Obamacare 2023 Rates for Miami-Dade County
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Obamacare > Rates > Florida > Miami-Dade County
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Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$844.65 $958.68 $1,079.46 $1,508.54 $2,292.38 |
$1,490.81 $1,604.84 $1,725.62 $2,154.70 |
$2,136.97 $2,251.00 $2,371.78 $2,800.86 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,689.30 $1,917.36 $2,158.92 $3,017.08 $4,584.76 |
$2,335.46 $2,563.52 $2,805.08 $3,663.24 |
$2,981.62 $3,209.68 $3,451.24 $4,309.40 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$546.46 $620.23 $698.38 $975.98 $1,483.09 |
$964.50 $1,038.27 $1,116.42 $1,394.02 |
$1,382.54 $1,456.31 $1,534.46 $1,812.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,092.92 $1,240.46 $1,396.76 $1,951.96 $2,966.18 |
$1,510.96 $1,658.50 $1,814.80 $2,370.00 |
$1,929.00 $2,076.54 $2,232.84 $2,788.04 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$849.29 $963.94 $1,085.39 $1,516.83 $2,304.97 |
$1,499.00 $1,613.65 $1,735.10 $2,166.54 |
$2,148.71 $2,263.36 $2,384.81 $2,816.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,698.58 $1,927.88 $2,170.78 $3,033.66 $4,609.94 |
$2,348.29 $2,577.59 $2,820.49 $3,683.37 |
$2,998.00 $3,227.30 $3,470.20 $4,333.08 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$1,068.77 $1,213.05 $1,365.89 $1,908.82 $2,900.64 |
$1,886.38 $2,030.66 $2,183.50 $2,726.43 |
$2,703.99 $2,848.27 $3,001.11 $3,544.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$2,137.54 $2,426.10 $2,731.78 $3,817.64 $5,801.28 |
$2,955.15 $3,243.71 $3,549.39 $4,635.25 |
$3,772.76 $4,061.32 $4,367.00 $5,452.86 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$569.21 $646.05 $727.45 $1,016.61 $1,544.84 |
$1,004.66 $1,081.50 $1,162.90 $1,452.06 |
$1,440.11 $1,516.95 $1,598.35 $1,887.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,138.42 $1,292.10 $1,454.90 $2,033.22 $3,089.68 |
$1,573.87 $1,727.55 $1,890.35 $2,468.67 |
$2,009.32 $2,163.00 $2,325.80 $2,904.12 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$1,119.88 $1,271.06 $1,431.21 $2,000.11 $3,039.35 |
$1,976.59 $2,127.77 $2,287.92 $2,856.82 |
$2,833.30 $2,984.48 $3,144.63 $3,713.53 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$2,239.76 $2,542.12 $2,862.42 $4,000.22 $6,078.70 |
$3,096.47 $3,398.83 $3,719.13 $4,856.93 |
$3,953.18 $4,255.54 $4,575.84 $5,713.64 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$792.84 $899.87 $1,013.25 $1,416.01 $2,151.77 |
$1,399.36 $1,506.39 $1,619.77 $2,022.53 |
$2,005.88 $2,112.91 $2,226.29 $2,629.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,585.68 $1,799.74 $2,026.50 $2,832.02 $4,303.54 |
$2,192.20 $2,406.26 $2,633.02 $3,438.54 |
$2,798.72 $3,012.78 $3,239.54 $4,045.06 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$917.89 $1,041.81 $1,173.06 $1,639.35 $2,491.15 |
$1,620.08 $1,744.00 $1,875.25 $2,341.54 |
$2,322.27 $2,446.19 $2,577.44 $3,043.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,835.78 $2,083.62 $2,346.12 $3,278.70 $4,982.30 |
$2,537.97 $2,785.81 $3,048.31 $3,980.89 |
$3,240.16 $3,488.00 $3,750.50 $4,683.08 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$553.35 $628.05 $707.18 $988.28 $1,501.79 |
$976.66 $1,051.36 $1,130.49 $1,411.59 |
$1,399.97 $1,474.67 $1,553.80 $1,834.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,106.70 $1,256.10 $1,414.36 $1,976.56 $3,003.58 |
$1,530.01 $1,679.41 $1,837.67 $2,399.87 |
$1,953.32 $2,102.72 $2,260.98 $2,823.18 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$888.04 $1,007.93 $1,134.92 $1,586.04 $2,410.14 |
$1,567.39 $1,687.28 $1,814.27 $2,265.39 |
$2,246.74 $2,366.63 $2,493.62 $2,944.74 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,776.08 $2,015.86 $2,269.84 $3,172.08 $4,820.28 |
$2,455.43 $2,695.21 $2,949.19 $3,851.43 |
$3,134.78 $3,374.56 $3,628.54 $4,530.78 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$602.84 $684.22 $770.43 $1,076.67 $1,636.11 |
$1,064.01 $1,145.39 $1,231.60 $1,537.84 |
$1,525.18 $1,606.56 $1,692.77 $1,999.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,205.68 $1,368.44 $1,540.86 $2,153.34 $3,272.22 |
$1,666.85 $1,829.61 $2,002.03 $2,614.51 |
$2,128.02 $2,290.78 $2,463.20 $3,075.68 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$522.31 $592.82 $667.51 $932.85 $1,417.55 |
$921.88 $992.39 $1,067.08 $1,332.42 |
$1,321.45 $1,391.96 $1,466.65 $1,731.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.62 $1,185.64 $1,335.02 $1,865.70 $2,835.10 |
$1,444.19 $1,585.21 $1,734.59 $2,265.27 |
$1,843.76 $1,984.78 $2,134.16 $2,664.84 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$561.49 $637.29 $717.58 $1,002.82 $1,523.88 |
$991.03 $1,066.83 $1,147.12 $1,432.36 |
$1,420.57 $1,496.37 $1,576.66 $1,861.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,122.98 $1,274.58 $1,435.16 $2,005.64 $3,047.76 |
$1,552.52 $1,704.12 $1,864.70 $2,435.18 |
$1,982.06 $2,133.66 $2,294.24 $2,864.72 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$836.02 $948.88 $1,068.43 $1,493.13 $2,268.96 |
$1,475.58 $1,588.44 $1,707.99 $2,132.69 |
$2,115.14 $2,228.00 $2,347.55 $2,772.25 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,672.04 $1,897.76 $2,136.86 $2,986.26 $4,537.92 |
$2,311.60 $2,537.32 $2,776.42 $3,625.82 |
$2,951.16 $3,176.88 $3,415.98 $4,265.38 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$853.29 $968.48 $1,090.50 $1,523.98 $2,315.83 |
$1,506.06 $1,621.25 $1,743.27 $2,176.75 |
$2,158.83 $2,274.02 $2,396.04 $2,829.52 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,706.58 $1,936.96 $2,181.00 $3,047.96 $4,631.66 |
$2,359.35 $2,589.73 $2,833.77 $3,700.73 |
$3,012.12 $3,242.50 $3,486.54 $4,353.50 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$1,117.07 $1,267.87 $1,427.62 $1,995.09 $3,031.73 |
$1,971.63 $2,122.43 $2,282.18 $2,849.65 |
$2,826.19 $2,976.99 $3,136.74 $3,704.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$2,234.14 $2,535.74 $2,855.24 $3,990.18 $6,063.46 |
$3,088.70 $3,390.30 $3,709.80 $4,844.74 |
$3,943.26 $4,244.86 $4,564.36 $5,699.30 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2319 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$590.98 $670.76 $755.27 $1,055.49 $1,603.92 |
$1,043.08 $1,122.86 $1,207.37 $1,507.59 |
$1,495.18 $1,574.96 $1,659.47 $1,959.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,181.96 $1,341.52 $1,510.54 $2,110.98 $3,207.84 |
$1,634.06 $1,793.62 $1,962.64 $2,563.08 |
$2,086.16 $2,245.72 $2,414.74 $3,015.18 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$552.32 $626.88 $705.86 $986.44 $1,499.00 |
$974.84 $1,049.40 $1,128.38 $1,408.96 |
$1,397.36 $1,471.92 $1,550.90 $1,831.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,104.64 $1,253.76 $1,411.72 $1,972.88 $2,998.00 |
$1,527.16 $1,676.28 $1,834.24 $2,395.40 |
$1,949.68 $2,098.80 $2,256.76 $2,817.92 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.87 $472.01 $531.48 $742.74 $1,128.67 |
$734.01 $790.15 $849.62 $1,060.88 |
$1,052.15 $1,108.29 $1,167.76 $1,379.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$831.74 $944.02 $1,062.96 $1,485.48 $2,257.34 |
$1,149.88 $1,262.16 $1,381.10 $1,803.62 |
$1,468.02 $1,580.30 $1,699.24 $2,121.76 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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 |
$550.61 $624.94 $703.68 $983.39 $1,494.36 |
$971.83 $1,046.16 $1,124.90 $1,404.61 |
$1,393.05 $1,467.38 $1,546.12 $1,825.83 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,101.22 $1,249.88 $1,407.36 $1,966.78 $2,988.72 |
$1,522.44 $1,671.10 $1,828.58 $2,388.00 |
$1,943.66 $2,092.32 $2,249.80 $2,809.22 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$698.66 $792.98 $892.89 $1,247.81 $1,896.16 |
$1,233.13 $1,327.45 $1,427.36 $1,782.28 |
$1,767.60 $1,861.92 $1,961.83 $2,316.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,397.32 $1,585.96 $1,785.78 $2,495.62 $3,792.32 |
$1,931.79 $2,120.43 $2,320.25 $3,030.09 |
$2,466.26 $2,654.90 $2,854.72 $3,564.56 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.58 $487.57 $549.00 $767.23 $1,165.88 |
$758.21 $816.20 $877.63 $1,095.86 |
$1,086.84 $1,144.83 $1,206.26 $1,424.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.16 $975.14 $1,098.00 $1,534.46 $2,331.76 |
$1,187.79 $1,303.77 $1,426.63 $1,863.09 |
$1,516.42 $1,632.40 $1,755.26 $2,191.72 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$731.13 $829.83 $934.38 $1,305.80 $1,984.29 |
$1,290.44 $1,389.14 $1,493.69 $1,865.11 |
$1,849.75 $1,948.45 $2,053.00 $2,424.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,462.26 $1,659.66 $1,868.76 $2,611.60 $3,968.58 |
$2,021.57 $2,218.97 $2,428.07 $3,170.91 |
$2,580.88 $2,778.28 $2,987.38 $3,730.22 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$516.87 $586.65 $660.56 $923.13 $1,402.79 |
$912.28 $982.06 $1,055.97 $1,318.54 |
$1,307.69 $1,377.47 $1,451.38 $1,713.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.74 $1,173.30 $1,321.12 $1,846.26 $2,805.58 |
$1,429.15 $1,568.71 $1,716.53 $2,241.67 |
$1,824.56 $1,964.12 $2,111.94 $2,637.08 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$609.86 $692.19 $779.40 $1,089.21 $1,655.16 |
$1,076.40 $1,158.73 $1,245.94 $1,555.75 |
$1,542.94 $1,625.27 $1,712.48 $2,022.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,219.72 $1,384.38 $1,558.80 $2,178.42 $3,310.32 |
$1,686.26 $1,850.92 $2,025.34 $2,644.96 |
$2,152.80 $2,317.46 $2,491.88 $3,111.50 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.35 $477.10 $537.21 $750.75 $1,140.83 |
$741.92 $798.67 $858.78 $1,072.32 |
$1,063.49 $1,120.24 $1,180.35 $1,393.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.70 $954.20 $1,074.42 $1,501.50 $2,281.66 |
$1,162.27 $1,275.77 $1,395.99 $1,823.07 |
$1,483.84 $1,597.34 $1,717.56 $2,144.64 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$589.99 $669.64 $754.01 $1,053.72 $1,601.23 |
$1,041.33 $1,120.98 $1,205.35 $1,505.06 |
$1,492.67 $1,572.32 $1,656.69 $1,956.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,179.98 $1,339.28 $1,508.02 $2,107.44 $3,202.46 |
$1,631.32 $1,790.62 $1,959.36 $2,558.78 |
$2,082.66 $2,241.96 $2,410.70 $3,010.12 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.15 $516.60 $581.68 $812.90 $1,235.28 |
$803.34 $864.79 $929.87 $1,161.09 |
$1,151.53 $1,212.98 $1,278.06 $1,509.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.30 $1,033.20 $1,163.36 $1,625.80 $2,470.56 |
$1,258.49 $1,381.39 $1,511.55 $1,973.99 |
$1,606.68 $1,729.58 $1,859.74 $2,322.18 |
Toc - Plan #29 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 2341S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.49 $447.75 $504.16 $704.56 $1,070.65 |
$696.27 $749.53 $805.94 $1,006.34 |
$998.05 $1,051.31 $1,107.72 $1,308.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.98 $895.50 $1,008.32 $1,409.12 $2,141.30 |
$1,090.76 $1,197.28 $1,310.10 $1,710.90 |
$1,392.54 $1,499.06 $1,611.88 $2,012.68 |
Toc - Plan #30 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.13 $481.39 $542.04 $757.50 $1,151.09 |
$748.59 $805.85 $866.50 $1,081.96 |
$1,073.05 $1,130.31 $1,190.96 $1,406.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848.26 $962.78 $1,084.08 $1,515.00 $2,302.18 |
$1,172.72 $1,287.24 $1,408.54 $1,839.46 |
$1,497.18 $1,611.70 $1,733.00 $2,163.92 |
Toc - Plan #31 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(EPO) BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$545.06 $618.64 $696.59 $973.48 $1,479.29 |
