Obamacare 2024 Rates for Forsyth County, North Carolina
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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 Winston-salem, NC.
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, 89 Plans and 2024 Rates for Forsyth County, North Carolina
Below, you’ll find a summary of the 89 plans for Forsyth County, North Carolina 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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Blue Cross and Blue Shield of NCLocal: 1-800-324-4973 | Toll Free: 1-800-324-4973 |
Toc - Plan #1 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Home Gold | 3 Free PCP | $10 Tier 1 Rx | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$457.45 $519.21 $584.62 $817.01 $1,241.52 |
$807.40 $869.16 $934.57 $1,166.96 |
$1,157.35 $1,219.11 $1,284.52 $1,516.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$914.90 $1,038.42 $1,169.24 $1,634.02 $2,483.04 |
$1,264.85 $1,388.37 $1,519.19 $1,983.97 |
$1,614.80 $1,738.32 $1,869.14 $2,333.92 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Home Gold Standard | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$457.50 $519.26 $584.69 $817.10 $1,241.66 |
$807.49 $869.25 $934.68 $1,167.09 |
$1,157.48 $1,219.24 $1,284.67 $1,517.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$915.00 $1,038.52 $1,169.38 $1,634.20 $2,483.32 |
$1,264.99 $1,388.51 $1,519.37 $1,984.19 |
$1,614.98 $1,738.50 $1,869.36 $2,334.18 |
Toc - Plan #3 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$441.02 $500.56 $563.62 $787.66 $1,196.93 |
$778.40 $837.94 $901.00 $1,125.04 |
$1,115.78 $1,175.32 $1,238.38 $1,462.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$882.04 $1,001.12 $1,127.24 $1,575.32 $2,393.86 |
$1,219.42 $1,338.50 $1,464.62 $1,912.70 |
$1,556.80 $1,675.88 $1,802.00 $2,250.08 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Home Silver Standard | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$447.65 $508.08 $572.10 $799.50 $1,214.92 |
$790.10 $850.53 $914.55 $1,141.95 |
$1,132.55 $1,192.98 $1,257.00 $1,484.40 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$895.30 $1,016.16 $1,144.20 $1,599.00 $2,429.84 |
$1,237.75 $1,358.61 $1,486.65 $1,941.45 |
$1,580.20 $1,701.06 $1,829.10 $2,283.90 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$333.92 $379.00 $426.75 $596.38 $906.26 |
$589.37 $634.45 $682.20 $851.83 |
$844.82 $889.90 $937.65 $1,107.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$667.84 $758.00 $853.50 $1,192.76 $1,812.52 |
$923.29 $1,013.45 $1,108.95 $1,448.21 |
$1,178.74 $1,268.90 $1,364.40 $1,703.66 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze Standard | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$342.65 $388.91 $437.91 $611.97 $929.95 |
$604.78 $651.04 $700.04 $874.10 |
$866.91 $913.17 $962.17 $1,136.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$685.30 $777.82 $875.82 $1,223.94 $1,859.90 |
$947.43 $1,039.95 $1,137.95 $1,486.07 |
$1,209.56 $1,302.08 $1,400.08 $1,748.20 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(EPO) Blue Home Catastrophic | 3 PCP $35 | Integrated | with Novant Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$264.63 $300.36 $338.20 $472.63 $718.21 |
$467.07 $502.80 $540.64 $675.07 |
$669.51 $705.24 $743.08 $877.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$529.26 $600.72 $676.40 $945.26 $1,436.42 |
$731.70 $803.16 $878.84 $1,147.70 |
$934.14 $1,005.60 $1,081.28 $1,350.14 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Local Gold | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$347.59 $394.51 $444.22 $620.80 $943.36 |
$613.50 $660.42 $710.13 $886.71 |
$879.41 $926.33 $976.04 $1,152.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$695.18 $789.02 $888.44 $1,241.60 $1,886.72 |
$961.09 $1,054.93 $1,154.35 $1,507.51 |
$1,227.00 $1,320.84 $1,420.26 $1,773.42 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Local Gold Standard | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$347.63 $394.56 $444.27 $620.87 $943.47 |
$613.57 $660.50 $710.21 $886.81 |
$879.51 $926.44 $976.15 $1,152.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$695.26 $789.12 $888.54 $1,241.74 $1,886.94 |
$961.20 $1,055.06 $1,154.48 $1,507.68 |
$1,227.14 $1,321.00 $1,420.42 $1,773.62 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$335.14 $380.38 $428.31 $598.56 $909.57 |
$591.52 $636.76 $684.69 $854.94 |
$847.90 $893.14 $941.07 $1,111.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.28 $760.76 $856.62 $1,197.12 $1,819.14 |
$926.66 $1,017.14 $1,113.00 $1,453.50 |
