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Counties in Kansas
- Johnson County (Olathe)
- Sedgwick County (Wichita)
- Shawnee County (Topeka)
- Wyandotte County (Kansas City)
- Douglas County (Lawrence)
- Leavenworth County (Leavenworth)
- Riley County (Manhattan)
- Butler County (El Dorado)
- Reno County (Hutchinson)
- Saline County (Salina)
- Crawford County (Girard)
- Finney County (Garden City)
- Geary County (Junction City)
- Cowley County (Winfield)
- Ford County (Dodge City)
- Miami County (Paola)
- Harvey County (Newton)
- Lyon County (Emporia)
- Montgomery County (Independence)
- McPherson County (McPherson)
- Ellis County (Hays)
- Franklin County (Ottawa)
- Barton County (Great Bend)
- Pottawatomie County (Westmoreland)
- Sumner County (Wellington)
- Seward County (Liberal)
- Labette County (Oswego)
- Cherokee County (Columbus)
- Dickinson County (Abilene)
- Jefferson County (Oskaloosa)
- Atchison County (Atchison)
- Neosho County (Erie)
- Osage County (Lyndon)
- Bourbon County (Fort Scott)
- Jackson County (Holton)
- Allen County (Iola)
- Marion County (Marion)
- Nemaha County (Seneca)
- Marshall County (Marysville)
- Linn County (Mound City)
- Brown County (Hiawatha)
- Rice County (Lyons)
- Pratt County (Pratt)
- Cloud County (Concordia)
- Wilson County (Fredonia)
- Coffey County (Burlington)
- Clay County (Clay Center)
- Thomas County (Colby)
- Anderson County (Garnett)
- Doniphan County (Troy)
- Kingman County (Kingman)
- Grant County (Ulysses)
- Wabaunsee County (Alma)
- Russell County (Russell)
- Ellsworth County (Ellsworth)
- Pawnee County (Larned)
- Greenwood County (Eureka)
- Sherman County (Goodland)
- Mitchell County (Beloit)
- Ottawa County (Minneapolis)
- Gray County (Cimarron)
- Washington County (Washington)
- Harper County (Anthony)
- Norton County (Norton)
- Morris County (Council Grove)
- Stevens County (Hugoton)
- Scott County (Scott City)
- Phillips County (Phillipsburg)
- Rooks County (Stockton)
- Republic County (Belleville)
- Barber County (Medicine Lodge)
- Stafford County (Saint John)
- Meade County (Meade)
- Kearny County (Lakin)
- Haskell County (Sublette)
- Smith County (Smith Center)
- Osborne County (Osborne)
- Chautauqua County (Sedan)
- Woodson County (Yates Center)
- Rush County (La Crosse)
- Lincoln County (Lincoln)
- Jewell County (Mankato)
- Edwards County (Kinsley)
- Trego County (WaKeeney)
- Decatur County (Oberlin)
- Logan County (Oakley)
- Gove County (Gove)
- Morton County (Elkhart)
- Ness County (Ness City)
- Cheyenne County (Saint Francis)
- Chase County (Cottonwood Falls)
- Rawlins County (Atwood)
- Hamilton County (Syracuse)
- Elk County (Howard)
- Kiowa County (Greensburg)
- Sheridan County (Hoxie)
- Graham County (Hill City)
- Wichita County (Leoti)
- Stanton County (Johnson City)
- Clark County (Ashland)
- Hodgeman County (Jetmore)
- Comanche County (Coldwater)
- Lane County (Dighton)
- Wallace County (Sharon Springs)
- Greeley County (Tribune)
Obamacare Rates and Providers for Other Years
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ADVERTISEMENT
Ambetter from Sunflower Health PlanLocal: 1-844-518-9505 | Toll Free: 1-844-518-9505 | TTY: 1-844-546-9713 |
Toc - Plan #1 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.16 $439.41 $494.78 $691.45 $1,050.72 |
$683.33 $735.58 $790.95 $987.62 |
$979.50 $1,031.75 $1,087.12 $1,283.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$774.32 $878.82 $989.56 $1,382.90 $2,101.44 |
$1,070.49 $1,174.99 $1,285.73 $1,679.07 |
$1,366.66 $1,471.16 $1,581.90 $1,975.24 |
Toc - Plan #2 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.96 $467.56 $526.47 $735.74 $1,118.03 |
$727.10 $782.70 $841.61 $1,050.88 |
$1,042.24 $1,097.84 $1,156.75 $1,366.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.92 $935.12 $1,052.94 $1,471.48 $2,236.06 |
$1,139.06 $1,250.26 $1,368.08 $1,786.62 |
$1,454.20 $1,565.40 $1,683.22 $2,101.76 |
Toc - Plan #3 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.92 $360.83 $406.29 $567.79 $862.81 |
$561.12 $604.03 $649.49 $810.99 |
$804.32 $847.23 $892.69 $1,054.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.84 $721.66 $812.58 $1,135.58 $1,725.62 |