$962.03 $1,035.61 $1,113.56 $1,390.45 |
$1,379.00 $1,452.58 $1,530.53 $1,807.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,090.12 $1,237.28 $1,393.18 $1,946.96 $2,958.58 |
$1,507.09 $1,654.25 $1,810.15 $2,363.93 |
$1,924.06 $2,071.22 $2,227.12 $2,780.90 |
Toc - Plan #32 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(EPO) BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$567.00 $643.55 $724.63 $1,012.66 $1,538.84 |
$1,000.76 $1,077.31 $1,158.39 $1,446.42 |
$1,434.52 $1,511.07 $1,592.15 $1,880.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,134.00 $1,287.10 $1,449.26 $2,025.32 $3,077.68 |
$1,567.76 $1,720.86 $1,883.02 $2,459.08 |
$2,001.52 $2,154.62 $2,316.78 $2,892.84 |
Toc - Plan #33 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$729.26 $827.71 $931.99 $1,302.46 $1,979.21 |
$1,287.14 $1,385.59 $1,489.87 $1,860.34 |
$1,845.02 $1,943.47 $2,047.75 $2,418.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,458.52 $1,655.42 $1,863.98 $2,604.92 $3,958.42 |
$2,016.40 $2,213.30 $2,421.86 $3,162.80 |
$2,574.28 $2,771.18 $2,979.74 $3,720.68 |
Toc - Plan #34 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2339 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.37 $506.63 $570.46 $797.22 $1,211.45 |
$787.84 $848.10 $911.93 $1,138.69 |
$1,129.31 $1,189.57 $1,253.40 $1,480.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$892.74 $1,013.26 $1,140.92 $1,594.44 $2,422.90 |
$1,234.21 $1,354.73 $1,482.39 $1,935.91 |
$1,575.68 $1,696.20 $1,823.86 $2,277.38 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 | TTY: 1-877-336-3915 |
Toc - Plan #35 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$394.15 $447.37 $503.73 $703.96 $1,069.74 |
$695.68 $748.90 $805.26 $1,005.49 |
$997.21 $1,050.43 $1,106.79 $1,307.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.30 $894.74 $1,007.46 $1,407.92 $2,139.48 |
$1,089.83 $1,196.27 $1,308.99 $1,709.45 |
$1,391.36 $1,497.80 $1,610.52 $2,010.98 |
Toc - Plan #36 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$365.06 $414.34 $466.55 $652.00 $990.77 |
$644.33 $693.61 $745.82 $931.27 |
$923.60 $972.88 $1,025.09 $1,210.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.12 $828.68 $933.10 $1,304.00 $1,981.54 |
$1,009.39 $1,107.95 $1,212.37 $1,583.27 |
$1,288.66 $1,387.22 $1,491.64 $1,862.54 |
Toc - Plan #37 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$299.59 $340.03 $382.87 $535.06 $813.07 |
$528.77 $569.21 $612.05 $764.24 |
$757.95 $798.39 $841.23 $993.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.18 $680.06 $765.74 $1,070.12 $1,626.14 |
$828.36 $909.24 $994.92 $1,299.30 |
$1,057.54 $1,138.42 $1,224.10 $1,528.48 |
Toc - Plan #38 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$391.39 $444.22 $500.19 $699.02 $1,062.22 |
$690.80 $743.63 $799.60 $998.43 |
$990.21 $1,043.04 $1,099.01 $1,297.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.78 $888.44 $1,000.38 $1,398.04 $2,124.44 |
$1,082.19 $1,187.85 $1,299.79 $1,697.45 |
$1,381.60 $1,487.26 $1,599.20 $1,996.86 |
Toc - Plan #39 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$418.35 $474.83 $534.65 $747.18 $1,135.41 |
$738.39 $794.87 $854.69 $1,067.22 |
$1,058.43 $1,114.91 $1,174.73 $1,387.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$836.70 $949.66 $1,069.30 $1,494.36 $2,270.82 |
$1,156.74 $1,269.70 $1,389.34 $1,814.40 |
$1,476.78 $1,589.74 $1,709.38 $2,134.44 |
Toc - Plan #40 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
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 |
$379.79 $431.06 $485.37 $678.30 $1,030.75 |
$670.33 $721.60 $775.91 $968.84 |
$960.87 $1,012.14 $1,066.45 $1,259.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.58 $862.12 $970.74 $1,356.60 $2,061.50 |
$1,050.12 $1,152.66 $1,261.28 $1,647.14 |
$1,340.66 $1,443.20 $1,551.82 $1,937.68 |
Toc - Plan #41 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
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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 |
$444.96 $505.03 $568.66 $794.70 $1,207.63 |
$785.36 $845.43 $909.06 $1,135.10 |
$1,125.76 $1,185.83 $1,249.46 $1,475.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.92 $1,010.06 $1,137.32 $1,589.40 $2,415.26 |
$1,230.32 $1,350.46 $1,477.72 $1,929.80 |
$1,570.72 $1,690.86 $1,818.12 $2,270.20 |
ADVERTISEMENT
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #42 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$499.58 $567.02 $638.46 $892.24 $1,355.85 |
$881.76 $949.20 $1,020.64 $1,274.42 |
$1,263.94 $1,331.38 $1,402.82 $1,656.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$999.16 $1,134.04 $1,276.92 $1,784.48 $2,711.70 |
$1,381.34 $1,516.22 $1,659.10 $2,166.66 |
$1,763.52 $1,898.40 $2,041.28 $2,548.84 |
Toc - Plan #43 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$487.53 $553.34 $623.06 $870.72 $1,323.14 |
$860.49 $926.30 $996.02 $1,243.68 |
$1,233.45 $1,299.26 $1,368.98 $1,616.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.06 $1,106.68 $1,246.12 $1,741.44 $2,646.28 |
$1,348.02 $1,479.64 $1,619.08 $2,114.40 |
$1,720.98 $1,852.60 $1,992.04 $2,487.36 |
Toc - Plan #44 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$469.23 $532.58 $599.68 $838.05 $1,273.49 |
$828.19 $891.54 $958.64 $1,197.01 |
$1,187.15 $1,250.50 $1,317.60 $1,555.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.46 $1,065.16 $1,199.36 $1,676.10 $2,546.98 |
$1,297.42 $1,424.12 $1,558.32 $2,035.06 |
$1,656.38 $1,783.08 $1,917.28 $2,394.02 |
Toc - Plan #45 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$466.49 $529.47 $596.17 $833.15 $1,266.06 |
$823.36 $886.34 $953.04 $1,190.02 |
$1,180.23 $1,243.21 $1,309.91 $1,546.89 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.98 $1,058.94 $1,192.34 $1,666.30 $2,532.12 |
$1,289.85 $1,415.81 $1,549.21 $2,023.17 |
$1,646.72 $1,772.68 $1,906.08 $2,380.04 |
Toc - Plan #46 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$463.68 $526.28 $592.59 $828.14 $1,258.43 |
$818.40 $881.00 $947.31 $1,182.86 |
$1,173.12 $1,235.72 $1,302.03 $1,537.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$927.36 $1,052.56 $1,185.18 $1,656.28 $2,516.86 |
$1,282.08 $1,407.28 $1,539.90 $2,011.00 |
$1,636.80 $1,762.00 $1,894.62 $2,365.72 |
Toc - Plan #47 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 (2023) |
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Benefits & Coverage
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[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$382.70 $434.36 $489.09 $683.50 $1,038.64 |
$675.46 $727.12 $781.85 $976.26 |
$968.22 $1,019.88 $1,074.61 $1,269.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.40 $868.72 $978.18 $1,367.00 $2,077.28 |
$1,058.16 $1,161.48 $1,270.94 $1,659.76 |
$1,350.92 $1,454.24 $1,563.70 $1,952.52 |
Toc - Plan #48 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$369.37 $419.24 $472.06 $659.70 $1,002.48 |
$651.94 $701.81 $754.63 $942.27 |
$934.51 $984.38 $1,037.20 $1,224.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.74 $838.48 $944.12 $1,319.40 $2,004.96 |
$1,021.31 $1,121.05 $1,226.69 $1,601.97 |
$1,303.88 $1,403.62 $1,509.26 $1,884.54 |
Toc - Plan #49 AvMed | ||||||||||||||||||||
Catastrophic
(HMO) AvMed Entrust Catastrophic 100 (2023) |
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Benefits & Coverage
Plan Brochure
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Customer Service Phone:
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 |
$302.30 $343.11 $386.34 $539.91 $820.45 |
$533.56 $574.37 $617.60 $771.17 |
$764.82 $805.63 $848.86 $1,002.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.60 $686.22 $772.68 $1,079.82 $1,640.90 |
$835.86 $917.48 $1,003.94 $1,311.08 |
$1,067.12 $1,148.74 $1,235.20 $1,542.34 |
Toc - Plan #50 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold Standard (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.21 $563.20 $634.16 $886.23 $1,346.71 |
$875.81 $942.80 $1,013.76 $1,265.83 |
$1,255.41 $1,322.40 $1,393.36 $1,645.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992.42 $1,126.40 $1,268.32 $1,772.46 $2,693.42 |
$1,372.02 $1,506.00 $1,647.92 $2,152.06 |
$1,751.62 $1,885.60 $2,027.52 $2,531.66 |
Toc - Plan #51 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver Standard (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.91 $510.65 $574.99 $803.55 $1,221.07 |
$794.09 $854.83 $919.17 $1,147.73 |
$1,138.27 $1,199.01 $1,263.35 $1,491.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.82 $1,021.30 $1,149.98 $1,607.10 $2,442.14 |
$1,244.00 $1,365.48 $1,494.16 $1,951.28 |
$1,588.18 $1,709.66 $1,838.34 $2,295.46 |
Toc - Plan #52 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Expanded Bronze Standard (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.12 $431.44 $485.80 $678.90 $1,031.65 |
$670.91 $722.23 $776.59 $969.69 |
$961.70 $1,013.02 $1,067.38 $1,260.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.24 $862.88 $971.60 $1,357.80 $2,063.30 |
$1,051.03 $1,153.67 $1,262.39 $1,648.59 |
$1,341.82 $1,444.46 $1,553.18 $1,939.38 |
Toc - Plan #53 AvMed | ||||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$504.42 $572.52 $644.65 $900.90 $1,369.00 |
$890.30 $958.40 $1,030.53 $1,286.78 |
$1,276.18 $1,344.28 $1,416.41 $1,672.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,008.84 $1,145.04 $1,289.30 $1,801.80 $2,738.00 |
$1,394.72 $1,530.92 $1,675.18 $2,187.68 |
$1,780.60 $1,916.80 $2,061.06 $2,573.56 |
Toc - Plan #54 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$492.35 $558.82 $629.22 $879.34 $1,336.24 |
$869.00 $935.47 $1,005.87 $1,255.99 |
$1,245.65 $1,312.12 $1,382.52 $1,632.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.70 $1,117.64 $1,258.44 $1,758.68 $2,672.48 |
$1,361.35 $1,494.29 $1,635.09 $2,135.33 |
$1,738.00 $1,870.94 $2,011.74 $2,511.98 |
Toc - Plan #55 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$474.07 $538.06 $605.86 $846.68 $1,286.61 |
$836.73 $900.72 $968.52 $1,209.34 |
$1,199.39 $1,263.38 $1,331.18 $1,572.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$948.14 $1,076.12 $1,211.72 $1,693.36 $2,573.22 |
$1,310.80 $1,438.78 $1,574.38 $2,056.02 |
$1,673.46 $1,801.44 $1,937.04 $2,418.68 |
Toc - Plan #56 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$471.30 $534.92 $602.32 $841.73 $1,279.10 |
$831.84 $895.46 $962.86 $1,202.27 |
$1,192.38 $1,256.00 $1,323.40 $1,562.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.60 $1,069.84 $1,204.64 $1,683.46 $2,558.20 |
$1,303.14 $1,430.38 $1,565.18 $2,044.00 |
$1,663.68 $1,790.92 $1,925.72 $2,404.54 |
Toc - Plan #57 AvMed | ||||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$468.51 $531.76 $598.75 $836.75 $1,271.53 |
$826.92 $890.17 $957.16 $1,195.16 |
$1,185.33 $1,248.58 $1,315.57 $1,553.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$937.02 $1,063.52 $1,197.50 $1,673.50 $2,543.06 |
$1,295.43 $1,421.93 $1,555.91 $2,031.91 |
$1,653.84 $1,780.34 $1,914.32 $2,390.32 |
Toc - Plan #58 AvMed | ||||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 625 Dental+Vision (2023) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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 |
$474.52 $538.58 $606.43 $847.49 $1,287.84 |
$837.53 $901.59 $969.44 $1,210.50 |
