Obamacare 2023 Rates for Fentress County
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Obamacare > Rates > Tennessee > Fentress County
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BlueCross BlueShield of TennesseeLocal: 1-423-535-5600 | Toll Free: 1-800-565-9140 |
Toc - Plan #1 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B07S HSA + Free Preventive Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$375.87 $426.61 $480.36 $671.30 $1,020.11 |
$663.41 $714.15 $767.90 $958.84 |
$950.95 $1,001.69 $1,055.44 $1,246.38 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$751.74 $853.22 $960.72 $1,342.60 $2,040.22 |
$1,039.28 $1,140.76 $1,248.26 $1,630.14 |
$1,326.82 $1,428.30 $1,535.80 $1,917.68 |
Toc - Plan #2 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Bronze B08S Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$338.01 $383.64 $431.98 $603.69 $917.36 |
$596.59 $642.22 $690.56 $862.27 |
$855.17 $900.80 $949.14 $1,120.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$676.02 $767.28 $863.96 $1,207.38 $1,834.72 |
$934.60 $1,025.86 $1,122.54 $1,465.96 |
$1,193.18 $1,284.44 $1,381.12 $1,724.54 |
Toc - Plan #3 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B10S Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$370.04 $420.00 $472.91 $660.89 $1,004.29 |
$653.12 $703.08 $755.99 $943.97 |
$936.20 $986.16 $1,039.07 $1,227.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$740.08 $840.00 $945.82 $1,321.78 $2,008.58 |
$1,023.16 $1,123.08 $1,228.90 $1,604.86 |
$1,306.24 $1,406.16 $1,511.98 $1,887.94 |
Toc - Plan #4 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B13S 2 Free PCP Visits + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$393.40 $446.51 $502.77 $702.61 $1,067.69 |
$694.35 $747.46 $803.72 $1,003.56 |
$995.30 $1,048.41 $1,104.67 $1,304.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$786.80 $893.02 $1,005.54 $1,405.22 $2,135.38 |
$1,087.75 $1,193.97 $1,306.49 $1,706.17 |
$1,388.70 $1,494.92 $1,607.44 $2,007.12 |
Toc - Plan #5 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B14S $70 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$343.93 $390.36 $439.54 $614.26 $933.43 |
$607.04 $653.47 $702.65 $877.37 |
$870.15 $916.58 $965.76 $1,140.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$687.86 $780.72 $879.08 $1,228.52 $1,866.86 |
$950.97 $1,043.83 $1,142.19 $1,491.63 |
$1,214.08 $1,306.94 $1,405.30 $1,754.74 |
Toc - Plan #6 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Bronze B15S + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$334.62 $379.79 $427.64 $597.63 $908.16 |
$590.60 $635.77 $683.62 $853.61 |
$846.58 $891.75 $939.60 $1,109.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$669.24 $759.58 $855.28 $1,195.26 $1,816.32 |
$925.22 $1,015.56 $1,111.26 $1,451.24 |
$1,181.20 $1,271.54 $1,367.24 $1,707.22 |
Toc - Plan #7 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S01S Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$482.28 $547.39 $616.35 $861.35 $1,308.91 |
$851.22 $916.33 $985.29 $1,230.29 |
$1,220.16 $1,285.27 $1,354.23 $1,599.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$964.56 $1,094.78 $1,232.70 $1,722.70 $2,617.82 |
$1,333.50 $1,463.72 $1,601.64 $2,091.64 |
$1,702.44 $1,832.66 $1,970.58 $2,460.58 |
Toc - Plan #8 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S04S Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$475.80 $540.03 $608.07 $849.78 $1,291.32 |