$879.04 $964.86 $1,055.78 $1,378.78 |
$1,122.24 $1,208.06 $1,298.98 $1,621.98 |
Toc - Plan #4 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.75 $448.03 $504.48 $705.01 $1,071.33 |
$696.73 $750.01 $806.46 $1,006.99 |
$998.71 $1,051.99 $1,108.44 $1,308.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$789.50 $896.06 $1,008.96 $1,410.02 $2,142.66 |
$1,091.48 $1,198.04 $1,310.94 $1,712.00 |
$1,393.46 $1,500.02 $1,612.92 $2,013.98 |
Toc - Plan #5 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.89 $352.85 $397.30 $555.23 $843.73 |
$548.71 $590.67 $635.12 $793.05 |
$786.53 $828.49 $872.94 $1,030.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.78 $705.70 $794.60 $1,110.46 $1,687.46 |
$859.60 $943.52 $1,032.42 $1,348.28 |
$1,097.42 $1,181.34 $1,270.24 $1,586.10 |
Toc - Plan #6 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.61 $401.33 $451.90 $631.52 $959.66 |
$624.11 $671.83 $722.40 $902.02 |
$894.61 $942.33 $992.90 $1,172.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$707.22 $802.66 $903.80 $1,263.04 $1,919.32 |
$977.72 $1,073.16 $1,174.30 $1,533.54 |
$1,248.22 $1,343.66 $1,444.80 $1,804.04 |
Toc - Plan #7 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.39 $427.19 $481.01 $672.21 $1,021.49 |
$664.32 $715.12 $768.94 $960.14 |
$952.25 $1,003.05 $1,056.87 $1,248.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$752.78 $854.38 $962.02 $1,344.42 $2,042.98 |
$1,040.71 $1,142.31 $1,249.95 $1,632.35 |
$1,328.64 $1,430.24 $1,537.88 $1,920.28 |
Toc - Plan #8 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$381.40 $432.88 $487.41 $681.16 $1,035.09 |
$673.16 $724.64 $779.17 $972.92 |
$964.92 $1,016.40 $1,070.93 $1,264.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$762.80 $865.76 $974.82 $1,362.32 $2,070.18 |
$1,054.56 $1,157.52 $1,266.58 $1,654.08 |
$1,346.32 $1,449.28 $1,558.34 $1,945.84 |
Toc - Plan #9 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.93 $510.65 $574.99 $803.55 $1,221.07 |
$794.12 $854.84 $919.18 $1,147.74 |
$1,138.31 $1,199.03 $1,263.37 $1,491.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.86 $1,021.30 $1,149.98 $1,607.10 $2,442.14 |
$1,244.05 $1,365.49 $1,494.17 $1,951.29 |
$1,588.24 $1,709.68 $1,838.36 $2,295.48 |
Toc - Plan #10 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.80 $347.07 $390.80 $546.14 $829.92 |
$539.73 $581.00 $624.73 $780.07 |
$773.66 $814.93 $858.66 $1,014.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$611.60 $694.14 $781.60 $1,092.28 $1,659.84 |
$845.53 $928.07 $1,015.53 $1,326.21 |
$1,079.46 $1,162.00 $1,249.46 $1,560.14 |
Toc - Plan #11 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.07 $424.55 $478.04 $668.07 $1,015.19 |
$660.22 $710.70 $764.19 $954.22 |
$946.37 $996.85 $1,050.34 $1,240.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.14 $849.10 $956.08 $1,336.14 $2,030.38 |
$1,034.29 $1,135.25 $1,242.23 $1,622.29 |
$1,320.44 $1,421.40 $1,528.38 $1,908.44 |
Toc - Plan #12 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.99 $449.43 $506.06 $707.21 $1,074.68 |
$698.91 $752.35 $808.98 $1,010.13 |
$1,001.83 $1,055.27 $1,111.90 $1,313.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$791.98 $898.86 $1,012.12 $1,414.42 $2,149.36 |
$1,094.90 $1,201.78 $1,315.04 $1,717.34 |
$1,397.82 $1,504.70 $1,617.96 $2,020.26 |
Toc - Plan #13 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.12 $482.50 $543.29 $759.24 $1,153.74 |
$750.33 $807.71 $868.50 $1,084.45 |
$1,075.54 $1,132.92 $1,193.71 $1,409.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$850.24 $965.00 $1,086.58 $1,518.48 $2,307.48 |
$1,175.45 $1,290.21 $1,411.79 $1,843.69 |
$1,500.66 $1,615.42 $1,737.00 $2,168.90 |
Toc - Plan #14 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.53 $453.45 $510.58 $713.54 $1,084.29 |
$705.16 $759.08 $816.21 $1,019.17 |
$1,010.79 $1,064.71 $1,121.84 $1,324.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.06 $906.90 $1,021.16 $1,427.08 $2,168.58 |
$1,104.69 $1,212.53 $1,326.79 $1,732.71 |
$1,410.32 $1,518.16 $1,632.42 $2,038.34 |
Toc - Plan #15 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.08 $372.36 $419.27 $585.93 $890.37 |
