Obamacare 2023 Rates for Llano County
Obamacare > Rates > Texas > Llano County
ADVERTISEMENT
Obamacare > Rates > Texas > Llano County
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #1 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$504.89 $573.04 $645.24 $901.72 $1,370.25 |
$891.12 $959.27 $1,031.47 $1,287.95 |
$1,277.35 $1,345.50 $1,417.70 $1,674.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,009.78 $1,146.08 $1,290.48 $1,803.44 $2,740.50 |
$1,396.01 $1,532.31 $1,676.71 $2,189.67 |
$1,782.24 $1,918.54 $2,062.94 $2,575.90 |
Toc - Plan #2 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.75 $527.48 $593.94 $830.03 $1,261.31 |
$820.28 $883.01 $949.47 $1,185.56 |
$1,175.81 $1,238.54 $1,305.00 $1,541.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$929.50 $1,054.96 $1,187.88 $1,660.06 $2,522.62 |
$1,285.03 $1,410.49 $1,543.41 $2,015.59 |
$1,640.56 $1,766.02 $1,898.94 $2,371.12 |
Toc - Plan #3 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.84 $567.31 $638.78 $892.70 $1,356.54 |
$882.21 $949.68 $1,021.15 $1,275.07 |
$1,264.58 $1,332.05 $1,403.52 $1,657.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$999.68 $1,134.62 $1,277.56 $1,785.40 $2,713.08 |
$1,382.05 $1,516.99 $1,659.93 $2,167.77 |
$1,764.42 $1,899.36 $2,042.30 $2,550.14 |
Toc - Plan #4 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.97 $565.19 $636.40 $889.36 $1,351.47 |
$878.91 $946.13 $1,017.34 $1,270.30 |
$1,259.85 $1,327.07 $1,398.28 $1,651.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.94 $1,130.38 $1,272.80 $1,778.72 $2,702.94 |
$1,376.88 $1,511.32 $1,653.74 $2,159.66 |
$1,757.82 $1,892.26 $2,034.68 $2,540.60 |
Toc - Plan #5 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.28 $513.33 $578.00 $807.76 $1,227.47 |
$798.27 $859.32 $923.99 $1,153.75 |
$1,144.26 $1,205.31 $1,269.98 $1,499.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.56 $1,026.66 $1,156.00 $1,615.52 $2,454.94 |
$1,250.55 $1,372.65 $1,501.99 $1,961.51 |
$1,596.54 $1,718.64 $1,847.98 $2,307.50 |
Toc - Plan #6 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.56 $510.23 $574.52 $802.89 $1,220.07 |
$793.46 $854.13 $918.42 $1,146.79 |
$1,137.36 $1,198.03 $1,262.32 $1,490.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.12 $1,020.46 $1,149.04 $1,605.78 $2,440.14 |
$1,243.02 $1,364.36 $1,492.94 $1,949.68 |
$1,586.92 $1,708.26 $1,836.84 $2,293.58 |
Toc - Plan #7 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.62 $564.79 $635.95 $888.73 $1,350.51 |
$878.29 $945.46 $1,016.62 $1,269.40 |
$1,258.96 $1,326.13 $1,397.29 $1,650.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.24 $1,129.58 $1,271.90 $1,777.46 $2,701.02 |
$1,375.91 $1,510.25 $1,652.57 $2,158.13 |
$1,756.58 $1,890.92 $2,033.24 $2,538.80 |
Toc - Plan #8 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.70 $509.26 $573.42 $801.36 $1,217.74 |
$791.95 $852.51 $916.67 $1,144.61 |
$1,135.20 $1,195.76 $1,259.92 $1,487.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.40 $1,018.52 $1,146.84 $1,602.72 $2,435.48 |
$1,240.65 $1,361.77 $1,490.09 $1,945.97 |
$1,583.90 $1,705.02 $1,833.34 $2,289.22 |
Toc - Plan #9 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.08 $549.42 $618.65 $864.55 $1,313.77 |
$854.40 $919.74 $988.97 $1,234.87 |
$1,224.72 $1,290.06 $1,359.29 $1,605.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.16 $1,098.84 $1,237.30 $1,729.10 $2,627.54 |
