North Carolina Obamacare 2024 Rates
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Counties in North Carolina
- Wake County (Raleigh)
- Mecklenburg County (Charlotte)
- Guilford County (Greensboro and High Point)
- Forsyth County (Winston-Salem)
- Cumberland County (Fayetteville)
- Durham County (Durham)
- Buncombe County (Asheville)
- Union County (Monroe)
- Gaston County (Gastonia)
- Cabarrus County (Concord)
- New Hanover County (Wilmington)
- Johnston County (Smithfield)
- Onslow County (Jacksonville)
- Iredell County (Statesville)
- Alamance County (Graham)
- Pitt County (Greenville)
- Davidson County (Lexington)
- Catawba County (Newton)
- Orange County (Hillsborough)
- Rowan County (Salisbury)
- Randolph County (Asheboro)
- Brunswick County (Bolivia)
- Harnett County (Lillington)
- Wayne County (Goldsboro)
- Robeson County (Lumberton)
- Henderson County (Hendersonville)
- Craven County (New Bern)
- Moore County (Carthage)
- Cleveland County (Shelby)
- Nash County (Nashville)
- Rockingham County (Wentworth)
- Burke County (Morganton)
- Lincoln County (Lincolnton)
- Caldwell County (Lenoir)
- Wilson County (Wilson)
- Chatham County (Pittsboro)
- Surry County (Dobson)
- Franklin County (Louisburg)
- Carteret County (Beaufort)
- Wilkes County (Wilkesboro)
- Rutherford County (Rutherfordton)
- Lee County (Sanford)
- Stanly County (Albemarle)
- Haywood County (Waynesville)
- Granville County (Oxford)
- Pender County (Burgaw)
- Sampson County (Clinton)
- Lenoir County (Kinston)
- Watauga County (Boone)
- Hoke County (Raeford)
- Columbus County (Whiteville)
- Edgecombe County (Tarboro)
- Duplin County (Kenansville)
- Halifax County (Halifax)
- Beaufort County (Washington)
- McDowell County (Marion)
- Stokes County (Danbury)
- Jackson County (Sylva)
- Richmond County (Rockingham)
- Davie County (Mocksville)
- Vance County (Henderson)
- Pasquotank County (Elizabeth City)
- Person County (Roxboro)
- Yadkin County (Yadkinville)
- Macon County (Franklin)
- Dare County (Manteo)
- Alexander County (Taylorsville)
- Scotland County (Laurinburg)
- Transylvania County (Brevard)
- Bladen County (Elizabethtown)
- Cherokee County (Murphy)
- Currituck County (Currituck)
- Ashe County (Jefferson)
- Montgomery County (Troy)
- Caswell County (Yanceyville)
- Anson County (Wadesboro)
- Martin County (Williamston)
- Hertford County (Winton)
- Madison County (Marshall)
- Greene County (Snow Hill)
- Polk County (Columbus)
- Warren County (Warrenton)
- Yancey County (Burnsville)
- Bertie County (Windsor)
- Avery County (Newland)
- Northampton County (Jackson)
- Mitchell County (Bakersville)
- Swain County (Bryson City)
- Chowan County (Edenton)
- Perquimans County (Hertford)
- Pamlico County (Bayboro)
- Clay County (Hayesville)
- Washington County (Plymouth)
- Alleghany County (Sparta)
- Gates County (Gatesville)
- Camden County (Camden)
- Jones County (Trenton)
- Graham County (Robbinsville)
- Hyde County (Swan Quarter)
- Tyrrell County (Columbia)
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
ADVERTISEMENT
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 UNC Health Alliance |
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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 |
$385.71 $437.78 $492.94 $688.88 $1,046.82 |
$680.78 $732.85 $788.01 $983.95 |
$975.85 $1,027.92 $1,083.08 $1,279.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$771.42 $875.56 $985.88 $1,377.76 $2,093.64 |
$1,066.49 $1,170.63 $1,280.95 $1,672.83 |
$1,361.56 $1,465.70 $1,576.02 $1,967.90 |
Toc - Plan #2 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Gold
(EPO) Blue Home Gold Standard | with UNC Health Alliance |
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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 |
$385.80 $437.88 $493.05 $689.04 $1,047.06 |
$680.94 $733.02 $788.19 $984.18 |
$976.08 $1,028.16 $1,083.33 $1,279.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$771.60 $875.76 $986.10 $1,378.08 $2,094.12 |
$1,066.74 $1,170.90 $1,281.24 $1,673.22 |
$1,361.88 $1,466.04 $1,576.38 $1,968.36 |
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 UNC Health Alliance |
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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 |
$371.89 $422.10 $475.28 $664.20 $1,009.31 |
$656.39 $706.60 $759.78 $948.70 |
$940.89 $991.10 $1,044.28 $1,233.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$743.78 $844.20 $950.56 $1,328.40 $2,018.62 |