$839.79 $904.02 $972.06 $1,213.77 |
$1,203.78 $1,268.01 $1,336.05 $1,577.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$951.60 $1,080.06 $1,216.14 $1,699.56 $2,582.64 |
$1,315.59 $1,444.05 $1,580.13 $2,063.55 |
$1,679.58 $1,808.04 $1,944.12 $2,427.54 |
Toc - Plan #9 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S23S 2 Free PCP Visits + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$472.60 $536.40 $603.98 $844.06 $1,282.64 |
$834.14 $897.94 $965.52 $1,205.60 |
$1,195.68 $1,259.48 $1,327.06 $1,567.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$945.20 $1,072.80 $1,207.96 $1,688.12 $2,565.28 |
$1,306.74 $1,434.34 $1,569.50 $2,049.66 |
$1,668.28 $1,795.88 $1,931.04 $2,411.20 |
Toc - Plan #10 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S24S $35 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$442.16 $501.85 $565.08 $789.70 $1,200.02 |
$780.41 $840.10 $903.33 $1,127.95 |
$1,118.66 $1,178.35 $1,241.58 $1,466.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$884.32 $1,003.70 $1,130.16 $1,579.40 $2,400.04 |
$1,222.57 $1,341.95 $1,468.41 $1,917.65 |
$1,560.82 $1,680.20 $1,806.66 $2,255.90 |
Toc - Plan #11 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S25S $45 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$454.09 $515.39 $580.33 $811.00 $1,232.40 |
$801.47 $862.77 $927.71 $1,158.38 |
$1,148.85 $1,210.15 $1,275.09 $1,505.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$908.18 $1,030.78 $1,160.66 $1,622.00 $2,464.80 |
$1,255.56 $1,378.16 $1,508.04 $1,969.38 |
$1,602.94 $1,725.54 $1,855.42 $2,316.76 |
Toc - Plan #12 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) Gold G06S $35 PCP Copay + Free Telehealth + Rx Copays |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$577.06 $654.96 $737.48 $1,030.63 $1,566.14 |
$1,018.51 $1,096.41 $1,178.93 $1,472.08 |
$1,459.96 $1,537.86 $1,620.38 $1,913.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,154.12 $1,309.92 $1,474.96 $2,061.26 $3,132.28 |
$1,595.57 $1,751.37 $1,916.41 $2,502.71 |
$2,037.02 $2,192.82 $2,357.86 $2,944.16 |
Toc - Plan #13 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) Gold G08S $30 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$570.35 $647.35 $728.91 $1,018.65 $1,547.93 |
$1,006.67 $1,083.67 $1,165.23 $1,454.97 |
$1,442.99 $1,519.99 $1,601.55 $1,891.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,140.70 $1,294.70 $1,457.82 $2,037.30 $3,095.86 |
$1,577.02 $1,731.02 $1,894.14 $2,473.62 |
$2,013.34 $2,167.34 $2,330.46 $2,909.94 |
Toc - Plan #14 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze B16S $50 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$367.30 $416.89 $469.41 $656.00 $996.85 |
$648.28 $697.87 $750.39 $936.98 |
$929.26 $978.85 $1,031.37 $1,217.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$734.60 $833.78 $938.82 $1,312.00 $1,993.70 |
$1,015.58 $1,114.76 $1,219.80 $1,592.98 |
$1,296.56 $1,395.74 $1,500.78 $1,873.96 |
Toc - Plan #15 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S26S $40 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$451.47 $512.42 $576.98 $806.33 $1,225.29 |
$796.84 $857.79 $922.35 $1,151.70 |
$1,142.21 $1,203.16 $1,267.72 $1,497.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$902.94 $1,024.84 $1,153.96 $1,612.66 $2,450.58 |
$1,248.31 $1,370.21 $1,499.33 $1,958.03 |
$1,593.68 $1,715.58 $1,844.70 $2,303.40 |
