Obamacare 2023 Rates for Tuscarawas County
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AultCare Insurance CompanyLocal: 1-330-363-6360 | Toll Free: 1-800-344-8858 | TTY: 1-171-1- |
Toc - Plan #1 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$484.39 $549.78 $619.04 $865.11 $1,314.62 |
$854.94 $920.33 $989.59 $1,235.66 |
$1,225.49 $1,290.88 $1,360.14 $1,606.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$968.78 $1,099.56 $1,238.08 $1,730.22 $2,629.24 |
$1,339.33 $1,470.11 $1,608.63 $2,100.77 |
$1,709.88 $1,840.66 $1,979.18 $2,471.32 |
Toc - Plan #2 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$601.84 $683.08 $769.15 $1,074.88 $1,633.38 |
$1,062.25 $1,143.49 $1,229.56 $1,535.29 |
$1,522.66 $1,603.90 $1,689.97 $1,995.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,203.68 $1,366.16 $1,538.30 $2,149.76 $3,266.76 |
$1,664.09 $1,826.57 $1,998.71 $2,610.17 |
$2,124.50 $2,286.98 $2,459.12 $3,070.58 |
Toc - Plan #3 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1100 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$757.97 $860.29 $968.68 $1,353.72 $2,057.11 |
$1,337.81 $1,440.13 $1,548.52 $1,933.56 |
$1,917.65 $2,019.97 $2,128.36 $2,513.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,515.94 $1,720.58 $1,937.36 $2,707.44 $4,114.22 |
$2,095.78 $2,300.42 $2,517.20 $3,287.28 |
$2,675.62 $2,880.26 $3,097.04 $3,867.12 |
Toc - Plan #4 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$234.90 $266.60 $300.19 $419.52 $637.49 |
$414.59 $446.29 $479.88 $599.21 |
$594.28 $625.98 $659.57 $778.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$469.80 $533.20 $600.38 $839.04 $1,274.98 |
$649.49 $712.89 $780.07 $1,018.73 |
$829.18 $892.58 $959.76 $1,198.42 |
Toc - Plan #5 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$371.02 $421.10 $474.16 $662.64 $1,006.94 |
$654.85 $704.93 $757.99 $946.47 |
$938.68 $988.76 $1,041.82 $1,230.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$742.04 $842.20 $948.32 $1,325.28 $2,013.88 |
$1,025.87 $1,126.03 $1,232.15 $1,609.11 |
$1,309.70 $1,409.86 $1,515.98 $1,892.94 |
Toc - Plan #6 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$459.92 $522.01 $587.78 $821.42 $1,248.22 |
$811.76 $873.85 $939.62 $1,173.26 |
$1,163.60 $1,225.69 $1,291.46 $1,525.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$919.84 $1,044.02 $1,175.56 $1,642.84 $2,496.44 |
$1,271.68 $1,395.86 $1,527.40 $1,994.68 |
$1,623.52 $1,747.70 $1,879.24 $2,346.52 |
Toc - Plan #7 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1100 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$580.21 $658.54 $741.51 $1,036.25 $1,574.68 |
$1,024.07 $1,102.40 $1,185.37 $1,480.11 |
$1,467.93 $1,546.26 $1,629.23 $1,923.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,160.42 $1,317.08 $1,483.02 $2,072.50 $3,149.36 |
$1,604.28 $1,760.94 $1,926.88 $2,516.36 |
$2,048.14 $2,204.80 $2,370.74 $2,960.22 |
Toc - Plan #8 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$310.06 $351.91 $396.25 $553.76 $841.49 |
$547.25 $589.10 $633.44 $790.95 |
$784.44 $826.29 $870.63 $1,028.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$620.12 $703.82 $792.50 $1,107.52 $1,682.98 |
$857.31 $941.01 $1,029.69 $1,344.71 |
$1,094.50 $1,178.20 $1,266.88 $1,581.90 |
Toc - Plan #9 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$489.75 $555.86 $625.89 $874.68 $1,329.16 |
$864.40 $930.51 $1,000.54 $1,249.33 |
$1,239.05 $1,305.16 $1,375.19 $1,623.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$979.50 $1,111.72 $1,251.78 $1,749.36 $2,658.32 |
$1,354.15 $1,486.37 $1,626.43 $2,124.01 |
$1,728.80 $1,861.02 $2,001.08 $2,498.66 |
Toc - Plan #10 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$607.10 $689.05 $775.87 $1,084.27 $1,647.65 |
$1,071.53 $1,153.48 $1,240.30 $1,548.70 |
$1,535.96 $1,617.91 $1,704.73 $2,013.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,214.20 $1,378.10 $1,551.74 $2,168.54 $3,295.30 |
$1,678.63 $1,842.53 $2,016.17 $2,632.97 |
$2,143.06 $2,306.96 $2,480.60 $3,097.40 |
Toc - Plan #11 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1100 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$765.88 $869.27 $978.79 $1,367.85 $2,078.58 |
$1,351.77 $1,455.16 $1,564.68 $1,953.74 |
$1,937.66 $2,041.05 $2,150.57 $2,539.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,531.76 $1,738.54 $1,957.58 $2,735.70 $4,157.16 |
$2,117.65 $2,324.43 $2,543.47 $3,321.59 |
$2,703.54 $2,910.32 $3,129.36 $3,907.48 |
Toc - Plan #12 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$306.69 $348.09 $391.95 $547.75 $832.35 |
$541.31 $582.71 $626.57 $782.37 |
$775.93 $817.33 $861.19 $1,016.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613.38 $696.18 $783.90 $1,095.50 $1,664.70 |
$848.00 $930.80 $1,018.52 $1,330.12 |
$1,082.62 $1,165.42 $1,253.14 $1,564.74 |
Toc - Plan #13 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Gold 1100 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$574.22 $651.73 $733.84 $1,025.55 $1,558.42 |
$1,013.49 $1,091.00 $1,173.11 $1,464.82 |
$1,452.76 $1,530.27 $1,612.38 $1,904.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,148.44 $1,303.46 $1,467.68 $2,051.10 $3,116.84 |
$1,587.71 $1,742.73 $1,906.95 $2,490.37 |
$2,026.98 $2,182.00 $2,346.22 $2,929.64 |
Toc - Plan #14 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 5000 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$455.94 $517.49 $582.69 $814.30 $1,237.41 |
$804.73 $866.28 $931.48 $1,163.09 |
$1,153.52 $1,215.07 $1,280.27 $1,511.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$911.88 $1,034.98 $1,165.38 $1,628.60 $2,474.82 |
$1,260.67 $1,383.77 $1,514.17 $1,977.39 |
$1,609.46 $1,732.56 $1,862.96 $2,326.18 |