$1,338.48 $1,469.16 $1,607.62 $2,099.42 |
$1,708.80 $1,839.48 $1,977.94 $2,469.74 |
Toc - Plan #10 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.89 $596.87 $672.08 $939.22 $1,427.24 |
$928.19 $999.17 $1,074.38 $1,341.52 |
$1,330.49 $1,401.47 $1,476.68 $1,743.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,051.78 $1,193.74 $1,344.16 $1,878.44 $2,854.48 |
$1,454.08 $1,596.04 $1,746.46 $2,280.74 |
$1,856.38 $1,998.34 $2,148.76 $2,683.04 |
Toc - Plan #11 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.69 $588.70 $662.87 $926.35 $1,407.69 |
$915.48 $985.49 $1,059.66 $1,323.14 |
$1,312.27 $1,382.28 $1,456.45 $1,719.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,037.38 $1,177.40 $1,325.74 $1,852.70 $2,815.38 |
$1,434.17 $1,574.19 $1,722.53 $2,249.49 |
$1,830.96 $1,970.98 $2,119.32 $2,646.28 |
Toc - Plan #12 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.09 $534.68 $602.04 $841.36 $1,278.52 |
$831.47 $895.06 $962.42 $1,201.74 |
$1,191.85 $1,255.44 $1,322.80 $1,562.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.18 $1,069.36 $1,204.08 $1,682.72 $2,557.04 |
$1,302.56 $1,429.74 $1,564.46 $2,043.10 |
$1,662.94 $1,790.12 $1,924.84 $2,403.48 |
Toc - Plan #13 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$520.63 $590.91 $665.35 $929.83 $1,412.97 |
$918.91 $989.19 $1,063.63 $1,328.11 |
$1,317.19 $1,387.47 $1,461.91 $1,726.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,041.26 $1,181.82 $1,330.70 $1,859.66 $2,825.94 |
$1,439.54 $1,580.10 $1,728.98 $2,257.94 |
$1,837.82 $1,978.38 $2,127.26 $2,656.22 |
Toc - Plan #14 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.25 $531.46 $598.42 $836.28 $1,270.81 |
$826.46 $889.67 $956.63 $1,194.49 |
$1,184.67 $1,247.88 $1,314.84 $1,552.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.50 $1,062.92 $1,196.84 $1,672.56 $2,541.62 |
$1,294.71 $1,421.13 $1,555.05 $2,030.77 |
$1,652.92 $1,779.34 $1,913.26 $2,388.98 |
ADVERTISEMENT
Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #15 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.53 $497.73 $560.44 $783.21 $1,190.17 |
$774.00 $833.20 $895.91 $1,118.68 |
$1,109.47 $1,168.67 $1,231.38 $1,454.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.06 $995.46 $1,120.88 $1,566.42 $2,380.34 |
$1,212.53 $1,330.93 $1,456.35 $1,901.89 |
$1,548.00 $1,666.40 $1,791.82 $2,237.36 |
Toc - Plan #16 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.17 $364.53 $410.45 $573.61 $871.65 |
$566.86 $610.22 $656.14 $819.30 |
$812.55 $855.91 $901.83 $1,064.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.34 $729.06 $820.90 $1,147.22 $1,743.30 |
$888.03 $974.75 $1,066.59 $1,392.91 |
$1,133.72 $1,220.44 $1,312.28 $1,638.60 |
Toc - Plan #17 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.42 $598.62 $674.04 $941.97 $1,431.41 |
$930.90 $1,002.10 $1,077.52 $1,345.45 |
$1,334.38 $1,405.58 $1,481.00 $1,748.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,054.84 $1,197.24 $1,348.08 $1,883.94 $2,862.82 |
$1,458.32 $1,600.72 $1,751.56 $2,287.42 |
$1,861.80 $2,004.20 $2,155.04 $2,690.90 |
Toc - Plan #18 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.87 $407.32 $458.64 $640.95 $973.98 |
$633.41 $681.86 $733.18 $915.49 |
$907.95 $956.40 $1,007.72 $1,190.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.74 $814.64 $917.28 $1,281.90 $1,947.96 |
$992.28 $1,089.18 $1,191.82 $1,556.44 |
