Obamacare 2023 Rates for Pima County
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Obamacare > Rates > Arizona > Pima County
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BannerAetnaLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 | TTY: 1-855-586-6960 |
Toc - Plan #1 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze (Low Premium + Unlimited $5 98point6 Telehealth + Low-Cost MinuteClinic) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$217.48 $246.84 $277.94 $388.42 $590.24 |
$383.85 $413.21 $444.31 $554.79 |
$550.22 $579.58 $610.68 $721.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$434.96 $493.68 $555.88 $776.84 $1,180.48 |
$601.33 $660.05 $722.25 $943.21 |
$767.70 $826.42 $888.62 $1,109.58 |
Toc - Plan #2 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$214.72 $243.71 $274.41 $383.49 $582.75 |
$378.98 $407.97 $438.67 $547.75 |
$543.24 $572.23 $602.93 $712.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$429.44 $487.42 $548.82 $766.98 $1,165.50 |
$593.70 $651.68 $713.08 $931.24 |
$757.96 $815.94 $877.34 $1,095.50 |
Toc - Plan #3 BannerAetna | ||||||||||||||||||||
Gold
(HMO) BannerAetna Gold (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$362.22 $411.12 $462.92 $646.92 $983.06 |
$639.32 $688.22 $740.02 $924.02 |
$916.42 $965.32 $1,017.12 $1,201.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724.44 $822.24 $925.84 $1,293.84 $1,966.12 |
$1,001.54 $1,099.34 $1,202.94 $1,570.94 |
$1,278.64 $1,376.44 $1,480.04 $1,848.04 |
Toc - Plan #4 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 2 (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$270.53 $307.05 $345.74 $483.17 $734.22 |
$477.49 $514.01 $552.70 $690.13 |
$684.45 $720.97 $759.66 $897.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$541.06 $614.10 $691.48 $966.34 $1,468.44 |
$748.02 $821.06 $898.44 $1,173.30 |
$954.98 $1,028.02 $1,105.40 $1,380.26 |
Toc - Plan #5 BannerAetna | ||||||||||||||||||||
Expanded Bronze
(HMO) BannerAetna Bronze S (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$222.35 $252.36 $284.16 $397.11 $603.45 |
$392.44 $422.45 $454.25 $567.20 |
$562.53 $592.54 $624.34 $737.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$444.70 $504.72 $568.32 $794.22 $1,206.90 |
$614.79 $674.81 $738.41 $964.31 |
$784.88 $844.90 $908.50 $1,134.40 |
Toc - Plan #6 BannerAetna | ||||||||||||||||||||
Gold
(HMO) BannerAetna Gold S (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$355.21 $403.16 $453.96 $634.40 $964.04 |
$626.95 $674.90 $725.70 $906.14 |
$898.69 $946.64 $997.44 $1,177.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$710.42 $806.32 $907.92 $1,268.80 $1,928.08 |
$982.16 $1,078.06 $1,179.66 $1,540.54 |
$1,253.90 $1,349.80 $1,451.40 $1,812.28 |
Toc - Plan #7 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 3 (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$274.43 $311.48 $350.73 $490.14 $744.82 |
$484.37 $521.42 $560.67 $700.08 |
$694.31 $731.36 $770.61 $910.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$548.86 $622.96 $701.46 $980.28 $1,489.64 |
$758.80 $832.90 $911.40 $1,190.22 |
$968.74 $1,042.84 $1,121.34 $1,400.16 |
Toc - Plan #8 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver 4 $0 Ded (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$289.07 $328.09 $369.43 $516.28 $784.54 |
$510.21 $549.23 $590.57 $737.42 |
$731.35 $770.37 $811.71 $958.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$578.14 $656.18 $738.86 $1,032.56 $1,569.08 |
$799.28 $877.32 $960.00 $1,253.70 |
$1,020.42 $1,098.46 $1,181.14 $1,474.84 |
Toc - Plan #9 BannerAetna | ||||||||||||||||||||
Silver
(HMO) BannerAetna Silver S (Unlimited Free 98point6 Telehealth & MinuteClinic Visits) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
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 |
$264.20 $299.86 $337.64 $471.86 $717.03 |
$466.31 $501.97 $539.75 $673.97 |
$668.42 $704.08 $741.86 $876.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$528.40 $599.72 $675.28 $943.72 $1,434.06 |
$730.51 $801.83 $877.39 $1,145.83 |
$932.62 $1,003.94 $1,079.50 $1,347.94 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-482-9045 | Toll Free: 1-877-482-9045 | TTY: 1-877-482-9045 |
