Obamacare 2023 Rates for Saint Clair County
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Obamacare > Rates > Missouri > Saint Clair 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 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 #2 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Community Silver 6000 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 |
$671.61 $762.28 $858.32 $1,199.49 $1,822.75 |
$1,185.39 $1,276.06 $1,372.10 $1,713.27 |
$1,699.17 $1,789.84 $1,885.88 $2,227.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,343.22 $1,524.56 $1,716.64 $2,398.98 $3,645.50 |
$1,857.00 $2,038.34 $2,230.42 $2,912.76 |
$2,370.78 $2,552.12 $2,744.20 $3,426.54 |
Toc - Plan #3 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC First Bronze 7000 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 |
$527.60 $598.82 $674.27 $942.29 $1,431.90 |
$931.21 $1,002.43 $1,077.88 $1,345.90 |
$1,334.82 $1,406.04 $1,481.49 $1,749.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,055.20 $1,197.64 $1,348.54 $1,884.58 $2,863.80 |
$1,458.81 $1,601.25 $1,752.15 $2,288.19 |
$1,862.42 $2,004.86 $2,155.76 $2,691.80 |
Toc - Plan #4 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 #5 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Standard Silver 5800 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 |
$647.05 $734.40 $826.92 $1,155.62 $1,756.08 |
$1,142.04 $1,229.39 $1,321.91 $1,650.61 |
$1,637.03 $1,724.38 $1,816.90 $2,145.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,294.10 $1,468.80 $1,653.84 $2,311.24 $3,512.16 |
$1,789.09 $1,963.79 $2,148.83 $2,806.23 |
$2,284.08 $2,458.78 $2,643.82 $3,301.22 |
Toc - Plan #6 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Standard Bronze 7500 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 |
$463.12 $525.64 $591.86 $827.13 $1,256.90 |
$817.40 $879.92 $946.14 $1,181.41 |
$1,171.68 $1,234.20 $1,300.42 $1,535.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$926.24 $1,051.28 $1,183.72 $1,654.26 $2,513.80 |
$1,280.52 $1,405.56 $1,538.00 $2,008.54 |
$1,634.80 $1,759.84 $1,892.28 $2,362.82 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #7 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$466.82 $529.82 $596.58 $833.71 $1,266.91 |
$823.93 $886.93 $953.69 $1,190.82 |
$1,181.04 $1,244.04 $1,310.80 $1,547.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$933.64 $1,059.64 $1,193.16 $1,667.42 $2,533.82 |
$1,290.75 $1,416.75 $1,550.27 $2,024.53 |
$1,647.86 $1,773.86 $1,907.38 $2,381.64 |
Toc - Plan #8 Medica | ||||||||||||||||||||
Catastrophic
(EPO) Balance by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$275.33 $312.49 $351.86 $491.72 $747.22 |
$485.95 $523.11 $562.48 $702.34 |
$696.57 $733.73 $773.10 $912.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$550.66 $624.98 $703.72 $983.44 $1,494.44 |
$761.28 $835.60 $914.34 $1,194.06 |
$971.90 $1,046.22 $1,124.96 $1,404.68 |
Toc - Plan #9 Medica | ||||||||||||||||||||
Silver
(EPO) Balance by Medica Silver Share ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$544.39 $617.87 $695.71 $972.26 $1,477.44 |
$960.84 $1,034.32 $1,112.16 $1,388.71 |
$1,377.29 $1,450.77 $1,528.61 $1,805.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,088.78 $1,235.74 $1,391.42 $1,944.52 $2,954.88 |
$1,505.23 $1,652.19 $1,807.87 $2,360.97 |
$1,921.68 $2,068.64 $2,224.32 $2,777.42 |
