Obamacare 2023 Rates for Douglas County

Obamacare > Rates > Oregon > Douglas County

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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Douglas County, OR.

The health insurance rates listed below are for calendar year 2023.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 37 Plans and 2023 Rates for Douglas County, Oregon

Below, you’ll find a summary of the 37 plans for Douglas County, Oregon and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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PacificSource Health Plans

Local: 1-541-684-5582 | Toll Free: 1-888-977-9299 | TTY: 1-800-735-2900

Toc - Plan #1 PacificSource Health Plans
Expanded Bronze

(PPO) Navigator Bronze HSA 7050

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$7,050 $14,100 Annual Deductible
$7,050 $14,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$343.00
$389.00
$439.00
$613.00
$931.00
$561.00
$607.00
$657.00
$831.00
$779.00
$825.00
$875.00
$1,049.00
$997.00
$1,043.00
$1,093.00
$1,267.00
$218.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$686.00
$778.00
$878.00
$1,226.00
$1,862.00
$904.00
$996.00
$1,096.00
$1,444.00
$1,122.00
$1,214.00
$1,314.00
$1,662.00
$1,340.00
$1,432.00
$1,532.00
$1,880.00
$218.00
Toc - Plan #2 PacificSource Health Plans
Expanded Bronze

(PPO) Navigator Bronze 7000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344.00
$391.00
$440.00
$614.00
$934.00
$562.00
$609.00
$658.00
$832.00
$780.00
$827.00
$876.00
$1,050.00
$998.00
$1,045.00
$1,094.00
$1,268.00
$218.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$688.00
$782.00
$880.00
$1,228.00
$1,868.00
$906.00
$1,000.00
$1,098.00
$1,446.00
$1,124.00
$1,218.00
$1,316.00
$1,664.00
$1,342.00
$1,436.00
$1,534.00
$1,882.00
$218.00
Toc - Plan #3 PacificSource Health Plans
Silver

(PPO) Navigator Silver 4000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$451.00
$512.00
$576.00
$805.00
$1,224.00
$737.00
$798.00
$862.00
$1,091.00
$1,023.00
$1,084.00
$1,148.00
$1,377.00
$1,309.00
$1,370.00
$1,434.00
$1,663.00
$286.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$902.00
$1,024.00
$1,152.00
$1,610.00
$2,448.00
$1,188.00
$1,310.00
$1,438.00
$1,896.00
$1,474.00
$1,596.00
$1,724.00
$2,182.00
$1,760.00
$1,882.00
$2,010.00
$2,468.00
$286.00
Toc - Plan #4 PacificSource Health Plans
Silver

(PPO) Navigator Silver 3500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$464.00
$527.00
$594.00
$829.00
$1,260.00
$759.00
$822.00
$889.00
$1,124.00
$1,054.00
$1,117.00
$1,184.00
$1,419.00
$1,349.00
$1,412.00
$1,479.00
$1,714.00
$295.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$928.00
$1,054.00
$1,188.00
$1,658.00
$2,520.00
$1,223.00
$1,349.00
$1,483.00
$1,953.00
$1,518.00
$1,644.00
$1,778.00
$2,248.00
$1,813.00
$1,939.00
$2,073.00
$2,543.00
$295.00
Toc - Plan #5 PacificSource Health Plans
Catastrophic

(PPO) Navigator Catastrophic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$231.00
$262.00
$296.00
$413.00
$628.00
$378.00
$409.00
$443.00
$560.00
$525.00
$556.00
$590.00
$707.00
$672.00
$703.00
$737.00
$854.00
$147.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$462.00
$524.00
$592.00
$826.00
$1,256.00
$609.00
$671.00
$739.00
$973.00
$756.00
$818.00
$886.00
$1,120.00
$903.00
$965.00
$1,033.00
$1,267.00
$147.00
Toc - Plan #6 PacificSource Health Plans
Expanded Bronze

