Obamacare 2023 Rates for Payne County
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Obamacare > Rates > Oklahoma > Payne County
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MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #1 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Medica Quest Bronze Copay ($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 |
$590.69 $670.42 $754.89 $1,054.95 $1,603.10 |
$1,042.56 $1,122.29 $1,206.76 $1,506.82 |
$1,494.43 $1,574.16 $1,658.63 $1,958.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,181.38 $1,340.84 $1,509.78 $2,109.90 $3,206.20 |
$1,633.25 $1,792.71 $1,961.65 $2,561.77 |
$2,085.12 $2,244.58 $2,413.52 $3,013.64 |
Toc - Plan #2 Medica | ||||||||||||||||||||
Catastrophic
(PPO) Medica Quest 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 |
$434.81 $493.49 $555.67 $776.54 $1,180.03 |
$767.43 $826.11 $888.29 $1,109.16 |
$1,100.05 $1,158.73 $1,220.91 $1,441.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$869.62 $986.98 $1,111.34 $1,553.08 $2,360.06 |
$1,202.24 $1,319.60 $1,443.96 $1,885.70 |
$1,534.86 $1,652.22 $1,776.58 $2,218.32 |
Toc - Plan #3 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Medica Quest 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 |
$634.68 $720.34 $811.10 $1,133.51 $1,722.47 |
$1,120.20 $1,205.86 $1,296.62 $1,619.03 |
$1,605.72 $1,691.38 $1,782.14 $2,104.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,269.36 $1,440.68 $1,622.20 $2,267.02 $3,444.94 |
$1,754.88 $1,926.20 $2,107.72 $2,752.54 |
$2,240.40 $2,411.72 $2,593.24 $3,238.06 |
Toc - Plan #4 Medica | ||||||||||||||||||||
Gold
(PPO) Medica Quest 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 |
$748.03 $849.00 $955.96 $1,335.95 $2,030.11 |
$1,320.26 $1,421.23 $1,528.19 $1,908.18 |
$1,892.49 $1,993.46 $2,100.42 $2,480.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,496.06 $1,698.00 $1,911.92 $2,671.90 $4,060.22 |
$2,068.29 $2,270.23 $2,484.15 $3,244.13 |
$2,640.52 $2,842.46 $3,056.38 $3,816.36 |
Toc - Plan #5 Medica | ||||||||||||||||||||
Silver
(PPO) Medica Quest 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 |
$746.14 $846.85 $953.55 $1,332.58 $2,024.99 |
$1,316.93 $1,417.64 $1,524.34 $1,903.37 |
$1,887.72 $1,988.43 $2,095.13 $2,474.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,492.28 $1,693.70 $1,907.10 $2,665.16 $4,049.98 |
$2,063.07 $2,264.49 $2,477.89 $3,235.95 |
$2,633.86 $2,835.28 $3,048.68 $3,806.74 |
Toc - Plan #6 Medica | ||||||||||||||||||||
Bronze
(PPO) Medica Quest 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 |
$586.32 $665.46 $749.30 $1,047.14 $1,591.23 |
$1,034.84 $1,113.98 $1,197.82 $1,495.66 |
$1,483.36 $1,562.50 $1,646.34 $1,944.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,172.64 $1,330.92 $1,498.60 $2,094.28 $3,182.46 |
$1,621.16 $1,779.44 $1,947.12 $2,542.80 |
$2,069.68 $2,227.96 $2,395.64 $2,991.32 |
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Ambetter of OklahomaLocal: 1-833-492-0679 | Toll Free: 1-833-492-0679 |
Toc - Plan #7 Ambetter of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$280.61 $318.49 $358.61 $501.16 $761.56 |
$495.27 $533.15 $573.27 $715.82 |
$709.93 $747.81 $787.93 $930.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$561.22 $636.98 $717.22 $1,002.32 $1,523.12 |
$775.88 $851.64 $931.88 $1,216.98 |
$990.54 $1,066.30 $1,146.54 $1,431.64 |
Toc - Plan #8 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$302.74 $343.60 $386.89 $540.68 $821.61 |
$534.33 $575.19 $618.48 $772.27 |
$765.92 $806.78 $850.07 $1,003.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$605.48 $687.20 $773.78 $1,081.36 $1,643.22 |
$837.07 $918.79 $1,005.37 $1,312.95 |
$1,068.66 $1,150.38 $1,236.96 $1,544.54 |
Toc - Plan #9 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$342.30 $388.50 $437.44 $611.32 $928.97 |
