Obamacare 2023 Rates for Robertson County
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Obamacare > Rates > Texas > Robertson County
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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 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$416.46 $472.67 $532.22 $743.78 $1,130.24 |
$735.04 $791.25 $850.80 $1,062.36 |
$1,053.62 $1,109.83 $1,169.38 $1,380.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$832.92 $945.34 $1,064.44 $1,487.56 $2,260.48 |
$1,151.50 $1,263.92 $1,383.02 $1,806.14 |
$1,470.08 $1,582.50 $1,701.60 $2,124.72 |
Toc - Plan #2 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$383.35 $435.09 $489.91 $684.65 $1,040.39 |
$676.61 $728.35 $783.17 $977.91 |
$969.87 $1,021.61 $1,076.43 $1,271.17 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$766.70 $870.18 $979.82 $1,369.30 $2,080.78 |
$1,059.96 $1,163.44 $1,273.08 $1,662.56 |
$1,353.22 $1,456.70 $1,566.34 $1,955.82 |
Toc - Plan #3 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$412.29 $467.94 $526.90 $736.34 $1,118.94 |
$727.69 $783.34 $842.30 $1,051.74 |
$1,043.09 $1,098.74 $1,157.70 $1,367.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.58 $935.88 $1,053.80 $1,472.68 $2,237.88 |
$1,139.98 $1,251.28 $1,369.20 $1,788.08 |
$1,455.38 $1,566.68 $1,684.60 $2,103.48 |
Toc - Plan #4 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$410.75 $466.19 $524.93 $733.59 $1,114.76 |
$724.97 $780.41 $839.15 $1,047.81 |
$1,039.19 $1,094.63 $1,153.37 $1,362.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$821.50 $932.38 $1,049.86 $1,467.18 $2,229.52 |
$1,135.72 $1,246.60 $1,364.08 $1,781.40 |
$1,449.94 $1,560.82 $1,678.30 $2,095.62 |
Toc - Plan #5 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$373.06 $423.42 $476.76 $666.27 $1,012.47 |
$658.45 $708.81 $762.15 $951.66 |
$943.84 $994.20 $1,047.54 $1,237.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$746.12 $846.84 $953.52 $1,332.54 $2,024.94 |
$1,031.51 $1,132.23 $1,238.91 $1,617.93 |
$1,316.90 $1,417.62 $1,524.30 $1,903.32 |
Toc - Plan #6 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$370.82 $420.86 $473.89 $662.26 $1,006.37 |
$654.49 $704.53 $757.56 $945.93 |
$938.16 $988.20 $1,041.23 $1,229.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$741.64 $841.72 $947.78 $1,324.52 $2,012.74 |
$1,025.31 $1,125.39 $1,231.45 $1,608.19 |
$1,308.98 $1,409.06 $1,515.12 $1,891.86 |
Toc - Plan #7 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$410.46 $465.86 $524.56 $733.07 $1,113.96 |
$724.46 $779.86 $838.56 $1,047.07 |
$1,038.46 $1,093.86 $1,152.56 $1,361.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$820.92 $931.72 $1,049.12 $1,466.14 $2,227.92 |
$1,134.92 $1,245.72 $1,363.12 $1,780.14 |
$1,448.92 $1,559.72 $1,677.12 $2,094.14 |
Toc - Plan #8 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$370.11 $420.06 $472.98 $660.99 $1,004.44 |
$653.23 $703.18 $756.10 $944.11 |
$936.35 $986.30 $1,039.22 $1,227.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$740.22 $840.12 $945.96 $1,321.98 $2,008.88 |
$1,023.34 $1,123.24 $1,229.08 $1,605.10 |
$1,306.46 $1,406.36 $1,512.20 $1,888.22 |
Toc - Plan #9 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$399.30 $453.19 $510.29 $713.12 $1,083.66 |
$704.75 $758.64 $815.74 $1,018.57 |
$1,010.20 $1,064.09 $1,121.19 $1,324.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798.60 $906.38 $1,020.58 $1,426.24 $2,167.32 |
$1,104.05 $1,211.83 $1,326.03 $1,731.69 |
$1,409.50 $1,517.28 $1,631.48 $2,037.14 |
Toc - Plan #10 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$433.78 $492.33 $554.36 $774.71 $1,177.25 |
