Obamacare 2024 Rates for Lauderdale County, Tennessee
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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Ripley, TN.
The health insurance rates listed below are for calendar year 2024.
For information on subsidies to make your coverage affordable, you must take one of the following actions:
- Contact a licensed health insurance agent
- Complete an application at Healthcare.gov
- Contact the provider directly
Obamacare Providers, 83 Plans and 2024 Rates for Lauderdale County, Tennessee
Below, you’ll find a summary of the 83 plans for Lauderdale County, Tennessee and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
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BlueCross BlueShield of TennesseeLocal: 1-423-535-5600 | Toll Free: 1-800-565-9140 |
Toc - Plan #1 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Bronze
(EPO) BlueCross B08S $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$342.57 $388.82 $437.80 $611.83 $929.73 |
$604.64 $650.89 $699.87 $873.90 |
$866.71 $912.96 $961.94 $1,135.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$685.14 $777.64 $875.60 $1,223.66 $1,859.46 |
$947.21 $1,039.71 $1,137.67 $1,485.73 |
$1,209.28 $1,301.78 $1,399.74 $1,747.80 |
Toc - Plan #2 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$311.51 $353.56 $398.11 $556.36 $845.44 |
$549.82 $591.87 $636.42 $794.67 |
$788.13 $830.18 $874.73 $1,032.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.02 $707.12 $796.22 $1,112.72 $1,690.88 |
$861.33 $945.43 $1,034.53 $1,351.03 |
$1,099.64 $1,183.74 $1,272.84 $1,589.34 |
Toc - Plan #3 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCross B11E $25 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$306.51 $347.89 $391.72 $547.43 $831.87 |
$540.99 $582.37 $626.20 $781.91 |
$775.47 $816.85 $860.68 $1,016.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$613.02 $695.78 $783.44 $1,094.86 $1,663.74 |
$847.50 $930.26 $1,017.92 $1,329.34 |
$1,081.98 $1,164.74 $1,252.40 $1,563.82 |
Toc - Plan #4 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S04E $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$395.75 $449.18 $505.77 $706.81 $1,074.07 |
$698.50 $751.93 $808.52 $1,009.56 |
$1,001.25 $1,054.68 $1,111.27 $1,312.31 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$791.50 $898.36 $1,011.54 $1,413.62 $2,148.14 |
$1,094.25 $1,201.11 $1,314.29 $1,716.37 |
$1,397.00 $1,503.86 $1,617.04 $2,019.12 |
Toc - Plan #5 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S24E $35 PCP Copay + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$363.22 $412.25 $464.20 $648.71 $985.78 |
$641.08 $690.11 $742.06 $926.57 |
$918.94 $967.97 $1,019.92 $1,204.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$726.44 $824.50 $928.40 $1,297.42 $1,971.56 |
$1,004.30 $1,102.36 $1,206.26 $1,575.28 |
$1,282.16 $1,380.22 $1,484.12 $1,853.14 |
Toc - Plan #6 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G06S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$610.40 $692.80 $780.09 $1,090.17 $1,656.63 |
$1,077.36 $1,159.76 $1,247.05 $1,557.13 |
$1,544.32 $1,626.72 $1,714.01 $2,024.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,220.80 $1,385.60 $1,560.18 $2,180.34 $3,313.26 |
$1,687.76 $1,852.56 $2,027.14 $2,647.30 |
$2,154.72 $2,319.52 $2,494.10 $3,114.26 |
Toc - Plan #7 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G07S $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$575.09 $652.73 $734.97 $1,027.11 $1,560.79 |
$1,015.03 $1,092.67 $1,174.91 $1,467.05 |
$1,454.97 $1,532.61 $1,614.85 $1,906.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,150.18 $1,305.46 $1,469.94 $2,054.22 $3,121.58 |
$1,590.12 $1,745.40 $1,909.88 $2,494.16 |
$2,030.06 $2,185.34 $2,349.82 $2,934.10 |
Toc - Plan #8 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G06E $35 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$516.05 $585.72 $659.51 $921.67 $1,400.56 |
$910.83 $980.50 $1,054.29 $1,316.45 |
$1,305.61 $1,375.28 $1,449.07 $1,711.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,032.10 $1,171.44 $1,319.02 $1,843.34 $2,801.12 |
$1,426.88 $1,566.22 $1,713.80 $2,238.12 |
$1,821.66 $1,961.00 $2,108.58 $2,632.90 |
Toc - Plan #9 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G07E $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$477.85 $542.36 $610.69 $853.44 $1,296.88 |
$843.41 $907.92 $976.25 $1,219.00 |