$604.15 $650.35 $699.29 $873.17 |
$866.00 $912.20 $961.14 $1,135.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$684.60 $777.00 $874.88 $1,222.64 $1,857.94 |
$946.45 $1,038.85 $1,136.73 $1,484.49 |
$1,208.30 $1,300.70 $1,398.58 $1,746.34 |
Toc - Plan #10 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$352.88 $400.51 $450.97 $630.23 $957.70 |
$622.83 $670.46 $720.92 $900.18 |
$892.78 $940.41 $990.87 $1,170.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$705.76 $801.02 $901.94 $1,260.46 $1,915.40 |
$975.71 $1,070.97 $1,171.89 $1,530.41 |
$1,245.66 $1,340.92 $1,441.84 $1,800.36 |
Toc - Plan #11 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$342.61 $388.86 $437.85 $611.89 $929.83 |
$604.70 $650.95 $699.94 $873.98 |
$866.79 $913.04 $962.03 $1,136.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$685.22 $777.72 $875.70 $1,223.78 $1,859.66 |
$947.31 $1,039.81 $1,137.79 $1,485.87 |
$1,209.40 $1,301.90 $1,399.88 $1,747.96 |
Toc - Plan #12 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$347.59 $394.50 $444.21 $620.78 $943.33 |
$613.49 $660.40 $710.11 $886.68 |
$879.39 $926.30 $976.01 $1,152.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$695.18 $789.00 $888.42 $1,241.56 $1,886.66 |
$961.08 $1,054.90 $1,154.32 $1,507.46 |
$1,226.98 $1,320.80 $1,420.22 $1,773.36 |
Toc - Plan #13 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$388.74 $441.20 $496.79 $694.26 $1,055.00 |
$686.11 $738.57 $794.16 $991.63 |
$983.48 $1,035.94 $1,091.53 $1,289.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$777.48 $882.40 $993.58 $1,388.52 $2,110.00 |
$1,074.85 $1,179.77 $1,290.95 $1,685.89 |
$1,372.22 $1,477.14 $1,588.32 $1,983.26 |
Toc - Plan #14 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$449.61 $510.29 $574.58 $802.98 $1,220.20 |
$793.55 $854.23 $918.52 $1,146.92 |
$1,137.49 $1,198.17 $1,262.46 $1,490.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$899.22 $1,020.58 $1,149.16 $1,605.96 $2,440.40 |
$1,243.16 $1,364.52 $1,493.10 $1,949.90 |
$1,587.10 $1,708.46 $1,837.04 $2,293.84 |
Toc - Plan #15 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Clear Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$384.32 $436.20 $491.15 $686.39 $1,043.03 |
$678.32 $730.20 $785.15 $980.39 |
$972.32 $1,024.20 $1,079.15 $1,274.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$768.64 $872.40 $982.30 $1,372.78 $2,086.06 |
$1,062.64 $1,166.40 $1,276.30 $1,666.78 |
$1,356.64 $1,460.40 $1,570.30 $1,960.78 |
Toc - Plan #16 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) CMS Standard Expanded Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$295.96 $335.91 $378.23 $528.58 $803.22 |
$522.37 $562.32 $604.64 $754.99 |
$748.78 $788.73 $831.05 $981.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$591.92 $671.82 $756.46 $1,057.16 $1,606.44 |
$818.33 $898.23 $982.87 $1,283.57 |
$1,044.74 $1,124.64 $1,209.28 $1,509.98 |
Toc - Plan #17 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) CMS Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$343.85 $390.26 $439.43 $614.10 $933.18 |
$606.89 $653.30 $702.47 $877.14 |
$869.93 $916.34 $965.51 $1,140.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$687.70 $780.52 $878.86 $1,228.20 $1,866.36 |
$950.74 $1,043.56 $1,141.90 $1,491.24 |
$1,213.78 $1,306.60 $1,404.94 $1,754.28 |
Toc - Plan #18 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) CMS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$383.23 $434.96 $489.76 $684.43 $1,040.06 |
$676.39 $728.12 $782.92 $977.59 |
$969.55 $1,021.28 $1,076.08 $1,270.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.46 $869.92 $979.52 $1,368.86 $2,080.12 |
$1,059.62 $1,163.08 $1,272.68 $1,662.02 |
$1,352.78 $1,456.24 $1,565.84 $1,955.18 |
