North Dakota Obamacare 2024 Rates
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Counties in North Dakota
- Cass County (Fargo)
- Burleigh County (Bismarck)
- Grand Forks County (Grand Forks)
- Ward County (Minot)
- Williams County (Williston)
- Stark County (Dickinson)
- Morton County (Mandan)
- Stutsman County (Jamestown)
- Richland County (Wahpeton)
- McKenzie County (Watford City)
- Rolette County (Rolla)
- Ramsey County (Devils Lake)
- Barnes County (Valley City)
- Walsh County (Grafton)
- Mountrail County (Stanley)
- McLean County (Washburn)
- Mercer County (Stanton)
- Traill County (Hillsboro)
- Pembina County (Cavalier)
- Bottineau County (Bottineau)
- Benson County (Minnewaukan)
- Ransom County (Lisbon)
- McHenry County (Towner)
- Dickey County (Ellendale)
- Dunn County (Manning)
- LaMoure County (La Moure)
- Pierce County (Rugby)
- Wells County (Fessenden)
- Sioux County (Fort Yates)
- Sargent County (Forman)
- Cavalier County (Langdon)
- Foster County (Carrington)
- Emmons County (Linton)
- Nelson County (Lakota)
- Bowman County (Bowman)
- McIntosh County (Ashley)
- Hettinger County (Mott)
- Kidder County (Steele)
- Eddy County (New Rockford)
- Griggs County (Cooperstown)
- Grant County (Carson)
- Renville County (Mohall)
- Burke County (Bowbells)
- Adams County (Hettinger)
- Divide County (Crosby)
- Towner County (Cando)
- Oliver County (Center)
- Logan County (Napoleon)
- Steele County (Finley)
- Golden Valley County (Beach)
- Sheridan County (McClusky)
- Billings County (Medora)
- Slope County (Amidon)
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
ADVERTISEMENT
Blue Cross Blue Shield of North DakotaLocal: 1-844-363-8457 | Toll Free: 1-844-363-8457 |
Toc - Plan #1 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueCare Silver 60 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.00 $497.13 $559.76 $782.27 $1,188.73 |
$773.07 $832.20 $894.83 $1,117.34 |
$1,108.14 $1,167.27 $1,229.90 $1,452.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$876.00 $994.26 $1,119.52 $1,564.54 $2,377.46 |
$1,211.07 $1,329.33 $1,454.59 $1,899.61 |
$1,546.14 $1,664.40 $1,789.66 $2,234.68 |
Toc - Plan #2 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueCare Gold 70 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$407.06 $462.01 $520.22 $727.01 $1,104.76 |
$718.46 $773.41 $831.62 $1,038.41 |
$1,029.86 $1,084.81 $1,143.02 $1,349.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$814.12 $924.02 $1,040.44 $1,454.02 $2,209.52 |
$1,125.52 $1,235.42 $1,351.84 $1,765.42 |
$1,436.92 $1,546.82 $1,663.24 $2,076.82 |
Toc - Plan #3 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueDirect Silver 80 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.91 $506.11 $569.87 $796.40 $1,210.20 |
$787.03 $847.23 $910.99 $1,137.52 |
$1,128.15 $1,188.35 $1,252.11 $1,478.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.82 $1,012.22 $1,139.74 $1,592.80 $2,420.40 |
$1,232.94 $1,353.34 $1,480.86 $1,933.92 |
$1,574.06 $1,694.46 $1,821.98 $2,275.04 |
Toc - Plan #4 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueDirect Bronze 100 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$281.69 $319.72 $360.00 $503.10 $764.51 |
$497.18 $535.21 $575.49 $718.59 |
$712.67 $750.70 $790.98 $934.08 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.38 $639.44 $720.00 $1,006.20 $1,529.02 |
$778.87 $854.93 $935.49 $1,221.69 |
$994.36 $1,070.42 $1,150.98 $1,437.18 |
Toc - Plan #5 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Catastrophic