Toc - Plan #10 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$403.49 $457.97 $515.67 $720.64 $1,095.08 |
$712.16 $766.64 $824.34 $1,029.31 |
$1,020.83 $1,075.31 $1,133.01 $1,337.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$806.98 $915.94 $1,031.34 $1,441.28 $2,190.16 |
$1,115.65 $1,224.61 $1,340.01 $1,749.95 |
$1,424.32 $1,533.28 $1,648.68 $2,058.62 |
Toc - Plan #11 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$306.65 $348.05 $391.90 $547.67 $832.24 |
$541.24 $582.64 $626.49 $782.26 |
$775.83 $817.23 $861.08 $1,016.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613.30 $696.10 $783.80 $1,095.34 $1,664.48 |
$847.89 $930.69 $1,018.39 $1,329.93 |
$1,082.48 $1,165.28 $1,252.98 $1,564.52 |
Toc - Plan #12 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $7,500 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$246.41 $279.68 $314.91 $440.09 $668.76 |
$434.91 $468.18 $503.41 $628.59 |
$623.41 $656.68 $691.91 $817.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$492.82 $559.36 $629.82 $880.18 $1,337.52 |
$681.32 $747.86 $818.32 $1,068.68 |
$869.82 $936.36 $1,006.82 $1,257.18 |
Toc - Plan #13 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $7,500 Deductible 2 (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$244.36 $277.35 $312.29 $436.42 $663.19 |
$431.29 $464.28 $499.22 $623.35 |
$618.22 $651.21 $686.15 $810.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$488.72 $554.70 $624.58 $872.84 $1,326.38 |
$675.65 $741.63 $811.51 $1,059.77 |
$862.58 $928.56 $998.44 $1,246.70 |
Toc - Plan #14 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$307.02 $348.47 $392.37 $548.34 $833.25 |
$541.89 $583.34 $627.24 $783.21 |
$776.76 $818.21 $862.11 $1,018.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$614.04 $696.94 $784.74 $1,096.68 $1,666.50 |
$848.91 $931.81 $1,019.61 $1,331.55 |
$1,083.78 $1,166.68 $1,254.48 $1,566.42 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$244.37 $277.36 $312.30 $436.44 $663.21 |
$431.31 $464.30 $499.24 $623.38 |
$618.25 $651.24 $686.18 $810.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$488.74 $554.72 $624.60 $872.88 $1,326.42 |
$675.68 $741.66 $811.54 $1,059.82 |
$862.62 $928.60 $998.48 $1,246.76 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$227.94 $258.71 $291.30 $407.09 $618.62 |
$402.31 $433.08 $465.67 $581.46 |
$576.68 $607.45 $640.04 $755.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$455.88 $517.42 $582.60 $814.18 $1,237.24 |
$630.25 $691.79 $756.97 $988.55 |
$804.62 $866.16 $931.34 $1,162.92 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$408.31 $463.43 $521.82 $729.24 $1,108.15 |
$720.67 $775.79 $834.18 $1,041.60 |
$1,033.03 $1,088.15 $1,146.54 $1,353.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$816.62 $926.86 $1,043.64 $1,458.48 $2,216.30 |
$1,128.98 $1,239.22 $1,356.00 $1,770.84 |
$1,441.34 $1,551.58 $1,668.36 $2,083.20 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$414.93 $470.94 $530.28 $741.06 $1,126.12 |
$732.35 $788.36 $847.70 $1,058.48 |
$1,049.77 $1,105.78 $1,165.12 $1,375.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$829.86 $941.88 $1,060.56 $1,482.12 $2,252.24 |
$1,147.28 $1,259.30 $1,377.98 $1,799.54 |
$1,464.70 $1,576.72 $1,695.40 $2,116.96 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$302.76 $343.64 $386.93 $540.73 $821.70 |
$534.37 $575.25 $618.54 $772.34 |
$765.98 $806.86 $850.15 $1,003.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$605.52 $687.28 $773.86 $1,081.46 $1,643.40 |
$837.13 $918.89 $1,005.47 $1,313.07 |
$1,068.74 $1,150.50 $1,237.08 $1,544.68 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$310.44 $352.35 $396.75 $554.45 $842.54 |
$547.93 $589.84 $634.24 $791.94 |
$785.42 $827.33 $871.73 $1,029.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$620.88 $704.70 $793.50 $1,108.90 $1,685.08 |
$858.37 $942.19 $1,030.99 $1,346.39 |
$1,095.86 $1,179.68 $1,268.48 $1,583.88 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$247.16 $280.53 $315.87 $441.43 $670.79 |
$436.24 $469.61 $504.95 $630.51 |
$625.32 $658.69 $694.03 $819.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$494.32 $561.06 $631.74 $882.86 $1,341.58 |