$1,028.28 $1,128.70 $1,235.06 $1,612.90 |
$1,312.78 $1,413.20 $1,519.56 $1,897.40 |
Toc - Plan #4 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Home Silver Secure | $15 PCP | $15 Tier 1 Rx | with UNC Health Alliance |
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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 |
$387.50 $439.81 $495.23 $692.08 $1,051.68 |
$683.94 $736.25 $791.67 $988.52 |
$980.38 $1,032.69 $1,088.11 $1,284.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$775.00 $879.62 $990.46 $1,384.16 $2,103.36 |
$1,071.44 $1,176.06 $1,286.90 $1,680.60 |
$1,367.88 $1,472.50 $1,583.34 $1,977.04 |
Toc - Plan #5 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance |
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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 |
$390.16 $442.83 $498.62 $696.83 $1,058.89 |
$688.63 $741.30 $797.09 $995.30 |
$987.10 $1,039.77 $1,095.56 $1,293.77 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$780.32 $885.66 $997.24 $1,393.66 $2,117.78 |
$1,078.79 $1,184.13 $1,295.71 $1,692.13 |
$1,377.26 $1,482.60 $1,594.18 $1,990.60 |
Toc - Plan #6 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Silver
(EPO) Blue Home Silver Standard | with UNC Health Alliance |
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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 |
|||||||||||||||||
21 30 40 50 60 |
$377.47 $428.43 $482.41 $674.16 $1,024.45 |
$666.23 $717.19 $771.17 $962.92 |
$954.99 $1,005.95 $1,059.93 $1,251.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$754.94 $856.86 $964.82 $1,348.32 $2,048.90 |
$1,043.70 $1,145.62 $1,253.58 $1,637.08 |
$1,332.46 $1,434.38 $1,542.34 $1,925.84 |
Toc - Plan #7 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance |
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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 |
$298.32 $338.59 $381.25 $532.80 $809.64 |
$526.53 $566.80 $609.46 $761.01 |
$754.74 $795.01 $837.67 $989.22 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$596.64 $677.18 $762.50 $1,065.60 $1,619.28 |
$824.85 $905.39 $990.71 $1,293.81 |
$1,053.06 $1,133.60 $1,218.92 $1,522.02 |
Toc - Plan #8 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.62 $319.64 $359.91 $502.97 $764.32 |
$497.06 $535.08 $575.35 $718.41 |
$712.50 $750.52 $790.79 $933.85 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$563.24 $639.28 $719.82 $1,005.94 $1,528.64 |
$778.68 $854.72 $935.26 $1,221.38 |
$994.12 $1,070.16 $1,150.70 $1,436.82 |
Toc - Plan #9 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze Standard | with UNC Health Alliance |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.94 $327.95 $369.27 $516.05 $784.18 |
$509.98 $548.99 $590.31 $737.09 |
$731.02 $770.03 $811.35 $958.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$577.88 $655.90 $738.54 $1,032.10 $1,568.36 |
$798.92 $876.94 $959.58 $1,253.14 |
$1,019.96 $1,097.98 $1,180.62 $1,474.18 |
Toc - Plan #10 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue Home Bronze | HSA Eligible | Integrated | with UNC Health Alliance |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-324-4973
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.49 $320.63 $361.02 $504.53 $766.68 |
$498.59 $536.73 $577.12 $720.63 |
$714.69 $752.83 $793.22 $936.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$564.98 $641.26 $722.04 $1,009.06 $1,533.36 |
$781.08 $857.36 $938.14 $1,225.16 |
$997.18 $1,073.46 $1,154.24 $1,441.26 |
Toc - Plan #11 Blue Cross and Blue Shield of NC | ||||||||||||||||||||
Catastrophic
(EPO) Blue Home Catastrophic | 3 PCP $35 | Integrated | with UNC Health Alliance |
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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 |
|||||||||||||||||
21 30 40 50 60 |
$223.17 $253.30 $285.21 $398.58 $605.68 |
$393.90 $424.03 $455.94 $569.31 |
$564.63 $594.76 $626.67 $740.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$446.34 $506.60 $570.42 $797.16 $1,211.36 |
$617.07 $677.33 $741.15 $967.89 |
$787.80 $848.06 $911.88 $1,138.62 |
ADVERTISEMENT
WellCare of North CarolinaLocal: 1-833-925-2861 | Toll Free: 1-833-925-2861 | TTY: 1-833-925-2861 |
Toc - Plan #12 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$660.27 $749.40 $843.82 $1,179.23 $1,791.95 |
$1,165.37 $1,254.50 $1,348.92 $1,684.33 |