Toc - Plan #16 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) Silver S27S $60 PCP Copay + Free Telehealth |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$436.43 $495.35 $557.76 $779.46 $1,184.47 |
$770.30 $829.22 $891.63 $1,113.33 |
$1,104.17 $1,163.09 $1,225.50 $1,447.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$872.86 $990.70 $1,115.52 $1,558.92 $2,368.94 |
$1,206.73 $1,324.57 $1,449.39 $1,892.79 |
$1,540.60 $1,658.44 $1,783.26 $2,226.66 |
ADVERTISEMENT
Ambetter of TennesseeLocal: 1-833-709-4735 | Toll Free: 1-833-709-4735 |
Toc - Plan #17 Ambetter of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
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 |
$292.24 $331.68 $373.47 $521.92 $793.11 |
$515.79 $555.23 $597.02 $745.47 |
$739.34 $778.78 $820.57 $969.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$584.48 $663.36 $746.94 $1,043.84 $1,586.22 |
$808.03 $886.91 $970.49 $1,267.39 |
$1,031.58 $1,110.46 $1,194.04 $1,490.94 |
Toc - Plan #18 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$402.92 $457.30 $514.91 $719.59 $1,093.49 |
$711.14 $765.52 $823.13 $1,027.81 |
$1,019.36 $1,073.74 $1,131.35 $1,336.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$805.84 $914.60 $1,029.82 $1,439.18 $2,186.98 |
$1,114.06 $1,222.82 $1,338.04 $1,747.40 |
$1,422.28 $1,531.04 $1,646.26 $2,055.62 |
Toc - Plan #19 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
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 |
$416.84 $473.10 $532.70 $744.45 $1,131.26 |
$735.71 $791.97 $851.57 $1,063.32 |
$1,054.58 $1,110.84 $1,170.44 $1,382.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$833.68 $946.20 $1,065.40 $1,488.90 $2,262.52 |
$1,152.55 $1,265.07 $1,384.27 $1,807.77 |
$1,471.42 $1,583.94 $1,703.14 $2,126.64 |
Toc - Plan #20 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone: 1-833-709-4735
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 |
$320.32 $363.55 $409.35 $572.07 $869.31 |
$565.35 $608.58 $654.38 $817.10 |
$810.38 $853.61 $899.41 $1,062.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$640.64 $727.10 $818.70 $1,144.14 $1,738.62 |
$885.67 $972.13 $1,063.73 $1,389.17 |
$1,130.70 $1,217.16 $1,308.76 $1,634.20 |
Toc - Plan #21 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
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 |
$398.85 $452.68 $509.71 $712.32 $1,082.44 |
$703.96 $757.79 $814.82 $1,017.43 |
$1,009.07 $1,062.90 $1,119.93 $1,322.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$797.70 $905.36 $1,019.42 $1,424.64 $2,164.88 |
$1,102.81 $1,210.47 $1,324.53 $1,729.75 |
$1,407.92 $1,515.58 $1,629.64 $2,034.86 |
Toc - Plan #22 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$313.54 $355.85 $400.69 $559.96 $850.91 |
$553.39 $595.70 $640.54 $799.81 |
$793.24 $835.55 $880.39 $1,039.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$627.08 $711.70 $801.38 $1,119.92 $1,701.82 |
$866.93 $951.55 $1,041.23 $1,359.77 |
$1,106.78 $1,191.40 $1,281.08 $1,599.62 |
Toc - Plan #23 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.06 $400.71 $451.20 $630.55 $958.18 |
$623.14 $670.79 $721.28 $900.63 |
$893.22 $940.87 $991.36 $1,170.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.12 $801.42 $902.40 $1,261.10 $1,916.36 |
$976.20 $1,071.50 $1,172.48 $1,531.18 |
$1,246.28 $1,341.58 $1,442.56 $1,801.26 |
Toc - Plan #24 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.86 $445.89 $502.07 $701.64 $1,066.21 |
$693.39 $746.42 $802.60 $1,002.17 |