Toc - Plan #10 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$397.42 $451.05 $507.88 $709.77 $1,078.56 |
$701.43 $755.06 $811.89 $1,013.78 |
$1,005.44 $1,059.07 $1,115.90 $1,317.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$794.84 $902.10 $1,015.76 $1,419.54 $2,157.12 |
$1,098.85 $1,206.11 $1,319.77 $1,723.55 |
$1,402.86 $1,510.12 $1,623.78 $2,027.56 |
Toc - Plan #11 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$386.11 $438.23 $493.44 $689.58 $1,047.89 |
$681.48 $733.60 $788.81 $984.95 |
$976.85 $1,028.97 $1,084.18 $1,280.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$772.22 $876.46 $986.88 $1,379.16 $2,095.78 |
$1,067.59 $1,171.83 $1,282.25 $1,674.53 |
$1,362.96 $1,467.20 $1,577.62 $1,969.90 |
Toc - Plan #12 Medica | ||||||||||||||||||||
Gold
(EPO) Balance by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$576.11 $653.88 $736.26 $1,028.92 $1,563.55 |
$1,016.83 $1,094.60 $1,176.98 $1,469.64 |
$1,457.55 $1,535.32 $1,617.70 $1,910.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,152.22 $1,307.76 $1,472.52 $2,057.84 $3,127.10 |
$1,592.94 $1,748.48 $1,913.24 $2,498.56 |
$2,033.66 $2,189.20 $2,353.96 $2,939.28 |
Toc - Plan #13 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Balance by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$387.49 $439.79 $495.20 $692.05 $1,051.63 |
$683.91 $736.21 $791.62 $988.47 |
$980.33 $1,032.63 $1,088.04 $1,284.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$774.98 $879.58 $990.40 $1,384.10 $2,103.26 |
$1,071.40 $1,176.00 $1,286.82 $1,680.52 |
$1,367.82 $1,472.42 $1,583.24 $1,976.94 |
Toc - Plan #14 Medica | ||||||||||||||||||||
Gold
(EPO) Balance by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$547.94 $621.90 $700.26 $978.60 $1,487.08 |
$967.11 $1,041.07 $1,119.43 $1,397.77 |
$1,386.28 $1,460.24 $1,538.60 $1,816.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,095.88 $1,243.80 $1,400.52 $1,957.20 $2,974.16 |
$1,515.05 $1,662.97 $1,819.69 $2,376.37 |
$1,934.22 $2,082.14 $2,238.86 $2,795.54 |
Toc - Plan #15 Medica | ||||||||||||||||||||
Silver
(EPO) Balance by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$521.31 $591.67 $666.22 $931.03 $1,414.80 |
$920.10 $990.46 $1,065.01 $1,329.82 |
$1,318.89 $1,389.25 $1,463.80 $1,728.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,042.62 $1,183.34 $1,332.44 $1,862.06 $2,829.60 |
$1,441.41 $1,582.13 $1,731.23 $2,260.85 |
$1,840.20 $1,980.92 $2,130.02 $2,659.64 |
Toc - Plan #16 Medica | ||||||||||||||||||||
Bronze
(EPO) Balance by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$371.20 $421.31 $474.39 $662.95 $1,007.42 |
$655.16 $705.27 $758.35 $946.91 |
$939.12 $989.23 $1,042.31 $1,230.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$742.40 $842.62 $948.78 $1,325.90 $2,014.84 |
$1,026.36 $1,126.58 $1,232.74 $1,609.86 |
$1,310.32 $1,410.54 $1,516.70 $1,893.82 |
ADVERTISEMENT
Ambetter from Home State HealthLocal: 1-855-650-3789 | Toll Free: 1-855-650-3789 | TTY: 1-855-650-3789 |
Toc - Plan #17 Ambetter from Home State Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
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 |
$400.01 $453.99 $511.19 $714.39 $1,085.59 |
$706.01 $759.99 $817.19 $1,020.39 |
$1,012.01 $1,065.99 $1,123.19 $1,326.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$800.02 $907.98 $1,022.38 $1,428.78 $2,171.18 |
$1,106.02 $1,213.98 $1,328.38 $1,734.78 |
$1,412.02 $1,519.98 $1,634.38 $2,040.78 |