$1,670.47 $1,759.60 $1,854.02 $2,189.43 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,320.54 $1,498.80 $1,687.64 $2,358.46 $3,583.90 |
$1,825.64 $2,003.90 $2,192.74 $2,863.56 |
$2,330.74 $2,509.00 $2,697.84 $3,368.66 |
Toc - Plan #13 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$857.68 $973.46 $1,096.10 $1,531.80 $2,327.72 |
$1,513.80 $1,629.58 $1,752.22 $2,187.92 |
$2,169.92 $2,285.70 $2,408.34 $2,844.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,715.36 $1,946.92 $2,192.20 $3,063.60 $4,655.44 |
$2,371.48 $2,603.04 $2,848.32 $3,719.72 |
$3,027.60 $3,259.16 $3,504.44 $4,375.84 |
Toc - Plan #14 WellCare of North Carolina | ||||||||||||||||||||
Gold
(PPO) WellCare Secure Health Gold |
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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 |
$896.10 $1,017.07 $1,145.21 $1,600.42 $2,432.00 |
$1,581.61 $1,702.58 $1,830.72 $2,285.93 |
$2,267.12 $2,388.09 $2,516.23 $2,971.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,792.20 $2,034.14 $2,290.42 $3,200.84 $4,864.00 |
$2,477.71 $2,719.65 $2,975.93 $3,886.35 |
$3,163.22 $3,405.16 $3,661.44 $4,571.86 |
Toc - Plan #15 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 |
$654.99 $743.40 $837.06 $1,169.79 $1,777.61 |
$1,156.05 $1,244.46 $1,338.12 $1,670.85 |
$1,657.11 $1,745.52 $1,839.18 $2,171.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,309.98 $1,486.80 $1,674.12 $2,339.58 $3,555.22 |
$1,811.04 $1,987.86 $2,175.18 $2,840.64 |
$2,312.10 $2,488.92 $2,676.24 $3,341.70 |
Toc - Plan #16 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 |
$838.97 $952.22 $1,072.19 $1,498.38 $2,276.94 |
$1,480.78 $1,594.03 $1,714.00 $2,140.19 |
$2,122.59 $2,235.84 $2,355.81 $2,782.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,677.94 $1,904.44 $2,144.38 $2,996.76 $4,553.88 |
$2,319.75 $2,546.25 $2,786.19 $3,638.57 |
$2,961.56 $3,188.06 $3,428.00 $4,280.38 |
Toc - Plan #17 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 |
$870.52 $988.02 $1,112.51 $1,554.72 $2,362.55 |
$1,536.46 $1,653.96 $1,778.45 $2,220.66 |
$2,202.40 $2,319.90 $2,444.39 $2,886.60 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,741.04 $1,976.04 $2,225.02 $3,109.44 $4,725.10 |
$2,406.98 $2,641.98 $2,890.96 $3,775.38 |
$3,072.92 $3,307.92 $3,556.90 $4,441.32 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-800-980-5357 | Toll Free: 1-800-980-5357 | TTY: 1-800-980-5357 |
Toc - Plan #18 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]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.46 $465.88 $524.57 $733.09 $1,114.00 |
$724.47 $779.89 $838.58 $1,047.10 |
$1,038.48 $1,093.90 $1,152.59 $1,361.11 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$820.92 $931.76 $1,049.14 $1,466.18 $2,228.00 |
$1,134.93 $1,245.77 $1,363.15 $1,780.19 |
$1,448.94 $1,559.78 $1,677.16 $2,094.20 |
Toc - Plan #19 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 |
$465.81 $528.70 $595.31 $831.94 $1,264.21 |
$822.16 $885.05 $951.66 $1,188.29 |
$1,178.51 $1,241.40 $1,308.01 $1,544.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.62 $1,057.40 $1,190.62 $1,663.88 $2,528.42 |
$1,287.97 $1,413.75 $1,546.97 $2,020.23 |
$1,644.32 $1,770.10 $1,903.32 $2,376.58 |
Toc - Plan #20 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 |
$316.38 $359.09 $404.33 $565.05 $858.65 |
$558.41 $601.12 $646.36 $807.08 |
$800.44 $843.15 $888.39 $1,049.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$632.76 $718.18 $808.66 $1,130.10 $1,717.30 |
$874.79 $960.21 $1,050.69 $1,372.13 |
$1,116.82 $1,202.24 $1,292.72 $1,614.16 |
Toc - Plan #21 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 |
$414.29 $470.22 $529.47 $739.93 $1,124.39 |
$731.22 $787.15 $846.40 $1,056.86 |
$1,048.15 $1,104.08 $1,163.33 $1,373.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$828.58 $940.44 $1,058.94 $1,479.86 $2,248.78 |
$1,145.51 $1,257.37 $1,375.87 $1,796.79 |
$1,462.44 $1,574.30 $1,692.80 $2,113.72 |
Toc - Plan #22 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 |
$468.97 $532.28 $599.34 $837.57 $1,272.78 |
$827.73 $891.04 $958.10 $1,196.33 |
$1,186.49 $1,249.80 $1,316.86 $1,555.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$937.94 $1,064.56 $1,198.68 $1,675.14 $2,545.56 |
$1,296.70 $1,423.32 $1,557.44 $2,033.90 |
$1,655.46 $1,782.08 $1,916.20 $2,392.66 |
Toc - Plan #23 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 |
$418.95 $475.51 $535.42 $748.25 $1,137.04 |