(PPO) PacificSource Oregon Standard Bronze Plan NAV

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$8,800 $17,600 Annual Deductible
$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$351.00
$398.00
$448.00
$626.00
$951.00
$574.00
$621.00
$671.00
$849.00
$797.00
$844.00
$894.00
$1,072.00
$1,020.00
$1,067.00
$1,117.00
$1,295.00
$223.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$702.00
$796.00
$896.00
$1,252.00
$1,902.00
$925.00
$1,019.00
$1,119.00
$1,475.00
$1,148.00
$1,242.00
$1,342.00
$1,698.00
$1,371.00
$1,465.00
$1,565.00
$1,921.00
$223.00
Toc - Plan #7 PacificSource Health Plans
Silver

(PPO) PacificSource Oregon Standard Silver Plan NAV

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$454.00
$515.00
$580.00
$810.00
$1,232.00
$742.00
$803.00
$868.00
$1,098.00
$1,030.00
$1,091.00
$1,156.00
$1,386.00
$1,318.00
$1,379.00
$1,444.00
$1,674.00
$288.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$908.00
$1,030.00
$1,160.00
$1,620.00
$2,464.00
$1,196.00
$1,318.00
$1,448.00
$1,908.00
$1,484.00
$1,606.00
$1,736.00
$2,196.00
$1,772.00
$1,894.00
$2,024.00
$2,484.00
$288.00
Toc - Plan #8 PacificSource Health Plans
Gold

(PPO) PacificSource Oregon Standard Gold Plan NAV

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$493.00
$560.00
$631.00
$881.00
$1,339.00
$806.00
$873.00
$944.00
$1,194.00
$1,119.00
$1,186.00
$1,257.00
$1,507.00
$1,432.00
$1,499.00
$1,570.00
$1,820.00
$313.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$986.00
$1,120.00
$1,262.00
$1,762.00
$2,678.00
$1,299.00
$1,433.00
$1,575.00
$2,075.00
$1,612.00
$1,746.00
$1,888.00
$2,388.00
$1,925.00
$2,059.00
$2,201.00
$2,701.00
$313.00
Toc - Plan #9 PacificSource Health Plans
Expanded Bronze

(PPO) Navigator Bronze 9100

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$315.00
$358.00
$403.00
$563.00
$855.00
$515.00
$558.00
$603.00
$763.00
$715.00
$758.00
$803.00
$963.00
$915.00
$958.00
$1,003.00
$1,163.00
$200.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$630.00
$716.00
$806.00
$1,126.00
$1,710.00
$830.00
$916.00
$1,006.00
$1,326.00
$1,030.00
$1,116.00
$1,206.00
$1,526.00
$1,230.00
$1,316.00
$1,406.00
$1,726.00
$200.00
Toc - Plan #10 PacificSource Health Plans
Gold

(PPO) Navigator Gold 1500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-977-9299

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$500.00
$567.00
$639.00
$892.00
$1,356.00
$817.00
$884.00
$956.00
$1,209.00
$1,134.00
$1,201.00
$1,273.00
$1,526.00
$1,451.00
$1,518.00
$1,590.00
$1,843.00
$317.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,000.00
$1,134.00
$1,278.00
$1,784.00
$2,712.00
$1,317.00
$1,451.00
$1,595.00
$2,101.00
$1,634.00
$1,768.00
$1,912.00
$2,418.00
$1,951.00
$2,085.00
$2,229.00
$2,735.00
$317.00

ADVERTISEMENT

Moda Health Plan, Inc.

Local: 1-888-393-2940 | Toll Free: 1-888-393-2940 | TTY: 1-888-393-2940

Toc - Plan #11 Moda Health Plan, Inc.
Gold

(EPO) Moda Health Oregon Standard Gold (Affinity)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$524.00
$595.00
$669.00
$936.00
$1,422.00
$857.00
$928.00
$1,002.00
$1,269.00
$1,190.00
$1,261.00
$1,335.00
$1,602.00
$1,523.00
$1,594.00
$1,668.00
$1,935.00
$333.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,048.00
$1,190.00
$1,338.00
$1,872.00
$2,844.00
$1,381.00
$1,523.00
$1,671.00
$2,205.00
$1,714.00
$1,856.00
$2,004.00
$2,538.00
$2,047.00
$2,189.00
$2,337.00
$2,871.00
$333.00
Toc - Plan #12 Moda Health Plan, Inc.
Silver