Toc - Plan #15 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 5750 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$366.96 $416.50 $468.97 $655.39 $995.93 |
$647.68 $697.22 $749.69 $936.11 |
$928.40 $977.94 $1,030.41 $1,216.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$733.92 $833.00 $937.94 $1,310.78 $1,991.86 |
$1,014.64 $1,113.72 $1,218.66 $1,591.50 |
$1,295.36 $1,394.44 $1,499.38 $1,872.22 |
Toc - Plan #16 AultCare Insurance Company | ||||||||||||||||||||
Catastrophic
(PPO) AultCare Catastrophic Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$232.35 $263.71 $296.93 $414.96 $630.57 |
$410.09 $441.45 $474.67 $592.70 |
$587.83 $619.19 $652.41 $770.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$464.70 $527.42 $593.86 $829.92 $1,261.14 |
$642.44 $705.16 $771.60 $1,007.66 |
$820.18 $882.90 $949.34 $1,185.40 |
Toc - Plan #17 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$535.03 $607.25 $683.76 $955.55 $1,452.06 |
$944.32 $1,016.54 $1,093.05 $1,364.84 |
$1,353.61 $1,425.83 $1,502.34 $1,774.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,070.06 $1,214.50 $1,367.52 $1,911.10 $2,904.12 |
$1,479.35 $1,623.79 $1,776.81 $2,320.39 |
$1,888.64 $2,033.08 $2,186.10 $2,729.68 |
Toc - Plan #18 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$405.33 $460.04 $518.00 $723.90 $1,100.04 |
$715.40 $770.11 $828.07 $1,033.97 |
$1,025.47 $1,080.18 $1,138.14 $1,344.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.66 $920.08 $1,036.00 $1,447.80 $2,200.08 |
$1,120.73 $1,230.15 $1,346.07 $1,757.87 |
$1,430.80 $1,540.22 $1,656.14 $2,067.94 |
Toc - Plan #19 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$529.34 $600.79 $676.49 $945.39 $1,436.61 |
$934.28 $1,005.73 $1,081.43 $1,350.33 |
$1,339.22 $1,410.67 $1,486.37 $1,755.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,058.68 $1,201.58 $1,352.98 $1,890.78 $2,873.22 |
$1,463.62 $1,606.52 $1,757.92 $2,295.72 |
$1,868.56 $2,011.46 $2,162.86 $2,700.66 |
Toc - Plan #20 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Silver 6850 Select No Pediatric Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$401.02 $455.15 $512.49 $716.20 $1,088.34 |
$707.79 $761.92 $819.26 $1,022.97 |
$1,014.56 $1,068.69 $1,126.03 $1,329.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$802.04 $910.30 $1,024.98 $1,432.40 $2,176.68 |
$1,108.81 $1,217.07 $1,331.75 $1,739.17 |
$1,415.58 $1,523.84 $1,638.52 $2,045.94 |
Toc - Plan #21 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$499.80 $567.27 $638.74 $892.63 $1,356.44 |
$882.14 $949.61 $1,021.08 $1,274.97 |
$1,264.48 $1,331.95 $1,403.42 $1,657.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$999.60 $1,134.54 $1,277.48 $1,785.26 $2,712.88 |
$1,381.94 $1,516.88 $1,659.82 $2,167.60 |
$1,764.28 $1,899.22 $2,042.16 $2,549.94 |
Toc - Plan #22 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 Select |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
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 |
$378.64 $429.75 $483.89 $676.24 $1,027.61 |
$668.29 $719.40 $773.54 $965.89 |
$957.94 $1,009.05 $1,063.19 $1,255.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.28 $859.50 $967.78 $1,352.48 $2,055.22 |
$1,046.93 $1,149.15 $1,257.43 $1,642.13 |
$1,336.58 $1,438.80 $1,547.08 $1,931.78 |
Toc - Plan #23 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.41 $561.16 $631.86 $883.02 $1,341.83 |
$872.63 $939.38 $1,010.08 $1,261.24 |
$1,250.85 $1,317.60 $1,388.30 $1,639.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$988.82 $1,122.32 $1,263.72 $1,766.04 $2,683.66 |
$1,367.04 $1,500.54 $1,641.94 $2,144.26 |
$1,745.26 $1,878.76 $2,020.16 $2,522.48 |
Toc - Plan #24 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 6850 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.56 $425.12 $478.68 $668.95 $1,016.54 |
$661.09 $711.65 $765.21 $955.48 |
$947.62 $998.18 $1,051.74 $1,242.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.12 $850.24 $957.36 $1,337.90 $2,033.08 |
$1,035.65 $1,136.77 $1,243.89 $1,624.43 |
$1,322.18 $1,423.30 $1,530.42 $1,910.96 |
Toc - Plan #25 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Standard Bronze Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.24 $354.39 $399.04 $557.65 $847.41 |
$551.10 $593.25 $637.90 $796.51 |
$789.96 $832.11 $876.76 $1,035.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.48 $708.78 $798.08 $1,115.30 $1,694.82 |
$863.34 $947.64 $1,036.94 $1,354.16 |
$1,102.20 $1,186.50 $1,275.80 $1,593.02 |
Toc - Plan #26 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.06 $475.63 $535.55 $748.43 $1,137.32 |
$739.64 $796.21 $856.13 $1,069.01 |
$1,060.22 $1,116.79 $1,176.71 $1,389.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.12 $951.26 $1,071.10 $1,496.86 $2,274.64 |
$1,158.70 $1,271.84 $1,391.68 $1,817.44 |
$1,479.28 $1,592.42 $1,712.26 $2,138.02 |
Toc - Plan #27 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.47 $360.32 $405.72 $566.99 $861.60 |
$560.33 $603.18 $648.58 $809.85 |
$803.19 $846.04 $891.44 $1,052.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.94 $720.64 $811.44 $1,133.98 $1,723.20 |
$877.80 $963.50 $1,054.30 $1,376.84 |
$1,120.66 $1,206.36 $1,297.16 $1,619.70 |
Toc - Plan #28 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.39 $470.32 $529.58 $740.08 $1,124.63 |
$731.39 $787.32 $846.58 $1,057.08 |
$1,048.39 $1,104.32 $1,163.58 $1,374.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.78 $940.64 $1,059.16 $1,480.16 $2,249.26 |
$1,145.78 $1,257.64 $1,376.16 $1,797.16 |
$1,462.78 $1,574.64 $1,693.16 $2,114.16 |
Toc - Plan #29 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8250 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.93 $356.30 $401.20 $560.67 $851.99 |
$554.08 $596.45 $641.35 $800.82 |
$794.23 $836.60 $881.50 $1,040.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.86 $712.60 $802.40 $1,121.34 $1,703.98 |
