ADVERTISEMENT
Wellmark Health Plan of Iowa, Inc.Local: 1-800-819-0893 | Toll Free: 1-800-819-0893 | TTY: 1-888-781-4262 |
Toc - Plan #1 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Wellmark Bronze HDHP HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$249.50 $283.19 $318.86 $445.61 $677.15 |
$440.37 $474.06 $509.73 $636.48 |
$631.24 $664.93 $700.60 $827.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.00 $566.38 $637.72 $891.22 $1,354.30 |
$689.87 $757.25 $828.59 $1,082.09 |
$880.74 $948.12 $1,019.46 $1,272.96 |
Toc - Plan #2 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Silver
(HMO) Wellmark Silver Traditional HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$346.18 $392.91 $442.41 $618.27 $939.52 |
$611.01 $657.74 $707.24 $883.10 |
$875.84 $922.57 $972.07 $1,147.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$692.36 $785.82 $884.82 $1,236.54 $1,879.04 |
$957.19 $1,050.65 $1,149.65 $1,501.37 |
$1,222.02 $1,315.48 $1,414.48 $1,766.20 |
Toc - Plan #3 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Wellmark Bronze Traditional HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$255.08 $289.52 $325.99 $455.57 $692.29 |
$450.22 $484.66 $521.13 $650.71 |
$645.36 $679.80 $716.27 $845.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$510.16 $579.04 $651.98 $911.14 $1,384.58 |
$705.30 $774.18 $847.12 $1,106.28 |
$900.44 $969.32 $1,042.26 $1,301.42 |
Toc - Plan #4 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Gold
(HMO) Wellmark Gold Traditional HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$338.73 $384.46 $432.90 $604.98 $919.33 |
$597.86 $643.59 $692.03 $864.11 |
$856.99 $902.72 $951.16 $1,123.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.46 $768.92 $865.80 $1,209.96 $1,838.66 |
$936.59 $1,028.05 $1,124.93 $1,469.09 |
$1,195.72 $1,287.18 $1,384.06 $1,728.22 |
Toc - Plan #5 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Wellmark Bronze HDHP HMO | Farm Bureau |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.50 $283.19 $318.86 $445.61 $677.15 |
$440.37 $474.06 $509.73 $636.48 |
$631.24 $664.93 $700.60 $827.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.00 $566.38 $637.72 $891.22 $1,354.30 |
$689.87 $757.25 $828.59 $1,082.09 |
$880.74 $948.12 $1,019.46 $1,272.96 |
Toc - Plan #6 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Gold
(HMO) Wellmark Gold Traditional HMO | Farm Bureau |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$338.73 $384.46 $432.90 $604.98 $919.33 |
$597.86 $643.59 $692.03 $864.11 |
$856.99 $902.72 $951.16 $1,123.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$677.46 $768.92 $865.80 $1,209.96 $1,838.66 |
$936.59 $1,028.05 $1,124.93 $1,469.09 |
$1,195.72 $1,287.18 $1,384.06 $1,728.22 |
Toc - Plan #7 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Wellmark Bronze Primary Care | UnityPoint Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$243.00 $275.80 $310.55 $434.00 $659.50 |
$428.89 $461.69 $496.44 $619.89 |
$614.78 $647.58 $682.33 $805.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$486.00 $551.60 $621.10 $868.00 $1,319.00 |
$671.89 $737.49 $806.99 $1,053.89 |
$857.78 $923.38 $992.88 $1,239.78 |
Toc - Plan #8 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Silver
(HMO) Wellmark Silver Primary Care | UnityPoint Health |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$321.95 $365.41 $411.45 $575.00 $873.77 |
$568.24 $611.70 $657.74 $821.29 |
$814.53 $857.99 $904.03 $1,067.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.90 $730.82 $822.90 $1,150.00 $1,747.54 |