$739.45 $796.01 $855.92 $1,068.75 |
$1,059.95 $1,116.51 $1,176.42 $1,389.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.90 $951.02 $1,070.84 $1,496.50 $2,274.08 |
$1,158.40 $1,271.52 $1,391.34 $1,817.00 |
$1,478.90 $1,592.02 $1,711.84 $2,137.50 |
Toc - Plan #24 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 |
$415.79 $471.92 $531.38 $742.60 $1,128.45 |
$733.87 $790.00 $849.46 $1,060.68 |
$1,051.95 $1,108.08 $1,167.54 $1,378.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$831.58 $943.84 $1,062.76 $1,485.20 $2,256.90 |
$1,149.66 $1,261.92 $1,380.84 $1,803.28 |
$1,467.74 $1,580.00 $1,698.92 $2,121.36 |
Toc - Plan #25 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 |
$310.45 $352.36 $396.75 $554.46 $842.55 |
$547.94 $589.85 $634.24 $791.95 |
$785.43 $827.34 $871.73 $1,029.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.90 $704.72 $793.50 $1,108.92 $1,685.10 |
$858.39 $942.21 $1,030.99 $1,346.41 |
$1,095.88 $1,179.70 $1,268.48 $1,583.90 |
Toc - Plan #26 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 |
$297.54 $337.71 $380.25 $531.40 $807.52 |
$525.16 $565.33 $607.87 $759.02 |
$752.78 $792.95 $835.49 $986.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.08 $675.42 $760.50 $1,062.80 $1,615.04 |
$822.70 $903.04 $988.12 $1,290.42 |
$1,050.32 $1,130.66 $1,215.74 $1,518.04 |
Toc - Plan #27 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 |
$304.59 $345.71 $389.26 $543.99 $826.65 |
$537.60 $578.72 $622.27 $777.00 |
$770.61 $811.73 $855.28 $1,010.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$609.18 $691.42 $778.52 $1,087.98 $1,653.30 |
$842.19 $924.43 $1,011.53 $1,320.99 |
$1,075.20 $1,157.44 $1,244.54 $1,554.00 |
Toc - Plan #28 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 |
$321.80 $365.25 $411.26 $574.74 $873.37 |
$567.98 $611.43 $657.44 $820.92 |
$814.16 $857.61 $903.62 $1,067.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.60 $730.50 $822.52 $1,149.48 $1,746.74 |
$889.78 $976.68 $1,068.70 $1,395.66 |
$1,135.96 $1,222.86 $1,314.88 $1,641.84 |
Toc - Plan #29 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 |
$412.64 $468.35 $527.36 $736.98 $1,119.91 |
$728.31 $784.02 $843.03 $1,052.65 |
$1,043.98 $1,099.69 $1,158.70 $1,368.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$825.28 $936.70 $1,054.72 $1,473.96 $2,239.82 |
$1,140.95 $1,252.37 $1,370.39 $1,789.63 |
$1,456.62 $1,568.04 $1,686.06 $2,105.30 |
Toc - Plan #30 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 |
$471.35 $534.98 $602.38 $841.83 $1,279.24 |
$831.93 $895.56 $962.96 $1,202.41 |
$1,192.51 $1,256.14 $1,323.54 $1,562.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$942.70 $1,069.96 $1,204.76 $1,683.66 $2,558.48 |
$1,303.28 $1,430.54 $1,565.34 $2,044.24 |
$1,663.86 $1,791.12 $1,925.92 $2,404.82 |
Toc - Plan #31 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 |
$430.61 $488.74 $550.31 $769.06 $1,168.66 |
$760.02 $818.15 $879.72 $1,098.47 |
$1,089.43 $1,147.56 $1,209.13 $1,427.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861.22 $977.48 $1,100.62 $1,538.12 $2,337.32 |
$1,190.63 $1,306.89 $1,430.03 $1,867.53 |
$1,520.04 $1,636.30 $1,759.44 $2,196.94 |
Toc - Plan #32 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 |
$484.86 $550.32 $619.66 $865.97 $1,315.92 |
$855.78 $921.24 $990.58 $1,236.89 |
$1,226.70 $1,292.16 $1,361.50 $1,607.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$969.72 $1,100.64 $1,239.32 $1,731.94 $2,631.84 |
$1,340.64 $1,471.56 $1,610.24 $2,102.86 |
$1,711.56 $1,842.48 $1,981.16 $2,473.78 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #33 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 |
$263.40 $298.96 $336.62 $470.43 $714.85 |
$464.90 $500.46 $538.12 $671.93 |
$666.40 $701.96 $739.62 $873.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$526.80 $597.92 $673.24 $940.86 $1,429.70 |
$728.30 $799.42 $874.74 $1,142.36 |
$929.80 $1,000.92 $1,076.24 $1,343.86 |
Toc - Plan #34 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 |
$361.45 $410.24 $461.93 $645.54 $980.95 |
$637.96 $686.75 $738.44 $922.05 |
$914.47 $963.26 $1,014.95 $1,198.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.90 $820.48 $923.86 $1,291.08 $1,961.90 |
$999.41 $1,096.99 $1,200.37 $1,567.59 |
$1,275.92 $1,373.50 $1,476.88 $1,844.10 |
Toc - Plan #35 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 |
$366.45 $415.92 $468.32 $654.47 $994.53 |