$1,266.82 $1,363.72 $1,466.36 $1,830.98 |
Toc - Plan #19 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 302 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.24 $423.62 $476.99 $666.60 $1,012.96 |
$658.76 $709.14 $762.51 $952.12 |
$944.28 $994.66 $1,048.03 $1,237.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.48 $847.24 $953.98 $1,333.20 $2,025.92 |
$1,032.00 $1,132.76 $1,239.50 $1,618.72 |
$1,317.52 $1,418.28 $1,525.02 $1,904.24 |
Toc - Plan #20 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 301 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.01 $405.21 $456.26 $637.63 $968.94 |
$630.13 $678.33 $729.38 $910.75 |
$903.25 $951.45 $1,002.50 $1,183.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.02 $810.42 $912.52 $1,275.26 $1,937.88 |
$987.14 $1,083.54 $1,185.64 $1,548.38 |
$1,260.26 $1,356.66 $1,458.76 $1,821.50 |
Toc - Plan #21 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 603 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.41 $512.35 $576.90 $806.22 $1,225.12 |
$796.74 $857.68 $922.23 $1,151.55 |
$1,142.07 $1,203.01 $1,267.56 $1,496.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.82 $1,024.70 $1,153.80 $1,612.44 $2,450.24 |
$1,248.15 $1,370.03 $1,499.13 $1,957.77 |
$1,593.48 $1,715.36 $1,844.46 $2,303.10 |
Toc - Plan #22 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 702 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.74 $424.20 $477.64 $667.50 $1,014.34 |
$659.65 $710.11 $763.55 $953.41 |
$945.56 $996.02 $1,049.46 $1,239.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.48 $848.40 $955.28 $1,335.00 $2,028.68 |
$1,033.39 $1,134.31 $1,241.19 $1,620.91 |
$1,319.30 $1,420.22 $1,527.10 $1,906.82 |
Toc - Plan #23 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.48 $504.49 $568.05 $793.85 $1,206.33 |
$784.51 $844.52 $908.08 $1,133.88 |
$1,124.54 $1,184.55 $1,248.11 $1,473.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.96 $1,008.98 $1,136.10 $1,587.70 $2,412.66 |
$1,228.99 $1,349.01 $1,476.13 $1,927.73 |
$1,569.02 $1,689.04 $1,816.16 $2,267.76 |
Toc - Plan #24 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530.06 $601.62 $677.42 $946.69 $1,438.59 |
$935.56 $1,007.12 $1,082.92 $1,352.19 |
$1,341.06 $1,412.62 $1,488.42 $1,757.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,060.12 $1,203.24 $1,354.84 $1,893.38 $2,877.18 |
$1,465.62 $1,608.74 $1,760.34 $2,298.88 |
$1,871.12 $2,014.24 $2,165.84 $2,704.38 |
Toc - Plan #25 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 704 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.19 $396.33 $446.26 $623.65 $947.70 |
$616.32 $663.46 $713.39 $890.78 |
$883.45 $930.59 $980.52 $1,157.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.38 $792.66 $892.52 $1,247.30 $1,895.40 |
$965.51 $1,059.79 $1,159.65 $1,514.43 |
$1,232.64 $1,326.92 $1,426.78 $1,781.56 |
Toc - Plan #26 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.51 $422.80 $476.07 $665.30 $1,010.99 |
$657.48 $707.77 $761.04 $950.27 |
$942.45 $992.74 $1,046.01 $1,235.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.02 $845.60 $952.14 $1,330.60 $2,021.98 |
$1,029.99 $1,130.57 $1,237.11 $1,615.57 |
$1,314.96 $1,415.54 $1,522.08 $1,900.54 |
Toc - Plan #27 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.83 $559.36 $629.84 $880.20 $1,337.55 |
$869.85 $936.38 $1,006.86 $1,257.22 |
