Plan #96 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.53 $467.08 $525.93 $734.98 $1,116.88 |
$726.35 $781.90 $840.75 $1,049.80 |
$1,041.17 $1,096.72 $1,155.57 $1,364.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.06 $934.16 $1,051.86 $1,469.96 $2,233.76 |
$1,137.88 $1,248.98 $1,366.68 $1,784.78 |
$1,452.70 $1,563.80 $1,681.50 $2,099.60 |
Toc - Plan #97 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.03 $438.13 $493.33 $689.43 $1,047.65 |
$681.33 $733.43 $788.63 $984.73 |
$976.63 $1,028.73 $1,083.93 $1,280.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.06 $876.26 $986.66 $1,378.86 $2,095.30 |
$1,067.36 $1,171.56 $1,281.96 $1,674.16 |
$1,362.66 $1,466.86 $1,577.26 $1,969.46 |
Toc - Plan #98 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.32 $529.26 $595.95 $832.83 $1,265.57 |
$823.05 $885.99 $952.68 $1,189.56 |
$1,179.78 $1,242.72 $1,309.41 $1,546.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.64 $1,058.52 $1,191.90 $1,665.66 $2,531.14 |
$1,289.37 $1,415.25 $1,548.63 $2,022.39 |
$1,646.10 $1,771.98 $1,905.36 $2,379.12 |
Toc - Plan #99 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.91 $430.06 $484.24 $676.72 $1,028.35 |
$668.77 $719.92 $774.10 $966.58 |
$958.63 $1,009.78 $1,063.96 $1,256.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.82 $860.12 $968.48 $1,353.44 $2,056.70 |
$1,047.68 $1,149.98 $1,258.34 $1,643.30 |
$1,337.54 $1,439.84 $1,548.20 $1,933.16 |
Toc - Plan #100 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.40 $521.41 $587.11 $820.48 $1,246.80 |
$810.84 $872.85 $938.55 $1,171.92 |
$1,162.28 $1,224.29 $1,289.99 $1,523.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.80 $1,042.82 $1,174.22 $1,640.96 $2,493.60 |
$1,270.24 $1,394.26 $1,525.66 $1,992.40 |
$1,621.68 $1,745.70 $1,877.10 $2,343.84 |
Toc - Plan #101 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$532.90 $604.83 $681.03 $951.74 $1,446.26 |
$940.56 $1,012.49 $1,088.69 $1,359.40 |
$1,348.22 $1,420.15 $1,496.35 $1,767.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,065.80 $1,209.66 $1,362.06 $1,903.48 $2,892.52 |
$1,473.46 $1,617.32 $1,769.72 $2,311.14 |
$1,881.12 $2,024.98 $2,177.38 $2,718.80 |
‡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 Clay County here.
Clay County is in “Rating Area 3” of Missouri.
Currently, there are 101 plans offered in Rating Area 3.