$579.05 $623.33 $670.24 $836.90 |
$830.02 $874.30 $921.21 $1,087.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$656.16 $744.72 $838.54 $1,171.86 $1,780.74 |
$907.13 $995.69 $1,089.51 $1,422.83 |
$1,158.10 $1,246.66 $1,340.48 $1,673.80 |
Toc - Plan #16 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.36 $462.34 $520.60 $727.53 $1,105.55 |
$718.98 $773.96 $832.22 $1,039.15 |
$1,030.60 $1,085.58 $1,143.84 $1,350.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$814.72 $924.68 $1,041.20 $1,455.06 $2,211.10 |
$1,126.34 $1,236.30 $1,352.82 $1,766.68 |
$1,437.96 $1,547.92 $1,664.44 $2,078.30 |
Toc - Plan #17 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.82 $364.12 $409.99 $572.97 $870.68 |
$566.24 $609.54 $655.41 $818.39 |
$811.66 $854.96 $900.83 $1,063.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.64 $728.24 $819.98 $1,145.94 $1,741.36 |
$887.06 $973.66 $1,065.40 $1,391.36 |
$1,132.48 $1,219.08 $1,310.82 $1,636.78 |
Toc - Plan #18 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.90 $414.15 $466.33 $651.70 $990.31 |
$644.04 $693.29 $745.47 $930.84 |
$923.18 $972.43 $1,024.61 $1,209.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.80 $828.30 $932.66 $1,303.40 $1,980.62 |
$1,008.94 $1,107.44 $1,211.80 $1,582.54 |
$1,288.08 $1,386.58 $1,490.94 $1,861.68 |
Toc - Plan #19 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$393.58 $446.70 $502.98 $702.92 $1,068.15 |
$694.66 $747.78 $804.06 $1,004.00 |
$995.74 $1,048.86 $1,105.14 $1,305.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$787.16 $893.40 $1,005.96 $1,405.84 $2,136.30 |
$1,088.24 $1,194.48 $1,307.04 $1,706.92 |
$1,389.32 $1,495.56 $1,608.12 $2,008.00 |
Toc - Plan #20 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.41 $440.83 $496.37 $693.68 $1,054.11 |
$685.54 $737.96 $793.50 $990.81 |
$982.67 $1,035.09 $1,090.63 $1,287.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.82 $881.66 $992.74 $1,387.36 $2,108.22 |
$1,073.95 $1,178.79 $1,289.87 $1,684.49 |
$1,371.08 $1,475.92 $1,587.00 $1,981.62 |
Toc - Plan #21 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$464.30 $526.97 $593.36 $829.22 $1,260.08 |
$819.48 $882.15 $948.54 $1,184.40 |
$1,174.66 $1,237.33 $1,303.72 $1,539.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$928.60 $1,053.94 $1,186.72 $1,658.44 $2,520.16 |
$1,283.78 $1,409.12 $1,541.90 $2,013.62 |
$1,638.96 $1,764.30 $1,897.08 $2,368.80 |
Toc - Plan #22 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.57 $358.16 $403.29 $563.59 $856.43 |
$556.97 $599.56 $644.69 $804.99 |
$798.37 $840.96 $886.09 $1,046.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$631.14 $716.32 $806.58 $1,127.18 $1,712.86 |
$872.54 $957.72 $1,047.98 $1,368.58 |
$1,113.94 $1,199.12 $1,289.38 $1,609.98 |
Toc - Plan #23 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.02 $438.12 $493.32 $689.41 $1,047.62 |
$681.31 $733.41 $788.61 $984.70 |
$976.60 $1,028.70 $1,083.90 $1,279.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.04 $876.24 $986.64 $1,378.82 $2,095.24 |
$1,067.33 $1,171.53 $1,281.93 $1,674.11 |
$1,362.62 $1,466.82 $1,577.22 $1,969.40 |
Toc - Plan #24 Ambetter from Sunflower Health Plan | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-844-518-9505
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.64 $463.79 $522.22 $729.81 $1,109.01 |
$721.24 $776.39 $834.82 $1,042.41 |
$1,033.84 $1,088.99 $1,147.42 $1,355.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$817.28 $927.58 $1,044.44 $1,459.62 $2,218.02 |
$1,129.88 $1,240.18 $1,357.04 $1,772.22 |
$1,442.48 $1,552.78 $1,669.64 $2,084.82 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-866-735-2957 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select 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 |
$373.95 $424.42 $477.89 $667.85 $1,014.87 |
$660.01 $710.48 $763.95 $953.91 |
$946.07 $996.54 $1,050.01 $1,239.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$747.90 $848.84 $955.78 $1,335.70 $2,029.74 |
$1,033.96 $1,134.90 $1,241.84 $1,621.76 |
$1,320.02 $1,420.96 $1,527.90 $1,907.82 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze 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 |