$646.78 $696.25 $748.65 $934.80 |
$927.11 $976.58 $1,028.98 $1,215.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.90 $831.84 $936.64 $1,308.94 $1,989.06 |
$1,013.23 $1,112.17 $1,216.97 $1,589.27 |
$1,293.56 $1,392.50 $1,497.30 $1,869.60 |
Toc - Plan #36 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 |
$268.10 $304.29 $342.63 $478.82 $727.60 |
$473.19 $509.38 $547.72 $683.91 |
$678.28 $714.47 $752.81 $889.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$536.20 $608.58 $685.26 $957.64 $1,455.20 |
$741.29 $813.67 $890.35 $1,162.73 |
$946.38 $1,018.76 $1,095.44 $1,367.82 |
Toc - Plan #37 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 |
$362.03 $410.91 $462.68 $646.58 $982.55 |
$638.99 $687.87 $739.64 $923.54 |
$915.95 $964.83 $1,016.60 $1,200.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.06 $821.82 $925.36 $1,293.16 $1,965.10 |
$1,001.02 $1,098.78 $1,202.32 $1,570.12 |
$1,277.98 $1,375.74 $1,479.28 $1,847.08 |
Toc - Plan #38 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 |
$353.78 $401.54 $452.12 $631.84 $960.14 |
$624.42 $672.18 $722.76 $902.48 |
$895.06 $942.82 $993.40 $1,173.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.56 $803.08 $904.24 $1,263.68 $1,920.28 |
$978.20 $1,073.72 $1,174.88 $1,534.32 |
$1,248.84 $1,344.36 $1,445.52 $1,804.96 |
Toc - Plan #39 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 |
$297.01 $337.11 $379.58 $530.46 $806.08 |
$524.23 $564.33 $606.80 $757.68 |
$751.45 $791.55 $834.02 $984.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$594.02 $674.22 $759.16 $1,060.92 $1,612.16 |
$821.24 $901.44 $986.38 $1,288.14 |
$1,048.46 $1,128.66 $1,213.60 $1,515.36 |
Toc - Plan #40 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 |
$362.63 $411.58 $463.44 $647.65 $984.17 |
$640.04 $688.99 $740.85 $925.06 |
$917.45 $966.40 $1,018.26 $1,202.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.26 $823.16 $926.88 $1,295.30 $1,968.34 |
$1,002.67 $1,100.57 $1,204.29 $1,572.71 |
$1,280.08 $1,377.98 $1,481.70 $1,850.12 |
Toc - Plan #41 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 |
$365.89 $415.29 $467.61 $653.48 $993.03 |
$645.80 $695.20 $747.52 $933.39 |
$925.71 $975.11 $1,027.43 $1,213.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.78 $830.58 $935.22 $1,306.96 $1,986.06 |
$1,011.69 $1,110.49 $1,215.13 $1,586.87 |
$1,291.60 $1,390.40 $1,495.04 $1,866.78 |
Toc - Plan #42 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 |
$353.91 $401.69 $452.30 $632.09 $960.52 |
$624.66 $672.44 $723.05 $902.84 |
$895.41 $943.19 $993.80 $1,173.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.82 $803.38 $904.60 $1,264.18 $1,921.04 |
$978.57 $1,074.13 $1,175.35 $1,534.93 |
$1,249.32 $1,344.88 $1,446.10 $1,805.68 |
Toc - Plan #43 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 |
$361.48 $410.28 $461.97 $645.60 $981.04 |
$638.01 $686.81 $738.50 $922.13 |
$914.54 $963.34 $1,015.03 $1,198.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.96 $820.56 $923.94 $1,291.20 $1,962.08 |
$999.49 $1,097.09 $1,200.47 $1,567.73 |
$1,276.02 $1,373.62 $1,477.00 $1,844.26 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #44 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 |
$358.99 $407.46 $458.79 $641.16 $974.30 |
$633.62 $682.09 $733.42 $915.79 |
$908.25 $956.72 $1,008.05 $1,190.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.98 $814.92 $917.58 $1,282.32 $1,948.60 |
$992.61 $1,089.55 $1,192.21 $1,556.95 |
$1,267.24 $1,364.18 $1,466.84 $1,831.58 |
Toc - Plan #45 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 |
$379.55 $430.79 $485.06 $677.88 $1,030.10 |
$669.91 $721.15 $775.42 $968.24 |
$960.27 $1,011.51 $1,065.78 $1,258.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$759.10 $861.58 $970.12 $1,355.76 $2,060.20 |
$1,049.46 $1,151.94 $1,260.48 $1,646.12 |
$1,339.82 $1,442.30 $1,550.84 $1,936.48 |
Toc - Plan #46 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 |
$376.38 $427.20 $481.02 $672.22 $1,021.50 |
$664.31 $715.13 $768.95 $960.15 |
$952.24 $1,003.06 $1,056.88 $1,248.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.76 $854.40 $962.04 $1,344.44 $2,043.00 |
$1,040.69 $1,142.33 $1,249.97 $1,632.37 |
$1,328.62 $1,430.26 $1,537.90 $1,920.30 |
Toc - Plan #47 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 |
$438.86 $498.11 $560.87 $783.81 $1,191.07 |
$774.59 $833.84 $896.60 $1,119.54 |