$868.01 $952.75 $1,042.55 $1,361.49 |
$1,108.16 $1,192.90 $1,282.70 $1,601.64 |
Toc - Plan #30 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.95 $463.02 $521.36 $728.60 $1,107.17 |
$720.03 $775.10 $833.44 $1,040.68 |
$1,032.11 $1,087.18 $1,145.52 $1,352.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.90 $926.04 $1,042.72 $1,457.20 $2,214.34 |
$1,127.98 $1,238.12 $1,354.80 $1,769.28 |
$1,440.06 $1,550.20 $1,666.88 $2,081.36 |
Toc - Plan #31 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.06 $350.77 $394.97 $551.97 $838.77 |
$545.48 $587.19 $631.39 $788.39 |
$781.90 $823.61 $867.81 $1,024.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.12 $701.54 $789.94 $1,103.94 $1,677.54 |
$854.54 $937.96 $1,026.36 $1,340.36 |
$1,090.96 $1,174.38 $1,262.78 $1,576.78 |
Toc - Plan #32 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.42 $457.88 $515.57 $720.50 $1,094.87 |
$712.03 $766.49 $824.18 $1,029.11 |
$1,020.64 $1,075.10 $1,132.79 $1,337.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.84 $915.76 $1,031.14 $1,441.00 $2,189.74 |
$1,115.45 $1,224.37 $1,339.75 $1,749.61 |
$1,424.06 $1,532.98 $1,648.36 $2,058.22 |
Toc - Plan #33 AultCare Insurance Company | ||||||||||||||||||||
Bronze
(PPO) AultCare Bronze 8550 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.62 $346.88 $390.58 $545.84 $829.45 |
$539.42 $580.68 $624.38 $779.64 |
$773.22 $814.48 $858.18 $1,013.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.24 $693.76 $781.16 $1,091.68 $1,658.90 |
$845.04 $927.56 $1,014.96 $1,325.48 |
$1,078.84 $1,161.36 $1,248.76 $1,559.28 |
Toc - Plan #34 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.28 $466.80 $525.61 $734.53 $1,116.20 |
$725.90 $781.42 $840.23 $1,049.15 |
$1,040.52 $1,096.04 $1,154.85 $1,363.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.56 $933.60 $1,051.22 $1,469.06 $2,232.40 |
$1,137.18 $1,248.22 $1,365.84 $1,783.68 |
$1,451.80 $1,562.84 $1,680.46 $2,098.30 |
Toc - Plan #35 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.58 $353.63 $398.19 $556.47 $845.60 |
$549.93 $591.98 $636.54 $794.82 |
$788.28 $830.33 $874.89 $1,033.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$623.16 $707.26 $796.38 $1,112.94 $1,691.20 |
$861.51 $945.61 $1,034.73 $1,351.29 |
$1,099.86 $1,183.96 $1,273.08 $1,589.64 |
Toc - Plan #36 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.77 $461.68 $519.85 $726.49 $1,103.97 |
$717.95 $772.86 $831.03 $1,037.67 |
$1,029.13 $1,084.04 $1,142.21 $1,348.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.54 $923.36 $1,039.70 $1,452.98 $2,207.94 |
$1,124.72 $1,234.54 $1,350.88 $1,764.16 |
$1,435.90 $1,545.72 $1,662.06 $2,075.34 |
Toc - Plan #37 AultCare Insurance Company | ||||||||||||||||||||
Expanded Bronze
(PPO) AultCare Bronze 7000 Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.16 $349.76 $393.83 $550.37 $836.34 |
$543.90 $585.50 $629.57 $786.11 |
$779.64 $821.24 $865.31 $1,021.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.32 $699.52 $787.66 $1,100.74 $1,672.68 |
$852.06 $935.26 $1,023.40 $1,336.48 |
$1,087.80 $1,171.00 $1,259.14 $1,572.22 |
Toc - Plan #38 AultCare Insurance Company | ||||||||||||||||||||
Gold
(PPO) AultCare Standard Gold Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$556.91 $632.09 $711.73 $994.64 $1,511.45 |
$982.95 $1,058.13 $1,137.77 $1,420.68 |
$1,408.99 $1,484.17 $1,563.81 $1,846.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,113.82 $1,264.18 $1,423.46 $1,989.28 $3,022.90 |
$1,539.86 $1,690.22 $1,849.50 $2,415.32 |
$1,965.90 $2,116.26 $2,275.54 $2,841.36 |
Toc - Plan #39 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Standard Silver Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.54 $434.18 $488.88 $683.21 $1,038.21 |
$675.18 $726.82 $781.52 $975.85 |
$967.82 $1,019.46 $1,074.16 $1,268.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.08 $868.36 $977.76 $1,366.42 $2,076.42 |
$1,057.72 $1,161.00 $1,270.40 $1,659.06 |
$1,350.36 $1,453.64 $1,563.04 $1,951.70 |
Toc - Plan #40 AultCare Insurance Company | ||||||||||||||||||||
Silver
(PPO) AultCare Standard Silver Premier Select No Pediatric Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-344-8858
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.74 $409.43 $461.02 $644.27 $979.03 |
$636.70 $685.39 $736.98 $920.23 |
$912.66 $961.35 $1,012.94 $1,196.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.48 $818.86 $922.04 $1,288.54 $1,958.06 |
$997.44 $1,094.82 $1,198.00 $1,564.50 |
$1,273.40 $1,370.78 $1,473.96 $1,840.46 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-748-1808 | Toll Free: 1-855-748-1808 |
Toc - Plan #41 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.52 $455.73 $513.14 $717.11 $1,089.73 |
$708.68 $762.89 $820.30 $1,024.27 |
$1,015.84 $1,070.05 $1,127.46 $1,331.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.04 $911.46 $1,026.28 $1,434.22 $2,179.46 |
$1,110.20 $1,218.62 $1,333.44 $1,741.38 |
$1,417.36 $1,525.78 $1,640.60 $2,048.54 |
Toc - Plan #42 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X HMO 9100 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.24 $430.44 $484.67 $677.32 $1,029.26 |
$669.36 $720.56 $774.79 $967.44 |
$959.48 $1,010.68 $1,064.91 $1,257.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.48 $860.88 $969.34 $1,354.64 $2,058.52 |
$1,048.60 $1,151.00 $1,259.46 $1,644.76 |
$1,338.72 $1,441.12 $1,549.58 $1,934.88 |
Toc - Plan #43 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.88 $574.17 $646.51 $903.50 $1,372.96 |
$892.88 $961.17 $1,033.51 $1,290.50 |
$1,279.88 $1,348.17 $1,420.51 $1,677.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,011.76 $1,148.34 $1,293.02 $1,807.00 $2,745.92 |