$683.40 $750.14 $820.82 $1,071.94 |
$872.48 $939.22 $1,009.90 $1,261.02 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
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 |
$227.94 $258.71 $291.30 $407.09 $618.62 |
$402.31 $433.08 $465.67 $581.46 |
$576.68 $607.45 $640.04 $755.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$455.88 $517.42 $582.60 $814.18 $1,237.24 |
$630.25 $691.79 $756.97 $988.55 |
$804.62 $866.16 $931.34 $1,162.92 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 T1 Pref Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.26 $480.40 $540.93 $755.94 $1,148.73 |
$747.05 $804.19 $864.72 $1,079.73 |
$1,070.84 $1,127.98 $1,188.51 $1,403.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.52 $960.80 $1,081.86 $1,511.88 $2,297.46 |
$1,170.31 $1,284.59 $1,405.65 $1,835.67 |
$1,494.10 $1,608.38 $1,729.44 $2,159.46 |
Toc - Plan #24 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.00 $485.78 $546.98 $764.40 $1,161.58 |
$755.42 $813.20 $874.40 $1,091.82 |
$1,082.84 $1,140.62 $1,201.82 $1,419.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.00 $971.56 $1,093.96 $1,528.80 $2,323.16 |
$1,183.42 $1,298.98 $1,421.38 $1,856.22 |
$1,510.84 $1,626.40 $1,748.80 $2,183.64 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,350 Deductible 1 (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.32 $348.81 $392.75 $548.87 $834.06 |
$542.42 $583.91 $627.85 $783.97 |
$777.52 $819.01 $862.95 $1,019.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.64 $697.62 $785.50 $1,097.74 $1,668.12 |
$849.74 $932.72 $1,020.60 $1,332.84 |
$1,084.84 $1,167.82 $1,255.70 $1,567.94 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,350 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.84 $348.26 $392.14 $548.01 $832.76 |
$541.57 $582.99 $626.87 $782.74 |
$776.30 $817.72 $861.60 $1,017.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.68 $696.52 $784.28 $1,096.02 $1,665.52 |
$848.41 $931.25 $1,019.01 $1,330.75 |
$1,083.14 $1,165.98 $1,253.74 $1,565.48 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 T1 Pref Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.29 $356.72 $401.66 $561.32 $852.98 |
$554.72 $597.15 $642.09 $801.75 |
$795.15 $837.58 $882.52 $1,042.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628.58 $713.44 $803.32 $1,122.64 $1,705.96 |
$869.01 $953.87 $1,043.75 $1,363.07 |
$1,109.44 $1,194.30 $1,284.18 $1,603.50 |
Toc - Plan #28 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: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.46 $365.99 $412.10 $575.91 $875.15 |
$569.14 $612.67 $658.78 $822.59 |
$815.82 $859.35 $905.46 $1,069.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$644.92 $731.98 $824.20 $1,151.82 $1,750.30 |
$891.60 $978.66 $1,070.88 $1,398.50 |
$1,138.28 $1,225.34 $1,317.56 $1,645.18 |
Toc - Plan #29 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $7,500 Deductible 1 (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-482-9045
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.41 $279.68 $314.91 $440.09 $668.76 |
$434.91 $468.18 $503.41 $628.59 |
$623.41 $656.68 $691.91 $817.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$492.82 $559.36 $629.82 $880.18 $1,337.52 |
$681.32 $747.86 $818.32 $1,068.68 |
$869.82 $936.36 $1,006.82 $1,257.18 |
ADVERTISEMENT
Blue Cross Blue Shield of ArizonaLocal: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823 |
Toc - Plan #30 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue TrueHealth Silver - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.49 $342.19 $385.30 $538.46 $818.23 |
$532.13 $572.83 $615.94 $769.10 |
$762.77 $803.47 $846.58 $999.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.98 $684.38 $770.60 $1,076.92 $1,636.46 |
$833.62 $915.02 $1,001.24 $1,307.56 |
$1,064.26 $1,145.66 $1,231.88 $1,538.20 |
Toc - Plan #31 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue EverydayHealth Gold - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.14 $426.92 $480.71 $671.79 $1,020.85 |
$663.89 $714.67 $768.46 $959.54 |
$951.64 $1,002.42 $1,056.21 $1,247.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.28 $853.84 $961.42 $1,343.58 $2,041.70 |