$1,200.54 $1,264.60 $1,332.45 $1,573.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.04 $1,077.16 $1,212.86 $1,694.98 $2,575.68 |
$1,312.05 $1,440.17 $1,575.87 $2,057.99 |
$1,675.06 $1,803.18 $1,938.88 $2,421.00 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #59 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.91 $364.22 $410.11 $573.13 $870.93 |
$566.40 $609.71 $655.60 $818.62 |
$811.89 $855.20 $901.09 $1,064.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.82 $728.44 $820.22 $1,146.26 $1,741.86 |
$887.31 $973.93 $1,065.71 $1,391.75 |
$1,132.80 $1,219.42 $1,311.20 $1,637.24 |
Toc - Plan #60 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.39 $488.48 $550.03 $768.66 $1,168.06 |
$759.63 $817.72 $879.27 $1,097.90 |
$1,088.87 $1,146.96 $1,208.51 $1,427.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.78 $976.96 $1,100.06 $1,537.32 $2,336.12 |
$1,190.02 $1,306.20 $1,429.30 $1,866.56 |
$1,519.26 $1,635.44 $1,758.54 $2,195.80 |
Toc - Plan #61 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.42 $401.12 $451.66 $631.19 $959.15 |
$623.78 $671.48 $722.02 $901.55 |
$894.14 $941.84 $992.38 $1,171.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.84 $802.24 $903.32 $1,262.38 $1,918.30 |
$977.20 $1,072.60 $1,173.68 $1,532.74 |
$1,247.56 $1,342.96 $1,444.04 $1,803.10 |
Toc - Plan #62 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday SIlver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.99 $493.70 $555.90 $776.87 $1,180.53 |
$767.75 $826.46 $888.66 $1,109.63 |
$1,100.51 $1,159.22 $1,221.42 $1,442.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.98 $987.40 $1,111.80 $1,553.74 $2,361.06 |
$1,202.74 $1,320.16 $1,444.56 $1,886.50 |
$1,535.50 $1,652.92 $1,777.32 $2,219.26 |
Toc - Plan #63 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.05 $391.62 $440.96 $616.25 $936.45 |
$609.01 $655.58 $704.92 $880.21 |
$872.97 $919.54 $968.88 $1,144.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.10 $783.24 $881.92 $1,232.50 $1,872.90 |
$954.06 $1,047.20 $1,145.88 $1,496.46 |
$1,218.02 $1,311.16 $1,409.84 $1,760.42 |
Toc - Plan #64 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.46 $448.84 $505.38 $706.27 $1,073.25 |
$697.98 $751.36 $807.90 $1,008.79 |
$1,000.50 $1,053.88 $1,110.42 $1,311.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.92 $897.68 $1,010.76 $1,412.54 $2,146.50 |
$1,093.44 $1,200.20 $1,313.28 $1,715.06 |
$1,395.96 $1,502.72 $1,615.80 $2,017.58 |
Toc - Plan #65 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.79 $487.80 $549.25 $767.58 $1,166.41 |
$758.57 $816.58 $878.03 $1,096.36 |
$1,087.35 $1,145.36 $1,206.81 $1,425.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.58 $975.60 $1,098.50 $1,535.16 $2,332.82 |
$1,188.36 $1,304.38 $1,427.28 $1,863.94 |
$1,517.14 $1,633.16 $1,756.06 $2,192.72 |
Toc - Plan #66 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.43 $491.93 $553.91 $774.08 $1,176.29 |
$764.99 $823.49 $885.47 $1,105.64 |
$1,096.55 $1,155.05 $1,217.03 $1,437.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.86 $983.86 $1,107.82 $1,548.16 $2,352.58 |
$1,198.42 $1,315.42 $1,439.38 $1,879.72 |
$1,529.98 $1,646.98 $1,770.94 $2,211.28 |
Toc - Plan #67 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.72 $466.15 $524.88 $733.52 $1,114.66 |
$724.91 $780.34 $839.07 $1,047.71 |
$1,039.10 $1,094.53 $1,153.26 $1,361.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.44 $932.30 $1,049.76 $1,467.04 $2,229.32 |
$1,135.63 $1,246.49 $1,363.95 $1,781.23 |
$1,449.82 $1,560.68 $1,678.14 $2,095.42 |
Toc - Plan #68 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced SIlver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$435.98 $494.83 $557.17 $778.65 $1,183.23 |
$769.50 $828.35 $890.69 $1,112.17 |
$1,103.02 $1,161.87 $1,224.21 $1,445.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$871.96 $989.66 $1,114.34 $1,557.30 $2,366.46 |
$1,205.48 $1,323.18 $1,447.86 $1,890.82 |
$1,539.00 $1,656.70 $1,781.38 $2,224.34 |
Toc - Plan #69 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.90 $542.40 $610.74 $853.50 $1,296.98 |
$843.48 $907.98 $976.32 $1,219.08 |
$1,209.06 $1,273.56 $1,341.90 $1,584.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.80 $1,084.80 $1,221.48 $1,707.00 $2,593.96 |
$1,321.38 $1,450.38 $1,587.06 $2,072.58 |
$1,686.96 $1,815.96 $1,952.64 $2,438.16 |
Toc - Plan #70 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) CMS Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.60 $384.29 $432.71 $604.71 $918.92 |
$597.62 $643.31 $691.73 $863.73 |
$856.64 $902.33 $950.75 $1,122.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.20 $768.58 $865.42 $1,209.42 $1,837.84 |
$936.22 $1,027.60 $1,124.44 $1,468.44 |
$1,195.24 $1,286.62 $1,383.46 $1,727.46 |
Toc - Plan #71 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) CMS Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.53 $487.50 $548.92 $767.12 $1,165.71 |
$758.11 $816.08 $877.50 $1,095.70 |
$1,086.69 $1,144.66 $1,206.08 $1,424.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.06 $975.00 $1,097.84 $1,534.24 $2,331.42 |
$1,187.64 $1,303.58 $1,426.42 $1,862.82 |
$1,516.22 $1,632.16 $1,755.00 $2,191.40 |
Toc - Plan #72 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) CMS Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.22 $456.51 $514.03 $718.35 $1,091.60 |
$709.91 $764.20 $821.72 $1,026.04 |
$1,017.60 $1,071.89 $1,129.41 $1,333.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.44 $913.02 $1,028.06 $1,436.70 $2,183.20 |
$1,112.13 $1,220.71 $1,335.75 $1,744.39 |
$1,419.82 $1,528.40 $1,643.44 $2,052.08 |
Toc - Plan #73 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.53 $416.00 $468.41 $654.60 $994.73 |
$646.92 $696.39 $748.80 $934.99 |
$927.31 $976.78 $1,029.19 $1,215.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.06 $832.00 $936.82 $1,309.20 $1,989.46 |
$1,013.45 $1,112.39 $1,217.21 $1,589.59 |
$1,293.84 $1,392.78 $1,497.60 $1,869.98 |
Toc - Plan #74 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.12 $512.01 $576.52 $805.69 $1,224.32 |
$796.22 $857.11 $921.62 $1,150.79 |
$1,141.32 $1,202.21 $1,266.72 $1,495.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.24 $1,024.02 $1,153.04 $1,611.38 $2,448.64 |
$1,247.34 $1,369.12 $1,498.14 $1,956.48 |
$1,592.44 $1,714.22 $1,843.24 $2,301.58 |
Toc - Plan #75 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.36 $506.60 $570.43 $797.18 $1,211.39 |
$787.82 $848.06 $911.89 $1,138.64 |
$1,129.28 $1,189.52 $1,253.35 $1,480.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$892.72 $1,013.20 $1,140.86 $1,594.36 $2,422.78 |
$1,234.18 $1,354.66 $1,482.32 $1,935.82 |
$1,575.64 $1,696.12 $1,823.78 $2,277.28 |
Toc - Plan #76 Ambetter from Sunshine Health | ||||||||||||||||||||
Bronze
(EPO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.82 $377.73 $425.33 $594.39 $903.23 |
$587.42 $632.33 $679.93 $848.99 |
$842.02 $886.93 $934.53 $1,103.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.64 $755.46 $850.66 $1,188.78 $1,806.46 |
$920.24 $1,010.06 $1,105.26 $1,443.38 |
$1,174.84 $1,264.66 $1,359.86 $1,697.98 |
Toc - Plan #77 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.73 $505.89 $569.63 $796.05 $1,209.68 |
$786.70 $846.86 $910.60 $1,137.02 |
$1,127.67 $1,187.83 $1,251.57 $1,477.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.46 $1,011.78 $1,139.26 $1,592.10 $2,419.36 |
$1,232.43 $1,352.75 $1,480.23 $1,933.07 |
$1,573.40 $1,693.72 $1,821.20 $2,274.04 |
Toc - Plan #78 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Enhanced Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.16 $513.19 $577.84 $807.53 $1,227.12 |
$798.05 $859.08 $923.73 $1,153.42 |
$1,143.94 $1,204.97 $1,269.62 $1,499.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.32 $1,026.38 $1,155.68 $1,615.06 $2,454.24 |
$1,250.21 $1,372.27 $1,501.57 $1,960.95 |
$1,596.10 $1,718.16 $1,847.46 $2,306.84 |
Toc - Plan #79 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.62 $562.52 $633.39 $885.16 $1,345.09 |
$874.76 $941.66 $1,012.53 $1,264.30 |
$1,253.90 $1,320.80 $1,391.67 $1,643.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$991.24 $1,125.04 $1,266.78 $1,770.32 $2,690.18 |
$1,370.38 $1,504.18 $1,645.92 $2,149.46 |
$1,749.52 $1,883.32 $2,025.06 $2,528.60 |
Toc - Plan #80 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.85 $406.15 $457.32 $639.11 $971.18 |
$631.60 $679.90 $731.07 $912.86 |
$905.35 $953.65 $1,004.82 $1,186.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.70 $812.30 $914.64 $1,278.22 $1,942.36 |
$989.45 $1,086.05 $1,188.39 $1,551.97 |
$1,263.20 $1,359.80 $1,462.14 $1,825.72 |
Toc - Plan #81 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.13 $465.48 $524.13 $732.47 $1,113.06 |
$723.87 $779.22 $837.87 $1,046.21 |
$1,037.61 $1,092.96 $1,151.61 $1,359.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.26 $930.96 $1,048.26 $1,464.94 $2,226.12 |
$1,134.00 $1,244.70 $1,362.00 $1,778.68 |
$1,447.74 $1,558.44 $1,675.74 $2,092.42 |
Toc - Plan #82 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.50 $510.18 $574.45 $802.80 $1,219.93 |
$793.36 $854.04 $918.31 $1,146.66 |
$1,137.22 $1,197.90 $1,262.17 $1,490.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.00 $1,020.36 $1,148.90 $1,605.60 $2,439.86 |
$1,242.86 $1,364.22 $1,492.76 $1,949.46 |
$1,586.72 $1,708.08 $1,836.62 $2,293.32 |
Toc - Plan #83 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.95 $483.44 $544.35 $760.73 $1,156.00 |
$751.79 $809.28 $870.19 $1,086.57 |
$1,077.63 $1,135.12 $1,196.03 $1,412.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.90 $966.88 $1,088.70 $1,521.46 $2,312.00 |
$1,177.74 $1,292.72 $1,414.54 $1,847.30 |
$1,503.58 $1,618.56 $1,740.38 $2,173.14 |
ADVERTISEMENT
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Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2151 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$807.18 $916.15 $1,031.58 $1,441.62 $2,190.69 |
$1,424.67 $1,533.64 $1,649.07 $2,059.11 |
$2,042.16 $2,151.13 $2,266.56 $2,676.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,614.36 $1,832.30 $2,063.16 $2,883.24 $4,381.38 |
$2,231.85 $2,449.79 $2,680.65 $3,500.73 |
$2,849.34 $3,067.28 $3,298.14 $4,118.22 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2153 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$474.53 $538.59 $606.45 $847.51 $1,287.87 |
$837.55 $901.61 $969.47 $1,210.53 |
$1,200.57 $1,264.63 $1,332.49 $1,573.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$949.06 $1,077.18 $1,212.90 $1,695.02 $2,575.74 |
$1,312.08 $1,440.20 $1,575.92 $2,058.04 |
$1,675.10 $1,803.22 $1,938.94 $2,421.06 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2154 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.70 $508.14 $572.16 $799.59 $1,215.06 |
$790.19 $850.63 $914.65 $1,142.08 |
$1,132.68 $1,193.12 $1,257.14 $1,484.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.40 $1,016.28 $1,144.32 $1,599.18 $2,430.12 |
$1,237.89 $1,358.77 $1,486.81 $1,941.67 |
$1,580.38 $1,701.26 $1,829.30 $2,284.16 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2156 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$712.20 $808.35 $910.19 $1,271.99 $1,932.91 |
$1,257.03 $1,353.18 $1,455.02 $1,816.82 |
$1,801.86 $1,898.01 $1,999.85 $2,361.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,424.40 $1,616.70 $1,820.38 $2,543.98 $3,865.82 |
$1,969.23 $2,161.53 $2,365.21 $3,088.81 |