$1,398.76 $1,535.34 $1,680.02 $2,194.00 |
$1,785.76 $1,922.34 $2,067.02 $2,581.00 |
Toc - Plan #44 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 7450/0% for HSA (+ Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.35 $462.34 $520.59 $727.53 $1,105.55 |
$718.97 $773.96 $832.21 $1,039.15 |
$1,030.59 $1,085.58 $1,143.83 $1,350.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.70 $924.68 $1,041.18 $1,455.06 $2,211.10 |
$1,126.32 $1,236.30 $1,352.80 $1,766.68 |
$1,437.94 $1,547.92 $1,664.42 $2,078.30 |
Toc - Plan #45 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 3200/10% for HSA (+ Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.06 $577.78 $650.58 $909.18 $1,381.59 |
$898.49 $967.21 $1,040.01 $1,298.61 |
$1,287.92 $1,356.64 $1,429.44 $1,688.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.12 $1,155.56 $1,301.16 $1,818.36 $2,763.18 |
$1,407.55 $1,544.99 $1,690.59 $2,207.79 |
$1,796.98 $1,934.42 $2,080.02 $2,597.22 |
Toc - Plan #46 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 6000/20% for HSA (+ Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.68 $468.39 $527.41 $737.05 $1,120.01 |
$728.38 $784.09 $843.11 $1,052.75 |
$1,044.08 $1,099.79 $1,158.81 $1,368.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.36 $936.78 $1,054.82 $1,474.10 $2,240.02 |
$1,141.06 $1,252.48 $1,370.52 $1,789.80 |
$1,456.76 $1,568.18 $1,686.22 $2,105.50 |
Toc - Plan #47 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5400/0% for HSA ( + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$517.94 $587.86 $661.93 $925.04 $1,405.69 |
$914.16 $984.08 $1,058.15 $1,321.26 |
$1,310.38 $1,380.30 $1,454.37 $1,717.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,035.88 $1,175.72 $1,323.86 $1,850.08 $2,811.38 |
$1,432.10 $1,571.94 $1,720.08 $2,246.30 |
$1,828.32 $1,968.16 $2,116.30 $2,642.52 |
Toc - Plan #48 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 3000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.21 $588.17 $662.27 $925.52 $1,406.42 |
$914.64 $984.60 $1,058.70 $1,321.95 |
$1,311.07 $1,381.03 $1,455.13 $1,718.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,036.42 $1,176.34 $1,324.54 $1,851.04 $2,812.84 |
$1,432.85 $1,572.77 $1,720.97 $2,247.47 |
$1,829.28 $1,969.20 $2,117.40 $2,643.90 |
Toc - Plan #49 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.02 $566.39 $637.75 $891.25 $1,354.34 |
$880.77 $948.14 $1,019.50 $1,273.00 |
$1,262.52 $1,329.89 $1,401.25 $1,654.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.04 $1,132.78 $1,275.50 $1,782.50 $2,708.68 |
$1,379.79 $1,514.53 $1,657.25 $2,164.25 |
$1,761.54 $1,896.28 $2,039.00 $2,546.00 |
Toc - Plan #50 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X HMO 9100 ( + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.12 $340.64 $383.55 $536.01 $814.53 |
$529.71 $570.23 $613.14 $765.60 |
$759.30 $799.82 $842.73 $995.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.24 $681.28 $767.10 $1,072.02 $1,629.06 |
$829.83 $910.87 $996.69 $1,301.61 |
$1,059.42 $1,140.46 $1,226.28 $1,531.20 |
Toc - Plan #51 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 6000/25% ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$502.25 $570.05 $641.88 $897.02 $1,363.11 |
$886.47 $954.27 $1,026.10 $1,281.24 |
$1,270.69 $1,338.49 $1,410.32 $1,665.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,004.50 $1,140.10 $1,283.76 $1,794.04 $2,726.22 |
$1,388.72 $1,524.32 $1,667.98 $2,178.26 |
$1,772.94 $1,908.54 $2,052.20 $2,562.48 |
Toc - Plan #52 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.95 $461.89 $520.08 $726.81 $1,104.46 |
$718.27 $773.21 $831.40 $1,038.13 |
$1,029.59 $1,084.53 $1,142.72 $1,349.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$813.90 $923.78 $1,040.16 $1,453.62 $2,208.92 |
$1,125.22 $1,235.10 $1,351.48 $1,764.94 |
$1,436.54 $1,546.42 $1,662.80 $2,076.26 |
Toc - Plan #53 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.68 $438.88 $494.18 $690.61 $1,049.45 |
$682.49 $734.69 $789.99 $986.42 |
$978.30 $1,030.50 $1,085.80 $1,282.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.36 $877.76 $988.36 $1,381.22 $2,098.90 |
$1,069.17 $1,173.57 $1,284.17 $1,677.03 |
$1,364.98 $1,469.38 $1,579.98 $1,972.84 |
Toc - Plan #54 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway X HMO 9100/0% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.09 $431.40 $485.76 $678.84 $1,031.56 |
$670.86 $722.17 $776.53 $969.61 |
$961.63 $1,012.94 $1,067.30 $1,260.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.18 $862.80 $971.52 $1,357.68 $2,063.12 |
$1,050.95 $1,153.57 $1,262.29 $1,648.45 |
$1,341.72 $1,444.34 $1,553.06 $1,939.22 |
Toc - Plan #55 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway X HMO 7500/50% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.14 $472.32 $531.83 $743.23 $1,129.40 |
$734.49 $790.67 $850.18 $1,061.58 |
$1,052.84 $1,109.02 $1,168.53 $1,379.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.28 $944.64 $1,063.66 $1,486.46 $2,258.80 |
$1,150.63 $1,262.99 $1,382.01 $1,804.81 |
$1,468.98 $1,581.34 $1,700.36 $2,123.16 |
Toc - Plan #56 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5800/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.24 $563.23 $634.19 $886.28 $1,346.80 |
$875.86 $942.85 $1,013.81 $1,265.90 |
$1,255.48 $1,322.47 $1,393.43 $1,645.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992.48 $1,126.46 $1,268.38 $1,772.56 $2,693.60 |
$1,372.10 $1,506.08 $1,648.00 $2,152.18 |
$1,751.72 $1,885.70 $2,027.62 $2,531.80 |
Toc - Plan #57 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X HMO 2000/25% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1808
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$720.34 $817.59 $920.59 $1,286.53 $1,955.00 |
$1,271.40 $1,368.65 $1,471.65 $1,837.59 |