$1,183.04 $1,273.52 $1,369.38 $1,709.88 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Secure | $15 PCP | $15 Tier 1 Rx | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$349.20 $396.34 $446.28 $623.67 $947.73 |
$616.34 $663.48 $713.42 $890.81 |
$883.48 $930.62 $980.56 $1,157.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$698.40 $792.68 $892.56 $1,247.34 $1,895.46 |
$965.54 $1,059.82 $1,159.70 $1,514.48 |
$1,232.68 $1,326.96 $1,426.84 $1,781.62 |
Toc - Plan #12 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$351.57 $399.03 $449.31 $627.90 $954.16 |
$620.52 $667.98 $718.26 $896.85 |
$889.47 $936.93 $987.21 $1,165.80 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$703.14 $798.06 $898.62 $1,255.80 $1,908.32 |
$972.09 $1,067.01 $1,167.57 $1,524.75 |
$1,241.04 $1,335.96 $1,436.52 $1,793.70 |
Toc - Plan #13 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Local Silver Standard | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$340.16 $386.08 $434.72 $607.53 $923.19 |
$600.38 $646.30 $694.94 $867.75 |
$860.60 $906.52 $955.16 $1,127.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.32 $772.16 $869.44 $1,215.06 $1,846.38 |
$940.54 $1,032.38 $1,129.66 $1,475.28 |
$1,200.76 $1,292.60 $1,389.88 $1,735.50 |
Toc - Plan #14 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze | $60 PCP | $20 Tier 1 Rx | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$268.85 $305.14 $343.59 $480.17 $729.66 |
$474.52 $510.81 $549.26 $685.84 |
$680.19 $716.48 $754.93 $891.51 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$537.70 $610.28 $687.18 $960.34 $1,459.32 |
$743.37 $815.95 $892.85 $1,166.01 |
$949.04 $1,021.62 $1,098.52 $1,371.68 |
Toc - Plan #15 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$253.79 $288.05 $324.34 $453.27 $688.79 |
$447.94 $482.20 $518.49 $647.42 |
$642.09 $676.35 $712.64 $841.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$507.58 $576.10 $648.68 $906.54 $1,377.58 |
$701.73 $770.25 $842.83 $1,100.69 |
$895.88 $964.40 $1,036.98 $1,294.84 |
Toc - Plan #16 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze Standard | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$260.40 $295.55 $332.79 $465.07 $706.73 |
$459.61 $494.76 $532.00 $664.28 |
$658.82 $693.97 $731.21 $863.49 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$520.80 $591.10 $665.58 $930.14 $1,413.46 |
$720.01 $790.31 $864.79 $1,129.35 |
$919.22 $989.52 $1,064.00 $1,328.56 |
Toc - Plan #17 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Local Bronze | HSA Eligible | Integrated | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$254.58 $288.95 $325.35 $454.68 $690.93 |
$449.33 $483.70 $520.10 $649.43 |
$644.08 $678.45 $714.85 $844.18 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$509.16 $577.90 $650.70 $909.36 $1,381.86 |
$703.91 $772.65 $845.45 $1,104.11 |
$898.66 $967.40 $1,040.20 $1,298.86 |
Toc - Plan #18 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(EPO) Blue Local Catastrophic | 3 PCP $35 | Integrated | with Atrium Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
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 |
$201.09 $228.24 $256.99 $359.15 $545.76 |
$354.92 $382.07 $410.82 $512.98 |
$508.75 $535.90 $564.65 $666.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$402.18 $456.48 $513.98 $718.30 $1,091.52 |
$556.01 $610.31 $667.81 $872.13 |
$709.84 $764.14 $821.64 $1,025.96 |
ADVERTISEMENT
AmeriHealth Caritas NextLocal: 1-984-245-3613 | Toll Free: 1-833-613-2262 | TTY: 1-844-214-2471 |
Toc - Plan #19 AmeriHealth Caritas Next | ||||||||||||||||||||
Bronze
(HMO) AmeriHealth Caritas Next Bronze Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$239.59 $271.93 $306.19 $427.90 $650.23 |
$422.88 $455.22 $489.48 $611.19 |
$606.17 $638.51 $672.77 $794.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$479.18 $543.86 $612.38 $855.80 $1,300.46 |
$662.47 $727.15 $795.67 $1,039.09 |
$845.76 $910.44 $978.96 $1,222.38 |
Toc - Plan #20 AmeriHealth Caritas Next | ||||||||||||||||||||
Expanded Bronze
(HMO) AmeriHealth Caritas Next Expanded Bronze Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$269.25 $305.60 $344.10 $480.88 $730.74 |
$475.23 $511.58 $550.08 $686.86 |
$681.21 $717.56 $756.06 $892.84 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$538.50 $611.20 $688.20 $961.76 $1,461.48 |
$744.48 $817.18 $894.18 $1,167.74 |
$950.46 $1,023.16 $1,100.16 $1,373.72 |
Toc - Plan #21 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AmeriHealth Caritas Next Silver Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