$993.92 $1,046.95 $1,103.13 $1,302.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.72 $891.78 $1,004.14 $1,403.28 $2,132.42 |
$1,086.25 $1,192.31 $1,304.67 $1,703.81 |
$1,386.78 $1,492.84 $1,605.20 $2,004.34 |
Toc - Plan #25 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.21 $450.82 $507.62 $709.40 $1,078.01 |
$701.07 $754.68 $811.48 $1,013.26 |
$1,004.93 $1,058.54 $1,115.34 $1,317.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.42 $901.64 $1,015.24 $1,418.80 $2,156.02 |
$1,098.28 $1,205.50 $1,319.10 $1,722.66 |
$1,402.14 $1,509.36 $1,622.96 $2,026.52 |
Toc - Plan #26 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.93 $452.77 $509.82 $712.47 $1,082.66 |
$704.10 $757.94 $814.99 $1,017.64 |
$1,009.27 $1,063.11 $1,120.16 $1,322.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$797.86 $905.54 $1,019.64 $1,424.94 $2,165.32 |
$1,103.03 $1,210.71 $1,324.81 $1,730.11 |
$1,408.20 $1,515.88 $1,629.98 $2,035.28 |
Toc - Plan #27 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.83 $520.76 $586.38 $819.46 $1,245.24 |
$809.83 $871.76 $937.38 $1,170.46 |
$1,160.83 $1,222.76 $1,288.38 $1,521.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.66 $1,041.52 $1,172.76 $1,638.92 $2,490.48 |
$1,268.66 $1,392.52 $1,523.76 $1,989.92 |
$1,619.66 $1,743.52 $1,874.76 $2,340.92 |
Toc - Plan #28 Ambetter of Tennessee | ||||||||||||||||||||
Bronze
(EPO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.68 $316.29 $356.14 $497.70 $756.30 |
$491.86 $529.47 $569.32 $710.88 |
$705.04 $742.65 $782.50 $924.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$557.36 $632.58 $712.28 $995.40 $1,512.60 |
$770.54 $845.76 $925.46 $1,208.58 |
$983.72 $1,058.94 $1,138.64 $1,421.76 |
Toc - Plan #29 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.04 $348.47 $392.38 $548.35 $833.27 |
$541.91 $583.34 $627.25 $783.22 |
$776.78 $818.21 $862.12 $1,018.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.08 $696.94 $784.76 $1,096.70 $1,666.54 |
$848.95 $931.81 $1,019.63 $1,331.57 |
$1,083.82 $1,166.68 $1,254.50 $1,566.44 |
Toc - Plan #30 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.50 $446.61 $502.88 $702.78 $1,067.94 |
$694.52 $747.63 $803.90 $1,003.80 |
$995.54 $1,048.65 $1,104.92 $1,304.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.00 $893.22 $1,005.76 $1,405.56 $2,135.88 |
$1,088.02 $1,194.24 $1,306.78 $1,706.58 |
$1,389.04 $1,495.26 $1,607.80 $2,007.60 |
Toc - Plan #31 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.34 $447.57 $503.95 $704.27 $1,070.21 |
$696.00 $749.23 $805.61 $1,005.93 |
$997.66 $1,050.89 $1,107.27 $1,307.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.68 $895.14 $1,007.90 $1,408.54 $2,140.42 |
$1,090.34 $1,196.80 $1,309.56 $1,710.20 |
$1,392.00 $1,498.46 $1,611.22 $2,011.86 |
Toc - Plan #32 Ambetter of Tennessee | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.48 $344.44 $387.83 $542.00 $823.61 |
$535.63 $576.59 $619.98 $774.15 |
$767.78 $808.74 $852.13 $1,006.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.96 $688.88 $775.66 $1,084.00 $1,647.22 |
$839.11 $921.03 $1,007.81 $1,316.15 |
$1,071.26 $1,153.18 $1,239.96 $1,548.30 |
Toc - Plan #33 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.41 $474.89 $534.72 $747.27 $1,135.55 |
$738.49 $794.97 $854.80 $1,067.35 |
$1,058.57 $1,115.05 $1,174.88 $1,387.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.82 $949.78 $1,069.44 $1,494.54 $2,271.10 |
$1,156.90 $1,269.86 $1,389.52 $1,814.62 |