$1,208.97 $1,273.48 $1,341.81 $1,584.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$955.70 $1,084.72 $1,221.38 $1,706.88 $2,593.76 |
$1,321.26 $1,450.28 $1,586.94 $2,072.44 |
$1,686.82 $1,815.84 $1,952.50 $2,438.00 |
Toc - Plan #10 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G08S $30 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$620.52 $704.29 $793.02 $1,108.25 $1,684.09 |
$1,095.22 $1,178.99 $1,267.72 $1,582.95 |
$1,569.92 $1,653.69 $1,742.42 $2,057.65 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,241.04 $1,408.58 $1,586.04 $2,216.50 $3,368.18 |
$1,715.74 $1,883.28 $2,060.74 $2,691.20 |
$2,190.44 $2,357.98 $2,535.44 $3,165.90 |
Toc - Plan #11 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Gold
(EPO) BlueCross G08E $30 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$524.60 $595.42 $670.44 $936.94 $1,423.76 |
$925.92 $996.74 $1,071.76 $1,338.26 |
$1,327.24 $1,398.06 $1,473.08 $1,739.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,049.20 $1,190.84 $1,340.88 $1,873.88 $2,847.52 |
$1,450.52 $1,592.16 $1,742.20 $2,275.20 |
$1,851.84 $1,993.48 $2,143.52 $2,676.52 |
Toc - Plan #12 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Bronze
(EPO) BlueCross B15E $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$279.92 $317.71 $357.74 $499.94 $759.70 |
$494.06 $531.85 $571.88 $714.08 |
$708.20 $745.99 $786.02 $928.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.84 $635.42 $715.48 $999.88 $1,519.40 |
$773.98 $849.56 $929.62 $1,214.02 |
$988.12 $1,063.70 $1,143.76 $1,428.16 |
Toc - Plan #13 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$360.60 $409.28 $460.85 $644.03 $978.67 |
$636.46 $685.14 $736.71 $919.89 |
$912.32 $961.00 $1,012.57 $1,195.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.20 $818.56 $921.70 $1,288.06 $1,957.34 |
$997.06 $1,094.42 $1,197.56 $1,563.92 |
$1,272.92 $1,370.28 $1,473.42 $1,839.78 |
Toc - Plan #14 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueCross B16E $50 PCP Copay + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$304.86 $346.02 $389.61 $544.48 $827.39 |
$538.08 $579.24 $622.83 $777.70 |
$771.30 $812.46 $856.05 $1,010.92 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$609.72 $692.04 $779.22 $1,088.96 $1,654.78 |
$842.94 $925.26 $1,012.44 $1,322.18 |
$1,076.16 $1,158.48 $1,245.66 $1,555.40 |
Toc - Plan #15 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S25E $55 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$364.83 $414.08 $466.25 $651.59 $990.15 |
$643.92 $693.17 $745.34 $930.68 |
$923.01 $972.26 $1,024.43 $1,209.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$729.66 $828.16 $932.50 $1,303.18 $1,980.30 |
$1,008.75 $1,107.25 $1,211.59 $1,582.27 |
$1,287.84 $1,386.34 $1,490.68 $1,861.36 |
Toc - Plan #16 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S26S $40 PCP Copay + $0 Virtual Care for Medical & Mental Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$429.70 $487.71 $549.16 $767.44 $1,166.21 |
$758.42 $816.43 $877.88 $1,096.16 |
$1,087.14 $1,145.15 $1,206.60 $1,424.88 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.40 $975.42 $1,098.32 $1,534.88 $2,332.42 |
$1,188.12 $1,304.14 $1,427.04 $1,863.60 |
$1,516.84 $1,632.86 $1,755.76 $2,192.32 |
Toc - Plan #17 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S26E $40 PCP Copay + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$363.28 $412.32 $464.27 $648.82 $985.94 |
$641.19 $690.23 $742.18 $926.73 |
$919.10 $968.14 $1,020.09 $1,204.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.56 $824.64 $928.54 $1,297.64 $1,971.88 |
$1,004.47 $1,102.55 $1,206.45 $1,575.55 |
$1,282.38 $1,380.46 $1,484.36 $1,853.46 |
Toc - Plan #18 BlueCross BlueShield of Tennessee | ||||||||||||||||||||
Silver
(EPO) BlueCross S28E $30 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-565-9140
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 |
$362.47 $411.40 $463.24 $647.37 $983.74 |
$639.76 $688.69 $740.53 $924.66 |
$917.05 $965.98 $1,017.82 $1,201.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.94 $822.80 $926.48 $1,294.74 $1,967.48 |
$1,002.23 $1,100.09 $1,203.77 $1,572.03 |
$1,279.52 $1,377.38 $1,481.06 $1,849.32 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 | TTY: 1-855-672-2755 |
Toc - Plan #19 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.91 $424.38 $477.85 $667.79 $1,014.77 |
$659.95 $710.42 $763.89 $953.83 |
