Obamacare 2023 Rates for San Patricio County
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Obamacare > Rates > Texas > San Patricio County
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Blue Cross and Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989 |
Toc - Plan #1 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 |
$391.56 $444.42 $500.42 $699.33 $1,062.70 |
$691.11 $743.97 $799.97 $998.88 |
$990.66 $1,043.52 $1,099.52 $1,298.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.12 $888.84 $1,000.84 $1,398.66 $2,125.40 |
$1,082.67 $1,188.39 $1,300.39 $1,698.21 |
$1,382.22 $1,487.94 $1,599.94 $1,997.76 |
Toc - Plan #2 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 |
$286.77 $325.49 $366.49 $512.17 $778.30 |
$506.15 $544.87 $585.87 $731.55 |
$725.53 $764.25 $805.25 $950.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$573.54 $650.98 $732.98 $1,024.34 $1,556.60 |
$792.92 $870.36 $952.36 $1,243.72 |
$1,012.30 $1,089.74 $1,171.74 $1,463.10 |
Toc - Plan #3 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 |
$470.93 $534.51 $601.85 $841.09 $1,278.11 |
$831.19 $894.77 $962.11 $1,201.35 |
$1,191.45 $1,255.03 $1,322.37 $1,561.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$941.86 $1,069.02 $1,203.70 $1,682.18 $2,556.22 |
$1,302.12 $1,429.28 $1,563.96 $2,042.44 |
$1,662.38 $1,789.54 $1,924.22 $2,402.70 |
Toc - Plan #4 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 |
$320.44 $363.70 $409.52 $572.30 $869.67 |
$565.57 $608.83 $654.65 $817.43 |
$810.70 $853.96 $899.78 $1,062.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$640.88 $727.40 $819.04 $1,144.60 $1,739.34 |
$886.01 $972.53 $1,064.17 $1,389.73 |
$1,131.14 $1,217.66 $1,309.30 $1,634.86 |
Toc - Plan #5 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 |
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21 30 40 50 60 |
$333.26 $378.25 $425.91 $595.21 $904.47 |
$588.21 $633.20 $680.86 $850.16 |
$843.16 $888.15 $935.81 $1,105.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$666.52 $756.50 $851.82 $1,190.42 $1,808.94 |
$921.47 $1,011.45 $1,106.77 $1,445.37 |
$1,176.42 $1,266.40 $1,361.72 $1,700.32 |
Toc - Plan #6 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 |
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21 30 40 50 60 |
$318.78 $361.81 $407.40 $569.34 $865.16 |
$562.64 $605.67 $651.26 $813.20 |
$806.50 $849.53 $895.12 $1,057.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$637.56 $723.62 $814.80 $1,138.68 $1,730.32 |
$881.42 $967.48 $1,058.66 $1,382.54 |
$1,125.28 $1,211.34 $1,302.52 $1,626.40 |
Toc - Plan #7 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 |
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21 30 40 50 60 |
$403.06 $457.48 $515.11 $719.87 $1,093.91 |
$711.40 $765.82 $823.45 $1,028.21 |
$1,019.74 $1,074.16 $1,131.79 $1,336.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$806.12 $914.96 $1,030.22 $1,439.74 $2,187.82 |
$1,114.46 $1,223.30 $1,338.56 $1,748.08 |
$1,422.80 $1,531.64 $1,646.90 $2,056.42 |
Toc - Plan #8 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 |
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21 30 40 50 60 |
$333.71 $378.77 $426.49 $596.01 $905.70 |
$589.00 $634.06 $681.78 $851.30 |
$844.29 $889.35 $937.07 $1,106.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$667.42 $757.54 $852.98 $1,192.02 $1,811.40 |
$922.71 $1,012.83 $1,108.27 $1,447.31 |
$1,178.00 $1,268.12 $1,363.56 $1,702.60 |
Toc - Plan #9 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Gold HMO? 706 |
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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 |
$396.88 $450.46 $507.21 $708.83 $1,077.13 |
$700.49 $754.07 $810.82 $1,012.44 |