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 |
$335.12 $380.35 $428.28 $598.51 $909.49 |
$591.48 $636.71 $684.64 $854.87 |
$847.84 $893.07 $941.00 $1,111.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$670.24 $760.70 $856.56 $1,197.02 $1,818.98 |
$926.60 $1,017.06 $1,112.92 $1,453.38 |
$1,182.96 $1,273.42 $1,369.28 $1,709.74 |
Toc - Plan #22 AmeriHealth Caritas Next | ||||||||||||||||||||
Gold
(HMO) AmeriHealth Caritas Next Gold Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.67 $433.19 $487.77 $681.65 $1,035.83 |
$673.65 $725.17 $779.75 $973.63 |
$965.63 $1,017.15 $1,071.73 $1,265.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$763.34 $866.38 $975.54 $1,363.30 $2,071.66 |
$1,055.32 $1,158.36 $1,267.52 $1,655.28 |
$1,347.30 $1,450.34 $1,559.50 $1,947.26 |
Toc - Plan #23 AmeriHealth Caritas Next | ||||||||||||||||||||
Expanded Bronze
(HMO) AmeriHealth Caritas Next Expanded Bronze Premier + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.33 $312.50 $351.87 $491.73 $747.24 |
$485.96 $523.13 $562.50 $702.36 |
$696.59 $733.76 $773.13 $912.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$550.66 $625.00 $703.74 $983.46 $1,494.48 |
$761.29 $835.63 $914.37 $1,194.09 |
$971.92 $1,046.26 $1,125.00 $1,404.72 |
Toc - Plan #24 AmeriHealth Caritas Next | ||||||||||||||||||||
Silver
(HMO) AmeriHealth Caritas Next Silver Premier + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals Plan |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-613-2262
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.66 $392.33 $441.76 $617.35 $938.12 |
$610.09 $656.76 $706.19 $881.78 |
$874.52 $921.19 $970.62 $1,146.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.32 $784.66 $883.52 $1,234.70 $1,876.24 |
$955.75 $1,049.09 $1,147.95 $1,499.13 |
$1,220.18 $1,313.52 $1,412.38 $1,763.56 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-833-925-2861 | Toll Free: 1-833-925-2861 | TTY: 1-833-925-2861 |
Toc - Plan #25 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) WellCare Secure Health Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$609.77 $692.08 $779.28 $1,089.04 $1,654.90 |
$1,076.24 $1,158.55 $1,245.75 $1,555.51 |
$1,542.71 $1,625.02 $1,712.22 $2,021.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,219.54 $1,384.16 $1,558.56 $2,178.08 $3,309.80 |
$1,686.01 $1,850.63 $2,025.03 $2,644.55 |
$2,152.48 $2,317.10 $2,491.50 $3,111.02 |
Toc - Plan #26 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) WellCare Secure Health Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$792.08 $899.00 $1,012.27 $1,414.64 $2,149.68 |
$1,398.01 $1,504.93 $1,618.20 $2,020.57 |
$2,003.94 $2,110.86 $2,224.13 $2,626.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,584.16 $1,798.00 $2,024.54 $2,829.28 $4,299.36 |
$2,190.09 $2,403.93 $2,630.47 $3,435.21 |
$2,796.02 $3,009.86 $3,236.40 $4,041.14 |
Toc - Plan #27 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$827.57 $939.28 $1,057.62 $1,478.02 $2,245.99 |
$1,460.65 $1,572.36 $1,690.70 $2,111.10 |
$2,093.73 $2,205.44 $2,323.78 $2,744.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,655.14 $1,878.56 $2,115.24 $2,956.04 $4,491.98 |
$2,288.22 $2,511.64 $2,748.32 $3,589.12 |
$2,921.30 $3,144.72 $3,381.40 $4,222.20 |
Toc - Plan #28 WellCare of North Carolina | ||||||||||||||||||||
Expanded Bronze
(PPO) Standard Expanded Bronze WellCare |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$604.89 $686.54 $773.04 $1,080.32 $1,641.65 |
$1,067.62 $1,149.27 $1,235.77 $1,543.05 |
$1,530.35 $1,612.00 $1,698.50 $2,005.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,209.78 $1,373.08 $1,546.08 $2,160.64 $3,283.30 |
$1,672.51 $1,835.81 $2,008.81 $2,623.37 |
$2,135.24 $2,298.54 $2,471.54 $3,086.10 |
Toc - Plan #29 WellCare of North Carolina | ||||||||||||||||||||
Silver
(PPO) Standard Silver WellCare |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$774.80 $879.39 $990.19 $1,383.78 $2,102.79 |
$1,367.52 $1,472.11 $1,582.91 $1,976.50 |
$1,960.24 $2,064.83 $2,175.63 $2,569.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,549.60 $1,758.78 $1,980.38 $2,767.56 $4,205.58 |
$2,142.32 $2,351.50 $2,573.10 $3,360.28 |
$2,735.04 $2,944.22 $3,165.82 $3,953.00 |
Toc - Plan #30 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) Standard Gold WellCare |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-925-2861
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$803.94 $912.46 $1,027.42 $1,435.81 $2,181.85 |
$1,418.94 $1,527.46 $1,642.42 $2,050.81 |
$2,033.94 $2,142.46 $2,257.42 $2,665.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,607.88 $1,824.92 $2,054.84 $2,871.62 $4,363.70 |