$1,822.46 $1,919.71 $2,022.71 $2,388.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,440.68 $1,635.18 $1,841.18 $2,573.06 $3,910.00 |
$1,991.74 $2,186.24 $2,392.24 $3,124.12 |
$2,542.80 $2,737.30 $2,943.30 $3,675.18 |
ADVERTISEMENT
Oscar Insurance Corporation of OhioLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #58 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Simple |
||||||||||||||||||||
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 |
$353.32 $401.01 $451.53 $631.02 $958.89 |
$623.60 $671.29 $721.81 $901.30 |
$893.88 $941.57 $992.09 $1,171.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.64 $802.02 $903.06 $1,262.04 $1,917.78 |
$976.92 $1,072.30 $1,173.34 $1,532.32 |
$1,247.20 $1,342.58 $1,443.62 $1,802.60 |
Toc - Plan #59 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- 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 |
$359.93 $408.51 $459.98 $642.82 $976.83 |
$635.27 $683.85 $735.32 $918.16 |
$910.61 $959.19 $1,010.66 $1,193.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.86 $817.02 $919.96 $1,285.64 $1,953.66 |
$995.20 $1,092.36 $1,195.30 $1,560.98 |
$1,270.54 $1,367.70 $1,470.64 $1,836.32 |
Toc - Plan #60 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$355.44 $403.41 $454.24 $634.79 $964.63 |
$627.34 $675.31 $726.14 $906.69 |
$899.24 $947.21 $998.04 $1,178.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.88 $806.82 $908.48 $1,269.58 $1,929.26 |
$982.78 $1,078.72 $1,180.38 $1,541.48 |
$1,254.68 $1,350.62 $1,452.28 $1,813.38 |
Toc - Plan #61 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- Deductible+PCP Saver Plus |
||||||||||||||||||||
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 |
$411.28 $466.80 $525.61 $734.53 $1,116.20 |
$725.90 $781.42 $840.23 $1,049.15 |
$1,040.52 $1,096.04 $1,154.85 $1,363.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.56 $933.60 $1,051.22 $1,469.06 $2,232.40 |
$1,137.18 $1,248.22 $1,365.84 $1,783.68 |
$1,451.80 $1,562.84 $1,680.46 $2,098.30 |
Toc - Plan #62 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) 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 |
$433.02 $491.47 $553.39 $773.35 $1,175.19 |
$764.27 $822.72 $884.64 $1,104.60 |
$1,095.52 $1,153.97 $1,215.89 $1,435.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.04 $982.94 $1,106.78 $1,546.70 $2,350.38 |
$1,197.29 $1,314.19 $1,438.03 $1,877.95 |
$1,528.54 $1,645.44 $1,769.28 $2,209.20 |
Toc - Plan #63 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Simple |
||||||||||||||||||||
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 |
$424.65 $481.96 $542.69 $758.40 $1,152.47 |
$749.50 $806.81 $867.54 $1,083.25 |
$1,074.35 $1,131.66 $1,192.39 $1,408.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.30 $963.92 $1,085.38 $1,516.80 $2,304.94 |
$1,174.15 $1,288.77 $1,410.23 $1,841.65 |
$1,499.00 $1,613.62 $1,735.08 $2,166.50 |
Toc - Plan #64 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Classic- 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 |
$432.94 $491.37 $553.28 $773.21 $1,174.97 |
$764.13 $822.56 $884.47 $1,104.40 |
$1,095.32 $1,153.75 $1,215.66 $1,435.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$865.88 $982.74 $1,106.56 $1,546.42 $2,349.94 |
$1,197.07 $1,313.93 $1,437.75 $1,877.61 |
$1,528.26 $1,645.12 $1,768.94 $2,208.80 |
Toc - Plan #65 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Catastrophic
(HMO) 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 |
$256.15 $290.72 $327.35 $457.47 $695.17 |
$452.10 $486.67 $523.30 $653.42 |
$648.05 $682.62 $719.25 $849.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$512.30 $581.44 $654.70 $914.94 $1,390.34 |
$708.25 $777.39 $850.65 $1,110.89 |
$904.20 $973.34 $1,046.60 $1,306.84 |
Toc - Plan #66 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Elite- Deductible+Specialist Saver Plus |
||||||||||||||||||||
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 |
$411.74 $467.31 $526.19 $735.35 $1,117.43 |
$726.71 $782.28 $841.16 $1,050.32 |
$1,041.68 $1,097.25 $1,156.13 $1,365.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.48 $934.62 $1,052.38 $1,470.70 $2,234.86 |
$1,138.45 $1,249.59 $1,367.35 $1,785.67 |
$1,453.42 $1,564.56 $1,682.32 $2,100.64 |
Toc - Plan #67 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold 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 |
$491.72 $558.09 $628.41 $878.20 $1,334.50 |
$867.88 $934.25 $1,004.57 $1,254.36 |
$1,244.04 $1,310.41 $1,380.73 $1,630.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.44 $1,116.18 $1,256.82 $1,756.40 $2,669.00 |
$1,359.60 $1,492.34 $1,632.98 $2,132.56 |
$1,735.76 $1,868.50 $2,009.14 $2,508.72 |
Toc - Plan #68 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$386.93 $439.15 $494.48 $691.04 $1,050.10 |
$682.92 $735.14 $790.47 $987.03 |
$978.91 $1,031.13 $1,086.46 $1,283.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.86 $878.30 $988.96 $1,382.08 $2,100.20 |
$1,069.85 $1,174.29 $1,284.95 $1,678.07 |
$1,365.84 $1,470.28 $1,580.94 $1,974.06 |
Toc - Plan #69 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) 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 |
$427.34 $485.02 $546.13 $763.21 $1,159.77 |
$754.25 $811.93 $873.04 $1,090.12 |
$1,081.16 $1,138.84 $1,199.95 $1,417.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.68 $970.04 $1,092.26 $1,526.42 $2,319.54 |
$1,181.59 $1,296.95 $1,419.17 $1,853.33 |
$1,508.50 $1,623.86 $1,746.08 $2,180.24 |
Toc - Plan #70 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Elite |
||||||||||||||||||||
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 |
$440.76 $500.25 $563.28 $787.18 $1,196.20 |
$777.93 $837.42 $900.45 $1,124.35 |