$1,004.10 $1,057.68 $1,114.43 $1,316.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793.76 $900.92 $1,014.42 $1,417.66 $2,154.26 |
$1,097.37 $1,204.53 $1,318.03 $1,721.27 |
$1,400.98 $1,508.14 $1,621.64 $2,024.88 |
Toc - Plan #10 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Silver HMO? 705 |
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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 |
$473.29 $537.19 $604.87 $845.30 $1,284.52 |
$835.36 $899.26 $966.94 $1,207.37 |
$1,197.43 $1,261.33 $1,329.01 $1,569.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$946.58 $1,074.38 $1,209.74 $1,690.60 $2,569.04 |
$1,308.65 $1,436.45 $1,571.81 $2,052.67 |
$1,670.72 $1,798.52 $1,933.88 $2,414.74 |
Toc - Plan #11 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Bronze HMO? 704 |
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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 |
$311.79 $353.88 $398.47 $556.86 $846.20 |
$550.31 $592.40 $636.99 $795.38 |
$788.83 $830.92 $875.51 $1,033.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.58 $707.76 $796.94 $1,113.72 $1,692.40 |
$862.10 $946.28 $1,035.46 $1,352.24 |
$1,100.62 $1,184.80 $1,273.98 $1,590.76 |
Toc - Plan #12 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Bronze HMO? 707 |
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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 |
$332.61 $377.52 $425.08 $594.05 $902.71 |
$587.06 $631.97 $679.53 $848.50 |
$841.51 $886.42 $933.98 $1,102.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$665.22 $755.04 $850.16 $1,188.10 $1,805.42 |
$919.67 $1,009.49 $1,104.61 $1,442.55 |
$1,174.12 $1,263.94 $1,359.06 $1,697.00 |
Toc - Plan #13 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 203 |
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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 |
$444.54 $504.56 $568.13 $793.95 $1,206.49 |
$784.62 $844.64 $908.21 $1,134.03 |
$1,124.70 $1,184.72 $1,248.29 $1,474.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$889.08 $1,009.12 $1,136.26 $1,587.90 $2,412.98 |
$1,229.16 $1,349.20 $1,476.34 $1,927.98 |
$1,569.24 $1,689.28 $1,816.42 $2,268.06 |
Toc - Plan #14 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 202 |
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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 |
$531.86 $603.66 $679.72 $949.90 $1,443.47 |
$938.73 $1,010.53 $1,086.59 $1,356.77 |
$1,345.60 $1,417.40 $1,493.46 $1,763.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,063.72 $1,207.32 $1,359.44 $1,899.80 $2,886.94 |
$1,470.59 $1,614.19 $1,766.31 $2,306.67 |
$1,877.46 $2,021.06 $2,173.18 $2,713.54 |
Toc - Plan #15 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Advantage Plus Bronze? 303 |
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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 |
$364.64 $413.87 $466.02 $651.26 $989.65 |
$643.59 $692.82 $744.97 $930.21 |
$922.54 $971.77 $1,023.92 $1,209.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$729.28 $827.74 $932.04 $1,302.52 $1,979.30 |
$1,008.23 $1,106.69 $1,210.99 $1,581.47 |
$1,287.18 $1,385.64 $1,489.94 $1,860.42 |
Toc - Plan #16 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Bronze
(HMO) Blue Advantage Plus Bronze? 305 |
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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 |
$347.69 $394.63 $444.35 $620.97 $943.63 |
$613.67 $660.61 $710.33 $886.95 |
$879.65 $926.59 $976.31 $1,152.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$695.38 $789.26 $888.70 $1,241.94 $1,887.26 |
$961.36 $1,055.24 $1,154.68 $1,507.92 |
$1,227.34 $1,321.22 $1,420.66 $1,773.90 |
Toc - Plan #17 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 605 |