$890.19 $977.11 $1,069.19 $1,396.29 |
$1,136.48 $1,223.40 $1,315.48 $1,642.58 |
Toc - Plan #9 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Gold
(HMO) Wellmark Gold Primary Care | UnityPoint Health |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$310.30 $352.19 $396.56 $554.19 $842.15 |
$547.68 $589.57 $633.94 $791.57 |
$785.06 $826.95 $871.32 $1,028.95 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.60 $704.38 $793.12 $1,108.38 $1,684.30 |
$857.98 $941.76 $1,030.50 $1,345.76 |
$1,095.36 $1,179.14 $1,267.88 $1,583.14 |
Toc - Plan #10 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Wellmark Standard Bronze HMO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$251.20 $285.11 $321.03 $448.64 $681.75 |
$443.36 $477.27 $513.19 $640.80 |
$635.52 $669.43 $705.35 $832.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$502.40 $570.22 $642.06 $897.28 $1,363.50 |
$694.56 $762.38 $834.22 $1,089.44 |
$886.72 $954.54 $1,026.38 $1,281.60 |
Toc - Plan #11 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Silver
(HMO) Wellmark Standard Silver HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$342.36 $388.58 $437.54 $611.46 $929.17 |
$604.27 $650.49 $699.45 $873.37 |
$866.18 $912.40 $961.36 $1,135.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$684.72 $777.16 $875.08 $1,222.92 $1,858.34 |
$946.63 $1,039.07 $1,136.99 $1,484.83 |
$1,208.54 $1,300.98 $1,398.90 $1,746.74 |
Toc - Plan #12 Wellmark Health Plan of Iowa, Inc. | ||||||||||||||||||||
Gold
(HMO) Wellmark Standard Gold HMO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-819-0893
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 |
$329.97 $374.52 $421.71 $589.33 $895.55 |
$582.40 $626.95 $674.14 $841.76 |
$834.83 $879.38 $926.57 $1,094.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.94 $749.04 $843.42 $1,178.66 $1,791.10 |
$912.37 $1,001.47 $1,095.85 $1,431.09 |
$1,164.80 $1,253.90 $1,348.28 $1,683.52 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: |
Toc - Plan #13 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic | MercyOne |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$251.08 $284.96 $320.87 $448.41 $681.40 |
$443.15 $477.03 $512.94 $640.48 |
$635.22 $669.10 $705.01 $832.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$502.16 $569.92 $641.74 $896.82 $1,362.80 |
$694.23 $761.99 $833.81 $1,088.89 |
$886.30 $954.06 $1,025.88 $1,280.96 |
Toc - Plan #14 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + PCP Saver Plus | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.31 $332.89 $374.83 $523.83 $796.01 |
$517.68 $557.26 $599.20 $748.20 |
$742.05 $781.63 $823.57 $972.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.62 $665.78 $749.66 $1,047.66 $1,592.02 |
$810.99 $890.15 $974.03 $1,272.03 |
$1,035.36 $1,114.52 $1,198.40 $1,496.40 |
Toc - Plan #15 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic | MercyOne |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.97 $388.13 $437.03 $610.74 $928.08 |
$603.57 $649.73 $698.63 $872.34 |
$865.17 $911.33 $960.23 $1,133.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$683.94 $776.26 $874.06 $1,221.48 $1,856.16 |
$945.54 $1,037.86 $1,135.66 $1,483.08 |
$1,207.14 $1,299.46 $1,397.26 $1,744.68 |
Toc - Plan #16 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure | MercyOne |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$201.20 $228.35 $257.11 $359.32 $546.02 |
$355.11 $382.26 $411.02 $513.23 |
$509.02 $536.17 $564.93 $667.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$402.40 $456.70 $514.22 $718.64 $1,092.04 |
$556.31 $610.61 $668.13 $872.55 |