Toc - Plan #18 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Premier Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
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 |
$463.29 $525.82 $592.07 $827.42 $1,257.34 |
$817.70 $880.23 $946.48 $1,181.83 |
$1,172.11 $1,234.64 $1,300.89 $1,536.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$926.58 $1,051.64 $1,184.14 $1,654.84 $2,514.68 |
$1,280.99 $1,406.05 $1,538.55 $2,009.25 |
$1,635.40 $1,760.46 $1,892.96 $2,363.66 |
Toc - Plan #19 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
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 |
$461.58 $523.88 $589.88 $824.36 $1,252.69 |
$814.68 $876.98 $942.98 $1,177.46 |
$1,167.78 $1,230.08 $1,296.08 $1,530.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$923.16 $1,047.76 $1,179.76 $1,648.72 $2,505.38 |
$1,276.26 $1,400.86 $1,532.86 $2,001.82 |
$1,629.36 $1,753.96 $1,885.96 $2,354.92 |
Toc - Plan #20 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
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 |
$573.92 $651.39 $733.46 $1,025.00 $1,557.59 |
$1,012.96 $1,090.43 $1,172.50 $1,464.04 |
$1,452.00 $1,529.47 $1,611.54 $1,903.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,147.84 $1,302.78 $1,466.92 $2,050.00 $3,115.18 |
$1,586.88 $1,741.82 $1,905.96 $2,489.04 |
$2,025.92 $2,180.86 $2,345.00 $2,928.08 |
Toc - Plan #21 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-650-3789
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 |
$433.13 $491.59 $553.53 $773.55 $1,175.49 |
$764.47 $822.93 $884.87 $1,104.89 |
$1,095.81 $1,154.27 $1,216.21 $1,436.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.26 $983.18 $1,107.06 $1,547.10 $2,350.98 |
$1,197.60 $1,314.52 $1,438.40 $1,878.44 |
$1,528.94 $1,645.86 $1,769.74 $2,209.78 |
Toc - Plan #22 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 |
$439.66 $499.01 $561.88 $785.22 $1,193.22 |
$775.99 $835.34 $898.21 $1,121.55 |
$1,112.32 $1,171.67 $1,234.54 $1,457.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.32 $998.02 $1,123.76 $1,570.44 $2,386.44 |
$1,215.65 $1,334.35 $1,460.09 $1,906.77 |
$1,551.98 $1,670.68 $1,796.42 $2,243.10 |
Toc - Plan #23 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 |
$485.11 $550.59 $619.96 $866.39 $1,316.56 |
$856.21 $921.69 $991.06 $1,237.49 |
$1,227.31 $1,292.79 $1,362.16 $1,608.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.22 $1,101.18 $1,239.92 $1,732.78 $2,633.12 |
$1,341.32 $1,472.28 $1,611.02 $2,103.88 |
$1,712.42 $1,843.38 $1,982.12 $2,474.98 |
Toc - Plan #24 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 |
$446.66 $506.95 $570.82 $797.71 $1,212.20 |
$788.35 $848.64 $912.51 $1,139.40 |
$1,130.04 $1,190.33 $1,254.20 $1,481.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.32 $1,013.90 $1,141.64 $1,595.42 $2,424.40 |
$1,235.01 $1,355.59 $1,483.33 $1,937.11 |
$1,576.70 $1,697.28 $1,825.02 $2,278.80 |
Toc - Plan #25 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 |
$455.04 $516.46 $581.53 $812.69 $1,234.96 |
$803.14 $864.56 $929.63 $1,160.79 |
$1,151.24 $1,212.66 $1,277.73 $1,508.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.08 $1,032.92 $1,163.06 $1,625.38 $2,469.92 |
$1,258.18 $1,381.02 $1,511.16 $1,973.48 |
$1,606.28 $1,729.12 $1,859.26 $2,321.58 |
Toc - Plan #26 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 |
$549.69 $623.89 $702.49 $981.73 $1,491.83 |
$970.20 $1,044.40 $1,123.00 $1,402.24 |