(PPO) BlueEssential 100 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$157.18 $178.40 $200.88 $280.72 $426.59 |
$277.42 $298.64 $321.12 $400.96 |
$397.66 $418.88 $441.36 $521.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$314.36 $356.80 $401.76 $561.44 $853.18 |
$434.60 $477.04 $522.00 $681.68 |
$554.84 $597.28 $642.24 $801.92 |
Toc - Plan #6 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueDirect Gold 90 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.24 $467.89 $526.84 $736.26 $1,118.82 |
$727.60 $783.25 $842.20 $1,051.62 |
$1,042.96 $1,098.61 $1,157.56 $1,366.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.48 $935.78 $1,053.68 $1,472.52 $2,237.64 |
$1,139.84 $1,251.14 $1,369.04 $1,787.88 |
$1,455.20 $1,566.50 $1,684.40 $2,103.24 |
Toc - Plan #7 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BlueValue Gold 75 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$412.49 $468.18 $527.16 $736.71 $1,119.50 |
$728.04 $783.73 $842.71 $1,052.26 |
$1,043.59 $1,099.28 $1,158.26 $1,367.81 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.98 $936.36 $1,054.32 $1,473.42 $2,239.00 |
$1,140.53 $1,251.91 $1,369.87 $1,788.97 |
$1,456.08 $1,567.46 $1,685.42 $2,104.52 |
Toc - Plan #8 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Silver
(PPO) BlueValue Silver 60 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.53 $487.52 $548.94 $767.14 $1,165.74 |
$758.12 $816.11 $877.53 $1,095.73 |
$1,086.71 $1,144.70 $1,206.12 $1,424.32 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$859.06 $975.04 $1,097.88 $1,534.28 $2,331.48 |
$1,187.65 $1,303.63 $1,426.47 $1,862.87 |
$1,516.24 $1,632.22 $1,755.06 $2,191.46 |
Toc - Plan #9 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueValue Bronze 50 |
||||||||||||||||||||
Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$273.08 $309.95 $349.00 $487.72 $741.14 |
$481.99 $518.86 $557.91 $696.63 |
$690.90 $727.77 $766.82 $905.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$546.16 $619.90 $698.00 $975.44 $1,482.28 |
$755.07 $828.81 $906.91 $1,184.35 |
$963.98 $1,037.72 $1,115.82 $1,393.26 |
Toc - Plan #10 Blue Cross Blue Shield of North Dakota | ||||||||||||||||||||
Gold
(PPO) BluePrime Gold 70 |
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Benefits & Coverage
Provider Directory
Customer Service Phone: 1-844-363-8457
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 |
$404.95 $459.62 $517.53 $723.24 $1,099.03 |
$714.74 $769.41 $827.32 $1,033.03 |
$1,024.53 $1,079.20 $1,137.11 $1,342.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$809.90 $919.24 $1,035.06 $1,446.48 $2,198.06 |
$1,119.69 $1,229.03 $1,344.85 $1,756.27 |
$1,429.48 $1,538.82 $1,654.64 $2,066.06 |
ADVERTISEMENT
MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-269-7477 |
Toc - Plan #11 Medica | ||||||||||||||||||||
Catastrophic
(HMO) Medica Individual Choice Catastrophic |
||||||||||||||||||||
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 |
$202.06 $229.33 $258.22 $360.86 $548.36 |
$356.63 $383.90 $412.79 $515.43 |
$511.20 $538.47 $567.36 $670.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$404.12 $458.66 $516.44 $721.72 $1,096.72 |
$558.69 $613.23 $671.01 $876.29 |
$713.26 $767.80 $825.58 $1,030.86 |
Toc - Plan #12 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Individual Choice 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 |
$309.71 $351.51 $395.80 $553.13 $840.53 |
$546.63 $588.43 $632.72 $790.05 |