$765.61 $824.16 $886.19 $1,106.54 |
$1,097.44 $1,155.99 $1,218.02 $1,438.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$867.56 $984.66 $1,108.72 $1,549.42 $2,354.50 |
$1,199.39 $1,316.49 $1,440.55 $1,881.25 |
$1,531.22 $1,648.32 $1,772.38 $2,213.08 |
Toc - Plan #11 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$427.84 $485.58 $546.76 $764.10 $1,161.12 |
$755.13 $812.87 $874.05 $1,091.39 |
$1,082.42 $1,140.16 $1,201.34 $1,418.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$855.68 $971.16 $1,093.52 $1,528.20 $2,322.24 |
$1,182.97 $1,298.45 $1,420.81 $1,855.49 |
$1,510.26 $1,625.74 $1,748.10 $2,182.78 |
Toc - Plan #12 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$388.58 $441.03 $496.59 $693.99 $1,054.58 |
$685.84 $738.29 $793.85 $991.25 |
$983.10 $1,035.55 $1,091.11 $1,288.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$777.16 $882.06 $993.18 $1,387.98 $2,109.16 |
$1,074.42 $1,179.32 $1,290.44 $1,685.24 |
$1,371.68 $1,476.58 $1,587.70 $1,982.50 |
Toc - Plan #13 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$429.44 $487.41 $548.81 $766.97 $1,165.48 |
$757.96 $815.93 $877.33 $1,095.49 |
$1,086.48 $1,144.45 $1,205.85 $1,424.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$858.88 $974.82 $1,097.62 $1,533.94 $2,330.96 |
$1,187.40 $1,303.34 $1,426.14 $1,862.46 |
$1,515.92 $1,631.86 $1,754.66 $2,190.98 |
Toc - Plan #14 Ambetter from Superior HealthPlan | ||||||||||||||||||||
Gold
(EPO) Clear Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1196
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 |
$386.24 $438.37 $493.60 $689.80 $1,048.22 |
$681.70 $733.83 $789.06 $985.26 |
$977.16 $1,029.29 $1,084.52 $1,280.72 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$772.48 $876.74 $987.20 $1,379.60 $2,096.44 |
$1,067.94 $1,172.20 $1,282.66 $1,675.06 |
$1,363.40 $1,467.66 $1,578.12 $1,970.52 |
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 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$375.12 $425.76 $479.40 $669.96 $1,018.07 |
$662.09 $712.73 $766.37 $956.93 |
$949.06 $999.70 $1,053.34 $1,243.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$750.24 $851.52 $958.80 $1,339.92 $2,036.14 |
$1,037.21 $1,138.49 $1,245.77 $1,626.89 |
$1,324.18 $1,425.46 $1,532.74 $1,913.86 |
Toc - Plan #16 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Catastrophic
(HMO) Blue Advantage Security HMO? 200 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$274.73 $311.82 $351.10 $490.66 $745.61 |
$484.90 $521.99 $561.27 $700.83 |
$695.07 $732.16 $771.44 $911.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$549.46 $623.64 $702.20 $981.32 $1,491.22 |
$759.63 $833.81 $912.37 $1,191.49 |
$969.80 $1,043.98 $1,122.54 $1,401.66 |
Toc - Plan #17 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 205 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$451.16 $512.06 $576.58 $805.76 $1,224.43 |
$796.29 $857.19 $921.71 $1,150.89 |
$1,141.42 $1,202.32 $1,266.84 $1,496.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$902.32 $1,024.12 $1,153.16 $1,611.52 $2,448.86 |
$1,247.45 $1,369.25 $1,498.29 $1,956.65 |
$1,592.58 $1,714.38 $1,843.42 $2,301.78 |
Toc - Plan #18 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 204 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$306.98 $348.42 $392.32 $548.27 $833.14 |
$541.82 $583.26 $627.16 $783.11 |
$776.66 $818.10 $862.00 $1,017.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613.96 $696.84 $784.64 $1,096.54 $1,666.28 |
$848.80 $931.68 $1,019.48 $1,331.38 |
$1,083.64 $1,166.52 $1,254.32 $1,566.22 |