$1,390.71 $1,464.91 $1,543.51 $1,822.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,099.38 $1,247.78 $1,404.98 $1,963.46 $2,983.66 |
$1,519.89 $1,668.29 $1,825.49 $2,383.97 |
$1,940.40 $2,088.80 $2,246.00 $2,804.48 |
Toc - Plan #27 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 |
$541.54 $614.63 $692.07 $967.17 $1,469.71 |
$955.81 $1,028.90 $1,106.34 $1,381.44 |
$1,370.08 $1,443.17 $1,520.61 $1,795.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,083.08 $1,229.26 $1,384.14 $1,934.34 $2,939.42 |
$1,497.35 $1,643.53 $1,798.41 $2,348.61 |
$1,911.62 $2,057.80 $2,212.68 $2,762.88 |
Toc - Plan #28 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 |
$628.17 $712.96 $802.79 $1,121.89 $1,704.83 |
$1,108.71 $1,193.50 $1,283.33 $1,602.43 |
$1,589.25 $1,674.04 $1,763.87 $2,082.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,256.34 $1,425.92 $1,605.58 $2,243.78 $3,409.66 |
$1,736.88 $1,906.46 $2,086.12 $2,724.32 |
$2,217.42 $2,387.00 $2,566.66 $3,204.86 |
Toc - Plan #29 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 |
$381.34 $432.80 $487.33 $681.05 $1,034.92 |
$673.05 $724.51 $779.04 $972.76 |
$964.76 $1,016.22 $1,070.75 $1,264.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.68 $865.60 $974.66 $1,362.10 $2,069.84 |
$1,054.39 $1,157.31 $1,266.37 $1,653.81 |
$1,346.10 $1,449.02 $1,558.08 $1,945.52 |
Toc - Plan #30 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 |
$419.51 $476.13 $536.12 $749.23 $1,138.52 |
$740.43 $797.05 $857.04 $1,070.15 |
$1,061.35 $1,117.97 $1,177.96 $1,391.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$839.02 $952.26 $1,072.24 $1,498.46 $2,277.04 |
$1,159.94 $1,273.18 $1,393.16 $1,819.38 |
$1,480.86 $1,594.10 $1,714.08 $2,140.30 |
Toc - Plan #31 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 |
$445.82 $506.00 $569.75 $796.22 $1,209.94 |
$786.87 $847.05 $910.80 $1,137.27 |
$1,127.92 $1,188.10 $1,251.85 $1,478.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.64 $1,012.00 $1,139.50 $1,592.44 $2,419.88 |
$1,232.69 $1,353.05 $1,480.55 $1,933.49 |
$1,573.74 $1,694.10 $1,821.60 $2,274.54 |
Toc - Plan #32 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 |
$541.91 $615.05 $692.55 $967.83 $1,470.71 |
$956.46 $1,029.60 $1,107.10 $1,382.38 |
$1,371.01 $1,444.15 $1,521.65 $1,796.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,083.82 $1,230.10 $1,385.10 $1,935.66 $2,941.42 |
$1,498.37 $1,644.65 $1,799.65 $2,350.21 |
$1,912.92 $2,059.20 $2,214.20 $2,764.76 |
Toc - Plan #33 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 |
$413.03 $468.78 $527.84 $737.65 $1,120.93 |
$728.99 $784.74 $843.80 $1,053.61 |
$1,044.95 $1,100.70 $1,159.76 $1,369.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.06 $937.56 $1,055.68 $1,475.30 $2,241.86 |
$1,142.02 $1,253.52 $1,371.64 $1,791.26 |
$1,457.98 $1,569.48 $1,687.60 $2,107.22 |
Toc - Plan #34 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 |
$447.23 $507.60 $571.55 $798.74 $1,213.76 |
$789.35 $849.72 $913.67 $1,140.86 |
$1,131.47 $1,191.84 $1,255.79 $1,482.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.46 $1,015.20 $1,143.10 $1,597.48 $2,427.52 |
$1,236.58 $1,357.32 $1,485.22 $1,939.60 |
$1,578.70 $1,699.44 $1,827.34 $2,281.72 |
Toc - Plan #35 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 |
$592.60 $672.60 $757.34 $1,058.37 $1,608.30 |
$1,045.94 $1,125.94 $1,210.68 $1,511.71 |
$1,499.28 $1,579.28 $1,664.02 $1,965.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,185.20 $1,345.20 $1,514.68 $2,116.74 $3,216.60 |