$710.22 $764.52 $822.04 $1,026.46 |
Toc - Plan #17 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic PCP Saver Plus | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$262.37 $297.78 $335.30 $468.57 $712.04 |
$463.07 $498.48 $536.00 $669.27 |
$663.77 $699.18 $736.70 $869.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$524.74 $595.56 $670.60 $937.14 $1,424.08 |
$725.44 $796.26 $871.30 $1,137.84 |
$926.14 $996.96 $1,072.00 $1,338.54 |
Toc - Plan #18 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.81 $299.41 $337.13 $471.14 $715.94 |
$465.61 $501.21 $538.93 $672.94 |
$667.41 $703.01 $740.73 $874.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$527.62 $598.82 $674.26 $942.28 $1,431.88 |
$729.42 $800.62 $876.06 $1,144.08 |
$931.22 $1,002.42 $1,077.86 $1,345.88 |
Toc - Plan #19 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple PCP Saver | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.87 $370.98 $417.72 $583.77 $887.09 |
$576.92 $621.03 $667.77 $833.82 |
$826.97 $871.08 $917.82 $1,083.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.74 $741.96 $835.44 $1,167.54 $1,774.18 |
$903.79 $992.01 $1,085.49 $1,417.59 |
$1,153.84 $1,242.06 $1,335.54 $1,667.64 |
Toc - Plan #20 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite Saver Plus | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.00 $396.11 $446.01 $623.30 $947.17 |
$615.98 $663.09 $712.99 $890.28 |
$882.96 $930.07 $979.97 $1,157.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$698.00 $792.22 $892.02 $1,246.60 $1,894.34 |
$964.98 $1,059.20 $1,159.00 $1,513.58 |
$1,231.96 $1,326.18 $1,425.98 $1,780.56 |
Toc - Plan #21 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Elite | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.28 $404.36 $455.31 $636.29 $966.91 |
$628.82 $676.90 $727.85 $908.83 |
$901.36 $949.44 $1,000.39 $1,181.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.56 $808.72 $910.62 $1,272.58 $1,933.82 |
$985.10 $1,081.26 $1,183.16 $1,545.12 |
$1,257.64 $1,353.80 $1,455.70 $1,817.66 |
Toc - Plan #22 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple Diabetes | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.81 $384.54 $432.98 $605.09 $919.50 |
$597.99 $643.72 $692.16 $864.27 |
$857.17 $902.90 $951.34 $1,123.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$677.62 $769.08 $865.96 $1,210.18 $1,839.00 |
$936.80 $1,028.26 $1,125.14 $1,469.36 |
$1,195.98 $1,287.44 $1,384.32 $1,728.54 |
Toc - Plan #23 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic Standard | MercyOne |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258.72 $293.64 $330.63 $462.06 $702.14 |
$456.63 $491.55 $528.54 $659.97 |
$654.54 $689.46 $726.45 $857.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$517.44 $587.28 $661.26 $924.12 $1,404.28 |
$715.35 $785.19 $859.17 $1,122.03 |
$913.26 $983.10 $1,057.08 $1,319.94 |
Toc - Plan #24 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic Standard | MercyOne |
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Benefits & Coverage
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Customer Service Phone:
Annual Out of Pocket Expenses:
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[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.81 $374.32 $421.48 $589.02 $895.07 |
$582.11 $626.62 $673.78 $841.32 |
$834.41 $878.92 $926.08 $1,093.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.62 $748.64 $842.96 $1,178.04 $1,790.14 |
$911.92 $1,000.94 $1,095.26 $1,430.34 |
$1,164.22 $1,253.24 $1,347.56 $1,682.64 |