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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 |
$536.92 $609.41 $686.19 $958.94 $1,457.20 |
$947.66 $1,020.15 $1,096.93 $1,369.68 |
$1,358.40 $1,430.89 $1,507.67 $1,780.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,073.84 $1,218.82 $1,372.38 $1,917.88 $2,914.40 |
$1,484.58 $1,629.56 $1,783.12 $2,328.62 |
$1,895.32 $2,040.30 $2,193.86 $2,739.36 |
Toc - Plan #18 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Gold
(HMO) Blue Advantage Plus Gold? 706 |
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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 |
$442.82 $502.61 $565.93 $790.88 $1,201.83 |
$781.58 $841.37 $904.69 $1,129.64 |
$1,120.34 $1,180.13 $1,243.45 $1,468.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$885.64 $1,005.22 $1,131.86 $1,581.76 $2,403.66 |
$1,224.40 $1,343.98 $1,470.62 $1,920.52 |
$1,563.16 $1,682.74 $1,809.38 $2,259.28 |
Toc - Plan #19 Blue Cross and Blue Shield of Texas | ||||||||||||||||||||
Silver
(HMO) Blue Advantage Plus Silver? 705 |
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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 |
$528.66 $600.03 $675.62 $944.18 $1,434.78 |
$933.08 $1,004.45 $1,080.04 $1,348.60 |
$1,337.50 $1,408.87 $1,484.46 $1,753.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,057.32 $1,200.06 $1,351.24 $1,888.36 $2,869.56 |
$1,461.74 $1,604.48 $1,755.66 $2,292.78 |
$1,866.16 $2,008.90 $2,160.08 $2,697.20 |
Toc - Plan #20 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$349.12 $396.25 $446.18 $623.53 $947.52 |
$616.20 $663.33 $713.26 $890.61 |
$883.28 $930.41 $980.34 $1,157.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$698.24 $792.50 $892.36 $1,247.06 $1,895.04 |
$965.32 $1,059.58 $1,159.44 $1,514.14 |
$1,232.40 $1,326.66 $1,426.52 $1,781.22 |
Toc - Plan #21 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$371.60 $421.77 $474.91 $663.68 $1,008.52 |
$655.87 $706.04 $759.18 $947.95 |
$940.14 $990.31 $1,043.45 $1,232.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$743.20 $843.54 $949.82 $1,327.36 $2,017.04 |
$1,027.47 $1,127.81 $1,234.09 $1,611.63 |
$1,311.74 $1,412.08 $1,518.36 $1,895.90 |
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UnitedHealthcareLocal: 1-866-811-2704 | Toll Free: 1-866-811-2704 | TTY: 1-866-811-2704 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $1,900 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
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Benefits & Coverage
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Customer Service Phone: 1-866-811-2704
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 |
$441.58 $501.19 $564.34 $788.66 $1,198.45 |
$779.39 $839.00 $902.15 $1,126.47 |
$1,117.20 $1,176.81 $1,239.96 $1,464.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.16 $1,002.38 $1,128.68 $1,577.32 $2,396.90 |
$1,220.97 $1,340.19 $1,466.49 $1,915.13 |
$1,558.78 $1,678.00 $1,804.30 $2,252.94 |
Toc - Plan #23 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 |
$501.49 $569.19 $640.90 $895.66 $1,361.04 |
$885.13 $952.83 $1,024.54 $1,279.30 |
$1,268.77 $1,336.47 $1,408.18 $1,662.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,002.98 $1,138.38 $1,281.80 $1,791.32 $2,722.08 |
$1,386.62 $1,522.02 $1,665.44 $2,174.96 |
$1,770.26 $1,905.66 $2,049.08 $2,558.60 |
Toc - Plan #24 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 |
$508.07 $576.66 $649.32 $907.42 $1,378.91 |
$896.75 $965.34 $1,038.00 $1,296.10 |
$1,285.43 $1,354.02 $1,426.68 $1,684.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,016.14 $1,153.32 $1,298.64 $1,814.84 $2,757.82 |
$1,404.82 $1,542.00 $1,687.32 $2,203.52 |