(EPO) Moda Health Oregon Standard Silver (Affinity)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$449.00
$509.00
$574.00
$802.00
$1,218.00
$734.00
$794.00
$859.00
$1,087.00
$1,019.00
$1,079.00
$1,144.00
$1,372.00
$1,304.00
$1,364.00
$1,429.00
$1,657.00
$285.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$898.00
$1,018.00
$1,148.00
$1,604.00
$2,436.00
$1,183.00
$1,303.00
$1,433.00
$1,889.00
$1,468.00
$1,588.00
$1,718.00
$2,174.00
$1,753.00
$1,873.00
$2,003.00
$2,459.00
$285.00
Toc - Plan #13 Moda Health Plan, Inc.
Expanded Bronze

(EPO) Moda Health Oregon Standard Bronze Plan (Affinity)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$8,800 $17,600 Annual Deductible
$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$360.00
$409.00
$461.00
$644.00
$978.00
$589.00
$638.00
$690.00
$873.00
$818.00
$867.00
$919.00
$1,102.00
$1,047.00
$1,096.00
$1,148.00
$1,331.00
$229.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$720.00
$818.00
$922.00
$1,288.00
$1,956.00
$949.00
$1,047.00
$1,151.00
$1,517.00
$1,178.00
$1,276.00
$1,380.00
$1,746.00
$1,407.00
$1,505.00
$1,609.00
$1,975.00
$229.00
Toc - Plan #14 Moda Health Plan, Inc.
Gold

(EPO) Moda Health Affinity Gold 250

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$250 $500 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$540.00
$613.00
$690.00
$965.00
$1,466.00
$883.00
$956.00
$1,033.00
$1,308.00
$1,226.00
$1,299.00
$1,376.00
$1,651.00
$1,569.00
$1,642.00
$1,719.00
$1,994.00
$343.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,080.00
$1,226.00
$1,380.00
$1,930.00
$2,932.00
$1,423.00
$1,569.00
$1,723.00
$2,273.00
$1,766.00
$1,912.00
$2,066.00
$2,616.00
$2,109.00
$2,255.00
$2,409.00
$2,959.00
$343.00
Toc - Plan #15 Moda Health Plan, Inc.
Gold

(EPO) Moda Health Affinity Gold 1000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$535.00
$608.00
$684.00
$956.00
$1,453.00
$875.00
$948.00
$1,024.00
$1,296.00
$1,215.00
$1,288.00
$1,364.00
$1,636.00
$1,555.00
$1,628.00
$1,704.00
$1,976.00
$340.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,070.00
$1,216.00
$1,368.00
$1,912.00
$2,906.00
$1,410.00
$1,556.00
$1,708.00
$2,252.00
$1,750.00
$1,896.00
$2,048.00
$2,592.00
$2,090.00
$2,236.00
$2,388.00
$2,932.00
$340.00
Toc - Plan #16 Moda Health Plan, Inc.
Silver

(EPO) Moda Health Affinity Silver 3500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$461.00
$523.00
$589.00
$823.00
$1,251.00
$754.00
$816.00
$882.00
$1,116.00
$1,047.00
$1,109.00
$1,175.00
$1,409.00
$1,340.00
$1,402.00
$1,468.00
$1,702.00
$293.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$922.00
$1,046.00
$1,178.00
$1,646.00
$2,502.00
$1,215.00
$1,339.00
$1,471.00
$1,939.00
$1,508.00
$1,632.00
$1,764.00
$2,232.00
$1,801.00
$1,925.00
$2,057.00
$2,525.00
$293.00
Toc - Plan #17 Moda Health Plan, Inc.
Expanded Bronze