$1,110.32 $1,169.57 $1,232.33 $1,455.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.72 $996.22 $1,121.74 $1,567.62 $2,382.14 |
$1,213.45 $1,331.95 $1,457.47 $1,903.35 |
$1,549.18 $1,667.68 $1,793.20 $2,239.08 |
Toc - Plan #48 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 |
$438.76 $497.99 $560.74 $783.63 $1,190.80 |
$774.41 $833.64 $896.39 $1,119.28 |
$1,110.06 $1,169.29 $1,232.04 $1,454.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.52 $995.98 $1,121.48 $1,567.26 $2,381.60 |
$1,213.17 $1,331.63 $1,457.13 $1,902.91 |
$1,548.82 $1,667.28 $1,792.78 $2,238.56 |
Toc - Plan #49 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 |
$443.99 $503.93 $567.42 $792.97 $1,204.99 |
$783.64 $843.58 $907.07 $1,132.62 |
$1,123.29 $1,183.23 $1,246.72 $1,472.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.98 $1,007.86 $1,134.84 $1,585.94 $2,409.98 |
$1,227.63 $1,347.51 $1,474.49 $1,925.59 |
$1,567.28 $1,687.16 $1,814.14 $2,265.24 |
Toc - Plan #50 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 |
$442.73 $502.50 $565.81 $790.72 $1,201.58 |
$781.42 $841.19 $904.50 $1,129.41 |
$1,120.11 $1,179.88 $1,243.19 $1,468.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.46 $1,005.00 $1,131.62 $1,581.44 $2,403.16 |
$1,224.15 $1,343.69 $1,470.31 $1,920.13 |
$1,562.84 $1,682.38 $1,809.00 $2,258.82 |
Toc - Plan #51 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 |
$374.17 $424.68 $478.19 $668.27 $1,015.50 |
$660.41 $710.92 $764.43 $954.51 |
$946.65 $997.16 $1,050.67 $1,240.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.34 $849.36 $956.38 $1,336.54 $2,031.00 |
$1,034.58 $1,135.60 $1,242.62 $1,622.78 |
$1,320.82 $1,421.84 $1,528.86 $1,909.02 |
Toc - Plan #52 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 |
$399.35 $453.27 $510.37 $713.25 $1,083.85 |
$704.86 $758.78 $815.88 $1,018.76 |
$1,010.37 $1,064.29 $1,121.39 $1,324.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.70 $906.54 $1,020.74 $1,426.50 $2,167.70 |
$1,104.21 $1,212.05 $1,326.25 $1,732.01 |
$1,409.72 $1,517.56 $1,631.76 $2,037.52 |
Toc - Plan #53 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 |
$438.36 $497.54 $560.22 $782.91 $1,189.71 |
$773.71 $832.89 $895.57 $1,118.26 |
$1,109.06 $1,168.24 $1,230.92 $1,453.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.72 $995.08 $1,120.44 $1,565.82 $2,379.42 |
$1,212.07 $1,330.43 $1,455.79 $1,901.17 |
$1,547.42 $1,665.78 $1,791.14 $2,236.52 |
Toc - Plan #54 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 |
$595.19 $675.54 $760.65 $1,063.00 $1,615.34 |
$1,050.51 $1,130.86 $1,215.97 $1,518.32 |
$1,505.83 $1,586.18 $1,671.29 $1,973.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,190.38 $1,351.08 $1,521.30 $2,126.00 $3,230.68 |
$1,645.70 $1,806.40 $1,976.62 $2,581.32 |
$2,101.02 $2,261.72 $2,431.94 $3,036.64 |
ADVERTISEMENT
Ambetter of North CarolinaLocal: 1-833-863-1310 | Toll Free: 1-833-863-1310 | TTY: 1-833-863-1310 |
Toc - Plan #55 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
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 |
$336.92 $382.39 $430.57 $601.72 $914.37 |
$594.66 $640.13 $688.31 $859.46 |
$852.40 $897.87 $946.05 $1,117.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.84 $764.78 $861.14 $1,203.44 $1,828.74 |
$931.58 $1,022.52 $1,118.88 $1,461.18 |
$1,189.32 $1,280.26 $1,376.62 $1,718.92 |
Toc - Plan #56 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
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 |
$423.34 $480.48 $541.02 $756.07 $1,148.92 |
$747.19 $804.33 $864.87 $1,079.92 |
$1,071.04 $1,128.18 $1,188.72 $1,403.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.68 $960.96 $1,082.04 $1,512.14 $2,297.84 |
$1,170.53 $1,284.81 $1,405.89 $1,835.99 |
$1,494.38 $1,608.66 $1,729.74 $2,159.84 |
Toc - Plan #57 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
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 |
$441.19 $500.74 $563.83 $787.95 $1,197.36 |
$778.69 $838.24 $901.33 $1,125.45 |
$1,116.19 $1,175.74 $1,238.83 $1,462.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.38 $1,001.48 $1,127.66 $1,575.90 $2,394.72 |
$1,219.88 $1,338.98 $1,465.16 $1,913.40 |
$1,557.38 $1,676.48 $1,802.66 $2,250.90 |
Toc - Plan #58 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
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 |
$330.43 $375.02 $422.27 $590.12 $896.75 |
$583.20 $627.79 $675.04 $842.89 |
$835.97 $880.56 $927.81 $1,095.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.86 $750.04 $844.54 $1,180.24 $1,793.50 |