Toc - Plan #25 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic Standard | MercyOne |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$323.29 $366.93 $413.15 $577.38 $877.39 |
$570.60 $614.24 $660.46 $824.69 |
$817.91 $861.55 $907.77 $1,072.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$646.58 $733.86 $826.30 $1,154.76 $1,754.78 |
$893.89 $981.17 $1,073.61 $1,402.07 |
$1,141.20 $1,228.48 $1,320.92 $1,649.38 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-888-516-4692 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Bronze Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.02 $384.79 $433.27 $605.49 $920.10 |
$598.37 $644.14 $692.62 $864.84 |
$857.72 $903.49 $951.97 $1,124.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$678.04 $769.58 $866.54 $1,210.98 $1,840.20 |
$937.39 $1,028.93 $1,125.89 $1,470.33 |
$1,196.74 $1,288.28 $1,385.24 $1,729.68 |
Toc - Plan #27 Medica | ||||||||||||||||||||
Silver
(EPO) Medica Insure Silver Enhanced |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.88 $567.36 $638.84 $892.78 $1,356.67 |
$882.29 $949.77 $1,021.25 $1,275.19 |
$1,264.70 $1,332.18 $1,403.66 $1,657.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$999.76 $1,134.72 $1,277.68 $1,785.56 $2,713.34 |
$1,382.17 $1,517.13 $1,660.09 $2,167.97 |
$1,764.58 $1,899.54 $2,042.50 $2,550.38 |
Toc - Plan #28 Medica | ||||||||||||||||||||
Gold
(EPO) Medica Insure Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$515.56 $585.16 $658.88 $920.79 $1,399.22 |
$909.96 $979.56 $1,053.28 $1,315.19 |
$1,304.36 $1,373.96 $1,447.68 $1,709.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,031.12 $1,170.32 $1,317.76 $1,841.58 $2,798.44 |
$1,425.52 $1,564.72 $1,712.16 $2,235.98 |
$1,819.92 $1,959.12 $2,106.56 $2,630.38 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Silver
(EPO) Medica Insure Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$456.43 $518.05 $583.32 $815.19 $1,238.75 |
$805.60 $867.22 $932.49 $1,164.36 |
$1,154.77 $1,216.39 $1,281.66 $1,513.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$912.86 $1,036.10 $1,166.64 $1,630.38 $2,477.50 |
$1,262.03 $1,385.27 $1,515.81 $1,979.55 |
$1,611.20 $1,734.44 $1,864.98 $2,328.72 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Medica Insure Expanded Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.53 $380.83 $428.81 $599.26 $910.64 |
$592.21 $637.51 $685.49 $855.94 |
$848.89 $894.19 $942.17 $1,112.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.06 $761.66 $857.62 $1,198.52 $1,821.28 |
$927.74 $1,018.34 $1,114.30 $1,455.20 |
$1,184.42 $1,275.02 $1,370.98 $1,711.88 |
Toc - Plan #31 Medica | ||||||||||||||||||||
Silver
(EPO) Inspire by Medica Silver Share |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.58 $454.65 $511.94 $715.43 $1,087.16 |
$707.02 $761.09 $818.38 $1,021.87 |
$1,013.46 $1,067.53 $1,124.82 $1,328.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.16 $909.30 $1,023.88 $1,430.86 $2,174.32 |
$1,107.60 $1,215.74 $1,330.32 $1,737.30 |
$1,414.04 $1,522.18 $1,636.76 $2,043.74 |
Toc - Plan #32 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Inspire by Medica Bronze Share Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.85 $318.76 $358.92 $501.59 $762.21 |
$495.70 $533.61 $573.77 $716.44 |
$710.55 $748.46 $788.62 $931.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.70 $637.52 $717.84 $1,003.18 $1,524.42 |
$776.55 $852.37 $932.69 $1,218.03 |
$991.40 $1,067.22 $1,147.54 $1,432.88 |
Toc - Plan #33 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Inspire by Medica Bronze Copay Preferred Primary Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.50 $318.36 $358.47 $500.97 $761.27 |