$1,793.50 $1,930.68 $2,076.00 $2,592.20 |
Toc - Plan #25 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 |
$487.57 $553.39 $623.11 $870.80 $1,323.26 |
$860.56 $926.38 $996.10 $1,243.79 |
$1,233.55 $1,299.37 $1,369.09 $1,616.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.14 $1,106.78 $1,246.22 $1,741.60 $2,646.52 |
$1,348.13 $1,479.77 $1,619.21 $2,114.59 |
$1,721.12 $1,852.76 $1,992.20 $2,487.58 |
Toc - Plan #26 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 |
$358.23 $406.59 $457.81 $639.79 $972.22 |
$632.27 $680.63 $731.85 $913.83 |
$906.31 $954.67 $1,005.89 $1,187.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.46 $813.18 $915.62 $1,279.58 $1,944.44 |
$990.50 $1,087.22 $1,189.66 $1,553.62 |
$1,264.54 $1,361.26 $1,463.70 $1,827.66 |
Toc - Plan #27 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 |
$349.85 $397.08 $447.11 $624.83 $949.49 |
$617.48 $664.71 $714.74 $892.46 |
$885.11 $932.34 $982.37 $1,160.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.70 $794.16 $894.22 $1,249.66 $1,898.98 |
$967.33 $1,061.79 $1,161.85 $1,517.29 |
$1,234.96 $1,329.42 $1,429.48 $1,784.92 |
Toc - Plan #28 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 |
$445.77 $505.95 $569.69 $796.14 $1,209.81 |
$786.78 $846.96 $910.70 $1,137.15 |
$1,127.79 $1,187.97 $1,251.71 $1,478.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.54 $1,011.90 $1,139.38 $1,592.28 $2,419.62 |
$1,232.55 $1,352.91 $1,480.39 $1,933.29 |
$1,573.56 $1,693.92 $1,821.40 $2,274.30 |
Toc - Plan #29 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 |
$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 #30 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 |
$357.92 $406.24 $457.43 $639.25 $971.41 |
$631.73 $680.05 $731.24 $913.06 |
$905.54 $953.86 $1,005.05 $1,186.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.84 $812.48 $914.86 $1,278.50 $1,942.82 |
$989.65 $1,086.29 $1,188.67 $1,552.31 |
$1,263.46 $1,360.10 $1,462.48 $1,826.12 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 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 |
$338.86 $384.61 $433.06 $605.21 $919.67 |
$598.09 $643.84 $692.29 $864.44 |
$857.32 $903.07 $951.52 $1,123.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.72 $769.22 $866.12 $1,210.42 $1,839.34 |
$936.95 $1,028.45 $1,125.35 $1,469.65 |
$1,196.18 $1,287.68 $1,384.58 $1,728.88 |
Toc - Plan #32 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 |
$500.54 $568.11 $639.69 $893.96 $1,358.46 |
$883.45 $951.02 $1,022.60 $1,276.87 |
$1,266.36 $1,333.93 $1,405.51 $1,659.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,001.08 $1,136.22 $1,279.38 $1,787.92 $2,716.92 |
$1,383.99 $1,519.13 $1,662.29 $2,170.83 |
$1,766.90 $1,902.04 $2,045.20 $2,553.74 |
Toc - Plan #33 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 |
$522.53 $593.07 $667.79 $933.24 $1,418.14 |
$922.26 $992.80 $1,067.52 $1,332.97 |
$1,321.99 $1,392.53 $1,467.25 $1,732.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,045.06 $1,186.14 $1,335.58 $1,866.48 $2,836.28 |
$1,444.79 $1,585.87 $1,735.31 $2,266.21 |
$1,844.52 $1,985.60 $2,135.04 $2,665.94 |
Toc - Plan #34 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 |
$521.49 $591.90 $666.47 $931.39 $1,415.34 |
$920.43 $990.84 $1,065.41 $1,330.33 |
$1,319.37 $1,389.78 $1,464.35 $1,729.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.98 $1,183.80 $1,332.94 $1,862.78 $2,830.68 |
$1,441.92 $1,582.74 $1,731.88 $2,261.72 |
$1,840.86 $1,981.68 $2,130.82 $2,660.66 |
Toc - Plan #35 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 |
$501.95 $569.72 $641.50 $896.49 $1,362.30 |
$885.94 $953.71 $1,025.49 $1,280.48 |
$1,269.93 $1,337.70 $1,409.48 $1,664.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.90 $1,139.44 $1,283.00 $1,792.98 $2,724.60 |