$367.12 $416.67 $469.16 $655.65 $996.33 |
$647.96 $697.51 $750.00 $936.49 |
$928.80 $978.35 $1,030.84 $1,217.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.24 $833.34 $938.32 $1,311.30 $1,992.66 |
$1,015.08 $1,114.18 $1,219.16 $1,592.14 |
$1,295.92 $1,395.02 $1,500.00 $1,872.98 |
Toc - Plan #27 Medica | ||||||||||||||||||||
Gold
(EPO) Select 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 |
$501.65 $569.36 $641.09 $895.93 $1,361.45 |
$885.40 $953.11 $1,024.84 $1,279.68 |
$1,269.15 $1,336.86 $1,408.59 $1,663.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,003.30 $1,138.72 $1,282.18 $1,791.86 $2,722.90 |
$1,387.05 $1,522.47 $1,665.93 $2,175.61 |
$1,770.80 $1,906.22 $2,049.68 $2,559.36 |
Toc - Plan #28 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select by Medica Bronze Premier |
||||||||||||||||||||
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 |
$368.88 $418.67 $471.42 $658.81 $1,001.13 |
$651.07 $700.86 $753.61 $941.00 |
$933.26 $983.05 $1,035.80 $1,223.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.76 $837.34 $942.84 $1,317.62 $2,002.26 |
$1,019.95 $1,119.53 $1,225.03 $1,599.81 |
$1,302.14 $1,401.72 $1,507.22 $1,882.00 |
Toc - Plan #29 Medica | ||||||||||||||||||||
Gold
(EPO) Select 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 |
$516.93 $586.71 $660.63 $923.22 $1,402.92 |
$912.37 $982.15 $1,056.07 $1,318.66 |
$1,307.81 $1,377.59 $1,451.51 $1,714.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,033.86 $1,173.42 $1,321.26 $1,846.44 $2,805.84 |
$1,429.30 $1,568.86 $1,716.70 $2,241.88 |
$1,824.74 $1,964.30 $2,112.14 $2,637.32 |
Toc - Plan #30 Medica | ||||||||||||||||||||
Silver
(EPO) Select 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 |
$543.58 $616.95 $694.68 $970.82 $1,475.25 |
$959.41 $1,032.78 $1,110.51 $1,386.65 |
$1,375.24 $1,448.61 $1,526.34 $1,802.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,087.16 $1,233.90 $1,389.36 $1,941.64 $2,950.50 |
$1,502.99 $1,649.73 $1,805.19 $2,357.47 |
$1,918.82 $2,065.56 $2,221.02 $2,773.30 |
Toc - Plan #31 Medica | ||||||||||||||||||||
Bronze
(EPO) Select 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 |
$327.05 $371.19 $417.96 $584.09 $887.59 |
$577.24 $621.38 $668.15 $834.28 |
$827.43 $871.57 $918.34 $1,084.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$654.10 $742.38 $835.92 $1,168.18 $1,775.18 |
$904.29 $992.57 $1,086.11 $1,418.37 |
$1,154.48 $1,242.76 $1,336.30 $1,668.56 |
Toc - Plan #32 Medica | ||||||||||||||||||||
Expanded Bronze
(EPO) Select 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 |
$358.33 $406.69 $457.93 $639.96 $972.48 |
$632.45 $680.81 $732.05 $914.08 |
$906.57 $954.93 $1,006.17 $1,188.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.66 $813.38 $915.86 $1,279.92 $1,944.96 |
$990.78 $1,087.50 $1,189.98 $1,554.04 |
$1,264.90 $1,361.62 $1,464.10 $1,828.16 |
ADVERTISEMENT
Oscar Insurance CompanyLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #33 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.94 $340.42 $383.31 $535.67 $814.00 |
$529.39 $569.87 $612.76 $765.12 |
$758.84 $799.32 $842.21 $994.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.88 $680.84 $766.62 $1,071.34 $1,628.00 |
$829.33 $910.29 $996.07 $1,300.79 |
$1,058.78 $1,139.74 $1,225.52 $1,530.24 |
Toc - Plan #34 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.57 $392.21 $441.63 $617.17 $937.85 |
$609.92 $656.56 $705.98 $881.52 |
$874.27 $920.91 $970.33 $1,145.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$691.14 $784.42 $883.26 $1,234.34 $1,875.70 |
$955.49 $1,048.77 $1,147.61 $1,498.69 |
$1,219.84 $1,313.12 $1,411.96 $1,763.04 |
Toc - Plan #35 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.63 $417.25 $469.82 $656.58 $997.73 |
$648.86 $698.48 $751.05 $937.81 |
$930.09 $979.71 $1,032.28 $1,219.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.26 $834.50 $939.64 $1,313.16 $1,995.46 |
$1,016.49 $1,115.73 $1,220.87 $1,594.39 |
$1,297.72 $1,396.96 $1,502.10 $1,875.62 |
Toc - Plan #36 Oscar Insurance Company | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.70 $268.65 $302.49 $422.73 $642.38 |
$417.77 $449.72 $483.56 $603.80 |