(EPO) Moda Health Affinity Bronze 7000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$359.00
$407.00
$458.00
$641.00
$974.00
$587.00
$635.00
$686.00
$869.00
$815.00
$863.00
$914.00
$1,097.00
$1,043.00
$1,091.00
$1,142.00
$1,325.00
$228.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$718.00
$814.00
$916.00
$1,282.00
$1,948.00
$946.00
$1,042.00
$1,144.00
$1,510.00
$1,174.00
$1,270.00
$1,372.00
$1,738.00
$1,402.00
$1,498.00
$1,600.00
$1,966.00
$228.00
Toc - Plan #18 Moda Health Plan, Inc.
Expanded Bronze

(EPO) Moda Health Affinity Bronze HSA 6900

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.00
$422.00
$475.00
$664.00
$1,009.00
$608.00
$658.00
$711.00
$900.00
$844.00
$894.00
$947.00
$1,136.00
$1,080.00
$1,130.00
$1,183.00
$1,372.00
$236.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$744.00
$844.00
$950.00
$1,328.00
$2,018.00
$980.00
$1,080.00
$1,186.00
$1,564.00
$1,216.00
$1,316.00
$1,422.00
$1,800.00
$1,452.00
$1,552.00
$1,658.00
$2,036.00
$236.00
Toc - Plan #19 Moda Health Plan, Inc.
Silver

(EPO) Moda Health Affinity Silver 4500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$8,050 $16,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$453.00
$514.00
$579.00
$809.00
$1,229.00
$741.00
$802.00
$867.00
$1,097.00
$1,029.00
$1,090.00
$1,155.00
$1,385.00
$1,317.00
$1,378.00
$1,443.00
$1,673.00
$288.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$906.00
$1,028.00
$1,158.00
$1,618.00
$2,458.00
$1,194.00
$1,316.00
$1,446.00
$1,906.00
$1,482.00
$1,604.00
$1,734.00
$2,194.00
$1,770.00
$1,892.00
$2,022.00
$2,482.00
$288.00
Toc - Plan #20 Moda Health Plan, Inc.
Expanded Bronze

(EPO) Moda Health Affinity Bronze 8700

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$8,700 $17,400 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$358.00
$407.00
$458.00
$640.00
$972.00
$585.00
$634.00
$685.00
$867.00
$812.00
$861.00
$912.00
$1,094.00
$1,039.00
$1,088.00
$1,139.00
$1,321.00
$227.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$716.00
$814.00
$916.00
$1,280.00
$1,944.00
$943.00
$1,041.00
$1,143.00
$1,507.00
$1,170.00
$1,268.00
$1,370.00
$1,734.00
$1,397.00
$1,495.00
$1,597.00
$1,961.00
$227.00
Toc - Plan #21 Moda Health Plan, Inc.
Silver

(EPO) Moda Health Affinity Silver 6400

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-393-2940

Annual Out of Pocket Expenses:

Individual Family
$6,400 $12,800 Annual Deductible
$7,400 $14,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$452.00
$514.00
$578.00
$808.00
$1,228.00
$739.00
$801.00
$865.00
$1,095.00
$1,026.00
$1,088.00
$1,152.00
$1,382.00
$1,313.00
$1,375.00
$1,439.00
$1,669.00
$287.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$904.00
$1,028.00
$1,156.00
$1,616.00
$2,456.00
$1,191.00
$1,315.00
$1,443.00
$1,903.00
$1,478.00
$1,602.00
$1,730.00
$2,190.00
$1,765.00
$1,889.00
$2,017.00
$2,477.00
$287.00

ADVERTISEMENT

Providence Health Plan

Local: 1-503-574-5000 | Toll Free: 1-800-878-4445 | TTY: 1-888-244-6642

Toc - Plan #22 Providence Health Plan
Gold

(EPO) Providence Oregon Standard Gold Plan - Choice Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-878-4445