$2,514.06 $2,706.36 $2,910.04 $3,633.64 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2157 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$586.55 $665.73 $749.61 $1,047.58 $1,591.90 |
$1,035.26 $1,114.44 $1,198.32 $1,496.29 |
$1,483.97 $1,563.15 $1,647.03 $1,945.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,173.10 $1,331.46 $1,499.22 $2,095.16 $3,183.80 |
$1,621.81 $1,780.17 $1,947.93 $2,543.87 |
$2,070.52 $2,228.88 $2,396.64 $2,992.58 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2159 ($0 Deductible / $0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$514.98 $584.50 $658.14 $919.75 $1,397.66 |
$908.94 $978.46 $1,052.10 $1,313.71 |
$1,302.90 $1,372.42 $1,446.06 $1,707.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,029.96 $1,169.00 $1,316.28 $1,839.50 $2,795.32 |
$1,423.92 $1,562.96 $1,710.24 $2,233.46 |
$1,817.88 $1,956.92 $2,104.20 $2,627.42 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2351S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.74 $479.81 $540.26 $755.01 $1,147.32 |
$746.14 $803.21 $863.66 $1,078.41 |
$1,069.54 $1,126.61 $1,187.06 $1,401.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.48 $959.62 $1,080.52 $1,510.02 $2,294.64 |
$1,168.88 $1,283.02 $1,403.92 $1,833.42 |
$1,492.28 $1,606.42 $1,727.32 $2,156.82 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2352S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.74 $528.61 $595.22 $831.81 $1,264.02 |
$822.03 $884.90 $951.51 $1,188.10 |
$1,178.32 $1,241.19 $1,307.80 $1,544.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.48 $1,057.22 $1,190.44 $1,663.62 $2,528.04 |
$1,287.77 $1,413.51 $1,546.73 $2,019.91 |
$1,644.06 $1,769.80 $1,903.02 $2,376.20 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) BlueCare Silver 2353S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$626.13 $710.66 $800.19 $1,118.27 $1,699.32 |
$1,105.12 $1,189.65 $1,279.18 $1,597.26 |
$1,584.11 $1,668.64 $1,758.17 $2,076.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,252.26 $1,421.32 $1,600.38 $2,236.54 $3,398.64 |
$1,731.25 $1,900.31 $2,079.37 $2,715.53 |
$2,210.24 $2,379.30 $2,558.36 $3,194.52 |
Toc - Plan #93 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) BlueCare Gold 2354S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$645.51 $732.65 $824.96 $1,152.88 $1,751.91 |
$1,139.33 $1,226.47 $1,318.78 $1,646.70 |
$1,633.15 $1,720.29 $1,812.60 $2,140.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,291.02 $1,465.30 $1,649.92 $2,305.76 $3,503.82 |
$1,784.84 $1,959.12 $2,143.74 $2,799.58 |
$2,278.66 $2,452.94 $2,637.56 $3,293.40 |
Toc - Plan #94 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2355S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$804.96 $913.63 $1,028.74 $1,437.66 $2,184.66 |
$1,420.75 $1,529.42 $1,644.53 $2,053.45 |
$2,036.54 $2,145.21 $2,260.32 $2,669.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,609.92 $1,827.26 $2,057.48 $2,875.32 $4,369.32 |
$2,225.71 $2,443.05 $2,673.27 $3,491.11 |
$2,841.50 $3,058.84 $3,289.06 $4,106.90 |
Toc - Plan #95 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2359 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$498.00 $565.23 $636.44 $889.43 $1,351.57 |
$878.97 $946.20 $1,017.41 $1,270.40 |
$1,259.94 $1,327.17 $1,398.38 $1,651.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$996.00 $1,130.46 $1,272.88 $1,778.86 $2,703.14 |
$1,376.97 $1,511.43 $1,653.85 $2,159.83 |
$1,757.94 $1,892.40 $2,034.82 $2,540.80 |
Toc - Plan #96 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.50 $375.12 $422.38 $590.27 $896.98 |
$583.33 $627.95 $675.21 $843.10 |
$836.16 $880.78 $928.04 $1,095.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.00 $750.24 $844.76 $1,180.54 $1,793.96 |
$913.83 $1,003.07 $1,097.59 $1,433.37 |
$1,166.66 $1,255.90 $1,350.42 $1,686.20 |
Toc - Plan #97 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.13 $353.13 $397.62 $555.68 $844.41 |
$549.14 $591.14 $635.63 $793.69 |
$787.15 $829.15 $873.64 $1,031.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.26 $706.26 $795.24 $1,111.36 $1,688.82 |
$860.27 $944.27 $1,033.25 $1,349.37 |
$1,098.28 $1,182.28 $1,271.26 $1,587.38 |
Toc - Plan #98 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.03 $461.98 $520.18 $726.96 $1,104.68 |
$718.41 $773.36 $831.56 $1,038.34 |
$1,029.79 $1,084.74 $1,142.94 $1,349.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.06 $923.96 $1,040.36 $1,453.92 $2,209.36 |
$1,125.44 $1,235.34 $1,351.74 $1,765.30 |
$1,436.82 $1,546.72 $1,663.12 $2,076.68 |
Toc - Plan #99 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.99 $440.37 $495.85 $692.95 $1,053.00 |
$684.80 $737.18 $792.66 $989.76 |
$981.61 $1,033.99 $1,089.47 $1,286.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.98 $880.74 $991.70 $1,385.90 $2,106.00 |
$1,072.79 $1,177.55 $1,288.51 $1,682.71 |
$1,369.60 $1,474.36 $1,585.32 $1,979.52 |
Toc - Plan #100 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.79 $523.00 $588.89 $822.97 $1,250.58 |
$813.29 $875.50 $941.39 $1,175.47 |
$1,165.79 $1,228.00 $1,293.89 $1,527.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$921.58 $1,046.00 $1,177.78 $1,645.94 $2,501.16 |
$1,274.08 $1,398.50 $1,530.28 $1,998.44 |
$1,626.58 $1,751.00 $1,882.78 $2,350.94 |
Toc - Plan #101 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.53 $469.36 $528.49 $738.56 $1,122.32 |
$729.88 $785.71 $844.84 $1,054.91 |
$1,046.23 $1,102.06 $1,161.19 $1,371.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.06 $938.72 $1,056.98 $1,477.12 $2,244.64 |
$1,143.41 $1,255.07 $1,373.33 $1,793.47 |
$1,459.76 $1,571.42 $1,689.68 $2,109.82 |
Toc - Plan #102 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.87 $436.83 $491.86 $687.38 $1,044.54 |
$679.30 $731.26 $786.29 $981.81 |
$973.73 $1,025.69 $1,080.72 $1,276.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.74 $873.66 $983.72 $1,374.76 $2,089.08 |
$1,064.17 $1,168.09 $1,278.15 $1,669.19 |
$1,358.60 $1,462.52 $1,572.58 $1,963.62 |
Toc - Plan #103 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Virtual Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.41 $435.17 $490.00 $684.77 $1,040.57 |
$676.72 $728.48 $783.31 $978.08 |
$970.03 $1,021.79 $1,076.62 $1,271.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.82 $870.34 $980.00 $1,369.54 $2,081.14 |
$1,060.13 $1,163.65 $1,273.31 $1,662.85 |
$1,353.44 $1,456.96 $1,566.62 $1,956.16 |
Toc - Plan #104 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $0 Virtual Visits / $35 PCP Visit / $80 Specialist Visits / $25 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.54 $405.81 $456.94 $638.57 $970.36 |
$631.06 $679.33 $730.46 $912.09 |
$904.58 $952.85 $1,003.98 $1,185.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.08 $811.62 $913.88 $1,277.14 $1,940.72 |
$988.60 $1,085.14 $1,187.40 $1,550.66 |
$1,262.12 $1,358.66 $1,460.92 $1,824.18 |
Toc - Plan #105 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.89 $375.56 $422.88 $590.97 $898.04 |
$584.02 $628.69 $676.01 $844.10 |
$837.15 $881.82 $929.14 $1,097.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.78 $751.12 $845.76 $1,181.94 $1,796.08 |
$914.91 $1,004.25 $1,098.89 $1,435.07 |
$1,168.04 $1,257.38 $1,352.02 $1,688.20 |
Toc - Plan #106 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $80 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.70 $427.55 $481.42 $672.79 $1,022.36 |
$664.88 $715.73 $769.60 $960.97 |
$953.06 $1,003.91 $1,057.78 $1,249.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.40 $855.10 $962.84 $1,345.58 $2,044.72 |
$1,041.58 $1,143.28 $1,251.02 $1,633.76 |
$1,329.76 $1,431.46 $1,539.20 $1,921.94 |
Toc - Plan #107 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.40 $367.06 $413.31 $577.59 $877.71 |
$570.80 $614.46 $660.71 $824.99 |
$818.20 $861.86 $908.11 $1,072.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.80 $734.12 $826.62 $1,155.18 $1,755.42 |
$894.20 $981.52 $1,074.02 $1,402.58 |
$1,141.60 $1,228.92 $1,321.42 $1,649.98 |
Toc - Plan #108 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2266 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.09 $367.84 $414.19 $578.82 $879.58 |
$572.02 $615.77 $662.12 $826.75 |
$819.95 $863.70 $910.05 $1,074.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.18 $735.68 $828.38 $1,157.64 $1,759.16 |
$896.11 $983.61 $1,076.31 $1,405.57 |
$1,144.04 $1,231.54 $1,324.24 $1,653.50 |
Toc - Plan #109 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Bronze
(HMO) myBlue Bronze 2311S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.45 $334.20 $376.31 $525.89 $799.14 |
$519.70 $559.45 $601.56 $751.14 |
$744.95 $784.70 $826.81 $976.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$588.90 $668.40 $752.62 $1,051.78 $1,598.28 |
$814.15 $893.65 $977.87 $1,277.03 |
$1,039.40 $1,118.90 $1,203.12 $1,502.28 |
Toc - Plan #110 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.88 $358.52 $403.69 $564.16 $857.30 |
$557.53 $600.17 $645.34 $805.81 |
$799.18 $841.82 $886.99 $1,047.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.76 $717.04 $807.38 $1,128.32 $1,714.60 |
$873.41 $958.69 $1,049.03 $1,369.97 |
$1,115.06 $1,200.34 $1,290.68 $1,611.62 |
Toc - Plan #111 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Deductible / $0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.20 $392.94 $442.44 $618.31 $939.59 |
$611.04 $657.78 $707.28 $883.15 |
$875.88 $922.62 $972.12 $1,147.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.40 $785.88 $884.88 $1,236.62 $1,879.18 |
$957.24 $1,050.72 $1,149.72 $1,501.46 |
$1,222.08 $1,315.56 $1,414.56 $1,766.30 |
Toc - Plan #112 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2230 ($0 Primary Care Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Disponible en Español / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.34 $423.74 $477.13 $666.79 $1,013.24 |
$658.95 $709.35 $762.74 $952.40 |
$944.56 $994.96 $1,048.35 $1,238.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.68 $847.48 $954.26 $1,333.58 $2,026.48 |
$1,032.29 $1,133.09 $1,239.87 $1,619.19 |
$1,317.90 $1,418.70 $1,525.48 $1,904.80 |
Toc - Plan #113 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Connected Care Bronze 2231 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Disponible en Español / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.24 $347.58 $391.37 $546.94 $831.14 |
$540.51 $581.85 $625.64 $781.21 |
$774.78 $816.12 $859.91 $1,015.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.48 $695.16 $782.74 $1,093.88 $1,662.28 |
$846.75 $929.43 $1,017.01 $1,328.15 |
$1,081.02 $1,163.70 $1,251.28 $1,562.42 |
Toc - Plan #114 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Disponible en Español / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.56 $410.37 $462.07 $645.75 $981.27 |
$638.15 $686.96 $738.66 $922.34 |
$914.74 $963.55 $1,015.25 $1,198.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.12 $820.74 $924.14 $1,291.50 $1,962.54 |
$999.71 $1,097.33 $1,200.73 $1,568.09 |
$1,276.30 $1,373.92 $1,477.32 $1,844.68 |
Toc - Plan #115 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.64 $413.87 $466.01 $651.25 $989.63 |
$643.59 $692.82 $744.96 $930.20 |
$922.54 $971.77 $1,023.91 $1,209.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.28 $827.74 $932.02 $1,302.50 $1,979.26 |