$1,638.54 $1,798.54 $1,968.02 $2,570.08 |
$2,091.88 $2,251.88 $2,421.36 $3,023.42 |
Toc - Plan #36 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 |
$476.60 $540.93 $609.08 $851.19 $1,293.47 |
$841.19 $905.52 $973.67 $1,215.78 |
$1,205.78 $1,270.11 $1,338.26 $1,580.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$953.20 $1,081.86 $1,218.16 $1,702.38 $2,586.94 |
$1,317.79 $1,446.45 $1,582.75 $2,066.97 |
$1,682.38 $1,811.04 $1,947.34 $2,431.56 |
Toc - Plan #37 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 |
$478.37 $542.94 $611.35 $854.35 $1,298.27 |
$844.32 $908.89 $977.30 $1,220.30 |
$1,210.27 $1,274.84 $1,343.25 $1,586.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$956.74 $1,085.88 $1,222.70 $1,708.70 $2,596.54 |
$1,322.69 $1,451.83 $1,588.65 $2,074.65 |
$1,688.64 $1,817.78 $1,954.60 $2,440.60 |
Toc - Plan #38 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 |
$453.98 $515.25 $580.17 $810.78 $1,232.06 |
$801.26 $862.53 $927.45 $1,158.06 |
$1,148.54 $1,209.81 $1,274.73 $1,505.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.96 $1,030.50 $1,160.34 $1,621.56 $2,464.12 |
$1,255.24 $1,377.78 $1,507.62 $1,968.84 |
$1,602.52 $1,725.06 $1,854.90 $2,316.12 |
Toc - Plan #39 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 |
$500.90 $568.51 $640.14 $894.59 $1,359.42 |
$884.08 $951.69 $1,023.32 $1,277.77 |
$1,267.26 $1,334.87 $1,406.50 $1,660.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,001.80 $1,137.02 $1,280.28 $1,789.18 $2,718.84 |
$1,384.98 $1,520.20 $1,663.46 $2,172.36 |
$1,768.16 $1,903.38 $2,046.64 $2,555.54 |
Toc - Plan #40 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 |
$469.86 $533.28 $600.46 $839.15 $1,275.17 |
$829.29 $892.71 $959.89 $1,198.58 |
$1,188.72 $1,252.14 $1,319.32 $1,558.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$939.72 $1,066.56 $1,200.92 $1,678.30 $2,550.34 |
$1,299.15 $1,425.99 $1,560.35 $2,037.73 |
$1,658.58 $1,785.42 $1,919.78 $2,397.16 |
Toc - Plan #41 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 |
$567.59 $644.20 $725.36 $1,013.69 $1,540.40 |
$1,001.79 $1,078.40 $1,159.56 $1,447.89 |
$1,435.99 $1,512.60 $1,593.76 $1,882.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,135.18 $1,288.40 $1,450.72 $2,027.38 $3,080.80 |
$1,569.38 $1,722.60 $1,884.92 $2,461.58 |
$2,003.58 $2,156.80 $2,319.12 $2,895.78 |
Toc - Plan #42 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 |
$461.20 $523.45 $589.40 $823.68 $1,251.67 |
$814.01 $876.26 $942.21 $1,176.49 |
$1,166.82 $1,229.07 $1,295.02 $1,529.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.40 $1,046.90 $1,178.80 $1,647.36 $2,503.34 |
$1,275.21 $1,399.71 $1,531.61 $2,000.17 |
$1,628.02 $1,752.52 $1,884.42 $2,352.98 |
Toc - Plan #43 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 |
$559.17 $634.64 $714.60 $998.66 $1,517.55 |
$986.93 $1,062.40 $1,142.36 $1,426.42 |
$1,414.69 $1,490.16 $1,570.12 $1,854.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,118.34 $1,269.28 $1,429.20 $1,997.32 $3,035.10 |
$1,546.10 $1,697.04 $1,856.96 $2,425.08 |
$1,973.86 $2,124.80 $2,284.72 $2,852.84 |
Toc - Plan #44 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 |
$648.62 $736.17 $828.93 $1,158.42 $1,760.33 |
$1,144.81 $1,232.36 $1,325.12 $1,654.61 |
$1,641.00 $1,728.55 $1,821.31 $2,150.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,297.24 $1,472.34 $1,657.86 $2,316.84 $3,520.66 |