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$477.00
$541.00
$609.00
$851.00
$1,293.00
$780.00
$844.00
$912.00
$1,154.00
$1,083.00
$1,147.00
$1,215.00
$1,457.00
$1,386.00
$1,450.00
$1,518.00
$1,760.00
$303.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$954.00
$1,082.00
$1,218.00
$1,702.00
$2,586.00
$1,257.00
$1,385.00
$1,521.00
$2,005.00
$1,560.00
$1,688.00
$1,824.00
$2,308.00
$1,863.00
$1,991.00
$2,127.00
$2,611.00
$303.00
Toc - Plan #23 Providence Health Plan
Silver

(EPO) Providence Oregon Standard Silver Plan - Choice Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-878-4445

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$427.00
$484.00
$545.00
$762.00
$1,158.00
$698.00
$755.00
$816.00
$1,033.00
$969.00
$1,026.00
$1,087.00
$1,304.00
$1,240.00
$1,297.00
$1,358.00
$1,575.00
$271.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$854.00
$968.00
$1,090.00
$1,524.00
$2,316.00
$1,125.00
$1,239.00
$1,361.00
$1,795.00
$1,396.00
$1,510.00
$1,632.00
$2,066.00
$1,667.00
$1,781.00
$1,903.00
$2,337.00
$271.00
Toc - Plan #24 Providence Health Plan
Expanded Bronze

(EPO) Providence Oregon Standard Bronze Plan - Choice Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-878-4445

Annual Out of Pocket Expenses:

Individual Family
$8,800 $17,600 Annual Deductible
$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$326.00
$370.00
$417.00
$583.00
$885.00
$533.00
$577.00
$624.00
$790.00
$740.00
$784.00
$831.00
$997.00
$947.00
$991.00
$1,038.00
$1,204.00
$207.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$652.00
$740.00
$834.00
$1,166.00
$1,770.00
$859.00
$947.00
$1,041.00
$1,373.00
$1,066.00
$1,154.00
$1,248.00
$1,580.00
$1,273.00
$1,361.00
$1,455.00
$1,787.00
$207.00
Toc - Plan #25 Providence Health Plan
Expanded Bronze

(EPO) HSA Qualified 7050 Bronze - Choice Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-878-4445

Annual Out of Pocket Expenses:

Individual Family
$7,050 $14,100 Annual Deductible
$7,050 $14,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$331.00
$376.00
$423.00
$592.00
$899.00
$541.00
$586.00
$633.00
$802.00
$751.00
$796.00
$843.00
$1,012.00
$961.00
$1,006.00
$1,053.00
$1,222.00
$210.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$662.00
$752.00
$846.00
$1,184.00
$1,798.00
$872.00
$962.00
$1,056.00
$1,394.00
$1,082.00
$1,172.00
$1,266.00
$1,604.00
$1,292.00
$1,382.00
$1,476.00
$1,814.00
$210.00

ADVERTISEMENT

BridgeSpan Health Company

Local: 1-855-857-9944 | Toll Free: 1-855-857-9944 | TTY: 1-800-735-2900

Toc - Plan #26 BridgeSpan Health Company
Gold

(EPO) BridgeSpan Standard Gold Plan

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-857-9944

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$554.85
$629.75
$709.09
$990.96
$1,505.85
$907.18
$982.08
$1,061.42
$1,343.29
$1,259.51
$1,334.41
$1,413.75
$1,695.62
$1,611.84
$1,686.74
$1,766.08
$2,047.95
$352.33
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,109.70
$1,259.50
$1,418.18
$1,981.92
$3,011.70
$1,462.03
$1,611.83
$1,770.51
$2,334.25
$1,814.36
$1,964.16
$2,122.84
$2,686.58
$2,166.69
$2,316.49
$2,475.17
$3,038.91
$352.33
Toc - Plan #27 BridgeSpan Health Company
Expanded Bronze

(EPO) BridgeSpan Standard Bronze Plan

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-857-9944

Annual Out of Pocket Expenses:

Individual Family
$8,800 $17,600 Annual Deductible
$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361.83
$410.68
$462.42
$646.22
$982.00
$591.59
$640.44
$692.18
$875.98
$821.35
$870.20
$921.94
$1,105.74
$1,051.11
$1,099.96
$1,151.70
$1,335.50
$229.76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$723.66
$821.36
$924.84
$1,292.44
$1,964.00
$953.42
$1,051.12
$1,154.60
$1,522.20
$1,183.18
$1,280.88
$1,384.36
$1,751.96
$1,412.94
$1,510.64
$1,614.12
$1,981.72
$229.76
Toc - Plan #28 BridgeSpan Health Company
Silver

(EPO) BridgeSpan Standard Silver Plan

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-857-9944

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$472.03
$535.76
$603.25
$843.05
$1,281.09
$771.77
$835.50
$902.99
$1,142.79
$1,071.51
$1,135.24
$1,202.73
$1,442.53
$1,371.25
$1,434.98
$1,502.47
$1,742.27
$299.74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$944.06
$1,071.52
$1,206.50
$1,686.10
$2,562.18
$1,243.80
$1,371.26
$1,506.24
$1,985.84
$1,543.54
$1,671.00
$1,805.98
$2,285.58
$1,843.28
$1,970.74
$2,105.72
$2,585.32
$299.74

ADVERTISEMENT

Regence BlueCross BlueShield of Oregon

Local: 1-888-675-6570 | Toll Free: 1-888-675-6570

Toc - Plan #29 Regence BlueCross BlueShield of Oregon
Expanded Bronze

(EPO) Bronze HSA 6750 Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$6,750 $13,500 Annual Deductible
$7,100 $14,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$368.70
$418.48
$471.20
$658.49
$1,000.66
$602.83
$652.61
$705.33
$892.62
$836.96
$886.74
$939.46
$1,126.75
$1,071.09
$1,120.87
$1,173.59
$1,360.88
$234.13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$737.40
$836.96
$942.40
$1,316.98
$2,001.32
$971.53
$1,071.09
$1,176.53
$1,551.11
$1,205.66
$1,305.22
$1,410.66
$1,785.24
$1,439.79
$1,539.35
$1,644.79
$2,019.37
$234.13
Toc - Plan #30 Regence BlueCross BlueShield of Oregon
Expanded Bronze

(EPO) Bronze Essential 8000 With 4 Copay No Deductible Office Visits Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348.47
$395.51
$445.35
$622.37
$945.74
$569.75
$616.79
$666.63
$843.65
$791.03
$838.07
$887.91
$1,064.93
$1,012.31
$1,059.35
$1,109.19
$1,286.21
$221.28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$696.94
$791.02
$890.70
$1,244.74
$1,891.48
$918.22
$1,012.30
$1,111.98
$1,466.02
$1,139.50
$1,233.58
$1,333.26
$1,687.30
$1,360.78
$1,454.86
$1,554.54
$1,908.58
$221.28
Toc - Plan #31 Regence BlueCross BlueShield of Oregon
Expanded Bronze

(EPO) Bronze Virtual Value 8500 Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$332.72
$377.64
$425.22
$594.24
$903.01
$544.00
$588.92
$636.50
$805.52
$755.28
$800.20
$847.78
$1,016.80
$966.56
$1,011.48
$1,059.06
$1,228.08
$211.28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$665.44
$755.28
$850.44
$1,188.48
$1,806.02
$876.72
$966.56
$1,061.72
$1,399.76
$1,088.00
$1,177.84
$1,273.00
$1,611.04
$1,299.28
$1,389.12
$1,484.28
$1,822.32
$211.28
Toc - Plan #32 Regence BlueCross BlueShield of Oregon
Silver

(EPO) Silver 4500 Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$463.94
$526.57
$592.92
$828.60
$1,259.14
$758.54
$821.17
$887.52
$1,123.20
$1,053.14
$1,115.77
$1,182.12
$1,417.80
$1,347.74
$1,410.37
$1,476.72
$1,712.40
$294.60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$927.88
$1,053.14
$1,185.84
$1,657.20
$2,518.28
$1,222.48
$1,347.74
$1,480.44
$1,951.80
$1,517.08
$1,642.34
$1,775.04
$2,246.40
$1,811.68
$1,936.94
$2,069.64
$2,541.00
$294.60
Toc - Plan #33 Regence BlueCross BlueShield of Oregon
Silver