$2,222.88 $2,439.92 $2,669.84 $3,486.62 |
$2,837.88 $3,054.92 $3,284.84 $4,101.62 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$489.70 $555.81 $625.84 $874.61 $1,329.05 |
$864.32 $930.43 $1,000.46 $1,249.23 |
$1,238.94 $1,305.05 $1,375.08 $1,623.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$979.40 $1,111.62 $1,251.68 $1,749.22 $2,658.10 |
$1,354.02 $1,486.24 $1,626.30 $2,123.84 |
$1,728.64 $1,860.86 $2,000.92 $2,498.46 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$555.73 $630.76 $710.23 $992.54 $1,508.26 |
$980.87 $1,055.90 $1,135.37 $1,417.68 |
$1,406.01 $1,481.04 $1,560.51 $1,842.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,111.46 $1,261.52 $1,420.46 $1,985.08 $3,016.52 |
$1,536.60 $1,686.66 $1,845.60 $2,410.22 |
$1,961.74 $2,111.80 $2,270.74 $2,835.36 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.45 $428.41 $482.38 $674.13 $1,024.40 |
$666.20 $717.16 $771.13 $962.88 |
$954.95 $1,005.91 $1,059.88 $1,251.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.90 $856.82 $964.76 $1,348.26 $2,048.80 |
$1,043.65 $1,145.57 $1,253.51 $1,637.01 |
$1,332.40 $1,434.32 $1,542.26 $1,925.76 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$494.27 $561.00 $631.68 $882.77 $1,341.45 |
$872.39 $939.12 $1,009.80 $1,260.89 |
$1,250.51 $1,317.24 $1,387.92 $1,639.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$988.54 $1,122.00 $1,263.36 $1,765.54 $2,682.90 |
$1,366.66 $1,500.12 $1,641.48 $2,143.66 |
$1,744.78 $1,878.24 $2,019.60 $2,521.78 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$559.50 $635.03 $715.04 $999.26 $1,518.47 |
$987.52 $1,063.05 $1,143.06 $1,427.28 |
$1,415.54 $1,491.07 $1,571.08 $1,855.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,119.00 $1,270.06 $1,430.08 $1,998.52 $3,036.94 |
$1,547.02 $1,698.08 $1,858.10 $2,426.54 |
$1,975.04 $2,126.10 $2,286.12 $2,854.56 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.83 $567.30 $638.78 $892.69 $1,356.53 |
$882.20 $949.67 $1,021.15 $1,275.06 |
$1,264.57 $1,332.04 $1,403.52 $1,657.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$999.66 $1,134.60 $1,277.56 $1,785.38 $2,713.06 |
$1,382.03 $1,516.97 $1,659.93 $2,167.75 |
$1,764.40 $1,899.34 $2,042.30 $2,550.12 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$496.05 $563.02 $633.96 $885.95 $1,346.29 |
$875.53 $942.50 $1,013.44 $1,265.43 |
$1,255.01 $1,321.98 $1,392.92 $1,644.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$992.10 $1,126.04 $1,267.92 $1,771.90 $2,692.58 |
$1,371.58 $1,505.52 $1,647.40 $2,151.38 |
$1,751.06 $1,885.00 $2,026.88 $2,530.86 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.37 $420.38 $473.34 $661.49 $1,005.20 |
$653.71 $703.72 $756.68 $944.83 |
$937.05 $987.06 $1,040.02 $1,228.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.74 $840.76 $946.68 $1,322.98 $2,010.40 |
$1,024.08 $1,124.10 $1,230.02 $1,606.32 |
$1,307.42 $1,407.44 $1,513.36 $1,889.66 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.98 $402.90 $453.66 $633.99 $963.40 |
$626.54 $674.46 $725.22 $905.55 |
$898.10 $946.02 $996.78 $1,177.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.96 $805.80 $907.32 $1,267.98 $1,926.80 |
$981.52 $1,077.36 $1,178.88 $1,539.54 |
$1,253.08 $1,348.92 $1,450.44 $1,811.10 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.39 $412.44 $464.41 $649.01 $986.23 |
$641.38 $690.43 $742.40 $927.00 |
$919.37 $968.42 $1,020.39 $1,204.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.78 $824.88 $928.82 $1,298.02 $1,972.46 |
$1,004.77 $1,102.87 $1,206.81 $1,576.01 |
$1,282.76 $1,380.86 $1,484.80 $1,854.00 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$383.92 $435.75 $490.66 $685.69 $1,041.97 |
$677.62 $729.45 $784.36 $979.39 |
$971.32 $1,023.15 $1,078.06 $1,273.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$767.84 $871.50 $981.32 $1,371.38 $2,083.94 |
$1,061.54 $1,165.20 $1,275.02 $1,665.08 |
$1,355.24 $1,458.90 $1,568.72 $1,958.78 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$492.30 $558.76 $629.16 $879.25 $1,336.10 |
$868.91 $935.37 $1,005.77 $1,255.86 |
$1,245.52 $1,311.98 $1,382.38 $1,632.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$984.60 $1,117.52 $1,258.32 $1,758.50 $2,672.20 |
$1,361.21 $1,494.13 $1,634.93 $2,135.11 |
$1,737.82 $1,870.74 $2,011.54 $2,511.72 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$562.34 $638.25 $718.67 $1,004.33 $1,526.18 |
$992.53 $1,068.44 $1,148.86 $1,434.52 |
$1,422.72 $1,498.63 $1,579.05 $1,864.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,124.68 $1,276.50 $1,437.34 $2,008.66 $3,052.36 |