Toc - Plan #19 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 302 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$319.27 $362.37 $408.02 $570.21 $866.49 |
$563.51 $606.61 $652.26 $814.45 |
$807.75 $850.85 $896.50 $1,058.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$638.54 $724.74 $816.04 $1,140.42 $1,732.98 |
$882.78 $968.98 $1,060.28 $1,384.66 |
$1,127.02 $1,213.22 $1,304.52 $1,628.90 |
Toc - Plan #20 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 301 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$305.39 $346.62 $390.29 $545.43 $828.83 |
$539.01 $580.24 $623.91 $779.05 |
$772.63 $813.86 $857.53 $1,012.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$610.78 $693.24 $780.58 $1,090.86 $1,657.66 |
$844.40 $926.86 $1,014.20 $1,324.48 |
$1,078.02 $1,160.48 $1,247.82 $1,558.10 |
Toc - Plan #21 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 603 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$386.14 $438.26 $493.48 $689.64 $1,047.97 |
$681.53 $733.65 $788.87 $985.03 |
$976.92 $1,029.04 $1,084.26 $1,280.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$772.28 $876.52 $986.96 $1,379.28 $2,095.94 |
$1,067.67 $1,171.91 $1,282.35 $1,674.67 |
$1,363.06 $1,467.30 $1,577.74 $1,970.06 |
Toc - Plan #22 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 702 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-697-0683
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 |
$319.70 $362.86 $408.58 $570.98 $867.67 |
$564.27 $607.43 $653.15 $815.55 |
$808.84 $852.00 $897.72 $1,060.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.40 $725.72 $817.16 $1,141.96 $1,735.34 |
$883.97 $970.29 $1,061.73 $1,386.53 |
$1,128.54 $1,214.86 $1,306.30 $1,631.10 |
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 |
$380.21 $431.54 $485.91 $679.06 $1,031.90 |
$671.07 $722.40 $776.77 $969.92 |
$961.93 $1,013.26 $1,067.63 $1,260.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.42 $863.08 $971.82 $1,358.12 $2,063.80 |
$1,051.28 $1,153.94 $1,262.68 $1,648.98 |
$1,342.14 $1,444.80 $1,553.54 $1,939.84 |
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 |
$453.42 $514.63 $579.47 $809.80 $1,230.58 |
$800.28 $861.49 $926.33 $1,156.66 |
$1,147.14 $1,208.35 $1,273.19 $1,503.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.84 $1,029.26 $1,158.94 $1,619.60 $2,461.16 |
$1,253.70 $1,376.12 $1,505.80 $1,966.46 |
$1,600.56 $1,722.98 $1,852.66 $2,313.32 |
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 |
$298.70 $339.02 $381.73 $533.47 $810.66 |
$527.20 $567.52 $610.23 $761.97 |
$755.70 $796.02 $838.73 $990.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.40 $678.04 $763.46 $1,066.94 $1,621.32 |
$825.90 $906.54 $991.96 $1,295.44 |
$1,054.40 $1,135.04 $1,220.46 $1,523.94 |
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 |
$318.64 $361.66 $407.23 $569.10 $864.80 |
$562.40 $605.42 $650.99 $812.86 |
$806.16 $849.18 $894.75 $1,056.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.28 $723.32 $814.46 $1,138.20 $1,729.60 |
$881.04 $967.08 $1,058.22 $1,381.96 |
$1,124.80 $1,210.84 $1,301.98 $1,625.72 |
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 |
$406.04 $460.86 $518.92 $725.19 $1,102.00 |
$716.66 $771.48 $829.54 $1,035.81 |
$1,027.28 $1,082.10 $1,140.16 $1,346.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.08 $921.72 $1,037.84 $1,450.38 $2,204.00 |
$1,122.70 $1,232.34 $1,348.46 $1,761.00 |
$1,433.32 $1,542.96 $1,659.08 $2,071.62 |
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 |
$485.80 $551.38 $620.85 $867.63 $1,318.45 |
$857.43 $923.01 $992.48 $1,239.26 |