Toc - Plan #19 Ambetter of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Clear Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$294.46 $334.21 $376.31 $525.90 $799.15 |
$519.72 $559.47 $601.57 $751.16 |
$744.98 $784.73 $826.83 $976.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$588.92 $668.42 $752.62 $1,051.80 $1,598.30 |
$814.18 $893.68 $977.88 $1,277.06 |
$1,039.44 $1,118.94 $1,203.14 $1,502.32 |
Toc - Plan #20 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Everyday Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$317.68 $360.56 $405.99 $567.36 $862.16 |
$560.70 $603.58 $649.01 $810.38 |
$803.72 $846.60 $892.03 $1,053.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$635.36 $721.12 $811.98 $1,134.72 $1,724.32 |
$878.38 $964.14 $1,055.00 $1,377.74 |
$1,121.40 $1,207.16 $1,298.02 $1,620.76 |
Toc - Plan #21 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Elite Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$359.19 $407.67 $459.03 $641.50 $974.82 |
$633.96 $682.44 $733.80 $916.27 |
$908.73 $957.21 $1,008.57 $1,191.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$718.38 $815.34 $918.06 $1,283.00 $1,949.64 |
$993.15 $1,090.11 $1,192.83 $1,557.77 |
$1,267.92 $1,364.88 $1,467.60 $1,832.54 |
Toc - Plan #22 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Complete Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
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 |
$370.30 $420.28 $473.23 $661.34 $1,004.97 |
$653.57 $703.55 $756.50 $944.61 |
$936.84 $986.82 $1,039.77 $1,227.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$740.60 $840.56 $946.46 $1,322.68 $2,009.94 |
$1,023.87 $1,123.83 $1,229.73 $1,605.95 |
$1,307.14 $1,407.10 $1,513.00 $1,889.22 |
Toc - Plan #23 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.75 $413.98 $466.13 $651.42 $989.89 |
$643.77 $693.00 $745.15 $930.44 |
$922.79 $972.02 $1,024.17 $1,209.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.50 $827.96 $932.26 $1,302.84 $1,979.78 |
$1,008.52 $1,106.98 $1,211.28 $1,581.86 |
$1,287.54 $1,386.00 $1,490.30 $1,860.88 |
Toc - Plan #24 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.92 $462.98 $521.31 $728.53 $1,107.07 |
$719.97 $775.03 $833.36 $1,040.58 |
$1,032.02 $1,087.08 $1,145.41 $1,352.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.84 $925.96 $1,042.62 $1,457.06 $2,214.14 |
$1,127.89 $1,238.01 $1,354.67 $1,769.11 |
$1,439.94 $1,550.06 $1,666.72 $2,081.16 |
Toc - Plan #25 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.53 $408.05 $459.46 $642.09 $975.72 |
$634.56 $683.08 $734.49 $917.12 |
$909.59 $958.11 $1,009.52 $1,192.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.06 $816.10 $918.92 $1,284.18 $1,951.44 |
$994.09 $1,091.13 $1,193.95 $1,559.21 |
$1,269.12 $1,366.16 $1,468.98 $1,834.24 |
Toc - Plan #26 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.80 $535.48 $602.94 $842.61 $1,280.43 |
$832.72 $896.40 $963.86 $1,203.53 |
$1,193.64 $1,257.32 $1,324.78 $1,564.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$943.60 $1,070.96 $1,205.88 $1,685.22 $2,560.86 |
$1,304.52 $1,431.88 $1,566.80 $2,046.14 |
$1,665.44 $1,792.80 $1,927.72 $2,407.06 |
Toc - Plan #27 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.29 $457.73 $515.40 $720.26 $1,094.51 |
$711.80 $766.24 $823.91 $1,028.77 |
$1,020.31 $1,074.75 $1,132.42 $1,337.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.58 $915.46 $1,030.80 $1,440.52 $2,189.02 |
$1,115.09 $1,223.97 $1,339.31 $1,749.03 |
$1,423.60 $1,532.48 $1,647.82 $2,057.54 |
ADVERTISEMENT
Blue Cross and Blue Shield of OklahomaLocal: 1-866-520-2507 | Toll Free: 1-866-520-2507 | TTY: 1-800-722-0353 |
Toc - Plan #28 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$558.10 $633.44 $713.25 $996.77 $1,514.68 |
$985.05 $1,060.39 $1,140.20 $1,423.72 |