$1,008.23 $1,106.69 $1,210.97 $1,581.45 |
$1,287.18 $1,385.64 $1,489.92 $1,860.40 |
Toc - Plan #116 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.18 $430.37 $484.59 $677.22 $1,029.09 |
$669.25 $720.44 $774.66 $967.29 |
$959.32 $1,010.51 $1,064.73 $1,257.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.36 $860.74 $969.18 $1,354.44 $2,058.18 |
$1,048.43 $1,150.81 $1,259.25 $1,644.51 |
$1,338.50 $1,440.88 $1,549.32 $1,934.58 |
Toc - Plan #117 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$436.16 $495.04 $557.41 $778.98 $1,183.74 |
$769.82 $828.70 $891.07 $1,112.64 |
$1,103.48 $1,162.36 $1,224.73 $1,446.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$872.32 $990.08 $1,114.82 $1,557.96 $2,367.48 |
$1,205.98 $1,323.74 $1,448.48 $1,891.62 |
$1,539.64 $1,657.40 $1,782.14 $2,225.28 |
Toc - Plan #118 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $80 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.36 $436.25 $491.21 $686.47 $1,043.15 |
$678.40 $730.29 $785.25 $980.51 |
$972.44 $1,024.33 $1,079.29 $1,274.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.72 $872.50 $982.42 $1,372.94 $2,086.30 |
$1,062.76 $1,166.54 $1,276.46 $1,666.98 |
$1,356.80 $1,460.58 $1,570.50 $1,961.02 |
Toc - Plan #119 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332D ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / Adult Dental / 24x7 Provider Access / Disponible en Español / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.20 $419.04 $471.84 $659.39 $1,002.01 |
$651.64 $701.48 $754.28 $941.83 |
$934.08 $983.92 $1,036.72 $1,224.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.40 $838.08 $943.68 $1,318.78 $2,004.02 |
$1,020.84 $1,120.52 $1,226.12 $1,601.22 |
$1,303.28 $1,402.96 $1,508.56 $1,883.66 |
Toc - Plan #120 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2337D ($0 Virtual Visits / Adult Dental / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
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
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #121 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.38 $424.91 $478.44 $668.62 $1,016.04 |
$660.77 $711.30 $764.83 $955.01 |
$947.16 $997.69 $1,051.22 $1,241.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.76 $849.82 $956.88 $1,337.24 $2,032.08 |
$1,035.15 $1,136.21 $1,243.27 $1,623.63 |
$1,321.54 $1,422.60 $1,529.66 $1,910.02 |
Toc - Plan #122 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.03 $331.44 $373.20 $521.54 $792.53 |
$515.42 $554.83 $596.59 $744.93 |
$738.81 $778.22 $819.98 $968.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$584.06 $662.88 $746.40 $1,043.08 $1,585.06 |
$807.45 $886.27 $969.79 $1,266.47 |
$1,030.84 $1,109.66 $1,193.18 $1,489.86 |
Toc - Plan #123 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.14 $322.49 $363.12 $507.45 $771.12 |
$501.50 $539.85 $580.48 $724.81 |
$718.86 $757.21 $797.84 $942.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.28 $644.98 $726.24 $1,014.90 $1,542.24 |
$785.64 $862.34 $943.60 $1,232.26 |
$1,003.00 $1,079.70 $1,160.96 $1,449.62 |
Toc - Plan #124 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.84 $391.38 $440.69 $615.86 $935.86 |
$608.63 $655.17 $704.48 $879.65 |
$872.42 $918.96 $968.27 $1,143.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.68 $782.76 $881.38 $1,231.72 $1,871.72 |
$953.47 $1,046.55 $1,145.17 $1,495.51 |
$1,217.26 $1,310.34 $1,408.96 $1,759.30 |
Toc - Plan #125 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.86 $434.53 $489.28 $683.77 $1,039.05 |
$675.74 $727.41 $782.16 $976.65 |
$968.62 $1,020.29 $1,075.04 $1,269.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.72 $869.06 $978.56 $1,367.54 $2,078.10 |
$1,058.60 $1,161.94 $1,271.44 $1,660.42 |
$1,351.48 $1,454.82 $1,564.32 $1,953.30 |
Toc - Plan #126 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- Specialist Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.64 $432.01 $486.44 $679.80 $1,033.02 |
$671.82 $723.19 $777.62 $970.98 |
$963.00 $1,014.37 $1,068.80 $1,262.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.28 $864.02 $972.88 $1,359.60 $2,066.04 |
$1,052.46 $1,155.20 $1,264.06 $1,650.78 |
$1,343.64 $1,446.38 $1,555.24 $1,941.96 |
Toc - Plan #127 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.42 $435.17 $489.99 $684.76 $1,040.56 |
$676.73 $728.48 $783.30 $978.07 |
$970.04 $1,021.79 $1,076.61 $1,271.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.84 $870.34 $979.98 $1,369.52 $2,081.12 |
$1,060.15 $1,163.65 $1,273.29 $1,662.83 |
$1,353.46 $1,456.96 $1,566.60 $1,956.14 |
Toc - Plan #128 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$218.35 $247.81 $279.04 $389.95 $592.57 |
$385.38 $414.84 $446.07 $556.98 |
$552.41 $581.87 $613.10 $724.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$436.70 $495.62 $558.08 $779.90 $1,185.14 |
$603.73 $662.65 $725.11 $946.93 |
$770.76 $829.68 $892.14 $1,113.96 |
Toc - Plan #129 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible+Specialist Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.39 $390.87 $440.11 $615.06 $934.64 |
$607.84 $654.32 $703.56 $878.51 |
$871.29 $917.77 $967.01 $1,141.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.78 $781.74 $880.22 $1,230.12 $1,869.28 |
$952.23 $1,045.19 $1,143.67 $1,493.57 |
$1,215.68 $1,308.64 $1,407.12 $1,757.02 |
Toc - Plan #130 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.86 $460.64 $518.68 $724.85 $1,101.48 |
$716.34 $771.12 $829.16 $1,035.33 |
$1,026.82 $1,081.60 $1,139.64 $1,345.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.72 $921.28 $1,037.36 $1,449.70 $2,202.96 |
$1,122.20 $1,231.76 $1,347.84 $1,760.18 |
$1,432.68 $1,542.24 $1,658.32 $2,070.66 |
Toc - Plan #131 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Simple- HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.45 $343.27 $386.52 $540.16 $820.83 |
$533.82 $574.64 $617.89 $771.53 |
$765.19 $806.01 $849.26 $1,002.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.90 $686.54 $773.04 $1,080.32 $1,641.66 |
$836.27 $917.91 $1,004.41 $1,311.69 |
$1,067.64 $1,149.28 $1,235.78 $1,543.06 |
Toc - Plan #132 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.87 $440.22 $495.68 $692.72 $1,052.65 |
$684.58 $736.93 $792.39 $989.43 |
$981.29 $1,033.64 $1,089.10 $1,286.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.74 $880.44 $991.36 $1,385.44 $2,105.30 |
$1,072.45 $1,177.15 $1,288.07 $1,682.15 |
$1,369.16 $1,473.86 $1,584.78 $1,978.86 |
Toc - Plan #133 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.66 $443.38 $499.25 $697.69 $1,060.21 |
$689.50 $742.22 $798.09 $996.53 |
$988.34 $1,041.06 $1,096.93 $1,295.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.32 $886.76 $998.50 $1,395.38 $2,120.42 |
$1,080.16 $1,185.60 $1,297.34 $1,694.22 |
$1,379.00 $1,484.44 $1,596.18 $1,993.06 |
Toc - Plan #134 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.82 $341.42 $384.43 $537.25 $816.40 |
$530.94 $571.54 $614.55 $767.37 |
$761.06 $801.66 $844.67 $997.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.64 $682.84 $768.86 $1,074.50 $1,632.80 |
$831.76 $912.96 $998.98 $1,304.62 |
$1,061.88 $1,143.08 $1,229.10 $1,534.74 |
Toc - Plan #135 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Deductible Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.53 $352.44 $396.85 $554.59 $842.75 |
$548.08 $589.99 $634.40 $792.14 |
$785.63 $827.54 $871.95 $1,029.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.06 $704.88 $793.70 $1,109.18 $1,685.50 |
$858.61 $942.43 $1,031.25 $1,346.73 |
$1,096.16 $1,179.98 $1,268.80 $1,584.28 |
Toc - Plan #136 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.87 $417.52 $470.13 $657.00 $998.38 |
$649.28 $698.93 $751.54 $938.41 |
$930.69 $980.34 $1,032.95 $1,219.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.74 $835.04 $940.26 $1,314.00 $1,996.76 |
$1,017.15 $1,116.45 $1,221.67 $1,595.41 |
$1,298.56 $1,397.86 $1,503.08 $1,876.82 |
Toc - Plan #137 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.33 $445.28 $501.38 $700.68 $1,064.75 |
$692.45 $745.40 $801.50 $1,000.80 |
$992.57 $1,045.52 $1,101.62 $1,300.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.66 $890.56 $1,002.76 $1,401.36 $2,129.50 |
$1,084.78 $1,190.68 $1,302.88 $1,701.48 |
$1,384.90 $1,490.80 $1,603.00 $2,001.60 |
Toc - Plan #138 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.42 $435.17 $489.99 $684.76 $1,040.56 |
$676.73 $728.48 $783.30 $978.07 |
$970.04 $1,021.79 $1,076.61 $1,271.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.84 $870.34 $979.98 $1,369.52 $2,081.12 |
$1,060.15 $1,163.65 $1,273.29 $1,662.83 |
$1,353.46 $1,456.96 $1,566.60 $1,956.14 |
Toc - Plan #139 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.38 $504.36 $567.91 $793.65 $1,206.03 |
$784.33 $844.31 $907.86 $1,133.60 |
$1,124.28 $1,184.26 $1,247.81 $1,473.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$888.76 $1,008.72 $1,135.82 $1,587.30 $2,412.06 |
$1,228.71 $1,348.67 $1,475.77 $1,927.25 |
$1,568.66 $1,688.62 $1,815.72 $2,267.20 |
Toc - Plan #140 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.08 $472.24 $531.74 $743.10 $1,129.22 |
$734.38 $790.54 $850.04 $1,061.40 |
$1,052.68 $1,108.84 $1,168.34 $1,379.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$832.16 $944.48 $1,063.48 $1,486.20 $2,258.44 |
$1,150.46 $1,262.78 $1,381.78 $1,804.50 |
$1,468.76 $1,581.08 $1,700.08 $2,122.80 |
Toc - Plan #141 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite- Deductible Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.88 $381.21 $429.24 $599.86 $911.55 |
$592.82 $638.15 $686.18 $856.80 |
$849.76 $895.09 $943.12 $1,113.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.76 $762.42 $858.48 $1,199.72 $1,823.10 |
$928.70 $1,019.36 $1,115.42 $1,456.66 |
$1,185.64 $1,276.30 $1,372.36 $1,713.60 |
Toc - Plan #142 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple- For Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.75 $433.27 $487.86 $681.78 $1,036.04 |
$673.78 $725.30 $779.89 $973.81 |
$965.81 $1,017.33 $1,071.92 $1,265.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.50 $866.54 $975.72 $1,363.56 $2,072.08 |
$1,055.53 $1,158.57 $1,267.75 $1,655.59 |
$1,347.56 $1,450.60 $1,559.78 $1,947.62 |
Toc - Plan #143 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.00 $348.43 $392.33 $548.28 $833.16 |
$541.84 $583.27 $627.17 $783.12 |
$776.68 $818.11 $862.01 $1,017.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.00 $696.86 $784.66 $1,096.56 $1,666.32 |
$848.84 $931.70 $1,019.50 $1,331.40 |
$1,083.68 $1,166.54 $1,254.34 $1,566.24 |
Toc - Plan #144 Oscar Insurance Company of Florida | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$271.05 $307.63 $346.39 $484.08 $735.61 |
$478.40 $514.98 $553.74 $691.43 |
$685.75 $722.33 $761.09 $898.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.10 $615.26 $692.78 $968.16 $1,471.22 |
$749.45 $822.61 $900.13 $1,175.51 |
$956.80 $1,029.96 $1,107.48 $1,382.86 |
Toc - Plan #145 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.86 $428.86 $482.89 $674.84 $1,025.48 |
$666.91 $717.91 $771.94 $963.89 |
$955.96 $1,006.96 $1,060.99 $1,252.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.72 $857.72 $965.78 $1,349.68 $2,050.96 |
$1,044.77 $1,146.77 $1,254.83 $1,638.73 |
$1,333.82 $1,435.82 $1,543.88 $1,927.78 |