$1,554.87 $1,706.69 $1,867.53 $2,438.85 |
$1,985.06 $2,136.88 $2,297.72 $2,869.04 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$513.73 $583.08 $656.55 $917.52 $1,394.26 |
$906.73 $976.08 $1,049.55 $1,310.52 |
$1,299.73 $1,369.08 $1,442.55 $1,703.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,027.46 $1,166.16 $1,313.10 $1,835.04 $2,788.52 |
$1,420.46 $1,559.16 $1,706.10 $2,228.04 |
$1,813.46 $1,952.16 $2,099.10 $2,621.04 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5357
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$578.46 $656.55 $739.27 $1,033.13 $1,569.95 |
$1,020.98 $1,099.07 $1,181.79 $1,475.65 |
$1,463.50 $1,541.59 $1,624.31 $1,918.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,156.92 $1,313.10 $1,478.54 $2,066.26 $3,139.90 |
$1,599.44 $1,755.62 $1,921.06 $2,508.78 |
$2,041.96 $2,198.14 $2,363.58 $2,951.30 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #46 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$264.11 $299.77 $337.53 $471.70 $716.79 |
$466.16 $501.82 $539.58 $673.75 |
$668.21 $703.87 $741.63 $875.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$528.22 $599.54 $675.06 $943.40 $1,433.58 |
$730.27 $801.59 $877.11 $1,145.45 |
$932.32 $1,003.64 $1,079.16 $1,347.50 |
Toc - Plan #47 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.42 $411.35 $463.18 $647.29 $983.61 |
$639.68 $688.61 $740.44 $924.55 |
$916.94 $965.87 $1,017.70 $1,201.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.84 $822.70 $926.36 $1,294.58 $1,967.22 |
$1,002.10 $1,099.96 $1,203.62 $1,571.84 |
$1,279.36 $1,377.22 $1,480.88 $1,849.10 |
Toc - Plan #48 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 2: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.44 $417.04 $469.59 $656.24 $997.22 |
$648.53 $698.13 $750.68 $937.33 |
$929.62 $979.22 $1,031.77 $1,218.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.88 $834.08 $939.18 $1,312.48 $1,994.44 |
$1,015.97 $1,115.17 $1,220.27 $1,593.57 |
$1,297.06 $1,396.26 $1,501.36 $1,874.66 |
Toc - Plan #49 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.82 $305.11 $343.55 $480.11 $729.57 |
$474.47 $510.76 $549.20 $685.76 |
$680.12 $716.41 $754.85 $891.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$537.64 $610.22 $687.10 $960.22 $1,459.14 |
$743.29 $815.87 $892.75 $1,165.87 |
$948.94 $1,021.52 $1,098.40 $1,371.52 |
Toc - Plan #50 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.01 $412.02 $463.93 $648.34 $985.21 |
$640.72 $689.73 $741.64 $926.05 |
$918.43 $967.44 $1,019.35 $1,203.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$726.02 $824.04 $927.86 $1,296.68 $1,970.42 |
$1,003.73 $1,101.75 $1,205.57 $1,574.39 |
$1,281.44 $1,379.46 $1,483.28 $1,852.10 |
Toc - Plan #51 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.73 $402.62 $453.35 $633.55 $962.74 |
$626.10 $673.99 $724.72 $904.92 |
$897.47 $945.36 $996.09 $1,176.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.46 $805.24 $906.70 $1,267.10 $1,925.48 |
$980.83 $1,076.61 $1,178.07 $1,538.47 |
$1,252.20 $1,347.98 $1,449.44 $1,809.84 |
Toc - Plan #52 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.82 $338.02 $380.61 $531.90 $808.26 |
$525.65 $565.85 $608.44 $759.73 |
$753.48 $793.68 $836.27 $987.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.64 $676.04 $761.22 $1,063.80 $1,616.52 |
$823.47 $903.87 $989.05 $1,291.63 |
$1,051.30 $1,131.70 $1,216.88 $1,519.46 |
Toc - Plan #53 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.61 $412.70 $464.69 $649.41 $986.83 |
$641.77 $690.86 $742.85 $927.57 |
$919.93 $969.02 $1,021.01 $1,205.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.22 $825.40 $929.38 $1,298.82 $1,973.66 |
$1,005.38 $1,103.56 $1,207.54 $1,576.98 |
$1,283.54 $1,381.72 $1,485.70 $1,855.14 |
Toc - Plan #54 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.88 $416.41 $468.88 $655.25 $995.72 |
$647.55 $697.08 $749.55 $935.92 |
$928.22 $977.75 $1,030.22 $1,216.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.76 $832.82 $937.76 $1,310.50 $1,991.44 |
$1,014.43 $1,113.49 $1,218.43 $1,591.17 |
$1,295.10 $1,394.16 $1,499.10 $1,871.84 |
Toc - Plan #55 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.87 $402.78 $453.53 $633.80 $963.12 |
$626.35 $674.26 $725.01 $905.28 |
$897.83 $945.74 $996.49 $1,176.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.74 $805.56 $907.06 $1,267.60 $1,926.24 |
$981.22 $1,077.04 $1,178.54 $1,539.08 |
$1,252.70 $1,348.52 $1,450.02 $1,810.56 |
Toc - Plan #56 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.46 $411.39 $463.22 $647.34 $983.70 |