$1,229.06 $1,294.64 $1,364.11 $1,610.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$971.60 $1,102.76 $1,241.70 $1,735.26 $2,636.90 |
$1,343.23 $1,474.39 $1,613.33 $2,106.89 |
$1,714.86 $1,846.02 $1,984.96 $2,478.52 |
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 |
$333.06 $378.03 $425.66 $594.85 $903.94 |
$587.85 $632.82 $680.45 $849.64 |
$842.64 $887.61 $935.24 $1,104.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$666.12 $756.06 $851.32 $1,189.70 $1,807.88 |
$920.91 $1,010.85 $1,106.11 $1,444.49 |
$1,175.70 $1,265.64 $1,360.90 $1,699.28 |
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 |
$317.58 $360.45 $405.86 $567.19 $861.90 |
$560.53 $603.40 $648.81 $810.14 |
$803.48 $846.35 $891.76 $1,053.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.16 $720.90 $811.72 $1,134.38 $1,723.80 |
$878.11 $963.85 $1,054.67 $1,377.33 |
$1,121.06 $1,206.80 $1,297.62 $1,620.28 |
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 |
$490.42 $556.63 $626.76 $875.89 $1,331.00 |
$865.59 $931.80 $1,001.93 $1,251.06 |
$1,240.76 $1,306.97 $1,377.10 $1,626.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$980.84 $1,113.26 $1,253.52 $1,751.78 $2,662.00 |
$1,356.01 $1,488.43 $1,628.69 $2,126.95 |
$1,731.18 $1,863.60 $2,003.86 $2,502.12 |
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 |
$404.47 $459.08 $516.92 $722.39 $1,097.74 |
$713.89 $768.50 $826.34 $1,031.81 |
$1,023.31 $1,077.92 $1,135.76 $1,341.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.94 $918.16 $1,033.84 $1,444.78 $2,195.48 |
$1,118.36 $1,227.58 $1,343.26 $1,754.20 |
$1,427.78 $1,537.00 $1,652.68 $2,063.62 |
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 |
$482.87 $548.06 $617.11 $862.41 $1,310.51 |
$852.27 $917.46 $986.51 $1,231.81 |
$1,221.67 $1,286.86 $1,355.91 $1,601.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.74 $1,096.12 $1,234.22 $1,724.82 $2,621.02 |
$1,335.14 $1,465.52 $1,603.62 $2,094.22 |
$1,704.54 $1,834.92 $1,973.02 $2,463.62 |
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 |
$318.89 $361.94 $407.54 $569.53 $865.46 |
$562.84 $605.89 $651.49 $813.48 |
$806.79 $849.84 $895.44 $1,057.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.78 $723.88 $815.08 $1,139.06 $1,730.92 |
$881.73 $967.83 $1,059.03 $1,383.01 |
$1,125.68 $1,211.78 $1,302.98 $1,626.96 |
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 |
$339.42 $385.24 $433.78 $606.20 $921.18 |
$599.07 $644.89 $693.43 $865.85 |
$858.72 $904.54 $953.08 $1,125.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.84 $770.48 $867.56 $1,212.40 $1,842.36 |
$938.49 $1,030.13 $1,127.21 $1,472.05 |
$1,198.14 $1,289.78 $1,386.86 $1,731.70 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-866-811-2704 | Toll Free: 1-866-811-2704 | TTY: 1-866-811-2704 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $1,900 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$398.01 $451.74 $508.65 $710.84 $1,080.19 |
$702.48 $756.21 $813.12 $1,015.31 |
$1,006.95 $1,060.68 $1,117.59 $1,319.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.02 $903.48 $1,017.30 $1,421.68 $2,160.38 |
$1,100.49 $1,207.95 $1,321.77 $1,726.15 |
$1,404.96 $1,512.42 $1,626.24 $2,030.62 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.00 $513.02 $577.66 $807.28 $1,226.74 |
$797.78 $858.80 $923.44 $1,153.06 |
$1,143.56 $1,204.58 $1,269.22 $1,498.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.00 $1,026.04 $1,155.32 $1,614.56 $2,453.48 |
$1,249.78 $1,371.82 $1,501.10 $1,960.34 |
$1,595.56 $1,717.60 $1,846.88 $2,306.12 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.94 $519.76 $585.25 $817.88 $1,242.85 |
$808.26 $870.08 $935.57 $1,168.20 |