$1,040.03 $1,141.59 $1,249.17 $1,631.33 |
$1,327.78 $1,429.34 $1,536.92 $1,919.08 |
Toc - Plan #32 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue EverydayHealth Silver - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.63 $334.40 $376.53 $526.20 $799.61 |
$520.02 $559.79 $601.92 $751.59 |
$745.41 $785.18 $827.31 $976.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.26 $668.80 $753.06 $1,052.40 $1,599.22 |
$814.65 $894.19 $978.45 $1,277.79 |
$1,040.04 $1,119.58 $1,203.84 $1,503.18 |
Toc - Plan #33 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue EverydayHealth Bronze - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$251.85 $285.85 $321.86 $449.80 $683.51 |
$444.52 $478.52 $514.53 $642.47 |
$637.19 $671.19 $707.20 $835.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$503.70 $571.70 $643.72 $899.60 $1,367.02 |
$696.37 $764.37 $836.39 $1,092.27 |
$889.04 $957.04 $1,029.06 $1,284.94 |
Toc - Plan #34 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Portfolio HSA Bronze - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.79 $307.34 $346.07 $483.62 $734.91 |
$477.94 $514.49 $553.22 $690.77 |
$685.09 $721.64 $760.37 $897.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.58 $614.68 $692.14 $967.24 $1,469.82 |
$748.73 $821.83 $899.29 $1,174.39 |
$955.88 $1,028.98 $1,106.44 $1,381.54 |
Toc - Plan #35 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue AdvanceHealth Silver - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.67 $324.24 $365.09 $510.21 $775.31 |
$504.21 $542.78 $583.63 $728.75 |
$722.75 $761.32 $802.17 $947.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$571.34 $648.48 $730.18 $1,020.42 $1,550.62 |
$789.88 $867.02 $948.72 $1,238.96 |
$1,008.42 $1,085.56 $1,167.26 $1,457.50 |
Toc - Plan #36 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue AdvanceHealth Bronze - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.36 $268.27 $302.07 $422.14 $641.48 |
$417.18 $449.09 $482.89 $602.96 |
$598.00 $629.91 $663.71 $783.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.72 $536.54 $604.14 $844.28 $1,282.96 |
$653.54 $717.36 $784.96 $1,025.10 |
$834.36 $898.18 $965.78 $1,205.92 |
Toc - Plan #37 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue AdvanceHealth Gold - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.31 $420.30 $473.25 $661.36 $1,005.00 |
$653.60 $703.59 $756.54 $944.65 |
$936.89 $986.88 $1,039.83 $1,227.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.62 $840.60 $946.50 $1,322.72 $2,010.00 |
$1,023.91 $1,123.89 $1,229.79 $1,606.01 |
$1,307.20 $1,407.18 $1,513.08 $1,889.30 |
Toc - Plan #38 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(HMO) Blue Standardized Gold - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.92 $435.75 $490.65 $685.69 $1,041.96 |
$677.62 $729.45 $784.35 $979.39 |
$971.32 $1,023.15 $1,078.05 $1,273.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.84 $871.50 $981.30 $1,371.38 $2,083.92 |
$1,061.54 $1,165.20 $1,275.00 $1,665.08 |
$1,355.24 $1,458.90 $1,568.70 $1,958.78 |
Toc - Plan #39 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(HMO) Blue Standardized Silver - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.11 $354.24 $398.87 $557.42 $847.05 |
$550.87 $593.00 $637.63 $796.18 |
$789.63 $831.76 $876.39 $1,034.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$624.22 $708.48 $797.74 $1,114.84 $1,694.10 |
$862.98 $947.24 $1,036.50 $1,353.60 |
$1,101.74 $1,186.00 $1,275.26 $1,592.36 |
Toc - Plan #40 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Standardized Bronze - PimaFocus Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$259.05 $294.03 $331.07 $462.67 $703.07 |
$457.23 $492.21 $529.25 $660.85 |
$655.41 $690.39 $727.43 $859.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$518.10 $588.06 $662.14 $925.34 $1,406.14 |
$716.28 $786.24 $860.32 $1,123.52 |
$914.46 $984.42 $1,058.50 $1,321.70 |
Toc - Plan #41 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$531.05 $602.74 $678.68 $948.45 $1,441.26 |
$937.30 $1,008.99 $1,084.93 $1,354.70 |
$1,343.55 $1,415.24 $1,491.18 $1,760.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,062.10 $1,205.48 $1,357.36 $1,896.90 $2,882.52 |