$783.55 $825.35 $869.64 $1,026.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.42 $703.02 $791.60 $1,106.26 $1,681.06 |
$856.34 $939.94 $1,028.52 $1,343.18 |
$1,093.26 $1,176.86 $1,265.44 $1,580.10 |
Toc - Plan #13 Medica | ||||||||||||||||||||
Gold
(HMO) Medica Individual Choice 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 |
$434.57 $493.22 $555.37 $776.12 $1,179.39 |
$767.01 $825.66 $887.81 $1,108.56 |
$1,099.45 $1,158.10 $1,220.25 $1,441.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$869.14 $986.44 $1,110.74 $1,552.24 $2,358.78 |
$1,201.58 $1,318.88 $1,443.18 $1,884.68 |
$1,534.02 $1,651.32 $1,775.62 $2,217.12 |
Toc - Plan #14 Medica | ||||||||||||||||||||
Silver
(HMO) Medica Individual Choice Silver Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.11 $483.62 $544.56 $761.02 $1,156.44 |
$752.08 $809.59 $870.53 $1,086.99 |
$1,078.05 $1,135.56 $1,196.50 $1,412.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$852.22 $967.24 $1,089.12 $1,522.04 $2,312.88 |
$1,178.19 $1,293.21 $1,415.09 $1,848.01 |
$1,504.16 $1,619.18 $1,741.06 $2,173.98 |
Toc - Plan #15 Medica | ||||||||||||||||||||
Gold
(HMO) Medica Individual Choice 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 |
$438.54 $497.73 $560.44 $783.21 $1,190.16 |
$774.01 $833.20 $895.91 $1,118.68 |
$1,109.48 $1,168.67 $1,231.38 $1,454.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.08 $995.46 $1,120.88 $1,566.42 $2,380.32 |
$1,212.55 $1,330.93 $1,456.35 $1,901.89 |
$1,548.02 $1,666.40 $1,791.82 $2,237.36 |
Toc - Plan #16 Medica | ||||||||||||||||||||
Silver
(HMO) Medica Individual Choice 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 |
$431.39 $489.61 $551.30 $770.44 $1,170.75 |
$761.39 $819.61 $881.30 $1,100.44 |
$1,091.39 $1,149.61 $1,211.30 $1,430.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.78 $979.22 $1,102.60 $1,540.88 $2,341.50 |
$1,192.78 $1,309.22 $1,432.60 $1,870.88 |
$1,522.78 $1,639.22 $1,762.60 $2,200.88 |
Toc - Plan #17 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Medica Individual Choice 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 |
$294.54 $334.29 $376.41 $526.03 $799.35 |
$519.86 $559.61 $601.73 $751.35 |
$745.18 $784.93 $827.05 $976.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.08 $668.58 $752.82 $1,052.06 $1,598.70 |
$814.40 $893.90 $978.14 $1,277.38 |
$1,039.72 $1,119.22 $1,203.46 $1,502.70 |
Toc - Plan #18 Medica | ||||||||||||||||||||
Catastrophic
(HMO) Essentia Choice Care with Medica Catastrophic |
||||||||||||||||||||
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 |
$156.79 $177.94 $200.36 $280.01 $425.50 |
$276.73 $297.88 $320.30 $399.95 |
$396.67 $417.82 $440.24 $519.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$313.58 $355.88 $400.72 $560.02 $851.00 |
$433.52 $475.82 $520.66 $679.96 |
$553.46 $595.76 $640.60 $799.90 |
Toc - Plan #19 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with 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 |
$241.57 $274.17 $308.72 $431.43 $655.60 |
$426.36 $458.96 $493.51 $616.22 |
$611.15 $643.75 $678.30 $801.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$483.14 $548.34 $617.44 $862.86 $1,311.20 |
$667.93 $733.13 $802.23 $1,047.65 |
$852.72 $917.92 $987.02 $1,232.44 |
Toc - Plan #20 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with 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 |
$240.32 $272.75 $307.12 $429.19 $652.20 |
$424.16 $456.59 $490.96 $613.03 |