$1,246.87 $1,313.40 $1,383.88 $1,634.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$985.66 $1,118.72 $1,259.68 $1,760.40 $2,675.10 |
$1,362.68 $1,495.74 $1,636.70 $2,137.42 |
$1,739.70 $1,872.76 $2,013.72 $2,514.44 |
Toc - Plan #28 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.63 $669.23 $753.55 $1,053.08 $1,600.26 |
$1,040.70 $1,120.30 $1,204.62 $1,504.15 |
$1,491.77 $1,571.37 $1,655.69 $1,955.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,179.26 $1,338.46 $1,507.10 $2,106.16 $3,200.52 |
$1,630.33 $1,789.53 $1,958.17 $2,557.23 |
$2,081.40 $2,240.60 $2,409.24 $3,008.30 |
Toc - Plan #29 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 303 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.25 $458.83 $516.64 $722.00 $1,097.15 |
$713.50 $768.08 $825.89 $1,031.25 |
$1,022.75 $1,077.33 $1,135.14 $1,340.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.50 $917.66 $1,033.28 $1,444.00 $2,194.30 |
$1,117.75 $1,226.91 $1,342.53 $1,753.25 |
$1,427.00 $1,536.16 $1,651.78 $2,062.50 |
Toc - Plan #30 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 305 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.46 $437.49 $492.61 $688.43 $1,046.13 |
$680.33 $732.36 $787.48 $983.30 |
$975.20 $1,027.23 $1,082.35 $1,278.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.92 $874.98 $985.22 $1,376.86 $2,092.26 |
$1,065.79 $1,169.85 $1,280.09 $1,671.73 |
$1,360.66 $1,464.72 $1,574.96 $1,966.60 |
Toc - Plan #31 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$595.24 $675.60 $760.72 $1,063.11 $1,615.49 |
$1,050.60 $1,130.96 $1,216.08 $1,518.47 |
$1,505.96 $1,586.32 $1,671.44 $1,973.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,190.48 $1,351.20 $1,521.44 $2,126.22 $3,230.98 |
$1,645.84 $1,806.56 $1,976.80 $2,581.58 |
$2,101.20 $2,261.92 $2,432.16 $3,036.94 |
Toc - Plan #32 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.93 $557.20 $627.40 $876.79 $1,332.37 |
$866.49 $932.76 $1,002.96 $1,252.35 |
$1,242.05 $1,308.32 $1,378.52 $1,627.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.86 $1,114.40 $1,254.80 $1,753.58 $2,664.74 |
$1,357.42 $1,489.96 $1,630.36 $2,129.14 |
$1,732.98 $1,865.52 $2,005.92 $2,504.70 |
Toc - Plan #33 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.08 $665.20 $749.01 $1,046.74 $1,590.63 |
$1,034.43 $1,113.55 $1,197.36 $1,495.09 |
$1,482.78 $1,561.90 $1,645.71 $1,943.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,172.16 $1,330.40 $1,498.02 $2,093.48 $3,181.26 |
$1,620.51 $1,778.75 $1,946.37 $2,541.83 |
$2,068.86 $2,227.10 $2,394.72 $2,990.18 |
Toc - Plan #34 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 704 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.05 $439.30 $494.64 $691.26 $1,050.44 |
$683.14 $735.39 $790.73 $987.35 |
$979.23 $1,031.48 $1,086.82 $1,283.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.10 $878.60 $989.28 $1,382.52 $2,100.88 |
$1,070.19 $1,174.69 $1,285.37 $1,678.61 |
$1,366.28 $1,470.78 $1,581.46 $1,974.70 |
Toc - Plan #35 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.97 $467.58 $526.49 $735.77 $1,118.07 |
$727.12 $782.73 $841.64 $1,050.92 |
$1,042.27 $1,097.88 $1,156.79 $1,366.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.94 $935.16 $1,052.98 $1,471.54 $2,236.14 |
$1,139.09 $1,250.31 $1,368.13 $1,786.69 |
$1,454.24 $1,565.46 $1,683.28 $2,101.84 |
ADVERTISEMENT
Baylor Scott and White Health PlanLocal: 1-844-633-5325 | Toll Free: 1-844-633-5325 | TTY: 1-800-735-2989 |