$945.99 $996.46 $1,049.93 $1,239.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.82 $848.76 $955.70 $1,335.58 $2,029.54 |
$1,033.86 $1,134.80 $1,241.74 $1,621.62 |
$1,319.90 $1,420.84 $1,527.78 $1,907.66 |
Toc - Plan #20 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
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 |
$395.51 $448.89 $505.45 $706.37 $1,073.39 |
$698.07 $751.45 $808.01 $1,008.93 |
$1,000.63 $1,054.01 $1,110.57 $1,311.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.02 $897.78 $1,010.90 $1,412.74 $2,146.78 |
$1,093.58 $1,200.34 $1,313.46 $1,715.30 |
$1,396.14 $1,502.90 $1,616.02 $2,017.86 |
Toc - Plan #21 Oscar Insurance Company | ||||||||||||||||||||
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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$241.72 $274.34 $308.90 $431.69 $655.99 |
$426.62 $459.24 $493.80 $616.59 |
$611.52 $644.14 $678.70 $801.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483.44 $548.68 $617.80 $863.38 $1,311.98 |
$668.34 $733.58 $802.70 $1,048.28 |
$853.24 $918.48 $987.60 $1,233.18 |
Toc - Plan #22 Oscar Insurance Company | ||||||||||||||||||||
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 |
$479.35 $544.05 $612.59 $856.10 $1,300.92 |
$846.04 $910.74 $979.28 $1,222.79 |
$1,212.73 $1,277.43 $1,345.97 $1,589.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$958.70 $1,088.10 $1,225.18 $1,712.20 $2,601.84 |
$1,325.39 $1,454.79 $1,591.87 $2,078.89 |
$1,692.08 $1,821.48 $1,958.56 $2,445.58 |
Toc - Plan #23 Oscar Insurance Company | ||||||||||||||||||||
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 |
$339.31 $385.10 $433.62 $605.98 $920.85 |
$598.87 $644.66 $693.18 $865.54 |
$858.43 $904.22 $952.74 $1,125.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.62 $770.20 $867.24 $1,211.96 $1,841.70 |
$938.18 $1,029.76 $1,126.80 $1,471.52 |
$1,197.74 $1,289.32 $1,386.36 $1,731.08 |
Toc - Plan #24 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 |
||||||||||||||||||||
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 |
$345.76 $392.42 $441.86 $617.50 $938.36 |
$610.26 $656.92 $706.36 $882.00 |
$874.76 $921.42 $970.86 $1,146.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.52 $784.84 $883.72 $1,235.00 $1,876.72 |
$956.02 $1,049.34 $1,148.22 $1,499.50 |
$1,220.52 $1,313.84 $1,412.72 $1,764.00 |
Toc - Plan #25 Oscar Insurance Company | ||||||||||||||||||||
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 |
$389.01 $441.52 $497.14 $694.76 $1,055.75 |
$686.60 $739.11 $794.73 $992.35 |
$984.19 $1,036.70 $1,092.32 $1,289.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$778.02 $883.04 $994.28 $1,389.52 $2,111.50 |
$1,075.61 $1,180.63 $1,291.87 $1,687.11 |
$1,373.20 $1,478.22 $1,589.46 $1,984.70 |
Toc - Plan #26 Oscar Insurance Company | ||||||||||||||||||||
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 |
$487.69 $553.52 $623.26 $871.01 $1,323.58 |
$860.77 $926.60 $996.34 $1,244.09 |
$1,233.85 $1,299.68 $1,369.42 $1,617.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$975.38 $1,107.04 $1,246.52 $1,742.02 $2,647.16 |
$1,348.46 $1,480.12 $1,619.60 $2,115.10 |
$1,721.54 $1,853.20 $1,992.68 $2,488.18 |
Toc - Plan #27 Oscar Insurance Company | ||||||||||||||||||||
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 |
$332.82 $377.74 $425.33 $594.40 $903.25 |
$587.42 $632.34 $679.93 $849.00 |
$842.02 $886.94 $934.53 $1,103.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.64 $755.48 $850.66 $1,188.80 $1,806.50 |
$920.24 $1,010.08 $1,105.26 $1,443.40 |
$1,174.84 $1,264.68 $1,359.86 $1,698.00 |
Toc - Plan #28 Oscar Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Bronze Simple 2 |
||||||||||||||||||||
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 |
$292.84 $332.37 $374.24 $523.00 $794.75 |
$516.86 $556.39 $598.26 $747.02 |
$740.88 $780.41 $822.28 $971.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.68 $664.74 $748.48 $1,046.00 $1,589.50 |
$809.70 $888.76 $972.50 $1,270.02 |
$1,033.72 $1,112.78 $1,196.52 $1,494.04 |
Toc - Plan #29 Oscar Insurance Company | ||||||||||||||||||||
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 |
$384.84 $436.78 $491.81 $687.30 $1,044.42 |
$679.23 $731.17 $786.20 $981.69 |
$973.62 $1,025.56 $1,080.59 $1,276.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.68 $873.56 $983.62 $1,374.60 $2,088.84 |
$1,064.07 $1,167.95 $1,278.01 $1,668.99 |