$608.00 $640.43 $674.80 $796.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$480.64 $545.50 $614.24 $858.38 $1,304.40 |
$664.48 $729.34 $798.08 $1,042.22 |
$848.32 $913.18 $981.92 $1,226.06 |
Toc - Plan #21 Medica | ||||||||||||||||||||
Gold
(HMO) Essentia Choice Care with 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 |
$337.20 $382.71 $430.93 $602.23 $915.14 |
$595.15 $640.66 $688.88 $860.18 |
$853.10 $898.61 $946.83 $1,118.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.40 $765.42 $861.86 $1,204.46 $1,830.28 |
$932.35 $1,023.37 $1,119.81 $1,462.41 |
$1,190.30 $1,281.32 $1,377.76 $1,720.36 |
Toc - Plan #22 Medica | ||||||||||||||||||||
Silver
(HMO) Essentia Choice Care with Medica Silver Copay $0 PCP |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.64 $375.26 $422.54 $590.50 $897.33 |
$583.57 $628.19 $675.47 $843.43 |
$836.50 $881.12 $928.40 $1,096.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$661.28 $750.52 $845.08 $1,181.00 $1,794.66 |
$914.21 $1,003.45 $1,098.01 $1,433.93 |
$1,167.14 $1,256.38 $1,350.94 $1,686.86 |
Toc - Plan #23 Medica | ||||||||||||||||||||
Gold
(HMO) Essentia Choice Care with 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 |
$340.28 $386.21 $434.87 $607.72 $923.49 |
$600.59 $646.52 $695.18 $868.03 |
$860.90 $906.83 $955.49 $1,128.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.56 $772.42 $869.74 $1,215.44 $1,846.98 |
$940.87 $1,032.73 $1,130.05 $1,475.75 |
$1,201.18 $1,293.04 $1,390.36 $1,736.06 |
Toc - Plan #24 Medica | ||||||||||||||||||||
Silver
(HMO) Essentia Choice Care with 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 |
$334.73 $379.91 $427.78 $597.81 $908.44 |
$590.79 $635.97 $683.84 $853.87 |
$846.85 $892.03 $939.90 $1,109.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.46 $759.82 $855.56 $1,195.62 $1,816.88 |
$925.52 $1,015.88 $1,111.62 $1,451.68 |
$1,181.58 $1,271.94 $1,367.68 $1,707.74 |
Toc - Plan #25 Medica | ||||||||||||||||||||
Bronze
(HMO) Essentia Choice Care with 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 |
$208.49 $236.62 $266.44 $372.34 $565.81 |
$367.98 $396.11 $425.93 $531.83 |
$527.47 $555.60 $585.42 $691.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$416.98 $473.24 $532.88 $744.68 $1,131.62 |
$576.47 $632.73 $692.37 $904.17 |
$735.96 $792.22 $851.86 $1,063.66 |
Toc - Plan #26 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) Essentia Choice Care with 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 |
$228.55 $259.39 $292.07 $408.17 $620.25 |
$403.38 $434.22 $466.90 $583.00 |
$578.21 $609.05 $641.73 $757.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$457.10 $518.78 $584.14 $816.34 $1,240.50 |
$631.93 $693.61 $758.97 $991.17 |
$806.76 $868.44 $933.80 $1,166.00 |
ADVERTISEMENT
Sanford Health PlanLocal: 1-605-328-6800 | Toll Free: 1-800-752-5863 | TTY: 1-877-652-1844 |
Toc - Plan #27 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Sanford Individual TRUE $6,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$229.84 $260.87 $293.74 $410.49 $623.79 |
$405.67 $436.70 $469.57 $586.32 |
$581.50 $612.53 $645.40 $762.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$459.68 $521.74 $587.48 $820.98 $1,247.58 |
$635.51 $697.57 $763.31 $996.81 |
$811.34 $873.40 $939.14 $1,172.64 |
Toc - Plan #28 Sanford Health Plan | ||||||||||||||||||||
Silver
(HMO) Sanford Individual TRUE $3,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.14 $394.00 $443.64 $619.99 $942.14 |
$612.70 $659.56 $709.20 $885.55 |