Toc - Plan #36 Baylor Scott and White Health Plan | ||||||||||||||||||||
Gold
(HMO) BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.55 $401.28 $451.84 $631.44 $959.54 |
$624.02 $671.75 $722.31 $901.91 |
$894.49 $942.22 $992.78 $1,172.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.10 $802.56 $903.68 $1,262.88 $1,919.08 |
$977.57 $1,073.03 $1,174.15 $1,533.35 |
$1,248.04 $1,343.50 $1,444.62 $1,803.82 |
Toc - Plan #37 Baylor Scott and White Health Plan | ||||||||||||||||||||
Silver
(HMO) BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.01 $406.34 $457.54 $639.41 $971.65 |
$631.89 $680.22 $731.42 $913.29 |
$905.77 $954.10 $1,005.30 $1,187.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.02 $812.68 $915.08 $1,278.82 $1,943.30 |
$989.90 $1,086.56 $1,188.96 $1,552.70 |
$1,263.78 $1,360.44 $1,462.84 $1,826.58 |
Toc - Plan #38 Baylor Scott and White Health Plan | ||||||||||||||||||||
Gold
(HMO) BSW Elite Gold HMO 004 (Low deductible, two free PCP visits, $0 Pediatric PCP visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.40 $423.81 $477.21 $666.89 $1,013.41 |
$659.05 $709.46 $762.86 $952.54 |
$944.70 $995.11 $1,048.51 $1,238.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.80 $847.62 $954.42 $1,333.78 $2,026.82 |
$1,032.45 $1,133.27 $1,240.07 $1,619.43 |
$1,318.10 $1,418.92 $1,525.72 $1,905.08 |
Toc - Plan #39 Baylor Scott and White Health Plan | ||||||||||||||||||||
Silver
(HMO) BSW Prime Silver HMO 005 ($0 deductible, one free PCP visit, $0 Pediatric PCP visit) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.00 $450.60 $507.37 $709.05 $1,077.47 |
$700.71 $754.31 $811.08 $1,012.76 |
$1,004.42 $1,058.02 $1,114.79 $1,316.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.00 $901.20 $1,014.74 $1,418.10 $2,154.94 |
$1,097.71 $1,204.91 $1,318.45 $1,721.81 |
$1,401.42 $1,508.62 $1,622.16 $2,025.52 |
Toc - Plan #40 Baylor Scott and White Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) BSW Savers Bronze HMO H S A 006 ($0 Preventive Care and Preventive Rx Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.00 $333.69 $375.73 $525.08 $797.92 |
$518.91 $558.60 $600.64 $749.99 |
$743.82 $783.51 $825.55 $974.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.00 $667.38 $751.46 $1,050.16 $1,595.84 |
$812.91 $892.29 $976.37 $1,275.07 |
$1,037.82 $1,117.20 $1,201.28 $1,499.98 |
Toc - Plan #41 Baylor Scott and White Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.83 $328.96 $370.40 $517.64 $786.60 |
$511.55 $550.68 $592.12 $739.36 |
$733.27 $772.40 $813.84 $961.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.66 $657.92 $740.80 $1,035.28 $1,573.20 |
$801.38 $879.64 $962.52 $1,257.00 |
$1,023.10 $1,101.36 $1,184.24 $1,478.72 |
Toc - Plan #42 Baylor Scott and White Health Plan | ||||||||||||||||||||
Silver
(HMO) BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.14 $413.30 $465.37 $650.36 $988.28 |
$642.71 $691.87 $743.94 $928.93 |
$921.28 $970.44 $1,022.51 $1,207.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$728.28 $826.60 $930.74 $1,300.72 $1,976.56 |
$1,006.85 $1,105.17 $1,209.31 $1,579.29 |
$1,285.42 $1,383.74 $1,487.88 $1,857.86 |
Toc - Plan #43 Baylor Scott and White Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.20 $325.97 $367.04 $512.94 $779.47 |
$506.91 $545.68 $586.75 $732.65 |