Toc - Plan #146 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic- Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.05 $439.29 $494.63 $691.25 $1,050.42 |
$683.13 $735.37 $790.71 $987.33 |
$979.21 $1,031.45 $1,086.79 $1,283.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.10 $878.58 $989.26 $1,382.50 $2,100.84 |
$1,070.18 $1,174.66 $1,285.34 $1,678.58 |
$1,366.26 $1,470.74 $1,581.42 $1,974.66 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #147 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 8700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.77 $362.93 $408.66 $571.10 $867.84 |
$564.39 $607.55 $653.28 $815.72 |
$809.01 $852.17 $897.90 $1,060.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$639.54 $725.86 $817.32 $1,142.20 $1,735.68 |
$884.16 $970.48 $1,061.94 $1,386.82 |
$1,128.78 $1,215.10 $1,306.56 $1,631.44 |
Toc - Plan #148 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.12 $376.95 $424.45 $593.16 $901.37 |
$586.19 $631.02 $678.52 $847.23 |
$840.26 $885.09 $932.59 $1,101.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.24 $753.90 $848.90 $1,186.32 $1,802.74 |
$918.31 $1,007.97 $1,102.97 $1,440.39 |
$1,172.38 $1,262.04 $1,357.04 $1,694.46 |
Toc - Plan #149 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.25 $377.10 $424.61 $593.40 $901.72 |
$586.42 $631.27 $678.78 $847.57 |
$840.59 $885.44 $932.95 $1,101.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.50 $754.20 $849.22 $1,186.80 $1,803.44 |
$918.67 $1,008.37 $1,103.39 $1,440.97 |
$1,172.84 $1,262.54 $1,357.56 $1,695.14 |
Toc - Plan #150 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4400 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.74 $433.28 $487.86 $681.79 $1,036.05 |
$673.77 $725.31 $779.89 $973.82 |
$965.80 $1,017.34 $1,071.92 $1,265.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.48 $866.56 $975.72 $1,363.58 $2,072.10 |
$1,055.51 $1,158.59 $1,267.75 $1,655.61 |
$1,347.54 $1,450.62 $1,559.78 $1,947.64 |
Toc - Plan #151 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.70 $437.77 $492.92 $688.85 $1,046.78 |
$680.76 $732.83 $787.98 $983.91 |
$975.82 $1,027.89 $1,083.04 $1,278.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.40 $875.54 $985.84 $1,377.70 $2,093.56 |
$1,066.46 $1,170.60 $1,280.90 $1,672.76 |
$1,361.52 $1,465.66 $1,575.96 $1,967.82 |
Toc - Plan #152 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 8900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.73 $441.21 $496.80 $694.27 $1,055.01 |
$686.11 $738.59 $794.18 $991.65 |
$983.49 $1,035.97 $1,091.56 $1,289.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.46 $882.42 $993.60 $1,388.54 $2,110.02 |
$1,074.84 $1,179.80 $1,290.98 $1,685.92 |
$1,372.22 $1,477.18 $1,588.36 $1,983.30 |
Toc - Plan #153 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.35 $441.91 $497.58 $695.37 $1,056.68 |
$687.20 $739.76 $795.43 $993.22 |
$985.05 $1,037.61 $1,093.28 $1,291.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.70 $883.82 $995.16 $1,390.74 $2,113.36 |
$1,076.55 $1,181.67 $1,293.01 $1,688.59 |
$1,374.40 $1,479.52 $1,590.86 $1,986.44 |
Toc - Plan #154 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1950 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.41 $525.97 $592.23 $827.65 $1,257.69 |
$817.92 $880.48 $946.74 $1,182.16 |
$1,172.43 $1,234.99 $1,301.25 $1,536.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$926.82 $1,051.94 $1,184.46 $1,655.30 $2,515.38 |
$1,281.33 $1,406.45 $1,538.97 $2,009.81 |
$1,635.84 $1,760.96 $1,893.48 $2,364.32 |
Toc - Plan #155 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 8000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.37 $376.10 $423.49 $591.83 $899.34 |
$584.87 $629.60 $676.99 $845.33 |
$838.37 $883.10 $930.49 $1,098.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.74 $752.20 $846.98 $1,183.66 $1,798.68 |
$916.24 $1,005.70 $1,100.48 $1,437.16 |
$1,169.74 $1,259.20 $1,353.98 $1,690.66 |
Toc - Plan #156 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.15 $375.86 $423.21 $591.43 $898.74 |
$584.48 $629.19 $676.54 $844.76 |
$837.81 $882.52 $929.87 $1,098.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.30 $751.72 $846.42 $1,182.86 $1,797.48 |
$915.63 $1,005.05 $1,099.75 $1,436.19 |
$1,168.96 $1,258.38 $1,353.08 $1,689.52 |
Toc - Plan #157 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.97 $434.67 $489.44 $683.99 $1,039.39 |
$675.94 $727.64 $782.41 $976.96 |
$968.91 $1,020.61 $1,075.38 $1,269.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.94 $869.34 $978.88 $1,367.98 $2,078.78 |
$1,058.91 $1,162.31 $1,271.85 $1,660.95 |
$1,351.88 $1,455.28 $1,564.82 $1,953.92 |
Toc - Plan #158 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 0B |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.67 $453.63 $510.78 $713.82 $1,084.72 |
$705.42 $759.38 $816.53 $1,019.57 |
$1,011.17 $1,065.13 $1,122.28 $1,325.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.34 $907.26 $1,021.56 $1,427.64 $2,169.44 |
$1,105.09 $1,213.01 $1,327.31 $1,733.39 |
$1,410.84 $1,518.76 $1,633.06 $2,039.14 |
Toc - Plan #159 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.36 $438.51 $493.76 $690.03 $1,048.57 |
$681.92 $734.07 $789.32 $985.59 |
$977.48 $1,029.63 $1,084.88 $1,281.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.72 $877.02 $987.52 $1,380.06 $2,097.14 |
$1,068.28 $1,172.58 $1,283.08 $1,675.62 |
$1,363.84 $1,468.14 $1,578.64 $1,971.18 |
Toc - Plan #160 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$481.69 $546.72 $615.60 $860.30 $1,307.31 |
$850.18 $915.21 $984.09 $1,228.79 |
$1,218.67 $1,283.70 $1,352.58 $1,597.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$963.38 $1,093.44 $1,231.20 $1,720.60 $2,614.62 |
$1,331.87 $1,461.93 $1,599.69 $2,089.09 |
$1,700.36 $1,830.42 $1,968.18 $2,457.58 |
Toc - Plan #161 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1900 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.18 $529.11 $595.77 $832.59 $1,265.20 |
$822.81 $885.74 $952.40 $1,189.22 |
$1,179.44 $1,242.37 $1,309.03 $1,545.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.36 $1,058.22 $1,191.54 $1,665.18 $2,530.40 |
$1,288.99 $1,414.85 $1,548.17 $2,021.81 |
$1,645.62 $1,771.48 $1,904.80 $2,378.44 |
Toc - Plan #162 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Simple Choice 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.02 $526.67 $593.02 $828.75 $1,259.36 |
$819.00 $881.65 $948.00 $1,183.73 |
$1,173.98 $1,236.63 $1,302.98 $1,538.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.04 $1,053.34 $1,186.04 $1,657.50 $2,518.72 |
$1,283.02 $1,408.32 $1,541.02 $2,012.48 |
$1,638.00 $1,763.30 $1,896.00 $2,367.46 |
Toc - Plan #163 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Simple Choice 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.14 $433.72 $488.37 $682.50 $1,037.12 |
$674.47 $726.05 $780.70 $974.83 |
$966.80 $1,018.38 $1,073.03 $1,267.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.28 $867.44 $976.74 $1,365.00 $2,074.24 |
$1,056.61 $1,159.77 $1,269.07 $1,657.33 |
$1,348.94 $1,452.10 $1,561.40 $1,949.66 |
Toc - Plan #164 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Cigna Simple Choice 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.69 $359.44 $404.73 $565.61 $859.49 |
$558.96 $601.71 $647.00 $807.88 |
$801.23 $843.98 $889.27 $1,050.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.38 $718.88 $809.46 $1,131.22 $1,718.98 |
$875.65 $961.15 $1,051.73 $1,373.49 |
$1,117.92 $1,203.42 $1,294.00 $1,615.76 |
Toc - Plan #165 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Simple Choice 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.01 $374.56 $421.75 $589.39 $895.64 |
$582.47 $627.02 $674.21 $841.85 |
$834.93 $879.48 $926.67 $1,094.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.02 $749.12 $843.50 $1,178.78 $1,791.28 |
$912.48 $1,001.58 $1,095.96 $1,431.24 |
$1,164.94 $1,254.04 $1,348.42 $1,683.70 |
Toc - Plan #166 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 0A |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.59 $403.59 $454.44 $635.08 $965.07 |
$627.62 $675.62 $726.47 $907.11 |
$899.65 $947.65 $998.50 $1,179.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.18 $807.18 $908.88 $1,270.16 $1,930.14 |
$983.21 $1,079.21 $1,180.91 $1,542.19 |
$1,255.24 $1,351.24 $1,452.94 $1,814.22 |
Toc - Plan #167 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7600 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.06 $375.76 $423.10 $591.28 $898.50 |
$584.32 $629.02 $676.36 $844.54 |
$837.58 $882.28 $929.62 $1,097.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.12 $751.52 $846.20 $1,182.56 $1,797.00 |
$915.38 $1,004.78 $1,099.46 $1,435.82 |
$1,168.64 $1,258.04 $1,352.72 $1,689.08 |
Toc - Plan #168 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2100 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$463.45 $526.02 $592.29 $827.72 $1,257.81 |
$817.99 $880.56 $946.83 $1,182.26 |
$1,172.53 $1,235.10 $1,301.37 $1,536.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$926.90 $1,052.04 $1,184.58 $1,655.44 $2,515.62 |
$1,281.44 $1,406.58 $1,539.12 $2,009.98 |
$1,635.98 $1,761.12 $1,893.66 $2,364.52 |
Toc - Plan #169 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5400 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.35 $382.89 $431.13 $602.50 $915.56 |
$595.42 $640.96 $689.20 $860.57 |
$853.49 $899.03 $947.27 $1,118.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.70 $765.78 $862.26 $1,205.00 $1,831.12 |
$932.77 $1,023.85 $1,120.33 $1,463.07 |
$1,190.84 $1,281.92 $1,378.40 $1,721.14 |
Toc - Plan #170 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3800 Enhanced Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.87 $437.97 $493.15 $689.17 $1,047.26 |
$681.06 $733.16 $788.34 $984.36 |
$976.25 $1,028.35 $1,083.53 $1,279.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.74 $875.94 $986.30 $1,378.34 $2,094.52 |
$1,066.93 $1,171.13 $1,281.49 $1,673.53 |
$1,362.12 $1,466.32 $1,576.68 $1,968.72 |
ADVERTISEMENT
Molina HealthcareLocal: 1-888-560-5716 | Toll Free: 1-888-560-5716 | TTY: 1-800-955-8771 |
Toc - Plan #171 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.81 $499.18 $562.07 $785.49 $1,193.63 |
$776.26 $835.63 $898.52 $1,121.94 |
$1,112.71 $1,172.08 $1,234.97 $1,458.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.62 $998.36 $1,124.14 $1,570.98 $2,387.26 |
$1,216.07 $1,334.81 $1,460.59 $1,907.43 |
$1,552.52 $1,671.26 $1,797.04 $2,243.88 |
Toc - Plan #172 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.40 $434.02 $488.71 $682.97 $1,037.83 |
$674.94 $726.56 $781.25 $975.51 |
$967.48 $1,019.10 $1,073.79 $1,268.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.80 $868.04 $977.42 $1,365.94 $2,075.66 |
$1,057.34 $1,160.58 $1,269.96 $1,658.48 |
$1,349.88 $1,453.12 $1,562.50 $1,951.02 |
Toc - Plan #173 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.03 $398.42 $448.62 $626.94 $952.70 |
$619.57 $666.96 $717.16 $895.48 |
$888.11 $935.50 $985.70 $1,164.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.06 $796.84 $897.24 $1,253.88 $1,905.40 |
$970.60 $1,065.38 $1,165.78 $1,522.42 |
$1,239.14 $1,333.92 $1,434.32 $1,790.96 |
Toc - Plan #174 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 8 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.96 $509.57 $573.77 $801.85 $1,218.48 |
$792.42 $853.03 $917.23 $1,145.31 |