$1,387.89 $1,523.43 $1,666.99 $2,176.97 |
$1,771.88 $1,907.42 $2,050.98 $2,560.96 |
Toc - Plan #36 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 |
$440.96 $500.49 $563.55 $787.55 $1,196.76 |
$778.29 $837.82 $900.88 $1,124.88 |
$1,115.62 $1,175.15 $1,238.21 $1,462.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$881.92 $1,000.98 $1,127.10 $1,575.10 $2,393.52 |
$1,219.25 $1,338.31 $1,464.43 $1,912.43 |
$1,556.58 $1,675.64 $1,801.76 $2,249.76 |
Toc - Plan #37 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 |
$440.47 $499.94 $562.93 $786.69 $1,195.45 |
$777.43 $836.90 $899.89 $1,123.65 |
$1,114.39 $1,173.86 $1,236.85 $1,460.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.94 $999.88 $1,125.86 $1,573.38 $2,390.90 |
$1,217.90 $1,336.84 $1,462.82 $1,910.34 |
$1,554.86 $1,673.80 $1,799.78 $2,247.30 |
Toc - Plan #38 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 |
$462.47 $524.90 $591.03 $825.96 $1,255.13 |
$816.26 $878.69 $944.82 $1,179.75 |
$1,170.05 $1,232.48 $1,298.61 $1,533.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$924.94 $1,049.80 $1,182.06 $1,651.92 $2,510.26 |
$1,278.73 $1,403.59 $1,535.85 $2,005.71 |
$1,632.52 $1,757.38 $1,889.64 $2,359.50 |
Toc - Plan #39 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 |
$452.40 $513.47 $578.17 $807.99 $1,227.81 |
$798.49 $859.56 $924.26 $1,154.08 |
$1,144.58 $1,205.65 $1,270.35 $1,500.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.80 $1,026.94 $1,156.34 $1,615.98 $2,455.62 |
$1,250.89 $1,373.03 $1,502.43 $1,962.07 |
$1,596.98 $1,719.12 $1,848.52 $2,308.16 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #40 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.47 $305.85 $344.39 $481.28 $731.35 |
$475.62 $512.00 $550.54 $687.43 |
$681.77 $718.15 $756.69 $893.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.94 $611.70 $688.78 $962.56 $1,462.70 |
$745.09 $817.85 $894.93 $1,168.71 |
$951.24 $1,024.00 $1,101.08 $1,374.86 |
Toc - Plan #41 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.40 $449.91 $506.60 $707.97 $1,075.82 |
$699.64 $753.15 $809.84 $1,011.21 |
$1,002.88 $1,056.39 $1,113.08 $1,314.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.80 $899.82 $1,013.20 $1,415.94 $2,151.64 |
$1,096.04 $1,203.06 $1,316.44 $1,719.18 |
$1,399.28 $1,506.30 $1,619.68 $2,022.42 |
Toc - Plan #42 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.34 $414.66 $466.91 $652.50 $991.54 |
$644.83 $694.15 $746.40 $931.99 |
$924.32 $973.64 $1,025.89 $1,211.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.68 $829.32 $933.82 $1,305.00 $1,983.08 |
$1,010.17 $1,108.81 $1,213.31 $1,584.49 |
$1,289.66 $1,388.30 $1,492.80 $1,863.98 |
Toc - Plan #43 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.33 $428.27 $482.23 $673.91 $1,024.08 |
$665.99 $716.93 $770.89 $962.57 |
$954.65 $1,005.59 $1,059.55 $1,251.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.66 $856.54 $964.46 $1,347.82 $2,048.16 |
$1,043.32 $1,145.20 $1,253.12 $1,636.48 |
$1,331.98 $1,433.86 $1,541.78 $1,925.14 |
Toc - Plan #44 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.19 $426.97 $480.77 $671.87 $1,020.97 |
$663.97 $714.75 $768.55 $959.65 |
$951.75 $1,002.53 $1,056.33 $1,247.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.38 $853.94 $961.54 $1,343.74 $2,041.94 |
$1,040.16 $1,141.72 $1,249.32 $1,631.52 |
$1,327.94 $1,429.50 $1,537.10 $1,919.30 |
Toc - Plan #45 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.96 $435.80 $490.70 $685.76 $1,042.07 |
$677.69 $729.53 $784.43 $979.49 |
$971.42 $1,023.26 $1,078.16 $1,273.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.92 $871.60 $981.40 $1,371.52 $2,084.14 |