$495.08 $532.94 $573.05 $715.55 |
$709.66 $747.52 $787.63 $930.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$561.00 $636.72 $716.94 $1,001.94 $1,522.54 |
$775.58 $851.30 $931.52 $1,216.52 |
$990.16 $1,065.88 $1,146.10 $1,431.10 |
Toc - Plan #34 Medica | ||||||||||||||||||||
Gold
(EPO) Inspire by Medica Gold Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$402.49 $456.83 $514.38 $718.85 $1,092.36 |
$710.39 $764.73 $822.28 $1,026.75 |
$1,018.29 $1,072.63 $1,130.18 $1,334.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$804.98 $913.66 $1,028.76 $1,437.70 $2,184.72 |
$1,112.88 $1,221.56 $1,336.66 $1,745.60 |
$1,420.78 $1,529.46 $1,644.56 $2,053.50 |
Toc - Plan #35 Medica | ||||||||||||||||||||
Silver
(EPO) Inspire by Medica Silver Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.16 $433.75 $488.40 $682.54 $1,037.18 |
$674.51 $726.10 $780.75 $974.89 |
$966.86 $1,018.45 $1,073.10 $1,267.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.32 $867.50 $976.80 $1,365.08 $2,074.36 |
$1,056.67 $1,159.85 $1,269.15 $1,657.43 |
$1,349.02 $1,452.20 $1,561.50 $1,949.78 |
Toc - Plan #36 Medica | ||||||||||||||||||||
Silver
(EPO) Inspire by Medica Silver Enhanced |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.22 $455.38 $512.76 $716.57 $1,088.90 |
$708.15 $762.31 $819.69 $1,023.50 |
$1,015.08 $1,069.24 $1,126.62 $1,330.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.44 $910.76 $1,025.52 $1,433.14 $2,177.80 |
$1,109.37 $1,217.69 $1,332.45 $1,740.07 |
$1,416.30 $1,524.62 $1,639.38 $2,047.00 |
Toc - Plan #37 Medica | ||||||||||||||||||||
Gold
(EPO) Inspire by Medica Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.80 $469.67 $528.84 $739.05 $1,123.06 |
$730.36 $786.23 $845.40 $1,055.61 |
$1,046.92 $1,102.79 $1,161.96 $1,372.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$827.60 $939.34 $1,057.68 $1,478.10 $2,246.12 |
$1,144.16 $1,255.90 $1,374.24 $1,794.66 |
$1,460.72 $1,572.46 $1,690.80 $2,111.22 |
Toc - Plan #38 Medica | ||||||||||||||||||||
Silver
(EPO) Inspire by Medica Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.35 $415.80 $468.19 $654.29 $994.26 |
$646.60 $696.05 $748.44 $934.54 |
$926.85 $976.30 $1,028.69 $1,214.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.70 $831.60 $936.38 $1,308.58 $1,988.52 |
$1,012.95 $1,111.85 $1,216.63 $1,588.83 |
$1,293.20 $1,392.10 $1,496.88 $1,869.08 |
Toc - Plan #39 Medica | ||||||||||||||||||||
Bronze
(EPO) Inspire by Medica Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.75 $291.42 $328.13 $458.56 $696.83 |
$453.17 $487.84 $524.55 $654.98 |
$649.59 $684.26 $720.97 $851.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$513.50 $582.84 $656.26 $917.12 $1,393.66 |
$709.92 $779.26 $852.68 $1,113.54 |
$906.34 $975.68 $1,049.10 $1,309.96 |
Toc - Plan #40 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Inspire by Medica Expanded Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.31 $305.67 $344.18 $480.99 $730.91 |
$475.33 $511.69 $550.20 $687.01 |
$681.35 $717.71 $756.22 $893.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.62 $611.34 $688.36 $961.98 $1,461.82 |
$744.64 $817.36 $894.38 $1,168.00 |
$950.66 $1,023.38 $1,100.40 $1,374.02 |
‡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 Polk County here.
Polk County is in “Rating Area 2” of Iowa.
Currently, there are 40 plans offered in Rating Area 2.
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2024 Obamacare Plans for Polk County, IA
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