$1,412.00 $1,487.34 $1,567.15 $1,850.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,116.20 $1,266.88 $1,426.50 $1,993.54 $3,029.36 |
$1,543.15 $1,693.83 $1,853.45 $2,420.49 |
$1,970.10 $2,120.78 $2,280.40 $2,847.44 |
Toc - Plan #29 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Catastrophic
(PPO) Blue Preferred Security PPO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.26 $391.87 $441.25 $616.64 $937.04 |
$609.39 $656.00 $705.38 $880.77 |
$873.52 $920.13 $969.51 $1,144.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.52 $783.74 $882.50 $1,233.28 $1,874.08 |
$954.65 $1,047.87 $1,146.63 $1,497.41 |
$1,218.78 $1,312.00 $1,410.76 $1,761.54 |
Toc - Plan #30 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Preferred Gold PPO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$515.12 $584.66 $658.33 $920.01 $1,398.04 |
$909.19 $978.73 $1,052.40 $1,314.08 |
$1,303.26 $1,372.80 $1,446.47 $1,708.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,030.24 $1,169.32 $1,316.66 $1,840.02 $2,796.08 |
$1,424.31 $1,563.39 $1,710.73 $2,234.09 |
$1,818.38 $1,957.46 $2,104.80 $2,628.16 |
Toc - Plan #31 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Preferred Bronze PPO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.89 $457.28 $514.90 $719.57 $1,093.45 |
$711.10 $765.49 $823.11 $1,027.78 |
$1,019.31 $1,073.70 $1,131.32 $1,335.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.78 $914.56 $1,029.80 $1,439.14 $2,186.90 |
$1,113.99 $1,222.77 $1,338.01 $1,747.35 |
$1,422.20 $1,530.98 $1,646.22 $2,055.56 |
Toc - Plan #32 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Preferred Bronze PPO? 603 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.22 $440.63 $496.15 $693.36 $1,053.63 |
$685.21 $737.62 $793.14 $990.35 |
$982.20 $1,034.61 $1,090.13 $1,287.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.44 $881.26 $992.30 $1,386.72 $2,107.26 |
$1,073.43 $1,178.25 $1,289.29 $1,683.71 |
$1,370.42 $1,475.24 $1,586.28 $1,980.70 |
Toc - Plan #33 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Preferred Gold PPO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.94 $599.21 $674.71 $942.91 $1,432.84 |
$931.82 $1,003.09 $1,078.59 $1,346.79 |
$1,335.70 $1,406.97 $1,482.47 $1,750.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,055.88 $1,198.42 $1,349.42 $1,885.82 $2,865.68 |
$1,459.76 $1,602.30 $1,753.30 $2,289.70 |
$1,863.64 $2,006.18 $2,157.18 $2,693.58 |
Toc - Plan #34 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 701 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$540.81 $613.82 $691.16 $965.89 $1,467.76 |
$954.53 $1,027.54 $1,104.88 $1,379.61 |
$1,368.25 $1,441.26 $1,518.60 $1,793.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,081.62 $1,227.64 $1,382.32 $1,931.78 $2,935.52 |
$1,495.34 $1,641.36 $1,796.04 $2,345.50 |
$1,909.06 $2,055.08 $2,209.76 $2,759.22 |
Toc - Plan #35 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Preferred Bronze PPO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.35 $468.02 $526.98 $736.46 $1,119.12 |
$727.80 $783.47 $842.43 $1,051.91 |
$1,043.25 $1,098.92 $1,157.88 $1,367.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.70 $936.04 $1,053.96 $1,472.92 $2,238.24 |
$1,140.15 $1,251.49 $1,369.41 $1,788.37 |
$1,455.60 $1,566.94 $1,684.86 $2,103.82 |
Toc - Plan #36 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Preferred Bronze PPO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.40 $513.47 $578.17 $807.99 $1,227.82 |
$798.49 $859.56 $924.26 $1,154.08 |
$1,144.58 $1,205.65 $1,270.35 $1,500.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.80 $1,026.94 $1,156.34 $1,615.98 $2,455.64 |
$1,250.89 $1,373.03 $1,502.43 $1,962.07 |
$1,596.98 $1,719.12 $1,848.52 $2,308.16 |
Toc - Plan #37 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze PPO? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.23 $429.29 $483.38 $675.52 $1,026.52 |