$598.84 $630.79 $664.63 $784.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473.40 $537.30 $604.98 $845.46 $1,284.76 |
$654.47 $718.37 $786.05 $1,026.53 |
$835.54 $899.44 $967.12 $1,207.60 |
Toc - Plan #37 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$311.34 $353.36 $397.88 $556.04 $844.95 |
$549.51 $591.53 $636.05 $794.21 |
$787.68 $829.70 $874.22 $1,032.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$622.68 $706.72 $795.76 $1,112.08 $1,689.90 |
$860.85 $944.89 $1,033.93 $1,350.25 |
$1,099.02 $1,183.06 $1,272.10 $1,588.42 |
Toc - Plan #38 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.06 $357.58 $402.63 $562.68 $855.04 |
$556.07 $598.59 $643.64 $803.69 |
$797.08 $839.60 $884.65 $1,044.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.12 $715.16 $805.26 $1,125.36 $1,710.08 |
$871.13 $956.17 $1,046.27 $1,366.37 |
$1,112.14 $1,197.18 $1,287.28 $1,607.38 |
Toc - Plan #39 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.06 $408.66 $460.14 $643.05 $977.18 |
$635.50 $684.10 $735.58 $918.49 |
$910.94 $959.54 $1,011.02 $1,193.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.12 $817.32 $920.28 $1,286.10 $1,954.36 |
$995.56 $1,092.76 $1,195.72 $1,561.54 |
$1,271.00 $1,368.20 $1,471.16 $1,836.98 |
Toc - Plan #40 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.29 $429.35 $483.45 $675.61 $1,026.66 |
$667.68 $718.74 $772.84 $965.00 |
$957.07 $1,008.13 $1,062.23 $1,254.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.58 $858.70 $966.90 $1,351.22 $2,053.32 |
$1,045.97 $1,148.09 $1,256.29 $1,640.61 |
$1,335.36 $1,437.48 $1,545.68 $1,930.00 |
Toc - Plan #41 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Simple Diabetes |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.74 $418.51 $471.24 $658.56 $1,000.74 |
$650.82 $700.59 $753.32 $940.64 |
$932.90 $982.67 $1,035.40 $1,222.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.48 $837.02 $942.48 $1,317.12 $2,001.48 |
$1,019.56 $1,119.10 $1,224.56 $1,599.20 |
$1,301.64 $1,401.18 $1,506.64 $1,881.28 |
Toc - Plan #42 Oscar Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.19 $348.65 $392.57 $548.62 $833.68 |
$542.18 $583.64 $627.56 $783.61 |
$777.17 $818.63 $862.55 $1,018.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.38 $697.30 $785.14 $1,097.24 $1,667.36 |
$849.37 $932.29 $1,020.13 $1,332.23 |
$1,084.36 $1,167.28 $1,255.12 $1,567.22 |
Toc - Plan #43 Oscar Insurance Company | ||||||||||||||||||||
Silver
(EPO) Silver Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.32 $405.55 $456.64 $638.16 $969.74 |
$630.66 $678.89 $729.98 $911.50 |
$904.00 $952.23 $1,003.32 $1,184.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.64 $811.10 $913.28 $1,276.32 $1,939.48 |
$987.98 $1,084.44 $1,186.62 $1,549.66 |
$1,261.32 $1,357.78 $1,459.96 $1,823.00 |
Toc - Plan #44 Oscar Insurance Company | ||||||||||||||||||||
Gold
(EPO) Gold Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.15 $460.97 $519.05 $725.37 $1,102.26 |
$716.85 $771.67 $829.75 $1,036.07 |
$1,027.55 $1,082.37 $1,140.45 $1,346.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.30 $921.94 $1,038.10 $1,450.74 $2,204.52 |
$1,123.00 $1,232.64 $1,348.80 $1,761.44 |
$1,433.70 $1,543.34 $1,659.50 $2,072.14 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #45 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) 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 |
$269.09 $305.42 $343.90 $480.59 $730.31 |
$474.95 $511.28 $549.76 $686.45 |
$680.81 $717.14 $755.62 $892.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$538.18 $610.84 $687.80 $961.18 $1,460.62 |
$744.04 $816.70 $893.66 $1,167.04 |
$949.90 $1,022.56 $1,099.52 $1,372.90 |
Toc - Plan #46 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) 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 |
$301.56 $342.27 $385.39 $538.58 $818.42 |
$532.25 $572.96 $616.08 $769.27 |
$762.94 $803.65 $846.77 $999.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.12 $684.54 $770.78 $1,077.16 $1,636.84 |
$833.81 $915.23 $1,001.47 $1,307.85 |
$1,064.50 $1,145.92 $1,232.16 $1,538.54 |
Toc - Plan #47 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(EPO) 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 |