$639.74 $688.67 $740.50 $924.62 |
$917.02 $965.95 $1,017.78 $1,201.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.92 $822.78 $926.44 $1,294.68 $1,967.40 |
$1,002.20 $1,100.06 $1,203.72 $1,571.96 |
$1,279.48 $1,377.34 $1,481.00 $1,849.24 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #57 Cigna Healthcare | ||||||||||||||||||||
Bronze
(HMO) Connect Bronze 9450 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 |
$323.06 $366.67 $412.87 $576.99 $876.79 |
$570.20 $613.81 $660.01 $824.13 |
$817.34 $860.95 $907.15 $1,071.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.12 $733.34 $825.74 $1,153.98 $1,753.58 |
$893.26 $980.48 $1,072.88 $1,401.12 |
$1,140.40 $1,227.62 $1,320.02 $1,648.26 |
Toc - Plan #58 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$341.56 $387.67 $436.52 $610.03 $927.00 |
$602.85 $648.96 $697.81 $871.32 |
$864.14 $910.25 $959.10 $1,132.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.12 $775.34 $873.04 $1,220.06 $1,854.00 |
$944.41 $1,036.63 $1,134.33 $1,481.35 |
$1,205.70 $1,297.92 $1,395.62 $1,742.64 |
Toc - Plan #59 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$338.71 $384.44 $432.87 $604.94 $919.26 |
$597.82 $643.55 $691.98 $864.05 |
$856.93 $902.66 $951.09 $1,123.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.42 $768.88 $865.74 $1,209.88 $1,838.52 |
$936.53 $1,027.99 $1,124.85 $1,468.99 |
$1,195.64 $1,287.10 $1,383.96 $1,728.10 |
Toc - Plan #60 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Connect Silver 4500 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 |
$394.94 $448.25 $504.73 $705.36 $1,071.86 |
$697.07 $750.38 $806.86 $1,007.49 |
$999.20 $1,052.51 $1,108.99 $1,309.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.88 $896.50 $1,009.46 $1,410.72 $2,143.72 |
$1,092.01 $1,198.63 $1,311.59 $1,712.85 |
$1,394.14 $1,500.76 $1,613.72 $2,014.98 |
Toc - Plan #61 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Connect Silver 3500 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 |
$394.85 $448.15 $504.61 $705.20 $1,071.61 |
$696.91 $750.21 $806.67 $1,007.26 |
$998.97 $1,052.27 $1,108.73 $1,309.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.70 $896.30 $1,009.22 $1,410.40 $2,143.22 |
$1,091.76 $1,198.36 $1,311.28 $1,712.46 |
$1,393.82 $1,500.42 $1,613.34 $2,014.52 |
Toc - Plan #62 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Connect Silver 1500 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 |
$399.55 $453.49 $510.63 $713.60 $1,084.38 |
$705.21 $759.15 $816.29 $1,019.26 |
$1,010.87 $1,064.81 $1,121.95 $1,324.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.10 $906.98 $1,021.26 $1,427.20 $2,168.76 |
$1,104.76 $1,212.64 $1,326.92 $1,732.86 |
$1,410.42 $1,518.30 $1,632.58 $2,038.52 |
Toc - Plan #63 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) Connect Silver 2500 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 |
$398.42 $452.21 $509.18 $711.58 $1,081.31 |
$703.21 $757.00 $813.97 $1,016.37 |
$1,008.00 $1,061.79 $1,118.76 $1,321.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$796.84 $904.42 $1,018.36 $1,423.16 $2,162.62 |
$1,101.63 $1,209.21 $1,323.15 $1,727.95 |
$1,406.42 $1,514.00 $1,627.94 $2,032.74 |
Toc - Plan #64 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) 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 |
$336.72 $382.18 $430.33 $601.38 $913.86 |
$594.31 $639.77 $687.92 $858.97 |
$851.90 $897.36 $945.51 $1,116.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.44 $764.36 $860.66 $1,202.76 $1,827.72 |
$931.03 $1,021.95 $1,118.25 $1,460.35 |
$1,188.62 $1,279.54 $1,375.84 $1,717.94 |
Toc - Plan #65 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 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 |
$359.38 $407.90 $459.29 $641.86 $975.37 |
$634.31 $682.83 $734.22 $916.79 |
$909.24 $957.76 $1,009.15 $1,191.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.76 $815.80 $918.58 $1,283.72 $1,950.74 |
$993.69 $1,090.73 $1,193.51 $1,558.65 |
$1,268.62 $1,365.66 $1,468.44 $1,833.58 |
Toc - Plan #66 Cigna Healthcare | ||||||||||||||||||||
Silver
(HMO) 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 |
$394.48 $447.74 $504.15 $704.55 $1,070.63 |
$696.26 $749.52 $805.93 $1,006.33 |
$998.04 $1,051.30 $1,107.71 $1,308.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.96 $895.48 $1,008.30 $1,409.10 $2,141.26 |
$1,090.74 $1,197.26 $1,310.08 $1,710.88 |
$1,392.52 $1,499.04 $1,611.86 $2,012.66 |
Toc - Plan #67 Cigna Healthcare | ||||||||||||||||||||
Gold
(HMO) 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 |