$1,358.46 $1,462.34 $1,572.40 $1,963.38 |
Toc - Plan #30 Oscar Insurance Company | ||||||||||||||||||||
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 |
$451.38 $512.31 $576.86 $806.16 $1,225.03 |
$796.68 $857.61 $922.16 $1,151.46 |
$1,141.98 $1,202.91 $1,267.46 $1,496.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$902.76 $1,024.62 $1,153.72 $1,612.32 $2,450.06 |
$1,248.06 $1,369.92 $1,499.02 $1,957.62 |
$1,593.36 $1,715.22 $1,844.32 $2,302.92 |
Toc - Plan #31 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple 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 |
$396.75 $450.30 $507.04 $708.58 $1,076.76 |
$700.26 $753.81 $810.55 $1,012.09 |
$1,003.77 $1,057.32 $1,114.06 $1,315.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.50 $900.60 $1,014.08 $1,417.16 $2,153.52 |
$1,097.01 $1,204.11 $1,317.59 $1,720.67 |
$1,400.52 $1,507.62 $1,621.10 $2,024.18 |
Toc - Plan #32 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple Breathe Easy with Enhanced COPD Benefits |
||||||||||||||||||||
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 |
$396.43 $449.94 $506.63 $708.01 $1,075.89 |
$699.69 $753.20 $809.89 $1,011.27 |
$1,002.95 $1,056.46 $1,113.15 $1,314.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.86 $899.88 $1,013.26 $1,416.02 $2,151.78 |
$1,096.12 $1,203.14 $1,316.52 $1,719.28 |
$1,399.38 $1,506.40 $1,619.78 $2,022.54 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-250-8188 | Toll Free: 1-877-250-8188 | TTY: 1-877-250-8188 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value (Virtual Urgent Care + PCP Visits, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.61 $509.17 $573.32 $801.21 $1,217.52 |
$791.80 $852.36 $916.51 $1,144.40 |
$1,134.99 $1,195.55 $1,259.70 $1,487.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.22 $1,018.34 $1,146.64 $1,602.42 $2,435.04 |
$1,240.41 $1,361.53 $1,489.83 $1,945.61 |
$1,583.60 $1,704.72 $1,833.02 $2,288.80 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value (Virtual Urgent Care + PCP Visits, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.08 $393.93 $443.57 $619.88 $941.97 |
$612.60 $659.45 $709.09 $885.40 |
$878.12 $924.97 $974.61 $1,150.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.16 $787.86 $887.14 $1,239.76 $1,883.94 |
$959.68 $1,053.38 $1,152.66 $1,505.28 |
$1,225.20 $1,318.90 $1,418.18 $1,770.80 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$641.08 $727.62 $819.30 $1,144.96 $1,739.88 |
$1,131.51 $1,218.05 $1,309.73 $1,635.39 |
$1,621.94 $1,708.48 $1,800.16 $2,125.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,282.16 $1,455.24 $1,638.60 $2,289.92 $3,479.76 |
$1,772.59 $1,945.67 $2,129.03 $2,780.35 |
$2,263.02 $2,436.10 $2,619.46 $3,270.78 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Copay Focus (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.65 $518.29 $583.59 $815.57 $1,239.33 |
$805.99 $867.63 $932.93 $1,164.91 |
$1,155.33 $1,216.97 $1,282.27 $1,514.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$913.30 $1,036.58 $1,167.18 $1,631.14 $2,478.66 |
$1,262.64 $1,385.92 $1,516.52 $1,980.48 |
$1,611.98 $1,735.26 $1,865.86 $2,329.82 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.28 $516.74 $581.85 $813.13 $1,235.63 |
$803.57 $865.03 $930.14 $1,161.42 |
$1,151.86 $1,213.32 $1,278.43 $1,509.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$910.56 $1,033.48 $1,163.70 $1,626.26 $2,471.26 |
$1,258.85 $1,381.77 $1,511.99 $1,974.55 |
$1,607.14 $1,730.06 $1,860.28 $2,322.84 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value HSA (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.61 $401.35 $451.91 $631.54 $959.69 |
$624.12 $671.86 $722.42 $902.05 |
$894.63 $942.37 $992.93 $1,172.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.22 $802.70 $903.82 $1,263.08 $1,919.38 |
$977.73 $1,073.21 $1,174.33 $1,533.59 |
$1,248.24 $1,343.72 $1,444.84 $1,804.10 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.17 $403.12 $453.91 $634.33 $963.93 |
$626.88 $674.83 $725.62 $906.04 |
$898.59 $946.54 $997.33 $1,177.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.34 $806.24 $907.82 $1,268.66 $1,927.86 |
$982.05 $1,077.95 $1,179.53 $1,540.37 |
$1,253.76 $1,349.66 $1,451.24 $1,812.08 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Essential (Virtual Urgent Care, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.04 $382.54 $430.74 $601.95 $914.72 |
$594.88 $640.38 $688.58 $859.79 |