$274.05 $311.05 $350.23 $489.45 $743.76 |
$483.70 $520.70 $559.88 $699.10 |
$693.35 $730.35 $769.53 $908.75 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$548.10 $622.10 $700.46 $978.90 $1,487.52 |
$757.75 $831.75 $910.11 $1,188.55 |
$967.40 $1,041.40 $1,119.76 $1,398.20 |
Toc - Plan #48 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) 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 |
$391.05 $443.84 $499.76 $698.41 $1,061.30 |
$690.21 $743.00 $798.92 $997.57 |
$989.37 $1,042.16 $1,098.08 $1,296.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$782.10 $887.68 $999.52 $1,396.82 $2,122.60 |
$1,081.26 $1,186.84 $1,298.68 $1,695.98 |
$1,380.42 $1,486.00 $1,597.84 $1,995.14 |
Toc - Plan #49 Aetna CVS Health | ||||||||||||||||||||
Gold
(EPO) 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 |
$393.20 $446.28 $502.51 $702.26 $1,067.14 |
$694.00 $747.08 $803.31 $1,003.06 |
$994.80 $1,047.88 $1,104.11 $1,303.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$786.40 $892.56 $1,005.02 $1,404.52 $2,134.28 |
$1,087.20 $1,193.36 $1,305.82 $1,705.32 |
$1,388.00 $1,494.16 $1,606.62 $2,006.12 |
Toc - Plan #50 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) 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 |
$358.51 $406.91 $458.18 $640.30 $972.99 |
$632.77 $681.17 $732.44 $914.56 |
$907.03 $955.43 $1,006.70 $1,188.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.02 $813.82 $916.36 $1,280.60 $1,945.98 |
$991.28 $1,088.08 $1,190.62 $1,554.86 |
$1,265.54 $1,362.34 $1,464.88 $1,829.12 |
Toc - Plan #51 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) 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 |
$366.06 $415.48 $467.82 $653.78 $993.48 |
$646.10 $695.52 $747.86 $933.82 |
$926.14 $975.56 $1,027.90 $1,213.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.12 $830.96 $935.64 $1,307.56 $1,986.96 |
$1,012.16 $1,111.00 $1,215.68 $1,587.60 |
$1,292.20 $1,391.04 $1,495.72 $1,867.64 |
Toc - Plan #52 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) 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 |
$366.06 $415.48 $467.82 $653.78 $993.48 |
$646.10 $695.52 $747.86 $933.82 |
$926.14 $975.56 $1,027.90 $1,213.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.12 $830.96 $935.64 $1,307.56 $1,986.96 |
$1,012.16 $1,111.00 $1,215.68 $1,587.60 |
$1,292.20 $1,391.04 $1,495.72 $1,867.64 |
Toc - Plan #53 Aetna CVS Health | ||||||||||||||||||||
Silver
(EPO) 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 |
$358.70 $407.12 $458.41 $640.63 $973.49 |
$633.10 $681.52 $732.81 $915.03 |
$907.50 $955.92 $1,007.21 $1,189.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.40 $814.24 $916.82 $1,281.26 $1,946.98 |
$991.80 $1,088.64 $1,191.22 $1,555.66 |
$1,266.20 $1,363.04 $1,465.62 $1,830.06 |
ADVERTISEMENT
Blue Cross and Blue Shield of Kansas CityLocal: 1-816-395-3558 | Toll Free: 1-888-800-4478 |
Toc - Plan #54 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.73 $453.70 $510.86 $713.92 $1,084.88 |
$705.53 $759.50 $816.66 $1,019.72 |
$1,011.33 $1,065.30 $1,122.46 $1,325.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.46 $907.40 $1,021.72 $1,427.84 $2,169.76 |
$1,105.26 $1,213.20 $1,327.52 $1,733.64 |
$1,411.06 $1,519.00 $1,633.32 $2,039.44 |
Toc - Plan #55 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver BlueSelect Plus EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.87 $578.70 $651.61 $910.62 $1,383.78 |
$899.92 $968.75 $1,041.66 $1,300.67 |
$1,289.97 $1,358.80 $1,431.71 $1,690.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,019.74 $1,157.40 $1,303.22 $1,821.24 $2,767.56 |
$1,409.79 $1,547.45 $1,693.27 $2,211.29 |
$1,799.84 $1,937.50 $2,083.32 $2,601.34 |
Toc - Plan #56 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 1 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.80 $502.58 $565.90 $790.84 $1,201.75 |
$781.54 $841.32 $904.64 $1,129.58 |
$1,120.28 $1,180.06 $1,243.38 $1,468.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.60 $1,005.16 $1,131.80 $1,581.68 $2,403.50 |
$1,224.34 $1,343.90 $1,470.54 $1,920.42 |
$1,563.08 $1,682.64 $1,809.28 $2,259.16 |