$1,061.65 $1,165.33 $1,275.13 $1,665.25 |
$1,355.38 $1,459.06 $1,568.86 $1,958.98 |
Toc - Plan #46 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 4: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.88 $545.80 $614.56 $858.85 $1,305.10 |
$848.75 $913.67 $982.43 $1,226.72 |
$1,216.62 $1,281.54 $1,350.30 $1,594.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$961.76 $1,091.60 $1,229.12 $1,717.70 $2,610.20 |
$1,329.63 $1,459.47 $1,596.99 $2,085.57 |
$1,697.50 $1,827.34 $1,964.86 $2,453.44 |
Toc - Plan #47 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 Walk-in clinic + $0 Telehealth 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.27 $422.53 $475.76 $664.87 $1,010.34 |
$657.06 $707.32 $760.55 $949.66 |
$941.85 $992.11 $1,045.34 $1,234.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$744.54 $845.06 $951.52 $1,329.74 $2,020.68 |
$1,029.33 $1,129.85 $1,236.31 $1,614.53 |
$1,314.12 $1,414.64 $1,521.10 $1,899.32 |
ADVERTISEMENT
CHRISTUS Health PlanLocal: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331 |
Toc - Plan #48 CHRISTUS Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) CHRISTUS Catastrophic - 3 free PCP visits, includes Virtual |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.89 $277.95 $312.97 $437.38 $664.64 |
$432.23 $465.29 $500.31 $624.72 |
$619.57 $652.63 $687.65 $812.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$489.78 $555.90 $625.94 $874.76 $1,329.28 |
$677.12 $743.24 $813.28 $1,062.10 |
$864.46 $930.58 $1,000.62 $1,249.44 |
Toc - Plan #49 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.57 $328.67 $370.08 $517.18 $785.91 |
$511.09 $550.19 $591.60 $738.70 |
$732.61 $771.71 $813.12 $960.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.14 $657.34 $740.16 $1,034.36 $1,571.82 |
$800.66 $878.86 $961.68 $1,255.88 |
$1,022.18 $1,100.38 $1,183.20 $1,477.40 |
Toc - Plan #50 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver HD - 2 free PCP;Virtual;$25 PCP;$40 SPE;$40 Urgent;$0 PrefGen |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.43 $515.78 $580.76 $811.61 $1,233.32 |
$802.07 $863.42 $928.40 $1,159.25 |
$1,149.71 $1,211.06 $1,276.04 $1,506.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.86 $1,031.56 $1,161.52 $1,623.22 $2,466.64 |
$1,256.50 $1,379.20 $1,509.16 $1,970.86 |
$1,604.14 $1,726.84 $1,856.80 $2,318.50 |
Toc - Plan #51 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver LD - 2 free PCP visits, includes Virtual; $1,000 Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.46 $529.43 $596.14 $833.10 $1,265.98 |
$823.30 $886.27 $952.98 $1,189.94 |
$1,180.14 $1,243.11 $1,309.82 $1,546.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.92 $1,058.86 $1,192.28 $1,666.20 $2,531.96 |
$1,289.76 $1,415.70 $1,549.12 $2,023.04 |
$1,646.60 $1,772.54 $1,905.96 $2,379.88 |
Toc - Plan #52 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,600 Med Ded;$0 Rx Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.48 $446.59 $502.86 $702.75 $1,067.89 |
$694.49 $747.60 $803.87 $1,003.76 |
$995.50 $1,048.61 $1,104.88 $1,304.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.96 $893.18 $1,005.72 $1,405.50 $2,135.78 |
$1,087.97 $1,194.19 $1,306.73 $1,706.51 |
$1,388.98 $1,495.20 $1,607.74 $2,007.52 |
Toc - Plan #53 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.76 $339.10 $381.82 $533.59 $810.85 |
$527.32 $567.66 $610.38 $762.15 |
$755.88 $796.22 $838.94 $990.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.52 $678.20 $763.64 $1,067.18 $1,621.70 |
$826.08 $906.76 $992.20 $1,295.74 |
$1,054.64 $1,135.32 $1,220.76 $1,524.30 |
Toc - Plan #54 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Gold Plus HD-2 Free PCP;$10 PCP;$35 SPE;$0 Rx Ded;Adult vision,dental,fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.35 $466.89 $525.71 $734.68 $1,116.41 |