$1,115.10 $1,174.59 $1,237.62 $1,461.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$881.52 $1,000.50 $1,126.56 $1,574.36 $2,392.40 |
$1,218.69 $1,337.67 $1,463.73 $1,911.53 |
$1,555.86 $1,674.84 $1,800.90 $2,248.70 |
Toc - Plan #71 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Classic- Deductible 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 |
$461.26 $523.52 $589.48 $823.80 $1,251.84 |
$814.12 $876.38 $942.34 $1,176.66 |
$1,166.98 $1,229.24 $1,295.20 $1,529.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.52 $1,047.04 $1,178.96 $1,647.60 $2,503.68 |
$1,275.38 $1,399.90 $1,531.82 $2,000.46 |
$1,628.24 $1,752.76 $1,884.68 $2,353.32 |
Toc - Plan #72 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- PCP Saver Plus |
||||||||||||||||||||
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 |
$369.62 $419.51 $472.36 $660.13 $1,003.12 |
$652.37 $702.26 $755.11 $942.88 |
$935.12 $985.01 $1,037.86 $1,225.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.24 $839.02 $944.72 $1,320.26 $2,006.24 |
$1,021.99 $1,121.77 $1,227.47 $1,603.01 |
$1,304.74 $1,404.52 $1,510.22 $1,885.76 |
Toc - Plan #73 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze Classic- Deductible 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 |
$376.54 $427.36 $481.20 $672.48 $1,021.90 |
$664.58 $715.40 $769.24 $960.52 |
$952.62 $1,003.44 $1,057.28 $1,248.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.08 $854.72 $962.40 $1,344.96 $2,043.80 |
$1,041.12 $1,142.76 $1,250.44 $1,633.00 |
$1,329.16 $1,430.80 $1,538.48 $1,921.04 |
Toc - Plan #74 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) 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 |
$418.98 $475.53 $535.44 $748.28 $1,137.09 |
$739.49 $796.04 $855.95 $1,068.79 |
$1,060.00 $1,116.55 $1,176.46 $1,389.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.96 $951.06 $1,070.88 $1,496.56 $2,274.18 |
$1,158.47 $1,271.57 $1,391.39 $1,817.07 |
$1,478.98 $1,592.08 $1,711.90 $2,137.58 |
Toc - Plan #75 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver 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 |
$455.57 $517.06 $582.20 $813.63 $1,236.39 |
$804.07 $865.56 $930.70 $1,162.13 |
$1,152.57 $1,214.06 $1,279.20 $1,510.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.14 $1,034.12 $1,164.40 $1,627.26 $2,472.78 |
$1,259.64 $1,382.62 $1,512.90 $1,975.76 |
$1,608.14 $1,731.12 $1,861.40 $2,324.26 |
Toc - Plan #76 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Elite- Deductible Saver Plus |
||||||||||||||||||||
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 |
$443.42 $503.27 $566.68 $791.93 $1,203.42 |
$782.63 $842.48 $905.89 $1,131.14 |
$1,121.84 $1,181.69 $1,245.10 $1,470.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.84 $1,006.54 $1,133.36 $1,583.86 $2,406.84 |
$1,226.05 $1,345.75 $1,472.57 $1,923.07 |
$1,565.26 $1,684.96 $1,811.78 $2,262.28 |
Toc - Plan #77 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Elite- Deductible Saver Plus |
||||||||||||||||||||
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 |
$537.74 $610.32 $687.22 $960.38 $1,459.39 |
$949.10 $1,021.68 $1,098.58 $1,371.74 |
$1,360.46 $1,433.04 $1,509.94 $1,783.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,075.48 $1,220.64 $1,374.44 $1,920.76 $2,918.78 |
$1,486.84 $1,632.00 $1,785.80 $2,332.12 |
$1,898.20 $2,043.36 $2,197.16 $2,743.48 |
Toc - Plan #78 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) Gold Elite |
||||||||||||||||||||
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 |
$513.73 $583.07 $656.53 $917.51 $1,394.24 |
$906.73 $976.07 $1,049.53 $1,310.51 |
$1,299.73 $1,369.07 $1,442.53 $1,703.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,027.46 $1,166.14 $1,313.06 $1,835.02 $2,788.48 |
$1,420.46 $1,559.14 $1,706.06 $2,228.02 |
$1,813.46 $1,952.14 $2,099.06 $2,621.02 |
Toc - Plan #79 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) 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 |
$424.22 $481.48 $542.14 $757.64 $1,151.30 |
$748.74 $806.00 $866.66 $1,082.16 |
$1,073.26 $1,130.52 $1,191.18 $1,406.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848.44 $962.96 $1,084.28 $1,515.28 $2,302.60 |
$1,172.96 $1,287.48 $1,408.80 $1,839.80 |
$1,497.48 $1,612.00 $1,733.32 $2,164.32 |
Toc - Plan #80 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) Silver Classic- 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 |
$425.97 $483.46 $544.37 $760.76 $1,156.05 |
$751.83 $809.32 $870.23 $1,086.62 |
$1,077.69 $1,135.18 $1,196.09 $1,412.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.94 $966.92 $1,088.74 $1,521.52 $2,312.10 |
$1,177.80 $1,292.78 $1,414.60 $1,847.38 |
$1,503.66 $1,618.64 $1,740.46 $2,173.24 |
Toc - Plan #81 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$370.31 $420.29 $473.24 $661.35 $1,004.99 |
$653.59 $703.57 $756.52 $944.63 |
$936.87 $986.85 $1,039.80 $1,227.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.62 $840.58 $946.48 $1,322.70 $2,009.98 |
$1,023.90 $1,123.86 $1,229.76 $1,605.98 |
$1,307.18 $1,407.14 $1,513.04 $1,889.26 |
Toc - Plan #82 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Bronze
(HMO) 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 |
$345.34 $391.95 $441.33 $616.76 $937.23 |
$609.52 $656.13 $705.51 $880.94 |
$873.70 $920.31 $969.69 $1,145.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.68 $783.90 $882.66 $1,233.52 $1,874.46 |
$954.86 $1,048.08 $1,146.84 $1,497.70 |
$1,219.04 $1,312.26 $1,411.02 $1,761.88 |
Toc - Plan #83 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Silver
(HMO) 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 |
$419.20 $475.78 $535.72 $748.66 $1,137.67 |
$739.88 $796.46 $856.40 $1,069.34 |
$1,060.56 $1,117.14 $1,177.08 $1,390.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.40 $951.56 $1,071.44 $1,497.32 $2,275.34 |