$852.72 $898.22 $946.42 $1,117.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.08 $765.08 $861.48 $1,203.90 $1,829.44 |
$931.92 $1,022.92 $1,119.32 $1,461.74 |
$1,189.76 $1,280.76 $1,377.16 $1,719.58 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.08 $406.43 $457.63 $639.53 $971.83 |
$632.02 $680.37 $731.57 $913.47 |
$905.96 $954.31 $1,005.51 $1,187.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.16 $812.86 $915.26 $1,279.06 $1,943.66 |
$990.10 $1,086.80 $1,189.20 $1,553.00 |
$1,264.04 $1,360.74 $1,463.14 $1,826.94 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$451.79 $512.78 $577.39 $806.90 $1,226.16 |
$797.41 $858.40 $923.01 $1,152.52 |
$1,143.03 $1,204.02 $1,268.63 $1,498.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$903.58 $1,025.56 $1,154.78 $1,613.80 $2,452.32 |
$1,249.20 $1,371.18 $1,500.40 $1,959.42 |
$1,594.82 $1,716.80 $1,846.02 $2,305.04 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Copay Focus (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$647.06 $734.41 $826.94 $1,155.64 $1,756.11 |
$1,142.06 $1,229.41 $1,321.94 $1,650.64 |
$1,637.06 $1,724.41 $1,816.94 $2,145.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,294.12 $1,468.82 $1,653.88 $2,311.28 $3,512.22 |
$1,789.12 $1,963.82 $2,148.88 $2,806.28 |
$2,284.12 $2,458.82 $2,643.88 $3,301.28 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ (Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.34 $527.02 $593.42 $829.30 $1,260.20 |
$819.56 $882.24 $948.64 $1,184.52 |
$1,174.78 $1,237.46 $1,303.86 $1,539.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.68 $1,054.04 $1,186.84 $1,658.60 $2,520.40 |
$1,283.90 $1,409.26 $1,542.06 $2,013.82 |
$1,639.12 $1,764.48 $1,897.28 $2,369.04 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ (Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-250-8188
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$645.99 $733.20 $825.57 $1,153.73 $1,753.20 |
$1,140.17 $1,227.38 $1,319.75 $1,647.91 |
$1,634.35 $1,721.56 $1,813.93 $2,142.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,291.98 $1,466.40 $1,651.14 $2,307.46 $3,506.40 |
$1,786.16 $1,960.58 $2,145.32 $2,801.64 |
$2,280.34 $2,454.76 $2,639.50 $3,295.82 |
ADVERTISEMENT
Ambetter of TennesseeLocal: 1-833-709-4735 | Toll Free: 1-833-709-4735 |
Toc - Plan #46 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.49 $461.36 $519.48 $725.97 $1,103.19 |
$717.45 $772.32 $830.44 $1,036.93 |
$1,028.41 $1,083.28 $1,141.40 $1,347.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.98 $922.72 $1,038.96 $1,451.94 $2,206.38 |
$1,123.94 $1,233.68 $1,349.92 $1,762.90 |
$1,434.90 $1,544.64 $1,660.88 $2,073.86 |
Toc - Plan #47 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.74 $469.58 $528.75 $738.92 $1,122.86 |
$730.24 $786.08 $845.25 $1,055.42 |
$1,046.74 $1,102.58 $1,161.75 $1,371.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.48 $939.16 $1,057.50 $1,477.84 $2,245.72 |
$1,143.98 $1,255.66 $1,374.00 $1,794.34 |
$1,460.48 $1,572.16 $1,690.50 $2,110.84 |
Toc - Plan #48 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.22 $356.62 $401.55 $561.17 $852.75 |
$554.59 $596.99 $641.92 $801.54 |
$794.96 $837.36 $882.29 $1,041.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$628.44 $713.24 $803.10 $1,122.34 $1,705.50 |
$868.81 $953.61 $1,043.47 $1,362.71 |
$1,109.18 $1,193.98 $1,283.84 $1,603.08 |
Toc - Plan #49 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.57 $456.91 $514.47 $718.98 $1,092.55 |
$710.53 $764.87 $822.43 $1,026.94 |
$1,018.49 $1,072.83 $1,130.39 $1,334.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$805.14 $913.82 $1,028.94 $1,437.96 $2,185.10 |
$1,113.10 $1,221.78 $1,336.90 $1,745.92 |
$1,421.06 $1,529.74 $1,644.86 $2,053.88 |
Toc - Plan #50 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.55 $351.33 $395.60 $552.84 $840.10 |
$546.35 $588.13 $632.40 $789.64 |
$783.15 $824.93 $869.20 $1,026.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.10 $702.66 $791.20 $1,105.68 $1,680.20 |
$855.90 $939.46 $1,028.00 $1,342.48 |
$1,092.70 $1,176.26 $1,264.80 $1,579.28 |
Toc - Plan #51 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.52 $401.23 $451.78 $631.36 $959.41 |
$623.95 $671.66 $722.21 $901.79 |
$894.38 $942.09 $992.64 $1,172.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.04 $802.46 $903.56 $1,262.72 $1,918.82 |
$977.47 $1,072.89 $1,173.99 $1,533.15 |