$913.63 $1,002.81 $1,097.31 $1,433.01 |
$1,166.40 $1,255.58 $1,350.08 $1,685.78 |
Toc - Plan #59 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
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 |
$377.27 $428.19 $482.14 $673.79 $1,023.89 |
$665.87 $716.79 $770.74 $962.39 |
$954.47 $1,005.39 $1,059.34 $1,250.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.54 $856.38 $964.28 $1,347.58 $2,047.78 |
$1,043.14 $1,144.98 $1,252.88 $1,636.18 |
$1,331.74 $1,433.58 $1,541.48 $1,924.78 |
Toc - Plan #60 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
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 |
$411.21 $466.71 $525.52 $734.41 $1,116.00 |
$725.78 $781.28 $840.09 $1,048.98 |
$1,040.35 $1,095.85 $1,154.66 $1,363.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.42 $933.42 $1,051.04 $1,468.82 $2,232.00 |
$1,136.99 $1,247.99 $1,365.61 $1,783.39 |
$1,451.56 $1,562.56 $1,680.18 $2,097.96 |
Toc - Plan #61 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
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 |
$416.73 $472.97 $532.56 $744.25 $1,130.96 |
$735.52 $791.76 $851.35 $1,063.04 |
$1,054.31 $1,110.55 $1,170.14 $1,381.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.46 $945.94 $1,065.12 $1,488.50 $2,261.92 |
$1,152.25 $1,264.73 $1,383.91 $1,807.29 |
$1,471.04 $1,583.52 $1,702.70 $2,126.08 |
Toc - Plan #62 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
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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 |
$324.63 $368.44 $414.86 $579.76 $881.01 |
$572.96 $616.77 $663.19 $828.09 |
$821.29 $865.10 $911.52 $1,076.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$649.26 $736.88 $829.72 $1,159.52 $1,762.02 |
$897.59 $985.21 $1,078.05 $1,407.85 |
$1,145.92 $1,233.54 $1,326.38 $1,656.18 |
Toc - Plan #63 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
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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 |
$408.43 $463.56 $521.97 $729.45 $1,108.46 |
$720.87 $776.00 $834.41 $1,041.89 |
$1,033.31 $1,088.44 $1,146.85 $1,354.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.86 $927.12 $1,043.94 $1,458.90 $2,216.92 |
$1,129.30 $1,239.56 $1,356.38 $1,771.34 |
$1,441.74 $1,552.00 $1,668.82 $2,083.78 |
Toc - Plan #64 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
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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 |
$423.46 $480.62 $541.17 $756.29 $1,149.25 |
$747.40 $804.56 $865.11 $1,080.23 |
$1,071.34 $1,128.50 $1,189.05 $1,404.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.92 $961.24 $1,082.34 $1,512.58 $2,298.50 |
$1,170.86 $1,285.18 $1,406.28 $1,836.52 |
$1,494.80 $1,609.12 $1,730.22 $2,160.46 |
Toc - Plan #65 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + 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 |
$350.25 $397.52 $447.61 $625.53 $950.55 |
$618.18 $665.45 $715.54 $893.46 |
$886.11 $933.38 $983.47 $1,161.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.50 $795.04 $895.22 $1,251.06 $1,901.10 |
$968.43 $1,062.97 $1,163.15 $1,518.99 |
$1,236.36 $1,330.90 $1,431.08 $1,786.92 |
Toc - Plan #66 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Complete Silver + 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 |
$440.09 $499.49 $562.43 $785.99 $1,194.39 |
$776.75 $836.15 $899.09 $1,122.65 |
$1,113.41 $1,172.81 $1,235.75 $1,459.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.18 $998.98 $1,124.86 $1,571.98 $2,388.78 |
$1,216.84 $1,335.64 $1,461.52 $1,908.64 |
$1,553.50 $1,672.30 $1,798.18 $2,245.30 |
Toc - Plan #67 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Complete Gold + 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 |
$458.65 $520.55 $586.14 $819.13 $1,244.74 |
$809.51 $871.41 $937.00 $1,169.99 |
$1,160.37 $1,222.27 $1,287.86 $1,520.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.30 $1,041.10 $1,172.28 $1,638.26 $2,489.48 |
$1,268.16 $1,391.96 $1,523.14 $1,989.12 |
$1,619.02 $1,742.82 $1,874.00 $2,339.98 |
Toc - Plan #68 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + 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 |
$343.50 $389.86 $438.98 $613.47 $932.23 |
$606.27 $652.63 $701.75 $876.24 |
$869.04 $915.40 $964.52 $1,139.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$687.00 $779.72 $877.96 $1,226.94 $1,864.46 |