$1,158.58 $1,220.40 $1,285.89 $1,518.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$915.88 $1,039.52 $1,170.50 $1,635.76 $2,485.70 |
$1,266.20 $1,389.84 $1,520.82 $1,986.08 |
$1,616.52 $1,740.16 $1,871.14 $2,336.40 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.46 $498.78 $561.63 $784.87 $1,192.69 |
$775.64 $834.96 $897.81 $1,121.05 |
$1,111.82 $1,171.14 $1,233.99 $1,457.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$878.92 $997.56 $1,123.26 $1,569.74 $2,385.38 |
$1,215.10 $1,333.74 $1,459.44 $1,905.92 |
$1,551.28 $1,669.92 $1,795.62 $2,242.10 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.88 $366.47 $412.64 $576.66 $876.29 |
$569.88 $613.47 $659.64 $823.66 |
$816.88 $860.47 $906.64 $1,070.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.76 $732.94 $825.28 $1,153.32 $1,752.58 |
$892.76 $979.94 $1,072.28 $1,400.32 |
$1,139.76 $1,226.94 $1,319.28 $1,647.32 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.33 $357.90 $402.99 $563.17 $855.80 |
$556.55 $599.12 $644.21 $804.39 |
$797.77 $840.34 $885.43 $1,045.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.66 $715.80 $805.98 $1,126.34 $1,711.60 |
$871.88 $957.02 $1,047.20 $1,367.56 |
$1,113.10 $1,198.24 $1,288.42 $1,608.78 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard $0 Deductible ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.78 $456.02 $513.48 $717.58 $1,090.43 |
$709.14 $763.38 $820.84 $1,024.94 |
$1,016.50 $1,070.74 $1,128.20 $1,332.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$803.56 $912.04 $1,026.96 $1,435.16 $2,180.86 |
$1,110.92 $1,219.40 $1,334.32 $1,742.52 |
$1,418.28 $1,526.76 $1,641.68 $2,049.88 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.73 $357.22 $402.23 $562.11 $854.19 |
$555.50 $597.99 $643.00 $802.88 |
$796.27 $838.76 $883.77 $1,043.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.46 $714.44 $804.46 $1,124.22 $1,708.38 |
$870.23 $955.21 $1,045.23 $1,364.99 |
$1,111.00 $1,195.98 $1,286.00 $1,605.76 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.61 $366.16 $412.29 $576.17 $875.55 |
$569.40 $612.95 $659.08 $822.96 |
$816.19 $859.74 $905.87 $1,069.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.22 $732.32 $824.58 $1,152.34 $1,751.10 |
$892.01 $979.11 $1,071.37 $1,399.13 |
$1,138.80 $1,225.90 $1,318.16 $1,645.92 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.42 $346.66 $390.33 $545.49 $828.92 |
$539.07 $580.31 $623.98 $779.14 |
$772.72 $813.96 $857.63 $1,012.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.84 $693.32 $780.66 $1,090.98 $1,657.84 |
$844.49 $926.97 $1,014.31 $1,324.63 |
$1,078.14 $1,160.62 $1,247.96 $1,558.28 |
Toc - Plan #46 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.15 $512.05 $576.57 $805.75 $1,224.41 |
$796.28 $857.18 $921.70 $1,150.88 |
$1,141.41 $1,202.31 $1,266.83 $1,496.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.30 $1,024.10 $1,153.14 $1,611.50 $2,448.82 |
$1,247.43 $1,369.23 $1,498.27 $1,956.63 |
$1,592.56 $1,714.36 $1,843.40 $2,301.76 |
Toc - Plan #47 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$470.97 $534.55 $601.90 $841.15 $1,278.21 |
$831.26 $894.84 $962.19 $1,201.44 |
$1,191.55 $1,255.13 $1,322.48 $1,561.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$941.94 $1,069.10 $1,203.80 $1,682.30 $2,556.42 |
$1,302.23 $1,429.39 $1,564.09 $2,042.59 |
$1,662.52 $1,789.68 $1,924.38 $2,402.88 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$470.04 $533.49 $600.71 $839.48 $1,275.68 |
$829.62 $893.07 $960.29 $1,199.06 |
$1,189.20 $1,252.65 $1,319.87 $1,558.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$940.08 $1,066.98 $1,201.42 $1,678.96 $2,551.36 |