$1,159.08 $1,272.24 $1,392.12 $1,818.00 |
$1,479.76 $1,592.92 $1,712.80 $2,138.68 |
Toc - Plan #84 Oscar Insurance Corporation of Ohio | ||||||||||||||||||||
Gold
(HMO) 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 |
$473.58 $537.50 $605.22 $845.79 $1,285.27 |
$835.86 $899.78 $967.50 $1,208.07 |
$1,198.14 $1,262.06 $1,329.78 $1,570.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$947.16 $1,075.00 $1,210.44 $1,691.58 $2,570.54 |
$1,309.44 $1,437.28 $1,572.72 $2,053.86 |
$1,671.72 $1,799.56 $1,935.00 $2,416.14 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-750-0750 |
Toc - Plan #85 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.11 $448.44 $504.94 $705.66 $1,072.31 |
$697.37 $750.70 $807.20 $1,007.92 |
$999.63 $1,052.96 $1,109.46 $1,310.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.22 $896.88 $1,009.88 $1,411.32 $2,144.62 |
$1,092.48 $1,199.14 $1,312.14 $1,713.58 |
$1,394.74 $1,501.40 $1,614.40 $2,015.84 |
Toc - Plan #86 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$558.91 $634.36 $714.29 $998.21 $1,516.88 |
$986.48 $1,061.93 $1,141.86 $1,425.78 |
$1,414.05 $1,489.50 $1,569.43 $1,853.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,117.82 $1,268.72 $1,428.58 $1,996.42 $3,033.76 |
$1,545.39 $1,696.29 $1,856.15 $2,423.99 |
$1,972.96 $2,123.86 $2,283.72 $2,851.56 |
Toc - Plan #87 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.54 $458.01 $515.72 $720.71 $1,095.19 |
$712.24 $766.71 $824.42 $1,029.41 |
$1,020.94 $1,075.41 $1,133.12 $1,338.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$807.08 $916.02 $1,031.44 $1,441.42 $2,190.38 |
$1,115.78 $1,224.72 $1,340.14 $1,750.12 |
$1,424.48 $1,533.42 $1,648.84 $2,058.82 |
Toc - Plan #88 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.05 $332.61 $374.51 $523.38 $795.32 |
$517.23 $556.79 $598.69 $747.56 |
$741.41 $780.97 $822.87 $971.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.10 $665.22 $749.02 $1,046.76 $1,590.64 |
$810.28 $889.40 $973.20 $1,270.94 |
$1,034.46 $1,113.58 $1,197.38 $1,495.12 |
Toc - Plan #89 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.65 $325.35 $366.34 $511.96 $777.97 |
$505.94 $544.64 $585.63 $731.25 |
$725.23 $763.93 $804.92 $950.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.30 $650.70 $732.68 $1,023.92 $1,555.94 |
$792.59 $869.99 $951.97 $1,243.21 |
$1,011.88 $1,089.28 $1,171.26 $1,462.50 |
Toc - Plan #90 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.76 $512.74 $577.34 $806.84 $1,226.06 |
$797.35 $858.33 $922.93 $1,152.43 |
$1,142.94 $1,203.92 $1,268.52 $1,498.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.52 $1,025.48 $1,154.68 $1,613.68 $2,452.12 |
$1,249.11 $1,371.07 $1,500.27 $1,959.27 |
$1,594.70 $1,716.66 $1,845.86 $2,304.86 |
Toc - Plan #91 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.46 $455.66 $513.07 $717.01 $1,089.56 |
$708.58 $762.78 $820.19 $1,024.13 |
$1,015.70 $1,069.90 $1,127.31 $1,331.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.92 $911.32 $1,026.14 $1,434.02 $2,179.12 |
$1,110.04 $1,218.44 $1,333.26 $1,741.14 |
$1,417.16 $1,525.56 $1,640.38 $2,048.26 |
Toc - Plan #92 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$566.61 $643.10 $724.12 $1,011.96 $1,537.77 |
$1,000.06 $1,076.55 $1,157.57 $1,445.41 |
$1,433.51 $1,510.00 $1,591.02 $1,878.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,133.22 $1,286.20 $1,448.24 $2,023.92 $3,075.54 |
$1,566.67 $1,719.65 $1,881.69 $2,457.37 |
$2,000.12 $2,153.10 $2,315.14 $2,890.82 |
Toc - Plan #93 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.88 $465.21 $523.83 $732.05 $1,112.42 |
$723.44 $778.77 $837.39 $1,045.61 |
$1,037.00 $1,092.33 $1,150.95 $1,359.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.76 $930.42 $1,047.66 $1,464.10 $2,224.84 |
$1,133.32 $1,243.98 $1,361.22 $1,777.66 |
$1,446.88 $1,557.54 $1,674.78 $2,091.22 |
Toc - Plan #94 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.74 $339.06 $381.78 $533.54 $810.76 |
$527.27 $567.59 $610.31 $762.07 |
$755.80 $796.12 $838.84 $990.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.48 $678.12 $763.56 $1,067.08 $1,621.52 |
$826.01 $906.65 $992.09 $1,295.61 |
$1,054.54 $1,135.18 $1,220.62 $1,524.14 |
Toc - Plan #95 CareSource | ||||||||||||||||||||
Bronze
(HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.01 $331.43 $373.19 $521.53 $792.52 |
$515.40 $554.82 $596.58 $744.92 |
$738.79 $778.21 $819.97 $968.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$584.02 $662.86 $746.38 $1,043.06 $1,585.04 |
$807.41 $886.25 $969.77 $1,266.45 |
$1,030.80 $1,109.64 $1,193.16 $1,489.84 |
Toc - Plan #96 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Essential Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.90 $519.71 $585.19 $817.80 $1,242.72 |
$808.19 $870.00 $935.48 $1,168.09 |
$1,158.48 $1,220.29 $1,285.77 $1,518.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.80 $1,039.42 $1,170.38 $1,635.60 $2,485.44 |
$1,266.09 $1,389.71 $1,520.67 $1,985.89 |
$1,616.38 $1,740.00 $1,870.96 $2,336.18 |
ADVERTISEMENT
MedMutualLocal: 1-888-308-0357 | Toll Free: 1-888-308-0357 |
Toc - Plan #97 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 3500 - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.54 $487.53 $548.95 $767.16 $1,165.77 |
$758.14 $816.13 $877.55 $1,095.76 |
$1,086.74 $1,144.73 $1,206.15 $1,424.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.08 $975.06 $1,097.90 $1,534.32 $2,331.54 |
$1,187.68 $1,303.66 $1,426.50 $1,862.92 |
$1,516.28 $1,632.26 $1,755.10 $2,191.52 |
Toc - Plan #98 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 4000 HSA - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.54 $487.53 $548.95 $767.16 $1,165.77 |
$758.14 $816.13 $877.55 $1,095.76 |