$1,793.43 $1,968.53 $2,154.05 $2,813.03 |
$2,289.62 $2,464.72 $2,650.24 $3,309.22 |
Toc - Plan #45 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Virtual Access Bronze - Virtual PCP selection required |
||||||||||||||||||||
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 |
$421.18 $478.02 $538.25 $752.20 $1,143.05 |
$743.37 $800.21 $860.44 $1,074.39 |
$1,065.56 $1,122.40 $1,182.63 $1,396.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.36 $956.04 $1,076.50 $1,504.40 $2,286.10 |
$1,164.55 $1,278.23 $1,398.69 $1,826.59 |
$1,486.74 $1,600.42 $1,720.88 $2,148.78 |
Toc - Plan #46 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) Ambetter Virtual Access Silver - Virtual PCP selection required |
||||||||||||||||||||
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 |
$444.94 $505.00 $568.63 $794.65 $1,207.55 |
$785.31 $845.37 $909.00 $1,135.02 |
$1,125.68 $1,185.74 $1,249.37 $1,475.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.88 $1,010.00 $1,137.26 $1,589.30 $2,415.10 |
$1,230.25 $1,350.37 $1,477.63 $1,929.67 |
$1,570.62 $1,690.74 $1,818.00 $2,270.04 |
Toc - Plan #47 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) Ambetter Virtual Access Gold- Virtual PCP selection required |
||||||||||||||||||||
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 |
$553.91 $628.67 $707.88 $989.26 $1,503.28 |
$977.64 $1,052.40 $1,131.61 $1,412.99 |
$1,401.37 $1,476.13 $1,555.34 $1,836.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,107.82 $1,257.34 $1,415.76 $1,978.52 $3,006.56 |
$1,531.55 $1,681.07 $1,839.49 $2,402.25 |
$1,955.28 $2,104.80 $2,263.22 $2,825.98 |
Toc - Plan #48 Ambetter from Home State Health | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Virtual Access Basic Bronze ? Virtual PCP Selection Required |
||||||||||||||||||||
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 |
$436.28 $495.17 $557.55 $779.18 $1,184.04 |
$770.03 $828.92 $891.30 $1,112.93 |
$1,103.78 $1,162.67 $1,225.05 $1,446.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.56 $990.34 $1,115.10 $1,558.36 $2,368.08 |
$1,206.31 $1,324.09 $1,448.85 $1,892.11 |
$1,540.06 $1,657.84 $1,782.60 $2,225.86 |
Toc - Plan #49 Ambetter from Home State Health | ||||||||||||||||||||
Silver
(EPO) CMS Standard Virtual Access Basic Silver ? Virtual PCP Selection Required |
||||||||||||||||||||
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 |
$463.66 $526.24 $592.54 $828.08 $1,258.35 |
$818.35 $880.93 $947.23 $1,182.77 |
$1,173.04 $1,235.62 $1,301.92 $1,537.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.32 $1,052.48 $1,185.08 $1,656.16 $2,516.70 |
$1,282.01 $1,407.17 $1,539.77 $2,010.85 |
$1,636.70 $1,761.86 $1,894.46 $2,365.54 |
Toc - Plan #50 Ambetter from Home State Health | ||||||||||||||||||||
Gold
(EPO) CMS Standard Virtual Access Basic Gold ? Virtual PCP Selection Required |
||||||||||||||||||||
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 |
$563.59 $639.66 $720.25 $1,006.55 $1,529.55 |
$994.73 $1,070.80 $1,151.39 $1,437.69 |
$1,425.87 $1,501.94 $1,582.53 $1,868.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,127.18 $1,279.32 $1,440.50 $2,013.10 $3,059.10 |
$1,558.32 $1,710.46 $1,871.64 $2,444.24 |
$1,989.46 $2,141.60 $2,302.78 $2,875.38 |
‡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 Saint Clair County here.
Saint Clair County is in “Rating Area 4” of Missouri.
Currently, there are 50 plans offered in Rating Area 4.