$1,468.35 $1,611.73 $1,763.61 $2,303.15 |
$1,874.60 $2,017.98 $2,169.86 $2,709.40 |
Toc - Plan #42 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.07 $485.86 $547.07 $764.53 $1,161.77 |
$755.54 $813.33 $874.54 $1,092.00 |
$1,083.01 $1,140.80 $1,202.01 $1,419.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.14 $971.72 $1,094.14 $1,529.06 $2,323.54 |
$1,183.61 $1,299.19 $1,421.61 $1,856.53 |
$1,511.08 $1,626.66 $1,749.08 $2,184.00 |
Toc - Plan #43 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue PPO Standardized Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$507.14 $575.60 $648.12 $905.75 $1,376.37 |
$895.10 $963.56 $1,036.08 $1,293.71 |
$1,283.06 $1,351.52 $1,424.04 $1,681.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,014.28 $1,151.20 $1,296.24 $1,811.50 $2,752.74 |
$1,402.24 $1,539.16 $1,684.20 $2,199.46 |
$1,790.20 $1,927.12 $2,072.16 $2,587.42 |
Toc - Plan #44 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Silver
(PPO) Blue PPO Standardized Silver - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.63 $470.61 $529.90 $740.53 $1,125.31 |
$731.83 $787.81 $847.10 $1,057.73 |
$1,049.03 $1,105.01 $1,164.30 $1,374.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.26 $941.22 $1,059.80 $1,481.06 $2,250.62 |
$1,146.46 $1,258.42 $1,377.00 $1,798.26 |
$1,463.66 $1,575.62 $1,694.20 $2,115.46 |
Toc - Plan #45 Blue Cross Blue Shield of Arizona | ||||||||||||||||||||
Gold
(PPO) Blue Portfolio HSA Gold - Statewide PPO Network |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-341-5837
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$548.02 $622.00 $700.37 $978.76 $1,487.32 |
$967.26 $1,041.24 $1,119.61 $1,398.00 |
$1,386.50 $1,460.48 $1,538.85 $1,817.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,096.04 $1,244.00 $1,400.74 $1,957.52 $2,974.64 |
$1,515.28 $1,663.24 $1,819.98 $2,376.76 |
$1,934.52 $2,082.48 $2,239.22 $2,796.00 |
ADVERTISEMENT
Ambetter from Arizona Complete HealthLocal: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180 |
Toc - Plan #46 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Premier Silver |
||||||||||||||||||||
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Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.61 $338.92 $381.62 $533.31 $810.42 |
$527.04 $567.35 $610.05 $761.74 |
$755.47 $795.78 $838.48 $990.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.22 $677.84 $763.24 $1,066.62 $1,620.84 |
$825.65 $906.27 $991.67 $1,295.05 |
$1,054.08 $1,134.70 $1,220.10 $1,523.48 |
Toc - Plan #47 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241.79 $274.44 $309.01 $431.84 $656.23 |
$426.76 $459.41 $493.98 $616.81 |
$611.73 $644.38 $678.95 $801.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483.58 $548.88 $618.02 $863.68 $1,312.46 |
$668.55 $733.85 $802.99 $1,048.65 |
$853.52 $918.82 $987.96 $1,233.62 |
Toc - Plan #48 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.65 $300.38 $338.22 $472.66 $718.26 |
$467.11 $502.84 $540.68 $675.12 |
$669.57 $705.30 $743.14 $877.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$529.30 $600.76 $676.44 $945.32 $1,436.52 |
$731.76 $803.22 $878.90 $1,147.78 |
$934.22 $1,005.68 $1,081.36 $1,350.24 |
Toc - Plan #49 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
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Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.37 $335.24 $377.48 $527.52 $801.62 |
$521.33 $561.20 $603.44 $753.48 |
$747.29 $787.16 $829.40 $979.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.74 $670.48 $754.96 $1,055.04 $1,603.24 |
$816.70 $896.44 $980.92 $1,281.00 |
$1,042.66 $1,122.40 $1,206.88 $1,506.96 |
Toc - Plan #50 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.48 $331.96 $373.79 $522.36 $793.78 |
$516.22 $555.70 $597.53 $746.10 |
$739.96 $779.44 $821.27 $969.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$584.96 $663.92 $747.58 $1,044.72 $1,587.56 |
$808.70 $887.66 $971.32 $1,268.46 |
$1,032.44 $1,111.40 $1,195.06 $1,492.20 |
Toc - Plan #51 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.44 $381.86 $429.97 $600.88 $913.10 |
$593.82 $639.24 $687.35 $858.26 |