$1,247.90 $1,343.32 $1,444.42 $1,803.58 |
Toc - Plan #52 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.03 $444.94 $501.00 $700.15 $1,063.95 |
$691.93 $744.84 $800.90 $1,000.05 |
$991.83 $1,044.74 $1,100.80 $1,299.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.06 $889.88 $1,002.00 $1,400.30 $2,127.90 |
$1,083.96 $1,189.78 $1,301.90 $1,700.20 |
$1,383.86 $1,489.68 $1,601.80 $2,000.10 |
Toc - Plan #53 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.63 $453.57 $510.72 $713.73 $1,084.58 |
$705.34 $759.28 $816.43 $1,019.44 |
$1,011.05 $1,064.99 $1,122.14 $1,325.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.26 $907.14 $1,021.44 $1,427.46 $2,169.16 |
$1,104.97 $1,212.85 $1,327.15 $1,733.17 |
$1,410.68 $1,518.56 $1,632.86 $2,038.88 |
Toc - Plan #54 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.87 $449.30 $505.91 $707.01 $1,074.37 |
$698.70 $752.13 $808.74 $1,009.84 |
$1,001.53 $1,054.96 $1,111.57 $1,312.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.74 $898.60 $1,011.82 $1,414.02 $2,148.74 |
$1,094.57 $1,201.43 $1,314.65 $1,716.85 |
$1,397.40 $1,504.26 $1,617.48 $2,019.68 |
Toc - Plan #55 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.20 $514.37 $579.17 $809.39 $1,229.95 |
$799.89 $861.06 $925.86 $1,156.08 |
$1,146.58 $1,207.75 $1,272.55 $1,502.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$906.40 $1,028.74 $1,158.34 $1,618.78 $2,459.90 |
$1,253.09 $1,375.43 $1,505.03 $1,965.47 |
$1,599.78 $1,722.12 $1,851.72 $2,312.16 |
Toc - Plan #56 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.95 $344.97 $388.43 $542.84 $824.89 |
$536.46 $577.48 $620.94 $775.35 |
$768.97 $809.99 $853.45 $1,007.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.90 $689.94 $776.86 $1,085.68 $1,649.78 |
$840.41 $922.45 $1,009.37 $1,318.19 |
$1,072.92 $1,154.96 $1,241.88 $1,550.70 |
Toc - Plan #57 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.84 $444.72 $500.75 $699.80 $1,063.42 |
$691.59 $744.47 $800.50 $999.55 |
$991.34 $1,044.22 $1,100.25 $1,299.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$783.68 $889.44 $1,001.50 $1,399.60 $2,126.84 |
$1,083.43 $1,189.19 $1,301.25 $1,699.35 |
$1,383.18 $1,488.94 $1,601.00 $1,999.10 |
Toc - Plan #58 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.50 $450.01 $506.71 $708.13 $1,076.07 |
$699.81 $753.32 $810.02 $1,011.44 |
$1,003.12 $1,056.63 $1,113.33 $1,314.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.00 $900.02 $1,013.42 $1,416.26 $2,152.14 |
$1,096.31 $1,203.33 $1,316.73 $1,719.57 |
$1,399.62 $1,506.64 $1,620.04 $2,022.88 |
Toc - Plan #59 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.81 $477.61 $537.79 $751.55 $1,142.06 |
$742.72 $799.52 $859.70 $1,073.46 |
$1,064.63 $1,121.43 $1,181.61 $1,395.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$841.62 $955.22 $1,075.58 $1,503.10 $2,284.12 |
$1,163.53 $1,277.13 $1,397.49 $1,825.01 |
$1,485.44 $1,599.04 $1,719.40 $2,146.92 |
Toc - Plan #60 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.32 $486.13 $547.38 $764.96 $1,162.43 |
$755.97 $813.78 $875.03 $1,092.61 |
$1,083.62 $1,141.43 $1,202.68 $1,420.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.64 $972.26 $1,094.76 $1,529.92 $2,324.86 |
$1,184.29 $1,299.91 $1,422.41 $1,857.57 |
$1,511.94 $1,627.56 $1,750.06 $2,185.22 |
Toc - Plan #61 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.29 $369.19 $415.70 $580.94 $882.80 |
$574.13 $618.03 $664.54 $829.78 |
$822.97 $866.87 $913.38 $1,078.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$650.58 $738.38 $831.40 $1,161.88 $1,765.60 |
$899.42 $987.22 $1,080.24 $1,410.72 |
$1,148.26 $1,236.06 $1,329.08 $1,659.56 |
Toc - Plan #62 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.76 $473.01 $532.60 $744.31 $1,131.05 |
$735.57 $791.82 $851.41 $1,063.12 |
$1,054.38 $1,110.63 $1,170.22 $1,381.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.52 $946.02 $1,065.20 $1,488.62 $2,262.10 |
$1,152.33 $1,264.83 $1,384.01 $1,807.43 |
$1,471.14 $1,583.64 $1,702.82 $2,126.24 |
Toc - Plan #63 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.46 $363.71 $409.53 $572.32 $869.70 |
$565.60 $608.85 $654.67 $817.46 |
$810.74 $853.99 $899.81 $1,062.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.92 $727.42 $819.06 $1,144.64 $1,739.40 |
$886.06 $972.56 $1,064.20 $1,389.78 |
$1,131.20 $1,217.70 $1,309.34 $1,634.92 |