Toc - Plan #57 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.15 $394.02 $443.66 $620.01 $942.17 |
$612.72 $659.59 $709.23 $885.58 |
$878.29 $925.16 $974.80 $1,151.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.30 $788.04 $887.32 $1,240.02 $1,884.34 |
$959.87 $1,053.61 $1,152.89 $1,505.59 |
$1,225.44 $1,319.18 $1,418.46 $1,771.16 |
Toc - Plan #58 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Gold
(EPO) Blue KC Standard Gold Preferred-Care Blue EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$603.62 $685.10 $771.42 $1,078.06 $1,638.21 |
$1,065.39 $1,146.87 $1,233.19 $1,539.83 |
$1,527.16 $1,608.64 $1,694.96 $2,001.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,207.24 $1,370.20 $1,542.84 $2,156.12 $3,276.42 |
$1,669.01 $1,831.97 $2,004.61 $2,617.89 |
$2,130.78 $2,293.74 $2,466.38 $3,079.66 |
Toc - Plan #59 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.88 $385.77 $434.37 $607.03 $922.45 |
$599.89 $645.78 $694.38 $867.04 |
$859.90 $905.79 $954.39 $1,127.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.76 $771.54 $868.74 $1,214.06 $1,844.90 |
$939.77 $1,031.55 $1,128.75 $1,474.07 |
$1,199.78 $1,291.56 $1,388.76 $1,734.08 |
Toc - Plan #60 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Saver Bronze Preferred-Care Blue EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.02 $523.26 $589.18 $823.38 $1,251.20 |
$813.70 $875.94 $941.86 $1,176.06 |
$1,166.38 $1,228.62 $1,294.54 $1,528.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$922.04 $1,046.52 $1,178.36 $1,646.76 $2,502.40 |
$1,274.72 $1,399.20 $1,531.04 $1,999.44 |
$1,627.40 $1,751.88 $1,883.72 $2,352.12 |
Toc - Plan #61 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Choice Silver 2 BlueSelect EPO with Spira Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.18 $501.88 $565.11 $789.74 $1,200.09 |
$780.45 $840.15 $903.38 $1,128.01 |
$1,118.72 $1,178.42 $1,241.65 $1,466.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$884.36 $1,003.76 $1,130.22 $1,579.48 $2,400.18 |
$1,222.63 $1,342.03 $1,468.49 $1,917.75 |
$1,560.90 $1,680.30 $1,806.76 $2,256.02 |
Toc - Plan #62 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Catastrophic
(EPO) Blue KC Catastrophic BlueSelect EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$298.86 $339.21 $381.94 $533.76 $811.11 |
$527.49 $567.84 $610.57 $762.39 |
$756.12 $796.47 $839.20 $991.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$597.72 $678.42 $763.88 $1,067.52 $1,622.22 |
$826.35 $907.05 $992.51 $1,296.15 |
$1,054.98 $1,135.68 $1,221.14 $1,524.78 |
Toc - Plan #63 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Silver
(EPO) Blue KC Standard Silver BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$446.33 $506.59 $570.41 $797.15 $1,211.35 |
$787.78 $848.04 $911.86 $1,138.60 |
$1,129.23 $1,189.49 $1,253.31 $1,480.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$892.66 $1,013.18 $1,140.82 $1,594.30 $2,422.70 |
$1,234.11 $1,354.63 $1,482.27 $1,935.75 |
$1,575.56 $1,696.08 $1,823.72 $2,277.20 |
Toc - Plan #64 Blue Cross and Blue Shield of Kansas City | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue KC Standard Bronze BlueSelect EPO |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-800-4478
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 |
$362.97 $411.97 $463.88 $648.27 $985.10 |
$640.64 $689.64 $741.55 $925.94 |
$918.31 $967.31 $1,019.22 $1,203.61 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$725.94 $823.94 $927.76 $1,296.54 $1,970.20 |
$1,003.61 $1,101.61 $1,205.43 $1,574.21 |
$1,281.28 $1,379.28 $1,483.10 $1,851.88 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-866-761-7748 | Toll Free: 1-866-761-7748 | TTY: 1-866-761-7748 |
Toc - Plan #65 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$428.60 $486.46 $547.75 $765.48 $1,163.23 |
$756.48 $814.34 $875.63 $1,093.36 |
$1,084.36 $1,142.22 $1,203.51 $1,421.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$857.20 $972.92 $1,095.50 $1,530.96 $2,326.46 |
$1,185.08 $1,300.80 $1,423.38 $1,858.84 |
$1,512.96 $1,628.68 $1,751.26 $2,186.72 |
Toc - Plan #66 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$399.47 $453.40 $510.52 $713.46 $1,084.16 |