$851.20 $896.62 $944.73 $1,115.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.88 $763.72 $859.94 $1,201.76 $1,826.20 |
$930.26 $1,021.10 $1,117.32 $1,459.14 |
$1,187.64 $1,278.48 $1,374.70 $1,716.52 |
Toc - Plan #52 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Elite Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.72 $346.99 $390.71 $546.01 $829.72 |
$539.60 $580.87 $624.59 $779.89 |
$773.48 $814.75 $858.47 $1,013.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.44 $693.98 $781.42 $1,092.02 $1,659.44 |
$845.32 $927.86 $1,015.30 $1,325.90 |
$1,079.20 $1,161.74 $1,249.18 $1,559.78 |
Toc - Plan #53 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.39 $330.72 $372.39 $520.42 $790.82 |
$514.30 $553.63 $595.30 $743.33 |
$737.21 $776.54 $818.21 $966.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.78 $661.44 $744.78 $1,040.84 $1,581.64 |
$805.69 $884.35 $967.69 $1,263.75 |
$1,028.60 $1,107.26 $1,190.60 $1,486.66 |
Toc - Plan #54 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$276.60 $313.94 $353.49 $494.00 $750.68 |
$488.20 $525.54 $565.09 $705.60 |
$699.80 $737.14 $776.69 $917.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$553.20 $627.88 $706.98 $988.00 $1,501.36 |
$764.80 $839.48 $918.58 $1,199.60 |
$976.40 $1,051.08 $1,130.18 $1,411.20 |
Toc - Plan #55 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.65 $321.94 $362.50 $506.59 $769.82 |
$500.64 $538.93 $579.49 $723.58 |
$717.63 $755.92 $796.48 $940.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.30 $643.88 $725.00 $1,013.18 $1,539.64 |
$784.29 $860.87 $941.99 $1,230.17 |
$1,001.28 $1,077.86 $1,158.98 $1,447.16 |
Toc - Plan #56 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.55 $361.55 $407.10 $568.92 $864.53 |
$562.24 $605.24 $650.79 $812.61 |
$805.93 $848.93 $894.48 $1,056.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.10 $723.10 $814.20 $1,137.84 $1,729.06 |
$880.79 $966.79 $1,057.89 $1,381.53 |
$1,124.48 $1,210.48 $1,301.58 $1,625.22 |
Toc - Plan #57 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.53 $419.42 $472.27 $659.99 $1,002.92 |
$652.22 $702.11 $754.96 $942.68 |
$934.91 $984.80 $1,037.65 $1,225.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$739.06 $838.84 $944.54 $1,319.98 $2,005.84 |
$1,021.75 $1,121.53 $1,227.23 $1,602.67 |
$1,304.44 $1,404.22 $1,509.92 $1,885.36 |
Toc - Plan #58 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258.96 $293.92 $330.95 $462.50 $702.81 |
$457.06 $492.02 $529.05 $660.60 |
$655.16 $690.12 $727.15 $858.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$517.92 $587.84 $661.90 $925.00 $1,405.62 |
$716.02 $785.94 $860.00 $1,123.10 |
$914.12 $984.04 $1,058.10 $1,321.20 |
Toc - Plan #59 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) CMS Standard Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$230.64 $261.78 $294.76 $411.93 $625.97 |
$407.08 $438.22 $471.20 $588.37 |
$583.52 $614.66 $647.64 $764.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$461.28 $523.56 $589.52 $823.86 $1,251.94 |
$637.72 $700.00 $765.96 $1,000.30 |
$814.16 $876.44 $942.40 $1,176.74 |
Toc - Plan #60 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$253.71 $287.96 $324.24 $453.12 $688.56 |
$447.80 $482.05 $518.33 $647.21 |
$641.89 $676.14 $712.42 $841.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$507.42 $575.92 $648.48 $906.24 $1,377.12 |
$701.51 $770.01 $842.57 $1,100.33 |
$895.60 $964.10 $1,036.66 $1,294.42 |
Toc - Plan #61 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.75 $327.73 $369.02 $515.70 $783.66 |
$509.64 $548.62 $589.91 $736.59 |
$730.53 $769.51 $810.80 $957.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.50 $655.46 $738.04 $1,031.40 $1,567.32 |
$798.39 $876.35 $958.93 $1,252.29 |
$1,019.28 $1,097.24 $1,179.82 $1,473.18 |
Toc - Plan #62 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.47 $362.60 $408.28 $570.58 $867.05 |
$563.87 $607.00 $652.68 $814.98 |
$808.27 $851.40 $897.08 $1,059.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.94 $725.20 $816.56 $1,141.16 $1,734.10 |
$883.34 $969.60 $1,060.96 $1,385.56 |
$1,127.74 $1,214.00 $1,305.36 $1,629.96 |
Toc - Plan #63 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$304.35 $345.44 $388.96 $543.57 $826.00 |