$1,299.66 $1,426.56 $1,561.00 $2,038.54 |
$1,659.24 $1,786.14 $1,920.58 $2,398.12 |
Toc - Plan #49 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.42 $513.50 $578.20 $808.03 $1,227.87 |
$798.52 $859.60 $924.30 $1,154.13 |
$1,144.62 $1,205.70 $1,270.40 $1,500.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.84 $1,027.00 $1,156.40 $1,616.06 $2,455.74 |
$1,250.94 $1,373.10 $1,502.50 $1,962.16 |
$1,597.04 $1,719.20 $1,848.60 $2,308.26 |
Toc - Plan #50 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $1,800 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.45 $451.10 $507.94 $709.84 $1,078.67 |
$701.50 $755.15 $811.99 $1,013.89 |
$1,005.55 $1,059.20 $1,116.04 $1,317.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.90 $902.20 $1,015.88 $1,419.68 $2,157.34 |
$1,098.95 $1,206.25 $1,319.93 $1,723.73 |
$1,403.00 $1,510.30 $1,623.98 $2,027.78 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.01 $450.61 $507.38 $709.06 $1,077.49 |
$700.72 $754.32 $811.09 $1,012.77 |
$1,004.43 $1,058.03 $1,114.80 $1,316.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.02 $901.22 $1,014.76 $1,418.12 $2,154.98 |
$1,097.73 $1,204.93 $1,318.47 $1,721.83 |
$1,401.44 $1,508.64 $1,622.18 $2,025.54 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.83 $473.10 $532.71 $744.46 $1,131.28 |
$735.71 $791.98 $851.59 $1,063.34 |
$1,054.59 $1,110.86 $1,170.47 $1,382.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.66 $946.20 $1,065.42 $1,488.92 $2,262.56 |
$1,152.54 $1,265.08 $1,384.30 $1,807.80 |
$1,471.42 $1,583.96 $1,703.18 $2,126.68 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-811-2704
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.76 $462.81 $521.12 $728.26 $1,106.66 |
$719.70 $774.75 $833.06 $1,040.20 |
$1,031.64 $1,086.69 $1,145.00 $1,352.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.52 $925.62 $1,042.24 $1,456.52 $2,213.32 |
$1,127.46 $1,237.56 $1,354.18 $1,768.46 |
$1,439.40 $1,549.50 $1,666.12 $2,080.40 |
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 |
$410.16 $465.52 $524.17 $732.52 $1,113.14 |
$723.92 $779.28 $837.93 $1,046.28 |
$1,037.68 $1,093.04 $1,151.69 $1,360.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.32 $931.04 $1,048.34 $1,465.04 $2,226.28 |
$1,134.08 $1,244.80 $1,362.10 $1,778.80 |
$1,447.84 $1,558.56 $1,675.86 $2,092.56 |
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 |
$385.71 $437.77 $492.92 $688.85 $1,046.78 |
$680.77 $732.83 $787.98 $983.91 |
$975.83 $1,027.89 $1,083.04 $1,278.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.42 $875.54 $985.84 $1,377.70 $2,093.56 |
$1,066.48 $1,170.60 $1,280.90 $1,672.76 |
$1,361.54 $1,465.66 $1,575.96 $1,967.82 |
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 |
$423.64 $480.82 $541.40 $756.60 $1,149.73 |
$747.72 $804.90 $865.48 $1,080.68 |
$1,071.80 $1,128.98 $1,189.56 $1,404.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.28 $961.64 $1,082.80 $1,513.20 $2,299.46 |
$1,171.36 $1,285.72 $1,406.88 $1,837.28 |
$1,495.44 $1,609.80 $1,730.96 $2,161.36 |
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 |
$382.03 $433.59 $488.22 $682.28 $1,036.79 |
$674.27 $725.83 $780.46 $974.52 |
$966.51 $1,018.07 $1,072.70 $1,266.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.06 $867.18 $976.44 $1,364.56 $2,073.58 |
$1,056.30 $1,159.42 $1,268.68 $1,656.80 |
$1,348.54 $1,451.66 $1,560.92 $1,949.04 |
‡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 Robertson County here.
Robertson County is in “Rating Area 6” of Texas.
Currently, there are 57 plans offered in Rating Area 6.