$1,086.74 $1,144.73 $1,206.15 $1,424.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.08 $975.06 $1,097.90 $1,534.32 $2,331.54 |
$1,187.68 $1,303.66 $1,426.50 $1,862.92 |
$1,516.28 $1,632.26 $1,755.10 $2,191.52 |
Toc - Plan #99 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 7000 HSA - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.91 $371.05 $417.79 $583.87 $887.24 |
$577.00 $621.14 $667.88 $833.96 |
$827.09 $871.23 $917.97 $1,084.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.82 $742.10 $835.58 $1,167.74 $1,774.48 |
$903.91 $992.19 $1,085.67 $1,417.83 |
$1,154.00 $1,242.28 $1,335.76 $1,667.92 |
Toc - Plan #100 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO 9100 - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.24 $350.99 $395.21 $552.31 $839.28 |
$545.81 $587.56 $631.78 $788.88 |
$782.38 $824.13 $868.35 $1,025.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.48 $701.98 $790.42 $1,104.62 $1,678.56 |
$855.05 $938.55 $1,026.99 $1,341.19 |
$1,091.62 $1,175.12 $1,263.56 $1,577.76 |
Toc - Plan #101 MedMutual | ||||||||||||||||||||
Catastrophic
(HMO) Market HMO Young Adult Essentials - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$204.24 $231.81 $261.01 $364.76 $554.30 |
$360.48 $388.05 $417.25 $521.00 |
$516.72 $544.29 $573.49 $677.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$408.48 $463.62 $522.02 $729.52 $1,108.60 |
$564.72 $619.86 $678.26 $885.76 |
$720.96 $776.10 $834.50 $1,042.00 |
Toc - Plan #102 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO 6500 - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.18 $485.99 $547.22 $764.73 $1,162.08 |
$755.74 $813.55 $874.78 $1,092.29 |
$1,083.30 $1,141.11 $1,202.34 $1,419.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.36 $971.98 $1,094.44 $1,529.46 $2,324.16 |
$1,183.92 $1,299.54 $1,422.00 $1,857.02 |
$1,511.48 $1,627.10 $1,749.56 $2,184.58 |
Toc - Plan #103 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Select Bronze - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.05 $418.87 $471.65 $659.13 $1,001.61 |
$651.37 $701.19 $753.97 $941.45 |
$933.69 $983.51 $1,036.29 $1,223.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.10 $837.74 $943.30 $1,318.26 $2,003.22 |
$1,020.42 $1,120.06 $1,225.62 $1,600.58 |
$1,302.74 $1,402.38 $1,507.94 $1,882.90 |
Toc - Plan #104 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Select Silver - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.82 $524.17 $590.21 $824.82 $1,253.39 |
$815.12 $877.47 $943.51 $1,178.12 |
$1,168.42 $1,230.77 $1,296.81 $1,531.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.64 $1,048.34 $1,180.42 $1,649.64 $2,506.78 |
$1,276.94 $1,401.64 $1,533.72 $2,002.94 |
$1,630.24 $1,754.94 $1,887.02 $2,356.24 |
Toc - Plan #105 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO 8000 - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.32 $355.62 $400.42 $559.59 $850.35 |
$553.01 $595.31 $640.11 $799.28 |
$792.70 $835.00 $879.80 $1,038.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$626.64 $711.24 $800.84 $1,119.18 $1,700.70 |
$866.33 $950.93 $1,040.53 $1,358.87 |
$1,106.02 $1,190.62 $1,280.22 $1,598.56 |
Toc - Plan #106 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO 2500 - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$571.93 $649.14 $730.92 $1,021.46 $1,552.21 |
$1,009.45 $1,086.66 $1,168.44 $1,458.98 |
$1,446.97 $1,524.18 $1,605.96 $1,896.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,143.86 $1,298.28 $1,461.84 $2,042.92 $3,104.42 |
$1,581.38 $1,735.80 $1,899.36 $2,480.44 |
$2,018.90 $2,173.32 $2,336.88 $2,917.96 |
Toc - Plan #107 MedMutual | ||||||||||||||||||||
Gold
(HMO) Market HMO Standard Gold - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$550.18 $624.45 $703.13 $982.62 $1,493.19 |
$971.07 $1,045.34 $1,124.02 $1,403.51 |
$1,391.96 $1,466.23 $1,544.91 $1,824.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,100.36 $1,248.90 $1,406.26 $1,965.24 $2,986.38 |
$1,521.25 $1,669.79 $1,827.15 $2,386.13 |
$1,942.14 $2,090.68 $2,248.04 $2,807.02 |
Toc - Plan #108 MedMutual | ||||||||||||||||||||
Silver
(HMO) Market HMO Standard Silver - Northern Ohio |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.14 $483.67 $544.61 $761.09 $1,156.55 |
$752.14 $809.67 $870.61 $1,087.09 |
$1,078.14 $1,135.67 $1,196.61 $1,413.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.28 $967.34 $1,089.22 $1,522.18 $2,313.10 |
$1,178.28 $1,293.34 $1,415.22 $1,848.18 |
$1,504.28 $1,619.34 $1,741.22 $2,174.18 |
Toc - Plan #109 MedMutual | ||||||||||||||||||||
Expanded Bronze
(HMO) Market HMO Standard Expanded Bronze - Northern Ohio |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
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 |
$334.73 $379.92 $427.78 $597.83 $908.45 |
$590.80 $635.99 $683.85 $853.90 |
$846.87 $892.06 $939.92 $1,109.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$669.46 $759.84 $855.56 $1,195.66 $1,816.90 |
$925.53 $1,015.91 $1,111.63 $1,451.73 |
$1,181.60 $1,271.98 $1,367.70 $1,707.80 |
Toc - Plan #110 MedMutual | ||||||||||||||||||||
Bronze
(HMO) Market HMO Standard Bronze - Northern Ohio |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-888-308-0357
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 |
$312.98 $355.23 $399.99 $558.98 $849.43 |
$552.41 $594.66 $639.42 $798.41 |
$791.84 $834.09 $878.85 $1,037.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$625.96 $710.46 $799.98 $1,117.96 $1,698.86 |
$865.39 $949.89 $1,039.41 $1,357.39 |
$1,104.82 $1,189.32 $1,278.84 $1,596.82 |
‡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 Tuscarawas County here.
Tuscarawas County is in “Rating Area 16” of Ohio.
Currently, there are 110 plans offered in Rating Area 16.