$537.18 $578.27 $621.79 $776.40 |
$770.01 $811.10 $854.62 $1,009.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$608.70 $690.88 $777.92 $1,087.14 $1,652.00 |
$841.53 $923.71 $1,010.75 $1,319.97 |
$1,074.36 $1,156.54 $1,243.58 $1,552.80 |
Toc - Plan #64 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Premier Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.73 $352.68 $397.11 $554.96 $843.32 |
$548.44 $590.39 $634.82 $792.67 |
$786.15 $828.10 $872.53 $1,030.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.46 $705.36 $794.22 $1,109.92 $1,686.64 |
$859.17 $943.07 $1,031.93 $1,347.63 |
$1,096.88 $1,180.78 $1,269.64 $1,585.34 |
Toc - Plan #65 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$251.61 $285.58 $321.56 $449.37 $682.87 |
$444.09 $478.06 $514.04 $641.85 |
$636.57 $670.54 $706.52 $834.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$503.22 $571.16 $643.12 $898.74 $1,365.74 |
$695.70 $763.64 $835.60 $1,091.22 |
$888.18 $956.12 $1,028.08 $1,283.70 |
Toc - Plan #66 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.39 $312.57 $351.95 $491.85 $747.41 |
$486.07 $523.25 $562.63 $702.53 |
$696.75 $733.93 $773.31 $913.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$550.78 $625.14 $703.90 $983.70 $1,494.82 |
$761.46 $835.82 $914.58 $1,194.38 |
$972.14 $1,046.50 $1,125.26 $1,405.06 |
Toc - Plan #67 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.36 $348.85 $392.80 $548.94 $834.16 |
$542.49 $583.98 $627.93 $784.07 |
$777.62 $819.11 $863.06 $1,019.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.72 $697.70 $785.60 $1,097.88 $1,668.32 |
$849.85 $932.83 $1,020.73 $1,333.01 |
$1,084.98 $1,167.96 $1,255.86 $1,568.14 |
Toc - Plan #68 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.10 $397.36 $447.42 $625.27 $950.16 |
$617.92 $665.18 $715.24 $893.09 |
$885.74 $933.00 $983.06 $1,160.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.20 $794.72 $894.84 $1,250.54 $1,900.32 |
$968.02 $1,062.54 $1,162.66 $1,518.36 |
$1,235.84 $1,330.36 $1,430.48 $1,786.18 |
Toc - Plan #69 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Elite Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.13 $361.08 $406.57 $568.18 $863.40 |
$561.50 $604.45 $649.94 $811.55 |
$804.87 $847.82 $893.31 $1,054.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.26 $722.16 $813.14 $1,136.36 $1,726.80 |
$879.63 $965.53 $1,056.51 $1,379.73 |
$1,123.00 $1,208.90 $1,299.88 $1,623.10 |
Toc - Plan #70 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.21 $344.15 $387.51 $541.54 $822.92 |
$535.17 $576.11 $619.47 $773.50 |
$767.13 $808.07 $851.43 $1,005.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.42 $688.30 $775.02 $1,083.08 $1,645.84 |
$838.38 $920.26 $1,006.98 $1,315.04 |
$1,070.34 $1,152.22 $1,238.94 $1,547.00 |
Toc - Plan #71 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.82 $326.68 $367.84 $514.05 $781.16 |
$508.01 $546.87 $588.03 $734.24 |
$728.20 $767.06 $808.22 $954.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.64 $653.36 $735.68 $1,028.10 $1,562.32 |
$795.83 $873.55 $955.87 $1,248.29 |
$1,016.02 $1,093.74 $1,176.06 $1,468.48 |
Toc - Plan #72 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$295.16 $335.01 $377.22 $527.16 $801.07 |
$520.96 $560.81 $603.02 $752.96 |
$746.76 $786.61 $828.82 $978.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$590.32 $670.02 $754.44 $1,054.32 $1,602.14 |
$816.12 $895.82 $980.24 $1,280.12 |
$1,041.92 $1,121.62 $1,206.04 $1,505.92 |
Toc - Plan #73 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.48 $376.22 $423.63 $592.02 $899.62 |
$585.06 $629.80 $677.21 $845.60 |
$838.64 $883.38 $930.79 $1,099.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.96 $752.44 $847.26 $1,184.04 $1,799.24 |
$916.54 $1,006.02 $1,100.84 $1,437.62 |
$1,170.12 $1,259.60 $1,354.42 $1,691.20 |
Toc - Plan #74 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.53 $436.45 $491.44 $686.78 $1,043.63 |
$678.70 $730.62 $785.61 $980.95 |
$972.87 $1,024.79 $1,079.78 $1,275.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.06 $872.90 $982.88 $1,373.56 $2,087.26 |
$1,063.23 $1,167.07 $1,277.05 $1,667.73 |
$1,357.40 $1,461.24 $1,571.22 $1,961.90 |