$949.77 $1,042.49 $1,140.73 $1,489.71 |
$1,212.54 $1,305.26 $1,403.50 $1,752.48 |
Toc - Plan #69 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + 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 |
$392.20 $445.14 $501.22 $700.45 $1,064.40 |
$692.23 $745.17 $801.25 $1,000.48 |
$992.26 $1,045.20 $1,101.28 $1,300.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.40 $890.28 $1,002.44 $1,400.90 $2,128.80 |
$1,084.43 $1,190.31 $1,302.47 $1,700.93 |
$1,384.46 $1,490.34 $1,602.50 $2,000.96 |
Toc - Plan #70 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Focused Silver + 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 |
$433.22 $491.69 $553.64 $773.70 $1,175.72 |
$764.62 $823.09 $885.04 $1,105.10 |
$1,096.02 $1,154.49 $1,216.44 $1,436.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$866.44 $983.38 $1,107.28 $1,547.40 $2,351.44 |
$1,197.84 $1,314.78 $1,438.68 $1,878.80 |
$1,529.24 $1,646.18 $1,770.08 $2,210.20 |
Toc - Plan #71 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Clear Silver + 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 |
$427.48 $485.18 $546.31 $763.47 $1,160.16 |
$754.50 $812.20 $873.33 $1,090.49 |
$1,081.52 $1,139.22 $1,200.35 $1,417.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$854.96 $970.36 $1,092.62 $1,526.94 $2,320.32 |
$1,181.98 $1,297.38 $1,419.64 $1,853.96 |
$1,509.00 $1,624.40 $1,746.66 $2,180.98 |
Toc - Plan #72 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + 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 |
$337.47 $383.02 $431.28 $602.71 $915.87 |
$595.63 $641.18 $689.44 $860.87 |
$853.79 $899.34 $947.60 $1,119.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.94 $766.04 $862.56 $1,205.42 $1,831.74 |
$933.10 $1,024.20 $1,120.72 $1,463.58 |
$1,191.26 $1,282.36 $1,378.88 $1,721.74 |
Toc - Plan #73 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Standard Silver + 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 |
$424.60 $481.91 $542.62 $758.31 $1,152.33 |
$749.41 $806.72 $867.43 $1,083.12 |
$1,074.22 $1,131.53 $1,192.24 $1,407.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$849.20 $963.82 $1,085.24 $1,516.62 $2,304.66 |
$1,174.01 $1,288.63 $1,410.05 $1,841.43 |
$1,498.82 $1,613.44 $1,734.86 $2,166.24 |
Toc - Plan #74 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Standard Gold + 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 |
$440.22 $499.64 $562.59 $786.22 $1,194.73 |
$776.98 $836.40 $899.35 $1,122.98 |
$1,113.74 $1,173.16 $1,236.11 $1,459.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$880.44 $999.28 $1,125.18 $1,572.44 $2,389.46 |
$1,217.20 $1,336.04 $1,461.94 $1,909.20 |
$1,553.96 $1,672.80 $1,798.70 $2,245.96 |
Toc - Plan #75 Ambetter of North Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze (Virtual PCP selection required) |
||||||||||||||||||||
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 |
$348.68 $395.74 $445.60 $622.73 $946.29 |
$615.41 $662.47 $712.33 $889.46 |
$882.14 $929.20 $979.06 $1,156.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$697.36 $791.48 $891.20 $1,245.46 $1,892.58 |
$964.09 $1,058.21 $1,157.93 $1,512.19 |
$1,230.82 $1,324.94 $1,424.66 $1,778.92 |
Toc - Plan #76 Ambetter of North Carolina | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver (Virtual PCP selection required) |
||||||||||||||||||||
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 |
$431.14 $489.34 $550.99 $770.00 $1,170.09 |
$760.96 $819.16 $880.81 $1,099.82 |
$1,090.78 $1,148.98 $1,210.63 $1,429.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.28 $978.68 $1,101.98 $1,540.00 $2,340.18 |
$1,192.10 $1,308.50 $1,431.80 $1,869.82 |
$1,521.92 $1,638.32 $1,761.62 $2,199.64 |
Toc - Plan #77 Ambetter of North Carolina | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold (Virtual PCP selection required) |
||||||||||||||||||||
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 |
$452.46 $513.53 $578.23 $808.08 $1,227.96 |
$798.59 $859.66 $924.36 $1,154.21 |
$1,144.72 $1,205.79 $1,270.49 $1,500.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.92 $1,027.06 $1,156.46 $1,616.16 $2,455.92 |
$1,251.05 $1,373.19 $1,502.59 $1,962.29 |
$1,597.18 $1,719.32 $1,848.72 $2,308.42 |
‡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 Wake County here.
Wake County is in “Rating Area 13” of North Carolina.
Currently, there are 77 plans offered in Rating Area 13.