$667.58 $718.64 $772.73 $964.87 |
$956.93 $1,007.99 $1,062.08 $1,254.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.46 $858.58 $966.76 $1,351.04 $2,053.04 |
$1,045.81 $1,147.93 $1,256.11 $1,640.39 |
$1,335.16 $1,437.28 $1,545.46 $1,929.74 |
Toc - Plan #38 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver PPO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.47 $515.83 $580.82 $811.69 $1,233.44 |
$802.14 $863.50 $928.49 $1,159.36 |
$1,149.81 $1,211.17 $1,276.16 $1,507.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.94 $1,031.66 $1,161.64 $1,623.38 $2,466.88 |
$1,256.61 $1,379.33 $1,509.31 $1,971.05 |
$1,604.28 $1,727.00 $1,856.98 $2,318.72 |
Toc - Plan #39 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze PPO? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.48 $370.56 $417.24 $583.09 $886.07 |
$576.24 $620.32 $667.00 $832.85 |
$826.00 $870.08 $916.76 $1,082.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.96 $741.12 $834.48 $1,166.18 $1,772.14 |
$902.72 $990.88 $1,084.24 $1,415.94 |
$1,152.48 $1,240.64 $1,334.00 $1,665.70 |
Toc - Plan #40 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold PPO? 309 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.88 $490.19 $551.94 $771.34 $1,172.13 |
$762.27 $820.58 $882.33 $1,101.73 |
$1,092.66 $1,150.97 $1,212.72 $1,432.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$863.76 $980.38 $1,103.88 $1,542.68 $2,344.26 |
$1,194.15 $1,310.77 $1,434.27 $1,873.07 |
$1,524.54 $1,641.16 $1,764.66 $2,203.46 |
Toc - Plan #41 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver PPO? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.11 $536.98 $604.64 $844.98 $1,284.02 |
$835.04 $898.91 $966.57 $1,206.91 |
$1,196.97 $1,260.84 $1,328.50 $1,568.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$946.22 $1,073.96 $1,209.28 $1,689.96 $2,568.04 |
$1,308.15 $1,435.89 $1,571.21 $2,051.89 |
$1,670.08 $1,797.82 $1,933.14 $2,413.82 |
Toc - Plan #42 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold PPO? 604 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.97 $478.93 $539.27 $753.63 $1,145.22 |
$744.78 $801.74 $862.08 $1,076.44 |
$1,067.59 $1,124.55 $1,184.89 $1,399.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$843.94 $957.86 $1,078.54 $1,507.26 $2,290.44 |
$1,166.75 $1,280.67 $1,401.35 $1,830.07 |
$1,489.56 $1,603.48 $1,724.16 $2,152.88 |
ADVERTISEMENT
Friday Health PlansLocal: 1-844-817-1600 | Toll Free: 1-844-817-1600 | TTY: 1-800-659-2656 |
Toc - Plan #43 Friday Health Plans | ||||||||||||||||||||
Catastrophic
(HMO) Friday Catastrophic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.75 $360.64 $406.08 $567.50 $862.36 |
$560.83 $603.72 $649.16 $810.58 |
$803.91 $846.80 $892.24 $1,053.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.50 $721.28 $812.16 $1,135.00 $1,724.72 |
$878.58 $964.36 $1,055.24 $1,378.08 |
$1,121.66 $1,207.44 $1,298.32 $1,621.16 |
Toc - Plan #44 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic +Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.41 $435.17 $489.99 $684.76 $1,040.56 |
$676.72 $728.48 $783.30 $978.07 |
$970.03 $1,021.79 $1,076.61 $1,271.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.82 $870.34 $979.98 $1,369.52 $2,081.12 |
$1,060.13 $1,163.65 $1,273.29 $1,662.83 |
$1,353.44 $1,456.96 $1,566.60 $1,956.14 |
Toc - Plan #45 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus +Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.79 $436.74 $491.76 $687.24 $1,044.32 |
$679.16 $731.11 $786.13 $981.61 |
$973.53 $1,025.48 $1,080.50 $1,275.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.58 $873.48 $983.52 $1,374.48 $2,088.64 |
$1,063.95 $1,167.85 $1,277.89 $1,668.85 |
$1,358.32 $1,462.22 $1,572.26 $1,963.22 |