$535.61 $607.92 $684.52 $956.61 $1,453.66 |
$945.36 $1,017.67 $1,094.27 $1,366.36 |
$1,355.11 $1,427.42 $1,504.02 $1,776.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,071.22 $1,215.84 $1,369.04 $1,913.22 $2,907.32 |
$1,480.97 $1,625.59 $1,778.79 $2,322.97 |
$1,890.72 $2,035.34 $2,188.54 $2,732.72 |
ADVERTISEMENT
Ambetter of North CarolinaLocal: 1-833-863-1310 | Toll Free: 1-833-863-1310 | TTY: 1-833-863-1310 |
Toc - Plan #68 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.28 $351.03 $395.25 $552.36 $839.37 |
$545.87 $587.62 $631.84 $788.95 |
$782.46 $824.21 $868.43 $1,025.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$618.56 $702.06 $790.50 $1,104.72 $1,678.74 |
$855.15 $938.65 $1,027.09 $1,341.31 |
$1,091.74 $1,175.24 $1,263.68 $1,577.90 |
Toc - Plan #69 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.32 $344.26 $387.63 $541.72 $823.19 |
$535.35 $576.29 $619.66 $773.75 |
$767.38 $808.32 $851.69 $1,005.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.64 $688.52 $775.26 $1,083.44 $1,646.38 |
$838.67 $920.55 $1,007.29 $1,315.47 |
$1,070.70 $1,152.58 $1,239.32 $1,547.50 |
Toc - Plan #70 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.33 $393.07 $442.59 $618.52 $939.90 |
$611.26 $658.00 $707.52 $883.45 |
$876.19 $922.93 $972.45 $1,148.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.66 $786.14 $885.18 $1,237.04 $1,879.80 |
$957.59 $1,051.07 $1,150.11 $1,501.97 |
$1,222.52 $1,316.00 $1,415.04 $1,766.90 |
Toc - Plan #71 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.62 $441.07 $496.64 $694.05 $1,054.68 |
$685.91 $738.36 $793.93 $991.34 |
$983.20 $1,035.65 $1,091.22 $1,288.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.24 $882.14 $993.28 $1,388.10 $2,109.36 |
$1,074.53 $1,179.43 $1,290.57 $1,685.39 |
$1,371.82 $1,476.72 $1,587.86 $1,982.68 |
Toc - Plan #72 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Everyday Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.02 $436.98 $492.04 $687.63 $1,044.91 |
$679.55 $731.51 $786.57 $982.16 |
$974.08 $1,026.04 $1,081.10 $1,276.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$770.04 $873.96 $984.08 $1,375.26 $2,089.82 |
$1,064.57 $1,168.49 $1,278.61 $1,669.79 |
$1,359.10 $1,463.02 $1,573.14 $1,964.32 |
Toc - Plan #73 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.48 $428.43 $482.41 $674.17 $1,024.46 |
$666.25 $717.20 $771.18 $962.94 |
$955.02 $1,005.97 $1,059.95 $1,251.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.96 $856.86 $964.82 $1,348.34 $2,048.92 |
$1,043.73 $1,145.63 $1,253.59 $1,637.11 |
$1,332.50 $1,434.40 $1,542.36 $1,925.88 |
Toc - Plan #74 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.54 $434.18 $488.88 $683.21 $1,038.20 |
$675.18 $726.82 $781.52 $975.85 |
$967.82 $1,019.46 $1,074.16 $1,268.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.08 $868.36 $977.76 $1,366.42 $2,076.40 |
$1,057.72 $1,161.00 $1,270.40 $1,659.06 |
$1,350.36 $1,453.64 $1,563.04 $1,951.70 |
Toc - Plan #75 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.00 $459.67 $517.58 $723.32 $1,099.15 |
$714.82 $769.49 $827.40 $1,033.14 |
$1,024.64 $1,079.31 $1,137.22 $1,342.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.00 $919.34 $1,035.16 $1,446.64 $2,198.30 |
$1,119.82 $1,229.16 $1,344.98 $1,756.46 |
$1,429.64 $1,538.98 $1,654.80 $2,066.28 |
Toc - Plan #76 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.00 $338.22 $380.83 $532.21 $808.74 |
$525.96 $566.18 $608.79 $760.17 |
$753.92 $794.14 $836.75 $988.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$596.00 $676.44 $761.66 $1,064.42 $1,617.48 |
$823.96 $904.40 $989.62 $1,292.38 |
$1,051.92 $1,132.36 $1,217.58 $1,520.34 |
Toc - Plan #77 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Standard Silver with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.93 $425.54 $479.15 $669.61 $1,017.54 |
$661.75 $712.36 $765.97 $956.43 |
$948.57 $999.18 $1,052.79 $1,243.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.86 $851.08 $958.30 $1,339.22 $2,035.08 |
$1,036.68 $1,137.90 $1,245.12 $1,626.04 |
$1,323.50 $1,424.72 $1,531.94 $1,912.86 |
Toc - Plan #78 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Standard Gold with Atrium Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.73 $441.20 $496.78 $694.25 $1,054.99 |
$686.10 $738.57 $794.15 $991.62 |
$983.47 $1,035.94 $1,091.52 $1,288.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$777.46 $882.40 $993.56 $1,388.50 $2,109.98 |
$1,074.83 $1,179.77 $1,290.93 $1,685.87 |
$1,372.20 $1,477.14 $1,588.30 $1,983.24 |
Toc - Plan #79 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.52 $364.92 $410.89 $574.22 $872.59 |