Toc - Plan #64 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.97 $415.37 $467.70 $653.61 $993.22 |
$645.93 $695.33 $747.66 $933.57 |
$925.89 $975.29 $1,027.62 $1,213.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.94 $830.74 $935.40 $1,307.22 $1,986.44 |
$1,011.90 $1,110.70 $1,215.36 $1,587.18 |
$1,291.86 $1,390.66 $1,495.32 $1,867.14 |
Toc - Plan #65 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.71 $469.55 $528.71 $738.88 $1,122.79 |
$730.19 $786.03 $845.19 $1,055.36 |
$1,046.67 $1,102.51 $1,161.67 $1,371.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.42 $939.10 $1,057.42 $1,477.76 $2,245.58 |
$1,143.90 $1,255.58 $1,373.90 $1,794.24 |
$1,460.38 $1,572.06 $1,690.38 $2,110.72 |
Toc - Plan #66 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$409.82 $465.13 $523.74 $731.92 $1,112.23 |
$723.32 $778.63 $837.24 $1,045.42 |
$1,036.82 $1,092.13 $1,150.74 $1,358.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.64 $930.26 $1,047.48 $1,463.84 $2,224.46 |
$1,133.14 $1,243.76 $1,360.98 $1,777.34 |
$1,446.64 $1,557.26 $1,674.48 $2,090.84 |
Toc - Plan #67 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.85 $460.62 $518.66 $724.82 $1,101.44 |
$716.31 $771.08 $829.12 $1,035.28 |
$1,026.77 $1,081.54 $1,139.58 $1,345.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.70 $921.24 $1,037.32 $1,449.64 $2,202.88 |
$1,122.16 $1,231.70 $1,347.78 $1,760.10 |
$1,432.62 $1,542.16 $1,658.24 $2,070.56 |
Toc - Plan #68 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$469.16 $532.49 $599.58 $837.91 $1,273.28 |
$828.06 $891.39 $958.48 $1,196.81 |
$1,186.96 $1,250.29 $1,317.38 $1,555.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$938.32 $1,064.98 $1,199.16 $1,675.82 $2,546.56 |
$1,297.22 $1,423.88 $1,558.06 $2,034.72 |
$1,656.12 $1,782.78 $1,916.96 $2,393.62 |
Toc - Plan #69 Ambetter of Tennessee | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.66 $357.13 $402.12 $561.96 $853.96 |
$555.37 $597.84 $642.83 $802.67 |
$796.08 $838.55 $883.54 $1,043.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.32 $714.26 $804.24 $1,123.92 $1,707.92 |
$870.03 $954.97 $1,044.95 $1,364.63 |
$1,110.74 $1,195.68 $1,285.66 $1,605.34 |
Toc - Plan #70 Ambetter of Tennessee | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.64 $460.39 $518.40 $724.46 $1,100.89 |
$715.95 $770.70 $828.71 $1,034.77 |
$1,026.26 $1,081.01 $1,139.02 $1,345.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.28 $920.78 $1,036.80 $1,448.92 $2,201.78 |
$1,121.59 $1,231.09 $1,347.11 $1,759.23 |
$1,431.90 $1,541.40 $1,657.42 $2,069.54 |
Toc - Plan #71 Ambetter of Tennessee | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-709-4735
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.47 $465.87 $524.57 $733.08 $1,113.99 |
$724.47 $779.87 $838.57 $1,047.08 |
$1,038.47 $1,093.87 $1,152.57 $1,361.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.94 $931.74 $1,049.14 $1,466.16 $2,227.98 |
$1,134.94 $1,245.74 $1,363.14 $1,780.16 |
$1,448.94 $1,559.74 $1,677.14 $2,094.16 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #72 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 4000 Indiv Med Deductible |
||||||||||||||||||||
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 |
$407.79 $462.84 $521.15 $728.31 $1,106.74 |
$719.75 $774.80 $833.11 $1,040.27 |
$1,031.71 $1,086.76 $1,145.07 $1,352.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$815.58 $925.68 $1,042.30 $1,456.62 $2,213.48 |
$1,127.54 $1,237.64 $1,354.26 $1,768.58 |
$1,439.50 $1,549.60 $1,666.22 $2,080.54 |
Toc - Plan #73 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold 500 Indiv Med Deductible |
||||||||||||||||||||
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 |
$550.13 $624.40 $703.07 $982.54 $1,493.06 |
$970.98 $1,045.25 $1,123.92 $1,403.39 |
$1,391.83 $1,466.10 $1,544.77 $1,824.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,100.26 $1,248.80 $1,406.14 $1,965.08 $2,986.12 |
$1,521.11 $1,669.65 $1,826.99 $2,385.93 |
$1,941.96 $2,090.50 $2,247.84 $2,806.78 |
Toc - Plan #74 Cigna Healthcare | ||||||||||||||||||||
Bronze
(EPO) Connect Bronze 6500 Indiv Med Deductible |
||||||||||||||||||||
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 |
$348.75 $395.83 $445.70 $622.86 $946.50 |
$615.54 $662.62 $712.49 $889.65 |
$882.33 $929.41 $979.28 $1,156.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.50 $791.66 $891.40 $1,245.72 $1,893.00 |
$964.29 $1,058.45 $1,158.19 $1,512.51 |