Toc - Plan #46 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.47 $462.48 $520.75 $727.74 $1,105.88 |
$719.19 $774.20 $832.47 $1,039.46 |
$1,030.91 $1,085.92 $1,144.19 $1,351.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.94 $924.96 $1,041.50 $1,455.48 $2,211.76 |
$1,126.66 $1,236.68 $1,353.22 $1,767.20 |
$1,438.38 $1,548.40 $1,664.94 $2,078.92 |
Toc - Plan #47 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$512.30 $581.46 $654.72 $914.97 $1,390.38 |
$904.21 $973.37 $1,046.63 $1,306.88 |
$1,296.12 $1,365.28 $1,438.54 $1,698.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,024.60 $1,162.92 $1,309.44 $1,829.94 $2,780.76 |
$1,416.51 $1,554.83 $1,701.35 $2,221.85 |
$1,808.42 $1,946.74 $2,093.26 $2,613.76 |
Toc - Plan #48 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold+ Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.69 $551.26 $620.71 $867.44 $1,318.16 |
$857.24 $922.81 $992.26 $1,238.99 |
$1,228.79 $1,294.36 $1,363.81 $1,610.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.38 $1,102.52 $1,241.42 $1,734.88 $2,636.32 |
$1,342.93 $1,474.07 $1,612.97 $2,106.43 |
$1,714.48 $1,845.62 $1,984.52 $2,477.98 |
Toc - Plan #49 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.32 $431.66 $486.04 $679.24 $1,032.18 |
$671.26 $722.60 $776.98 $970.18 |
$962.20 $1,013.54 $1,067.92 $1,261.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.64 $863.32 $972.08 $1,358.48 $2,064.36 |
$1,051.58 $1,154.26 $1,263.02 $1,649.42 |
$1,342.52 $1,445.20 $1,553.96 $1,940.36 |
Toc - Plan #50 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$523.28 $593.93 $668.76 $934.59 $1,420.19 |
$923.59 $994.24 $1,069.07 $1,334.90 |
$1,323.90 $1,394.55 $1,469.38 $1,735.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,046.56 $1,187.86 $1,337.52 $1,869.18 $2,840.38 |
$1,446.87 $1,588.17 $1,737.83 $2,269.49 |
$1,847.18 $1,988.48 $2,138.14 $2,669.80 |
Toc - Plan #51 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay + Vision Exam |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.55 $569.26 $640.99 $895.77 $1,361.22 |
$885.24 $952.95 $1,024.68 $1,279.46 |
$1,268.93 $1,336.64 $1,408.37 $1,663.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.10 $1,138.52 $1,281.98 $1,791.54 $2,722.44 |
$1,386.79 $1,522.21 $1,665.67 $2,175.23 |
$1,770.48 $1,905.90 $2,049.36 $2,558.92 |
Toc - Plan #52 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.92 $434.61 $489.37 $683.89 $1,039.24 |
$675.85 $727.54 $782.30 $976.82 |
$968.78 $1,020.47 $1,075.23 $1,269.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.84 $869.22 $978.74 $1,367.78 $2,078.48 |
$1,058.77 $1,162.15 $1,271.67 $1,660.71 |
$1,351.70 $1,455.08 $1,564.60 $1,953.64 |
Toc - Plan #53 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.30 $436.18 $491.14 $686.37 $1,043.00 |
$678.29 $730.17 $785.13 $980.36 |
$972.28 $1,024.16 $1,079.12 $1,274.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.60 $872.36 $982.28 $1,372.74 $2,086.00 |
$1,062.59 $1,166.35 $1,276.27 $1,666.73 |
$1,356.58 $1,460.34 $1,570.26 $1,960.72 |
Toc - Plan #54 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.83 $431.10 $485.42 $678.37 $1,030.85 |
$670.40 $721.67 $775.99 $968.94 |
$960.97 $1,012.24 $1,066.56 $1,259.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.66 $862.20 $970.84 $1,356.74 $2,061.70 |
$1,050.23 $1,152.77 $1,261.41 $1,647.31 |
$1,340.80 $1,443.34 $1,551.98 $1,937.88 |
Toc - Plan #55 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$511.81 $580.90 $654.09 $914.09 $1,389.05 |
$903.34 $972.43 $1,045.62 $1,305.62 |
$1,294.87 $1,363.96 $1,437.15 $1,697.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,023.62 $1,161.80 $1,308.18 $1,828.18 $2,778.10 |
$1,415.15 $1,553.33 $1,699.71 $2,219.71 |
$1,806.68 $1,944.86 $2,091.24 $2,611.24 |
Toc - Plan #56 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.23 $585.92 $659.75 $921.99 $1,401.06 |