$1,476.98 $1,589.94 $1,709.60 $2,134.70 |
Toc - Plan #34 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$432.87 $491.29 $553.19 $773.09 $1,174.78 |
$764.01 $822.43 $884.33 $1,104.23 |
$1,095.15 $1,153.57 $1,215.47 $1,435.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$865.74 $982.58 $1,106.38 $1,546.18 $2,349.56 |
$1,196.88 $1,313.72 $1,437.52 $1,877.32 |
$1,528.02 $1,644.86 $1,768.66 $2,208.46 |
Toc - Plan #35 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.64 $377.53 $425.10 $594.07 $902.75 |
$587.10 $631.99 $679.56 $848.53 |
$841.56 $886.45 $934.02 $1,102.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.28 $755.06 $850.20 $1,188.14 $1,805.50 |
$919.74 $1,009.52 $1,104.66 $1,442.60 |
$1,174.20 $1,263.98 $1,359.12 $1,697.06 |
Toc - Plan #36 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.19 $470.09 $529.32 $739.72 $1,124.08 |
$731.04 $786.94 $846.17 $1,056.57 |
$1,047.89 $1,103.79 $1,163.02 $1,373.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.38 $940.18 $1,058.64 $1,479.44 $2,248.16 |
$1,145.23 $1,257.03 $1,375.49 $1,796.29 |
$1,462.08 $1,573.88 $1,692.34 $2,113.14 |
Toc - Plan #37 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.60 $369.54 $416.10 $581.50 $883.64 |
$574.67 $618.61 $665.17 $830.57 |
$823.74 $867.68 $914.24 $1,079.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.20 $739.08 $832.20 $1,163.00 $1,767.28 |
$900.27 $988.15 $1,081.27 $1,412.07 |
$1,149.34 $1,237.22 $1,330.34 $1,661.14 |
Toc - Plan #38 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.64 $416.13 $468.55 $654.80 $995.04 |
$647.11 $696.60 $749.02 $935.27 |
$927.58 $977.07 $1,029.49 $1,215.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.28 $832.26 $937.10 $1,309.60 $1,990.08 |
$1,013.75 $1,112.73 $1,217.57 $1,590.07 |
$1,294.22 $1,393.20 $1,498.04 $1,870.54 |
Toc - Plan #39 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.49 $468.17 $527.15 $736.69 $1,119.47 |
$728.04 $783.72 $842.70 $1,052.24 |
$1,043.59 $1,099.27 $1,158.25 $1,367.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.98 $936.34 $1,054.30 $1,473.38 $2,238.94 |
$1,140.53 $1,251.89 $1,369.85 $1,788.93 |
$1,456.08 $1,567.44 $1,685.40 $2,104.48 |
Toc - Plan #40 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.27 $470.19 $529.43 $739.87 $1,124.31 |
$731.18 $787.10 $846.34 $1,056.78 |
$1,048.09 $1,104.01 $1,163.25 $1,373.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.54 $940.38 $1,058.86 $1,479.74 $2,248.62 |
$1,145.45 $1,257.29 $1,375.77 $1,796.65 |
$1,462.36 $1,574.20 $1,692.68 $2,113.56 |
Toc - Plan #41 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.98 $463.04 $521.38 $728.63 $1,107.22 |
$720.07 $775.13 $833.47 $1,040.72 |
$1,032.16 $1,087.22 $1,145.56 $1,352.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.96 $926.08 $1,042.76 $1,457.26 $2,214.44 |
$1,128.05 $1,238.17 $1,354.85 $1,769.35 |
$1,440.14 $1,550.26 $1,666.94 $2,081.44 |
Toc - Plan #42 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$476.48 $540.80 $608.93 $850.98 $1,293.14 |
$840.98 $905.30 $973.43 $1,215.48 |
$1,205.48 $1,269.80 $1,337.93 $1,579.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$952.96 $1,081.60 $1,217.86 $1,701.96 $2,586.28 |
$1,317.46 $1,446.10 $1,582.36 $2,066.46 |
$1,681.96 $1,810.60 $1,946.86 $2,430.96 |
‡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 Fentress County here.
Fentress County is in “Rating Area 7” of Tennessee.
Currently, there are 42 plans offered in Rating Area 7.