$1,231.08 $1,325.24 $1,424.98 $1,779.30 |
Toc - Plan #75 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 5500 Indiv Med Deductible |
||||||||||||||||||||
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 |
$361.41 $410.20 $461.89 $645.48 $980.88 |
$637.89 $686.68 $738.37 $921.96 |
$914.37 $963.16 $1,014.85 $1,198.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.82 $820.40 $923.78 $1,290.96 $1,961.76 |
$999.30 $1,096.88 $1,200.26 $1,567.44 |
$1,275.78 $1,373.36 $1,476.74 $1,843.92 |
Toc - Plan #76 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 3000 Indiv Med Deductible |
||||||||||||||||||||
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 |
$410.86 $466.32 $525.08 $733.79 $1,115.07 |
$725.17 $780.63 $839.39 $1,048.10 |
$1,039.48 $1,094.94 $1,153.70 $1,362.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.72 $932.64 $1,050.16 $1,467.58 $2,230.14 |
$1,136.03 $1,246.95 $1,364.47 $1,781.89 |
$1,450.34 $1,561.26 $1,678.78 $2,096.20 |
Toc - Plan #77 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 5000 Indiv Med Deductible |
||||||||||||||||||||
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 |
$409.84 $465.16 $523.77 $731.97 $1,112.29 |
$723.36 $778.68 $837.29 $1,045.49 |
$1,036.88 $1,092.20 $1,150.81 $1,359.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$819.68 $930.32 $1,047.54 $1,463.94 $2,224.58 |
$1,133.20 $1,243.84 $1,361.06 $1,777.46 |
$1,446.72 $1,557.36 $1,674.58 $2,090.98 |
Toc - Plan #78 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 3500 Indiv Med Deductible 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 |
$365.12 $414.41 $466.62 $652.10 $990.92 |
$644.43 $693.72 $745.93 $931.41 |
$923.74 $973.03 $1,025.24 $1,210.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.24 $828.82 $933.24 $1,304.20 $1,981.84 |
$1,009.55 $1,108.13 $1,212.55 $1,583.51 |
$1,288.86 $1,387.44 $1,491.86 $1,862.82 |
Toc - Plan #79 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 8500 Indiv Med Deductible |
||||||||||||||||||||
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 |
$359.51 $408.05 $459.46 $642.09 $975.72 |
$634.54 $683.08 $734.49 $917.12 |
$909.57 $958.11 $1,009.52 $1,192.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.02 $816.10 $918.92 $1,284.18 $1,951.44 |
$994.05 $1,091.13 $1,193.95 $1,559.21 |
$1,269.08 $1,366.16 $1,468.98 $1,834.24 |
Toc - Plan #80 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 0 Indiv Med Deductible |
||||||||||||||||||||
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 |
$411.35 $466.88 $525.70 $734.66 $1,116.39 |
$726.03 $781.56 $840.38 $1,049.34 |
$1,040.71 $1,096.24 $1,155.06 $1,364.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.70 $933.76 $1,051.40 $1,469.32 $2,232.78 |
$1,137.38 $1,248.44 $1,366.08 $1,784.00 |
$1,452.06 $1,563.12 $1,680.76 $2,098.68 |
Toc - Plan #81 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze CMS Standard |
||||||||||||||||||||
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 |
$360.58 $409.26 $460.83 $644.00 $978.63 |
$636.43 $685.11 $736.68 $919.85 |
$912.28 $960.96 $1,012.53 $1,195.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.16 $818.52 $921.66 $1,288.00 $1,957.26 |
$997.01 $1,094.37 $1,197.51 $1,563.85 |
$1,272.86 $1,370.22 $1,473.36 $1,839.70 |
Toc - Plan #82 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver CMS Standard |
||||||||||||||||||||
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 |
$409.30 $464.55 $523.08 $731.01 $1,110.84 |
$722.41 $777.66 $836.19 $1,044.12 |
$1,035.52 $1,090.77 $1,149.30 $1,357.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$818.60 $929.10 $1,046.16 $1,462.02 $2,221.68 |
$1,131.71 $1,242.21 $1,359.27 $1,775.13 |
$1,444.82 $1,555.32 $1,672.38 $2,088.24 |
Toc - Plan #83 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold CMS Standard |
||||||||||||||||||||
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 |
$537.52 $610.08 $686.95 $960.00 $1,458.82 |
$948.72 $1,021.28 $1,098.15 $1,371.20 |
$1,359.92 $1,432.48 $1,509.35 $1,782.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,075.04 $1,220.16 $1,373.90 $1,920.00 $2,917.64 |
$1,486.24 $1,631.36 $1,785.10 $2,331.20 |
$1,897.44 $2,042.56 $2,196.30 $2,742.40 |
‡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 Lauderdale County here.
Lauderdale County is in “Rating Area 6” of Tennessee.
Currently, there are 83 plans offered in Rating Area 6.