$911.15 $980.84 $1,054.67 $1,316.91 |
$1,306.07 $1,375.76 $1,449.59 $1,711.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,032.46 $1,171.84 $1,319.50 $1,843.98 $2,802.12 |
$1,427.38 $1,566.76 $1,714.42 $2,238.90 |
$1,822.30 $1,961.68 $2,109.34 $2,633.82 |
Toc - Plan #57 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Zero Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$524.40 $595.20 $670.19 $936.58 $1,423.23 |
$925.57 $996.37 $1,071.36 $1,337.75 |
$1,326.74 $1,397.54 $1,472.53 $1,738.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,048.80 $1,190.40 $1,340.38 $1,873.16 $2,846.46 |
$1,449.97 $1,591.57 $1,741.55 $2,274.33 |
$1,851.14 $1,992.74 $2,142.72 $2,675.50 |
Toc - Plan #58 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Silver Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$522.80 $593.37 $668.13 $933.71 $1,418.87 |
$922.74 $993.31 $1,068.07 $1,333.65 |
$1,322.68 $1,393.25 $1,468.01 $1,733.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,045.60 $1,186.74 $1,336.26 $1,867.42 $2,837.74 |
$1,445.54 $1,586.68 $1,736.20 $2,267.36 |
$1,845.48 $1,986.62 $2,136.14 $2,667.30 |
Toc - Plan #59 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.20 $550.70 $620.09 $866.57 $1,316.83 |
$856.38 $921.88 $991.27 $1,237.75 |
$1,227.56 $1,293.06 $1,362.45 $1,608.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.40 $1,101.40 $1,240.18 $1,733.14 $2,633.66 |
$1,341.58 $1,472.58 $1,611.36 $2,104.32 |
$1,712.76 $1,843.76 $1,982.54 $2,475.50 |
Toc - Plan #60 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Gold Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$501.07 $568.71 $640.36 $894.90 $1,359.89 |
$884.38 $952.02 $1,023.67 $1,278.21 |
$1,267.69 $1,335.33 $1,406.98 $1,661.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,002.14 $1,137.42 $1,280.72 $1,789.80 $2,719.78 |
$1,385.45 $1,520.73 $1,664.03 $2,173.11 |
$1,768.76 $1,904.04 $2,047.34 $2,556.42 |
Toc - Plan #61 Friday Health Plans | ||||||||||||||||||||
Bronze
(HMO) Friday Standard Bronze Basic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.92 $434.61 $489.37 $683.89 $1,039.24 |
$675.85 $727.54 $782.30 $976.82 |
$968.78 $1,020.47 $1,075.23 $1,269.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.84 $869.22 $978.74 $1,367.78 $2,078.48 |
$1,058.77 $1,162.15 $1,271.67 $1,660.71 |
$1,351.70 $1,455.08 $1,564.60 $1,953.64 |
Toc - Plan #62 Friday Health Plans | ||||||||||||||||||||
Expanded Bronze
(HMO) Friday Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
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 $1,031.57 |
$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 $2,063.14 |
$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 #63 Friday Health Plans | ||||||||||||||||||||
Silver
(HMO) Friday Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.75 $577.43 $650.18 $908.62 $1,380.74 |
$897.94 $966.62 $1,039.37 $1,297.81 |
$1,287.13 $1,355.81 $1,428.56 $1,687.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,017.50 $1,154.86 $1,300.36 $1,817.24 $2,761.48 |
$1,406.69 $1,544.05 $1,689.55 $2,206.43 |
$1,795.88 $1,933.24 $2,078.74 $2,595.62 |
Toc - Plan #64 Friday Health Plans | ||||||||||||||||||||
Gold
(HMO) Friday Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-817-1600
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$498.71 $566.04 $637.35 $890.70 $1,353.50 |
$880.22 $947.55 $1,018.86 $1,272.21 |
$1,261.73 $1,329.06 $1,400.37 $1,653.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$997.42 $1,132.08 $1,274.70 $1,781.40 $2,707.00 |
$1,378.93 $1,513.59 $1,656.21 $2,162.91 |
$1,760.44 $1,895.10 $2,037.72 $2,544.42 |
‡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 Payne County here.
Payne County is in “Rating Area 5” of Oklahoma.
Currently, there are 64 plans offered in Rating Area 5.