$1,135.88 $1,196.49 $1,260.69 $1,488.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.92 $1,019.14 $1,147.54 $1,603.70 $2,436.96 |
$1,241.38 $1,362.60 $1,491.00 $1,947.16 |
$1,584.84 $1,706.06 $1,834.46 $2,290.62 |
Toc - Plan #175 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.64 $442.24 $497.96 $695.89 $1,057.47 |
$687.71 $740.31 $796.03 $993.96 |
$985.78 $1,038.38 $1,094.10 $1,292.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.28 $884.48 $995.92 $1,391.78 $2,114.94 |
$1,077.35 $1,182.55 $1,293.99 $1,689.85 |
$1,375.42 $1,480.62 $1,592.06 $1,987.92 |
Toc - Plan #176 Molina Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Core Care Bronze 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.67 $344.67 $388.09 $542.36 $824.17 |
$535.98 $576.98 $620.40 $774.67 |
$768.29 $809.29 $852.71 $1,006.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.34 $689.34 $776.18 $1,084.72 $1,648.34 |
$839.65 $921.65 $1,008.49 $1,317.03 |
$1,071.96 $1,153.96 $1,240.80 $1,549.34 |
Toc - Plan #177 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Confident Care Gold 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.94 $503.87 $567.35 $792.87 $1,204.84 |
$783.55 $843.48 $906.96 $1,132.48 |
$1,123.16 $1,183.09 $1,246.57 $1,472.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.88 $1,007.74 $1,134.70 $1,585.74 $2,409.68 |
$1,227.49 $1,347.35 $1,474.31 $1,925.35 |
$1,567.10 $1,686.96 $1,813.92 $2,264.96 |
Toc - Plan #178 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 1 + Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.54 $438.72 $493.99 $690.35 $1,049.06 |
$682.24 $734.42 $789.69 $986.05 |
$977.94 $1,030.12 $1,085.39 $1,281.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.08 $877.44 $987.98 $1,380.70 $2,098.12 |
$1,068.78 $1,173.14 $1,283.68 $1,676.40 |
$1,364.48 $1,468.84 $1,579.38 $1,972.10 |
Toc - Plan #179 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Constant Care Silver 9 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-560-5716
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$372.59 $422.88 $476.16 $665.44 $1,011.20 |
$657.62 $707.91 $761.19 $950.47 |
$942.65 $992.94 $1,046.22 $1,235.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$745.18 $845.76 $952.32 $1,330.88 $2,022.40 |
$1,030.21 $1,130.79 $1,237.35 $1,615.91 |
$1,315.24 $1,415.82 $1,522.38 $1,900.94 |
ADVERTISEMENT
AmeriHealth Caritas NextLocal: 1-833-999-3567 | Toll Free: 1-833-999-3567 |
Toc - Plan #180 AmeriHealth Caritas Next | ||||||||||||||||||||
Bronze
(HMO) AmeriHealth Caritas Next Bronze + Free Telemedicine + Free Preventive Care + Healthy Rewards |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-999-3567
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.15 $298.68 $336.31 $469.98 $714.18 |
$464.46 $499.99 $537.62 $671.29 |
$665.77 $701.30 $738.93 $872.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526.30 $597.36 $672.62 $939.96 $1,428.36 |
$727.61 $798.67 $873.93 $1,141.27 |
$928.92 $999.98 $1,075.24 $1,342.58 |
Toc - Plan #181 AmeriHealth Caritas Next | ||||||||||||||||||||
Expanded Bronze
(HMO) AmeriHealth Caritas Next Expanded Bronze + Free Telemedicine + Free Preventive Care + Healthy Rewards |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-999-3567
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.16 $329.34 $370.83 $518.23 $787.50 |
$512.14 $551.32 $592.81 $740.21 |
$734.12 $773.30 $814.79 $962.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.32 $658.68 $741.66 $1,036.46 $1,575.00 |
$802.30 $880.66 $963.64 $1,258.44 |
$1,024.28 $1,102.64 $1,185.62 $1,480.42 |
Toc - Plan #182 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AmeriHealth Caritas Next Silver + Free Telemedicine + Free Preventive Care + Healthy Rewards |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-999-3567
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.30 $427.11 $480.92 $672.08 $1,021.28 |
$664.17 $714.98 $768.79 $959.95 |
$952.04 $1,002.85 $1,056.66 $1,247.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.60 $854.22 $961.84 $1,344.16 $2,042.56 |
$1,040.47 $1,142.09 $1,249.71 $1,632.03 |
$1,328.34 $1,429.96 $1,537.58 $1,919.90 |
Toc - Plan #183 AmeriHealth Caritas Next | ||||||||||||||||||||
Gold
(HMO) AmeriHealth Caritas Next Gold + Free Telemedicine + Free Preventive Care + Healthy Rewards |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-999-3567
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.02 $463.10 $521.44 $728.71 $1,107.34 |
$720.15 $775.23 $833.57 $1,040.84 |
$1,032.28 $1,087.36 $1,145.70 $1,352.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.04 $926.20 $1,042.88 $1,457.42 $2,214.68 |
$1,128.17 $1,238.33 $1,355.01 $1,769.55 |
$1,440.30 $1,550.46 $1,667.14 $2,081.68 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #184 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,150 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$444.78 $504.83 $568.43 $794.38 $1,207.14 |
$785.04 $845.09 $908.69 $1,134.64 |
$1,125.30 $1,185.35 $1,248.95 $1,474.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$889.56 $1,009.66 $1,136.86 $1,588.76 $2,414.28 |
$1,229.82 $1,349.92 $1,477.12 $1,929.02 |
$1,570.08 $1,690.18 $1,817.38 $2,269.28 |
Toc - Plan #185 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,200 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.71 $503.61 $567.07 $792.47 $1,204.24 |
$783.15 $843.05 $906.51 $1,131.91 |
$1,122.59 $1,182.49 $1,245.95 $1,471.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.42 $1,007.22 $1,134.14 $1,584.94 $2,408.48 |
$1,226.86 $1,346.66 $1,473.58 $1,924.38 |
$1,566.30 $1,686.10 $1,813.02 $2,263.82 |
Toc - Plan #186 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $4,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.09 $450.69 $507.48 $709.20 $1,077.70 |
$700.86 $754.46 $811.25 $1,012.97 |
$1,004.63 $1,058.23 $1,115.02 $1,316.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.18 $901.38 $1,014.96 $1,418.40 $2,155.40 |
$1,097.95 $1,205.15 $1,318.73 $1,722.17 |
$1,401.72 $1,508.92 $1,622.50 $2,025.94 |
Toc - Plan #187 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,800 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.38 $437.41 $492.52 $688.29 $1,045.92 |
$680.20 $732.23 $787.34 $983.11 |
$975.02 $1,027.05 $1,082.16 $1,277.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.76 $874.82 $985.04 $1,376.58 $2,091.84 |
$1,065.58 $1,169.64 $1,279.86 $1,671.40 |
$1,360.40 $1,464.46 $1,574.68 $1,966.22 |
Toc - Plan #188 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,400 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.98 $449.44 $506.06 $707.22 $1,074.69 |
$698.91 $752.37 $808.99 $1,010.15 |
$1,001.84 $1,055.30 $1,111.92 $1,313.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.96 $898.88 $1,012.12 $1,414.44 $2,149.38 |
$1,094.89 $1,201.81 $1,315.05 $1,717.37 |
$1,397.82 $1,504.74 $1,617.98 $2,020.30 |
Toc - Plan #189 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.80 $449.23 $505.83 $706.90 $1,074.20 |
$698.59 $752.02 $808.62 $1,009.69 |
$1,001.38 $1,054.81 $1,111.41 $1,312.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.60 $898.46 $1,011.66 $1,413.80 $2,148.40 |
$1,094.39 $1,201.25 $1,314.45 $1,716.59 |
$1,397.18 $1,504.04 $1,617.24 $2,019.38 |
Toc - Plan #190 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First $3,400 Indiv Ded ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.91 $438.00 $493.19 $689.23 $1,047.35 |
$681.13 $733.22 $788.41 $984.45 |
$976.35 $1,028.44 $1,083.63 $1,279.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.82 $876.00 $986.38 $1,378.46 $2,094.70 |
$1,067.04 $1,171.22 $1,281.60 $1,673.68 |
$1,362.26 $1,466.44 $1,576.82 $1,968.90 |
Toc - Plan #191 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $9,100 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.07 $350.79 $394.99 $552.00 $838.81 |
$545.51 $587.23 $631.43 $788.44 |
$781.95 $823.67 $867.87 $1,024.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.14 $701.58 $789.98 $1,104.00 $1,677.62 |
$854.58 $938.02 $1,026.42 $1,340.44 |
$1,091.02 $1,174.46 $1,262.86 $1,576.88 |
Toc - Plan #192 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.96 $359.75 $405.08 $566.10 $860.24 |
$559.44 $602.23 $647.56 $808.58 |
$801.92 $844.71 $890.04 $1,051.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.92 $719.50 $810.16 $1,132.20 $1,720.48 |
$876.40 $961.98 $1,052.64 $1,374.68 |
$1,118.88 $1,204.46 $1,295.12 $1,617.16 |
Toc - Plan #193 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First ($0 App-based Care, $3 Generic Rx Pref Pharm) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.43 $350.07 $394.17 $550.86 $837.08 |
$544.38 $586.02 $630.12 $786.81 |
$780.33 $821.97 $866.07 $1,022.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.86 $700.14 $788.34 $1,101.72 $1,674.16 |
$852.81 $936.09 $1,024.29 $1,337.67 |
$1,088.76 $1,172.04 $1,260.24 $1,573.62 |
Toc - Plan #194 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$472.84 $536.67 $604.29 $844.49 $1,283.28 |
$834.56 $898.39 $966.01 $1,206.21 |
$1,196.28 $1,260.11 $1,327.73 $1,567.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$945.68 $1,073.34 $1,208.58 $1,688.98 $2,566.56 |
$1,307.40 $1,435.06 $1,570.30 $2,050.70 |
$1,669.12 $1,796.78 $1,932.02 $2,412.42 |
Toc - Plan #195 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.13 $537.01 $604.66 $845.01 $1,284.08 |
$835.08 $898.96 $966.61 $1,206.96 |
$1,197.03 $1,260.91 $1,328.56 $1,568.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$946.26 $1,074.02 $1,209.32 $1,690.02 $2,568.16 |
$1,308.21 $1,435.97 $1,571.27 $2,051.97 |
$1,670.16 $1,797.92 $1,933.22 $2,413.92 |
Toc - Plan #196 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.12 $513.16 $577.81 $807.49 $1,227.06 |
$797.99 $859.03 $923.68 $1,153.36 |
$1,143.86 $1,204.90 $1,269.55 $1,499.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.24 $1,026.32 $1,155.62 $1,614.98 $2,454.12 |
$1,250.11 $1,372.19 $1,501.49 $1,960.85 |
$1,595.98 $1,718.06 $1,847.36 $2,306.72 |
Toc - Plan #197 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.45 $451.11 $507.94 $709.85 $1,078.68 |
$701.50 $755.16 $811.99 $1,013.90 |
$1,005.55 $1,059.21 $1,116.04 $1,317.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$794.90 $902.22 $1,015.88 $1,419.70 $2,157.36 |
$1,098.95 $1,206.27 $1,319.93 $1,723.75 |
$1,403.00 $1,510.32 $1,623.98 $2,027.80 |
Toc - Plan #198 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage $0 Medical Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.08 $471.11 $530.47 $741.33 $1,126.52 |
$732.61 $788.64 $848.00 $1,058.86 |
$1,050.14 $1,106.17 $1,165.53 $1,376.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$830.16 $942.22 $1,060.94 $1,482.66 $2,253.04 |
$1,147.69 $1,259.75 $1,378.47 $1,800.19 |
$1,465.22 $1,577.28 $1,696.00 $2,117.72 |
Toc - Plan #199 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Generic Rx Pref Pharm, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$417.04 $473.34 $532.98 $744.83 $1,131.85 |
$736.08 $792.38 $852.02 $1,063.87 |
$1,055.12 $1,111.42 $1,171.06 $1,382.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$834.08 $946.68 $1,065.96 $1,489.66 $2,263.70 |
$1,153.12 $1,265.72 $1,385.00 $1,808.70 |
$1,472.16 $1,584.76 $1,704.04 $2,127.74 |
Toc - Plan #200 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.78 $451.48 $508.37 $710.44 $1,079.58 |