$726.62 $765.39 $806.46 $952.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.40 $651.94 $734.08 $1,025.88 $1,558.94 |
$794.11 $871.65 $953.79 $1,245.59 |
$1,013.82 $1,091.36 $1,173.50 $1,465.30 |
Toc - Plan #44 Baylor Scott and White Health Plan | ||||||||||||||||||||
Gold
(HMO) BSW Elite Gold HMO 012 ($0 PCP unlimited visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-633-5325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.38 $389.73 $438.83 $613.27 $931.92 |
$606.06 $652.41 $701.51 $875.95 |
$868.74 $915.09 $964.19 $1,138.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.76 $779.46 $877.66 $1,226.54 $1,863.84 |
$949.44 $1,042.14 $1,140.34 $1,489.22 |
$1,212.12 $1,304.82 $1,403.02 $1,751.90 |
ADVERTISEMENT
US Health and LifeLocal: 1-833-600-1311 | Toll Free: |
Toc - Plan #45 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Balanced Bronze 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.34 $296.62 $334.00 $466.76 $709.29 |
$461.27 $496.55 $533.93 $666.69 |
$661.20 $696.48 $733.86 $866.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522.68 $593.24 $668.00 $933.52 $1,418.58 |
$722.61 $793.17 $867.93 $1,133.45 |
$922.54 $993.10 $1,067.86 $1,333.38 |
Toc - Plan #46 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Balanced Bronze 2 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$261.34 $296.62 $334.00 $466.76 $709.29 |
$461.27 $496.55 $533.93 $666.69 |
$661.20 $696.48 $733.86 $866.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$522.68 $593.24 $668.00 $933.52 $1,418.58 |
$722.61 $793.17 $867.93 $1,133.45 |
$922.54 $993.10 $1,067.86 $1,333.38 |
Toc - Plan #47 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care No Deductible Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.94 $298.43 $336.03 $469.61 $713.61 |
$464.09 $499.58 $537.18 $670.76 |
$665.24 $700.73 $738.33 $871.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$525.88 $596.86 $672.06 $939.22 $1,427.22 |
$727.03 $798.01 $873.21 $1,140.37 |
$928.18 $999.16 $1,074.36 $1,341.52 |
Toc - Plan #48 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Balanced Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.97 $449.43 $506.05 $707.21 $1,074.67 |
$698.89 $752.35 $808.97 $1,010.13 |
$1,001.81 $1,055.27 $1,111.89 $1,313.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.94 $898.86 $1,012.10 $1,414.42 $2,149.34 |
$1,094.86 $1,201.78 $1,315.02 $1,717.34 |
$1,397.78 $1,504.70 $1,617.94 $2,020.26 |
Toc - Plan #49 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care No Deductible Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.53 $454.60 $511.88 $715.34 $1,087.03 |
$706.93 $761.00 $818.28 $1,021.74 |
$1,013.33 $1,067.40 $1,124.68 $1,328.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.06 $909.20 $1,023.76 $1,430.68 $2,174.06 |
$1,107.46 $1,215.60 $1,330.16 $1,737.08 |
$1,413.86 $1,522.00 $1,636.56 $2,043.48 |
Toc - Plan #50 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.45 $448.83 $505.38 $706.27 $1,073.24 |
$697.97 $751.35 $807.90 $1,008.79 |
$1,000.49 $1,053.87 $1,110.42 $1,311.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.90 $897.66 $1,010.76 $1,412.54 $2,146.48 |
$1,093.42 $1,200.18 $1,313.28 $1,715.06 |
$1,395.94 $1,502.70 $1,615.80 $2,017.58 |
Toc - Plan #51 US Health and Life | ||||||||||||||||||||
Expanded Bronze
(EPO) Ascension Personalized Care Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.94 $296.16 $333.48 $466.03 $708.18 |