(EPO) Silver 6500 Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$441.77
$501.41
$564.58
$789.00
$1,198.96
$722.29
$781.93
$845.10
$1,069.52
$1,002.81
$1,062.45
$1,125.62
$1,350.04
$1,283.33
$1,342.97
$1,406.14
$1,630.56
$280.52
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$883.54
$1,002.82
$1,129.16
$1,578.00
$2,397.92
$1,164.06
$1,283.34
$1,409.68
$1,858.52
$1,444.58
$1,563.86
$1,690.20
$2,139.04
$1,725.10
$1,844.38
$1,970.72
$2,419.56
$280.52
Toc - Plan #34 Regence BlueCross BlueShield of Oregon
Silver

(EPO) Regence Standard Silver Plan Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$467.32
$530.40
$597.23
$834.63
$1,268.30
$764.07
$827.15
$893.98
$1,131.38
$1,060.82
$1,123.90
$1,190.73
$1,428.13
$1,357.57
$1,420.65
$1,487.48
$1,724.88
$296.75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$934.64
$1,060.80
$1,194.46
$1,669.26
$2,536.60
$1,231.39
$1,357.55
$1,491.21
$1,966.01
$1,528.14
$1,654.30
$1,787.96
$2,262.76
$1,824.89
$1,951.05
$2,084.71
$2,559.51
$296.75
Toc - Plan #35 Regence BlueCross BlueShield of Oregon
Expanded Bronze

(EPO) Regence Standard Bronze Plan Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$8,800 $17,600 Annual Deductible
$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$358.20
$406.56
$457.79
$639.75
$972.17
$585.66
$634.02
$685.25
$867.21
$813.12
$861.48
$912.71
$1,094.67
$1,040.58
$1,088.94
$1,140.17
$1,322.13
$227.46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$716.40
$813.12
$915.58
$1,279.50
$1,944.34
$943.86
$1,040.58
$1,143.04
$1,506.96
$1,171.32
$1,268.04
$1,370.50
$1,734.42
$1,398.78
$1,495.50
$1,597.96
$1,961.88
$227.46
Toc - Plan #36 Regence BlueCross BlueShield of Oregon
Gold

(EPO) Regence Standard Gold Plan Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$1,800 $3,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$549.30
$623.46
$702.00
$981.05
$1,490.81
$898.11
$972.27
$1,050.81
$1,329.86
$1,246.92
$1,321.08
$1,399.62
$1,678.67
$1,595.73
$1,669.89
$1,748.43
$2,027.48
$348.81
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,098.60
$1,246.92
$1,404.00
$1,962.10
$2,981.62
$1,447.41
$1,595.73
$1,752.81
$2,310.91
$1,796.22
$1,944.54
$2,101.62
$2,659.72
$2,145.03
$2,293.35
$2,450.43
$3,008.53
$348.81
Toc - Plan #37 Regence BlueCross BlueShield of Oregon
Gold

(EPO) Gold 2000 With Dental and Vision Exam Individual and Family Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-675-6570

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$515.20
$584.76
$658.43
$920.15
$1,398.25
$842.36
$911.92
$985.59
$1,247.31
$1,169.52
$1,239.08
$1,312.75
$1,574.47
$1,496.68
$1,566.24
$1,639.91
$1,901.63
$327.16
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,030.40
$1,169.52
$1,316.86
$1,840.30
$2,796.50
$1,357.56
$1,496.68
$1,644.02
$2,167.46
$1,684.72
$1,823.84
$1,971.18
$2,494.62
$2,011.88
$2,151.00
$2,298.34
$2,821.78
$327.16

‡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 Douglas County here.

Douglas County is in “Rating Area 7” of Oregon.

Currently, there are 37 plans offered in Rating Area 7.

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2023 Obamacare Plans for Douglas County, OR

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