$567.48 $610.88 $656.85 $820.18 |
$813.44 $856.84 $902.81 $1,066.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.04 $729.84 $821.78 $1,148.44 $1,745.18 |
$889.00 $975.80 $1,067.74 $1,394.40 |
$1,134.96 $1,221.76 $1,313.70 $1,640.36 |
Toc - Plan #80 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.33 $357.88 $402.97 $563.15 $855.77 |
$556.55 $599.10 $644.19 $804.37 |
$797.77 $840.32 $885.41 $1,045.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.66 $715.76 $805.94 $1,126.30 $1,711.54 |
$871.88 $956.98 $1,047.16 $1,367.52 |
$1,113.10 $1,198.20 $1,288.38 $1,608.74 |
Toc - Plan #81 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.03 $408.62 $460.11 $643.00 $977.10 |
$635.45 $684.04 $735.53 $918.42 |
$910.87 $959.46 $1,010.95 $1,193.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.06 $817.24 $920.22 $1,286.00 $1,954.20 |
$995.48 $1,092.66 $1,195.64 $1,561.42 |
$1,270.90 $1,368.08 $1,471.06 $1,836.84 |
Toc - Plan #82 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.00 $458.52 $516.29 $721.52 $1,096.42 |
$713.05 $767.57 $825.34 $1,030.57 |
$1,022.10 $1,076.62 $1,134.39 $1,339.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.00 $917.04 $1,032.58 $1,443.04 $2,192.84 |
$1,117.05 $1,226.09 $1,341.63 $1,752.09 |
$1,426.10 $1,535.14 $1,650.68 $2,061.14 |
Toc - Plan #83 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Everyday Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.25 $454.28 $511.51 $714.84 $1,086.26 |
$706.44 $760.47 $817.70 $1,021.03 |
$1,012.63 $1,066.66 $1,123.89 $1,327.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$800.50 $908.56 $1,023.02 $1,429.68 $2,172.52 |
$1,106.69 $1,214.75 $1,329.21 $1,735.87 |
$1,412.88 $1,520.94 $1,635.40 $2,042.06 |
Toc - Plan #84 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.42 $445.39 $501.50 $700.84 $1,065.00 |
$692.61 $745.58 $801.69 $1,001.03 |
$992.80 $1,045.77 $1,101.88 $1,301.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.84 $890.78 $1,003.00 $1,401.68 $2,130.00 |
$1,085.03 $1,190.97 $1,303.19 $1,701.87 |
$1,385.22 $1,491.16 $1,603.38 $2,002.06 |
Toc - Plan #85 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.68 $451.36 $508.22 $710.24 $1,079.28 |
$701.90 $755.58 $812.44 $1,014.46 |
$1,006.12 $1,059.80 $1,116.66 $1,318.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.36 $902.72 $1,016.44 $1,420.48 $2,158.56 |
$1,099.58 $1,206.94 $1,320.66 $1,724.70 |
$1,403.80 $1,511.16 $1,624.88 $2,028.92 |
Toc - Plan #86 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold with Atrium Health + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
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 |
$421.03 $477.86 $538.06 $751.94 $1,142.64 |
$743.11 $799.94 $860.14 $1,074.02 |
$1,065.19 $1,122.02 $1,182.22 $1,396.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.06 $955.72 $1,076.12 $1,503.88 $2,285.28 |
$1,164.14 $1,277.80 $1,398.20 $1,825.96 |
$1,486.22 $1,599.88 $1,720.28 $2,148.04 |
Toc - Plan #87 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze with Atrium Health + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.79 $351.60 $395.90 $553.27 $840.75 |
$546.77 $588.58 $632.88 $790.25 |
$783.75 $825.56 $869.86 $1,027.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.58 $703.20 $791.80 $1,106.54 $1,681.50 |
$856.56 $940.18 $1,028.78 $1,343.52 |
$1,093.54 $1,177.16 $1,265.76 $1,580.50 |
Toc - Plan #88 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Standard Silver with Atrium Health + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.77 $442.38 $498.11 $696.11 $1,057.81 |
$687.94 $740.55 $796.28 $994.28 |
$986.11 $1,038.72 $1,094.45 $1,292.45 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$779.54 $884.76 $996.22 $1,392.22 $2,115.62 |
$1,077.71 $1,182.93 $1,294.39 $1,690.39 |
$1,375.88 $1,481.10 $1,592.56 $1,988.56 |
Toc - Plan #89 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Standard Gold with Atrium Health + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-863-1310
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.11 $458.66 $516.44 $721.73 $1,096.74 |
$713.25 $767.80 $825.58 $1,030.87 |
$1,022.39 $1,076.94 $1,134.72 $1,340.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.22 $917.32 $1,032.88 $1,443.46 $2,193.48 |
$1,117.36 $1,226.46 $1,342.02 $1,752.60 |
$1,426.50 $1,535.60 $1,651.16 $2,061.74 |
‡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 Forsyth County here.
Forsyth County is in “Rating Area 6” of North Carolina.
Currently, there are 89 plans offered in Rating Area 6.