Toc - Plan #75 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
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 $344.38 $481.27 $731.34 |
$475.61 $511.99 $550.52 $687.41 |
$681.75 $718.13 $756.66 $893.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.94 $611.70 $688.76 $962.54 $1,462.68 |
$745.08 $817.84 $894.90 $1,168.68 |
$951.22 $1,023.98 $1,101.04 $1,374.82 |
Toc - Plan #76 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite SELECT Bronze with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.80 $317.58 $357.59 $499.73 $759.39 |
$493.85 $531.63 $571.64 $713.78 |
$707.90 $745.68 $785.69 $927.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.60 $635.16 $715.18 $999.46 $1,518.78 |
$773.65 $849.21 $929.23 $1,213.51 |
$987.70 $1,063.26 $1,143.28 $1,427.56 |
Toc - Plan #77 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Complete SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$283.63 $321.92 $362.47 $506.56 $769.76 |
$500.60 $538.89 $579.44 $723.53 |
$717.57 $755.86 $796.41 $940.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$567.26 $643.84 $724.94 $1,013.12 $1,539.52 |
$784.23 $860.81 $941.91 $1,230.09 |
$1,001.20 $1,077.78 $1,158.88 $1,447.06 |
Toc - Plan #78 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Clear SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265.60 $301.46 $339.44 $474.37 $720.85 |
$468.79 $504.65 $542.63 $677.56 |
$671.98 $707.84 $745.82 $880.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$531.20 $602.92 $678.88 $948.74 $1,441.70 |
$734.39 $806.11 $882.07 $1,151.93 |
$937.58 $1,009.30 $1,085.26 $1,355.12 |
Toc - Plan #79 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) Focused SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.37 $309.14 $348.09 $486.46 $739.22 |
$480.74 $517.51 $556.46 $694.83 |
$689.11 $725.88 $764.83 $903.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.74 $618.28 $696.18 $972.92 $1,478.44 |
$753.11 $826.65 $904.55 $1,181.29 |
$961.48 $1,035.02 $1,112.92 $1,389.66 |
Toc - Plan #80 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Everyday SELECT Gold with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.48 $351.26 $395.52 $552.73 $839.93 |
$546.23 $588.01 $632.27 $789.48 |
$782.98 $824.76 $869.02 $1,026.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.96 $702.52 $791.04 $1,105.46 $1,679.86 |
$855.71 $939.27 $1,027.79 $1,342.21 |
$1,092.46 $1,176.02 $1,264.54 $1,578.96 |
Toc - Plan #81 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) Clear SELECT Gold with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.88 $347.18 $390.92 $546.31 $830.17 |
$539.88 $581.18 $624.92 $780.31 |
$773.88 $815.18 $858.92 $1,014.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.76 $694.36 $781.84 $1,092.62 $1,660.34 |
$845.76 $928.36 $1,015.84 $1,326.62 |
$1,079.76 $1,162.36 $1,249.84 $1,560.62 |
Toc - Plan #82 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$243.62 $276.51 $311.35 $435.11 $661.19 |
$429.99 $462.88 $497.72 $621.48 |
$616.36 $649.25 $684.09 $807.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$487.24 $553.02 $622.70 $870.22 $1,322.38 |
$673.61 $739.39 $809.07 $1,056.59 |
$859.98 $925.76 $995.44 $1,242.96 |
Toc - Plan #83 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.27 $314.70 $354.35 $495.20 $752.51 |
$489.38 $526.81 $566.46 $707.31 |
$701.49 $738.92 $778.57 $919.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$554.54 $629.40 $708.70 $990.40 $1,505.02 |
$766.65 $841.51 $920.81 $1,202.51 |
$978.76 $1,053.62 $1,132.92 $1,414.62 |
Toc - Plan #84 Ambetter from Arizona Complete Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-926-5057
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.77 $348.19 $392.06 $547.90 $832.58 |
$541.45 $582.87 $626.74 $782.58 |
$776.13 $817.55 $861.42 $1,017.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$613.54 $696.38 $784.12 $1,095.80 $1,665.16 |
$848.22 $931.06 $1,018.80 $1,330.48 |
$1,082.90 $1,165.74 $1,253.48 $1,565.16 |
‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Pima County here.
Pima County is in “Rating Area 6” of Arizona.
Currently, there are 84 plans offered in Rating Area 6.