$705.07 $759.00 $816.12 $1,019.06 |
$1,010.67 $1,064.60 $1,121.72 $1,324.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798.94 $906.80 $1,021.04 $1,426.92 $2,168.32 |
$1,104.54 $1,212.40 $1,326.64 $1,732.52 |
$1,410.14 $1,518.00 $1,632.24 $2,038.12 |
Toc - Plan #67 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$405.10 $459.78 $517.71 $723.50 $1,099.43 |
$715.00 $769.68 $827.61 $1,033.40 |
$1,024.90 $1,079.58 $1,137.51 $1,343.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$810.20 $919.56 $1,035.42 $1,447.00 $2,198.86 |
$1,120.10 $1,229.46 $1,345.32 $1,756.90 |
$1,430.00 $1,539.36 $1,655.22 $2,066.80 |
Toc - Plan #68 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$402.77 $457.14 $514.74 $719.35 $1,093.12 |
$710.89 $765.26 $822.86 $1,027.47 |
$1,019.01 $1,073.38 $1,130.98 $1,335.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$805.54 $914.28 $1,029.48 $1,438.70 $2,186.24 |
$1,113.66 $1,222.40 $1,337.60 $1,746.82 |
$1,421.78 $1,530.52 $1,645.72 $2,054.94 |
Toc - Plan #69 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$289.60 $328.70 $370.11 $517.23 $785.98 |
$511.15 $550.25 $591.66 $738.78 |
$732.70 $771.80 $813.21 $960.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$579.20 $657.40 $740.22 $1,034.46 $1,571.96 |
$800.75 $878.95 $961.77 $1,256.01 |
$1,022.30 $1,100.50 $1,183.32 $1,477.56 |
Toc - Plan #70 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$291.71 $331.10 $372.81 $521.00 $791.71 |
$514.87 $554.26 $595.97 $744.16 |
$738.03 $777.42 $819.13 $967.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$583.42 $662.20 $745.62 $1,042.00 $1,583.42 |
$806.58 $885.36 $968.78 $1,265.16 |
$1,029.74 $1,108.52 $1,191.94 $1,488.32 |
Toc - Plan #71 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$304.31 $345.39 $388.91 $543.50 $825.89 |
$537.11 $578.19 $621.71 $776.30 |
$769.91 $810.99 $854.51 $1,009.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$608.62 $690.78 $777.82 $1,087.00 $1,651.78 |
$841.42 $923.58 $1,010.62 $1,319.80 |
$1,074.22 $1,156.38 $1,243.42 $1,552.60 |
Toc - Plan #72 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$400.70 $454.79 $512.09 $715.65 $1,087.50 |
$707.24 $761.33 $818.63 $1,022.19 |
$1,013.78 $1,067.87 $1,125.17 $1,328.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$801.40 $909.58 $1,024.18 $1,431.30 $2,175.00 |
$1,107.94 $1,216.12 $1,330.72 $1,737.84 |
$1,414.48 $1,522.66 $1,637.26 $2,044.38 |
Toc - Plan #73 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$424.84 $482.20 $542.95 $758.77 $1,153.03 |
$749.85 $807.21 $867.96 $1,083.78 |
$1,074.86 $1,132.22 $1,192.97 $1,408.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$849.68 $964.40 $1,085.90 $1,517.54 $2,306.06 |
$1,174.69 $1,289.41 $1,410.91 $1,842.55 |
$1,499.70 $1,614.42 $1,735.92 $2,167.56 |
Toc - Plan #74 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$428.40 $486.23 $547.49 $765.12 $1,162.67 |
$756.12 $813.95 $875.21 $1,092.84 |
$1,083.84 $1,141.67 $1,202.93 $1,420.56 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$856.80 $972.46 $1,094.98 $1,530.24 $2,325.34 |
$1,184.52 $1,300.18 $1,422.70 $1,857.96 |
$1,512.24 $1,627.90 $1,750.42 $2,185.68 |
Toc - Plan #75 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$432.15 $490.49 $552.29 $771.82 $1,172.86 |
$762.75 $821.09 $882.89 $1,102.42 |
$1,093.35 $1,151.69 $1,213.49 $1,433.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$864.30 $980.98 $1,104.58 $1,543.64 $2,345.72 |
$1,194.90 $1,311.58 $1,435.18 $1,874.24 |
$1,525.50 $1,642.18 $1,765.78 $2,204.84 |
Toc - Plan #76 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-761-7748
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 |
$413.53 $469.36 $528.49 $738.57 $1,122.32 |
$729.88 $785.71 $844.84 $1,054.92 |
$1,046.23 $1,102.06 $1,161.19 $1,371.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$827.06 $938.72 $1,056.98 $1,477.14 $2,244.64 |
$1,143.41 $1,255.07 $1,373.33 $1,793.49 |
$1,459.76 $1,571.42 $1,689.68 $2,109.84 |
‡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 Johnson County here.
Johnson County is in “Rating Area 1” of Kansas.
Currently, there are 76 plans offered in Rating Area 1.