$460.56 $495.78 $533.10 $665.65 |
$660.18 $695.40 $732.72 $865.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$521.88 $592.32 $666.96 $932.06 $1,416.36 |
$721.50 $791.94 $866.58 $1,131.68 |
$921.12 $991.56 $1,066.20 $1,331.30 |
Toc - Plan #52 US Health and Life | ||||||||||||||||||||
Silver
(EPO) Ascension Personalized Care Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.97 $449.43 $506.05 $707.21 $1,074.67 |
$698.89 $752.35 $808.97 $1,010.13 |
$1,001.81 $1,055.27 $1,111.89 $1,313.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.94 $898.86 $1,012.10 $1,414.42 $2,149.34 |
$1,094.86 $1,201.78 $1,315.02 $1,717.34 |
$1,397.78 $1,504.70 $1,617.94 $2,020.26 |
Toc - Plan #53 US Health and Life | ||||||||||||||||||||
Gold
(EPO) Ascension Personalized Care Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.27 $388.47 $437.42 $611.29 $928.91 |
$604.10 $650.30 $699.25 $873.12 |
$865.93 $912.13 $961.08 $1,134.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.54 $776.94 $874.84 $1,222.58 $1,857.82 |
$946.37 $1,038.77 $1,136.67 $1,484.41 |
$1,208.20 $1,300.60 $1,398.50 $1,746.24 |
ADVERTISEMENT
Ambetter from Superior HealthPlanLocal: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989 |
Toc - Plan #54 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver (Virtual PCP Selection Required for $0 Virtual Visits on Ambetter's Telehealth Platform) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.09 $564.18 $635.27 $887.78 $1,349.07 |
$877.35 $944.44 $1,015.53 $1,268.04 |
$1,257.61 $1,324.70 $1,395.79 $1,648.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$994.18 $1,128.36 $1,270.54 $1,775.56 $2,698.14 |
$1,374.44 $1,508.62 $1,650.80 $2,155.82 |
$1,754.70 $1,888.88 $2,031.06 $2,536.08 |
Toc - Plan #55 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold (Virtual PCP Selection Required for $0 Virtual Visits on Ambetter's Telehealth Platform) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.46 $530.55 $597.40 $834.86 $1,268.65 |
$825.06 $888.15 $955.00 $1,192.46 |
$1,182.66 $1,245.75 $1,312.60 $1,550.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.92 $1,061.10 $1,194.80 $1,669.72 $2,537.30 |
$1,292.52 $1,418.70 $1,552.40 $2,027.32 |
$1,650.12 $1,776.30 $1,910.00 $2,384.92 |
Toc - Plan #56 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(HMO) CMS Standard Virtual Access Basic Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$513.43 $582.73 $656.15 $916.97 $1,393.42 |
$906.20 $975.50 $1,048.92 $1,309.74 |
$1,298.97 $1,368.27 $1,441.69 $1,702.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,026.86 $1,165.46 $1,312.30 $1,833.94 $2,786.84 |
$1,419.63 $1,558.23 $1,705.07 $2,226.71 |
$1,812.40 $1,951.00 $2,097.84 $2,619.48 |
Toc - Plan #57 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(HMO) CMS Standard Virtual Access Basic Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.99 $525.49 $591.69 $826.89 $1,256.54 |
$817.17 $879.67 $945.87 $1,181.07 |
$1,171.35 $1,233.85 $1,300.05 $1,535.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$925.98 $1,050.98 $1,183.38 $1,653.78 $2,513.08 |
$1,280.16 $1,405.16 $1,537.56 $2,007.96 |
$1,634.34 $1,759.34 $1,891.74 $2,362.14 |
‡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 Llano County here.
Llano County is in “Rating Area 26” of Texas.
Currently, there are 57 plans offered in Rating Area 26.