$726.03 $781.57 $840.39 $1,049.36 |
$1,040.71 $1,096.25 $1,155.07 $1,364.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.70 $933.78 $1,051.42 $1,469.36 $2,232.82 |
$1,137.38 $1,248.46 $1,366.10 $1,784.04 |
$1,452.06 $1,563.14 $1,680.78 $2,098.72 |
Toc - Plan #55 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze Plus-2 free PCP;$0 PrefGen;$30 Non-prefGen;Adult vision,dental,fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.45 $348.96 $392.92 $549.11 $834.43 |
$542.65 $584.16 $628.12 $784.31 |
$777.85 $819.36 $863.32 $1,019.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.90 $697.92 $785.84 $1,098.22 $1,668.86 |
$850.10 $933.12 $1,021.04 $1,333.42 |
$1,085.30 $1,168.32 $1,256.24 $1,568.62 |
Toc - Plan #56 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver Plus HD-2 Free PCP;$25 PCP;$40 SPE;$0 PrefGen;Adult vision,dental,fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.31 $536.07 $603.61 $843.54 $1,281.84 |
$833.62 $897.38 $964.92 $1,204.85 |
$1,194.93 $1,258.69 $1,326.23 $1,566.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$944.62 $1,072.14 $1,207.22 $1,687.08 $2,563.68 |
$1,305.93 $1,433.45 $1,568.53 $2,048.39 |
$1,667.24 $1,794.76 $1,929.84 $2,409.70 |
Toc - Plan #57 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Silver - 2 free PCP visits, includes Virtual |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.00 $472.16 $531.65 $742.98 $1,129.03 |
$734.24 $790.40 $849.89 $1,061.22 |
$1,052.48 $1,108.64 $1,168.13 $1,379.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.00 $944.32 $1,063.30 $1,485.96 $2,258.06 |
$1,150.24 $1,262.56 $1,381.54 $1,804.20 |
$1,468.48 $1,580.80 $1,699.78 $2,122.44 |
Toc - Plan #58 CHRISTUS Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) CHRISTUS Bronze - 2 free PCP visits, includes Virtual |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.92 $317.71 $357.74 $499.94 $759.71 |
$494.06 $531.85 $571.88 $714.08 |
$708.20 $745.99 $786.02 $928.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.84 $635.42 $715.48 $999.88 $1,519.42 |
$773.98 $849.56 $929.62 $1,214.02 |
$988.12 $1,063.70 $1,143.76 $1,428.16 |
Toc - Plan #59 CHRISTUS Health Plan | ||||||||||||||||||||
Bronze
(HMO) CHRISTUS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$274.75 $311.84 $351.13 $490.70 $745.67 |
$484.93 $522.02 $561.31 $700.88 |
$695.11 $732.20 $771.49 $911.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$549.50 $623.68 $702.26 $981.40 $1,491.34 |
$759.68 $833.86 $912.44 $1,191.58 |
$969.86 $1,044.04 $1,122.62 $1,401.76 |
Toc - Plan #60 CHRISTUS Health Plan | ||||||||||||||||||||
Silver
(HMO) CHRISTUS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.09 $484.75 $545.82 $762.78 $1,159.12 |
$753.81 $811.47 $872.54 $1,089.50 |
$1,080.53 $1,138.19 $1,199.26 $1,416.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.18 $969.50 $1,091.64 $1,525.56 $2,318.24 |
$1,180.90 $1,296.22 $1,418.36 $1,852.28 |
$1,507.62 $1,622.94 $1,745.08 $2,179.00 |
Toc - Plan #61 CHRISTUS Health Plan | ||||||||||||||||||||
Gold
(HMO) CHRISTUS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-282-3025
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.71 $410.54 $462.26 $646.01 $981.67 |
$638.42 $687.25 $738.97 $922.72 |
$915.13 $963.96 $1,015.68 $1,199.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.42 $821.08 $924.52 $1,292.02 $1,963.34 |
$1,000.13 $1,097.79 $1,201.23 $1,568.73 |
$1,276.84 $1,374.50 $1,477.94 $1,845.44 |
‡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 San Patricio County here.
San Patricio County is in “Rating Area 7” of Texas.
Currently, there are 61 plans offered in Rating Area 7.