$702.08 $755.78 $812.67 $1,014.74 |
$1,006.38 $1,060.08 $1,116.97 $1,319.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.56 $902.96 $1,016.74 $1,420.88 $2,159.16 |
$1,099.86 $1,207.26 $1,321.04 $1,725.18 |
$1,404.16 $1,511.56 $1,625.34 $2,029.48 |
Toc - Plan #201 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential $6,350 Indiv Ded ($3 Generic Rx Pref Pharm) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.67 $349.20 $393.20 $549.50 $835.01 |
$543.04 $584.57 $628.57 $784.87 |
$778.41 $819.94 $863.94 $1,020.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$615.34 $698.40 $786.40 $1,099.00 $1,670.02 |
$850.71 $933.77 $1,021.77 $1,334.37 |
$1,086.08 $1,169.14 $1,257.14 $1,569.74 |
Toc - Plan #202 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.84 $361.88 $407.48 $569.45 $865.33 |
$562.75 $605.79 $651.39 $813.36 |
$806.66 $849.70 $895.30 $1,057.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.68 $723.76 $814.96 $1,138.90 $1,730.66 |
$881.59 $967.67 $1,058.87 $1,382.81 |
$1,125.50 $1,211.58 $1,302.78 $1,626.72 |
Toc - Plan #203 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Indiv Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.38 $342.06 $385.16 $538.26 $817.94 |
$531.93 $572.61 $615.71 $768.81 |
$762.48 $803.16 $846.26 $999.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.76 $684.12 $770.32 $1,076.52 $1,635.88 |
$833.31 $914.67 $1,000.87 $1,307.07 |
$1,063.86 $1,145.22 $1,231.42 $1,537.62 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #204 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite SELECT Bronze with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.61 $417.22 $469.79 $656.53 $997.66 |
$648.82 $698.43 $751.00 $937.74 |
$930.03 $979.64 $1,032.21 $1,218.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.22 $834.44 $939.58 $1,313.06 $1,995.32 |
$1,016.43 $1,115.65 $1,220.79 $1,594.27 |
$1,297.64 $1,396.86 $1,502.00 $1,875.48 |
Toc - Plan #205 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Complete SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.98 $464.18 $522.67 $730.43 $1,109.95 |
$721.84 $777.04 $835.53 $1,043.29 |
$1,034.70 $1,089.90 $1,148.39 $1,356.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.96 $928.36 $1,045.34 $1,460.86 $2,219.90 |
$1,130.82 $1,241.22 $1,358.20 $1,773.72 |
$1,443.68 $1,554.08 $1,671.06 $2,086.58 |
Toc - Plan #206 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Clear SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.52 $453.44 $510.57 $713.52 $1,084.26 |
$705.14 $759.06 $816.19 $1,019.14 |
$1,010.76 $1,064.68 $1,121.81 $1,324.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.04 $906.88 $1,021.14 $1,427.04 $2,168.52 |
$1,104.66 $1,212.50 $1,326.76 $1,732.66 |
$1,410.28 $1,518.12 $1,632.38 $2,038.28 |
Toc - Plan #207 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Focused SELECT Silver with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.90 $457.28 $514.89 $719.56 $1,093.44 |
$711.11 $765.49 $823.10 $1,027.77 |
$1,019.32 $1,073.70 $1,131.31 $1,335.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.80 $914.56 $1,029.78 $1,439.12 $2,186.88 |
$1,114.01 $1,222.77 $1,337.99 $1,747.33 |
$1,422.22 $1,530.98 $1,646.20 $2,055.54 |
Toc - Plan #208 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Complete SELECT Gold with Select Providers |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.08 $454.08 $511.29 $714.52 $1,085.79 |
$706.13 $760.13 $817.34 $1,020.57 |
$1,012.18 $1,066.18 $1,123.39 $1,326.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.16 $908.16 $1,022.58 $1,429.04 $2,171.58 |
$1,106.21 $1,214.21 $1,328.63 $1,735.09 |
$1,412.26 $1,520.26 $1,634.68 $2,041.14 |
Toc - Plan #209 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.75 $357.23 $402.23 $562.12 $854.20 |
$555.52 $598.00 $643.00 $802.89 |
$796.29 $838.77 $883.77 $1,043.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.50 $714.46 $804.46 $1,124.24 $1,708.40 |
$870.27 $955.23 $1,045.23 $1,365.01 |
$1,111.04 $1,196.00 $1,286.00 $1,605.78 |
Toc - Plan #210 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.27 $453.16 $510.26 $713.08 $1,083.60 |
$704.71 $758.60 $815.70 $1,018.52 |
$1,010.15 $1,064.04 $1,121.14 $1,323.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.54 $906.32 $1,020.52 $1,426.16 $2,167.20 |
$1,103.98 $1,211.76 $1,325.96 $1,731.60 |
$1,409.42 $1,517.20 $1,631.40 $2,037.04 |
Toc - Plan #211 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold SELECT |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.89 $424.36 $477.82 $667.75 $1,014.71 |
$659.91 $710.38 $763.84 $953.77 |
$945.93 $996.40 $1,049.86 $1,239.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.78 $848.72 $955.64 $1,335.50 $2,029.42 |
$1,033.80 $1,134.74 $1,241.66 $1,621.52 |
$1,319.82 $1,420.76 $1,527.68 $1,907.54 |
Toc - Plan #212 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite VALUE Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.37 $398.79 $449.04 $627.53 $953.59 |
$620.16 $667.58 $717.83 $896.32 |
$888.95 $936.37 $986.62 $1,165.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$702.74 $797.58 $898.08 $1,255.06 $1,907.18 |
$971.53 $1,066.37 $1,166.87 $1,523.85 |
$1,240.32 $1,335.16 $1,435.66 $1,792.64 |
Toc - Plan #213 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Complete VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.93 $443.70 $499.60 $698.19 $1,060.97 |
$689.99 $742.76 $798.66 $997.25 |
$989.05 $1,041.82 $1,097.72 $1,296.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.86 $887.40 $999.20 $1,396.38 $2,121.94 |
$1,080.92 $1,186.46 $1,298.26 $1,695.44 |
$1,379.98 $1,485.52 $1,597.32 $1,994.50 |
Toc - Plan #214 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Clear VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.87 $433.41 $488.02 $682.00 $1,036.36 |
$673.99 $725.53 $780.14 $974.12 |
$966.11 $1,017.65 $1,072.26 $1,266.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.74 $866.82 $976.04 $1,364.00 $2,072.72 |
$1,055.86 $1,158.94 $1,268.16 $1,656.12 |
$1,347.98 $1,451.06 $1,560.28 $1,948.24 |
Toc - Plan #215 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Focused VALUE Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.13 $437.11 $492.19 $687.83 $1,045.22 |
$679.75 $731.73 $786.81 $982.45 |
$974.37 $1,026.35 $1,081.43 $1,277.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.26 $874.22 $984.38 $1,375.66 $2,090.44 |
$1,064.88 $1,168.84 $1,279.00 $1,670.28 |
$1,359.50 $1,463.46 $1,573.62 $1,964.90 |
Toc - Plan #216 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Complete VALUE Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.43 $434.05 $488.74 $683.01 $1,037.90 |
$674.98 $726.60 $781.29 $975.56 |
$967.53 $1,019.15 $1,073.84 $1,268.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.86 $868.10 $977.48 $1,366.02 $2,075.80 |
$1,057.41 $1,160.65 $1,270.03 $1,658.57 |
$1,349.96 $1,453.20 $1,562.58 $1,951.12 |
Toc - Plan #217 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) CMS Standard Expanded Bronze VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.89 $341.50 $384.52 $537.37 $816.58 |
$531.06 $571.67 $614.69 $767.54 |
$761.23 $801.84 $844.86 $997.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$601.78 $683.00 $769.04 $1,074.74 $1,633.16 |
$831.95 $913.17 $999.21 $1,304.91 |
$1,062.12 $1,143.34 $1,229.38 $1,535.08 |
Toc - Plan #218 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) CMS Standard Silver VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.67 $433.18 $487.76 $681.64 $1,035.82 |
$673.64 $725.15 $779.73 $973.61 |
$965.61 $1,017.12 $1,071.70 $1,265.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.34 $866.36 $975.52 $1,363.28 $2,071.64 |
$1,055.31 $1,158.33 $1,267.49 $1,655.25 |
$1,347.28 $1,450.30 $1,559.46 $1,947.22 |
Toc - Plan #219 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) CMS Standard Gold VALUE |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.41 $405.65 $456.76 $638.32 $969.99 |
$630.82 $679.06 $730.17 $911.73 |
$904.23 $952.47 $1,003.58 $1,185.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.82 $811.30 $913.52 $1,276.64 $1,939.98 |
$988.23 $1,084.71 $1,186.93 $1,550.05 |
$1,261.64 $1,358.12 $1,460.34 $1,823.46 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-195-485-8300 | Toll Free: 1-888-275-2700 |
Toc - Plan #220 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.97 $509.58 $573.78 $801.85 $1,218.50 |
$792.43 $853.04 $917.24 $1,145.31 |
$1,135.89 $1,196.50 $1,260.70 $1,488.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.94 $1,019.16 $1,147.56 $1,603.70 $2,437.00 |
$1,241.40 $1,362.62 $1,491.02 $1,947.16 |
$1,584.86 $1,706.08 $1,834.48 $2,290.62 |
Toc - Plan #221 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.70 $451.39 $508.26 $710.29 $1,079.36 |
$701.94 $755.63 $812.50 $1,014.53 |
$1,006.18 $1,059.87 $1,116.74 $1,318.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.40 $902.78 $1,016.52 $1,420.58 $2,158.72 |
$1,099.64 $1,207.02 $1,320.76 $1,724.82 |
$1,403.88 $1,511.26 $1,625.00 $2,029.06 |
Toc - Plan #222 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 1: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.91 $448.22 $504.69 $705.31 $1,071.78 |
$697.02 $750.33 $806.80 $1,007.42 |
$999.13 $1,052.44 $1,108.91 $1,309.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.82 $896.44 $1,009.38 $1,410.62 $2,143.56 |
$1,091.93 $1,198.55 $1,311.49 $1,712.73 |
$1,394.04 $1,500.66 $1,613.60 $2,014.84 |
Toc - Plan #223 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.12 $479.10 $539.46 $753.90 $1,145.62 |
$745.04 $802.02 $862.38 $1,076.82 |
$1,067.96 $1,124.94 $1,185.30 $1,399.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.24 $958.20 $1,078.92 $1,507.80 $2,291.24 |
$1,167.16 $1,281.12 $1,401.84 $1,830.72 |
$1,490.08 $1,604.04 $1,724.76 $2,153.64 |
Toc - Plan #224 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.28 $343.09 $386.32 $539.87 $820.39 |
$533.53 $574.34 $617.57 $771.12 |
$764.78 $805.59 $848.82 $1,002.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.56 $686.18 $772.64 $1,079.74 $1,640.78 |
$835.81 $917.43 $1,003.89 $1,310.99 |
$1,067.06 $1,148.68 $1,235.14 $1,542.24 |
Toc - Plan #225 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.35 $418.07 $470.75 $657.86 $999.69 |
$650.13 $699.85 $752.53 $939.64 |
$931.91 $981.63 $1,034.31 $1,221.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.70 $836.14 $941.50 $1,315.72 $1,999.38 |
$1,018.48 $1,117.92 $1,223.28 $1,597.50 |
$1,300.26 $1,399.70 $1,505.06 $1,879.28 |
Toc - Plan #226 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 3: Aetna network of doctors & hospitals + $0 walk-in & telemedicine via MinuteClinic at CVS |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-275-2700
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.21 $434.94 $489.74 $684.41 $1,040.02 |
$676.36 $728.09 $782.89 $977.56 |
$969.51 $1,021.24 $1,076.04 $1,270.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$766.42 $869.88 $979.48 $1,368.82 $2,080.04 |
$1,059.57 $1,163.03 $1,272.63 $1,661.97 |
$1,352.72 $1,456.18 $1,565.78 $1,955.12 |
‡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 Miami-Dade County here.
Miami-Dade County is in “Rating Area 43” of Florida.
Currently, there are 226 plans offered in Rating Area 43.