$878.26 $925.12 $974.76 $1,151.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.28 $788.00 $887.28 $1,239.98 $1,884.28 |
$959.84 $1,053.56 $1,152.84 $1,505.54 |
$1,225.40 $1,319.12 $1,418.40 $1,771.10 |
Toc - Plan #29 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Sanford Individual TRUE $7,100 HSA Qualified |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$238.58 $270.79 $304.91 $426.10 $647.51 |
$421.09 $453.30 $487.42 $608.61 |
$603.60 $635.81 $669.93 $791.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$477.16 $541.58 $609.82 $852.20 $1,295.02 |
$659.67 $724.09 $792.33 $1,034.71 |
$842.18 $906.60 $974.84 $1,217.22 |
Toc - Plan #30 Sanford Health Plan | ||||||||||||||||||||
Catastrophic
(HMO) Sanford Individual TRUE $9,450 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$143.25 $162.59 $183.07 $255.84 $388.78 |
$252.84 $272.18 $292.66 $365.43 |
$362.43 $381.77 $402.25 $475.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$286.50 $325.18 $366.14 $511.68 $777.56 |
$396.09 $434.77 $475.73 $621.27 |
$505.68 $544.36 $585.32 $730.86 |
Toc - Plan #31 Sanford Health Plan | ||||||||||||||||||||
Silver
(HMO) Sanford Individual TRUE $4,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.26 $387.33 $436.13 $609.49 $926.18 |
$602.32 $648.39 $697.19 $870.55 |
$863.38 $909.45 $958.25 $1,131.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.52 $774.66 $872.26 $1,218.98 $1,852.36 |
$943.58 $1,035.72 $1,133.32 $1,480.04 |
$1,204.64 $1,296.78 $1,394.38 $1,741.10 |
Toc - Plan #32 Sanford Health Plan | ||||||||||||||||||||
Gold
(HMO) Sanford Individual TRUE $1,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.91 $359.69 $405.01 $566.00 $860.09 |
$559.35 $602.13 $647.45 $808.44 |
$801.79 $844.57 $889.89 $1,050.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.82 $719.38 $810.02 $1,132.00 $1,720.18 |
$876.26 $961.82 $1,052.46 $1,374.44 |
$1,118.70 $1,204.26 $1,294.90 $1,616.88 |
Toc - Plan #33 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Sanford Individual TRUE $7,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.57 $259.43 $292.11 $408.23 $620.34 |
$403.43 $434.29 $466.97 $583.09 |
$578.29 $609.15 $641.83 $757.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$457.14 $518.86 $584.22 $816.46 $1,240.68 |
$632.00 $693.72 $759.08 $991.32 |
$806.86 $868.58 $933.94 $1,166.18 |
Toc - Plan #34 Sanford Health Plan | ||||||||||||||||||||
Silver
(HMO) Sanford Individual TRUE Enhanced $3,700 HSA Qualified |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.86 $407.31 $458.62 $640.92 $973.95 |
$633.39 $681.84 $733.15 $915.45 |
$907.92 $956.37 $1,007.68 $1,189.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.72 $814.62 $917.24 $1,281.84 $1,947.90 |
$992.25 $1,089.15 $1,191.77 $1,556.37 |
$1,266.78 $1,363.68 $1,466.30 $1,830.90 |
Toc - Plan #35 Sanford Health Plan | ||||||||||||||||||||
Gold
(HMO) Sanford Individual TRUE Enhanced Care Plan $1,250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.68 $391.21 $440.50 $615.60 $935.46 |
$608.36 $654.89 $704.18 $879.28 |
$872.04 $918.57 $967.86 $1,142.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.36 $782.42 $881.00 $1,231.20 $1,870.92 |
$953.04 $1,046.10 $1,144.68 $1,494.88 |
$1,216.72 $1,309.78 $1,408.36 $1,758.56 |
Toc - Plan #36 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Sanford Individual TRUE Standardized $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$221.51 $251.41 $283.09 $395.62 $601.18 |
$390.97 $420.87 $452.55 $565.08 |
$560.43 $590.33 $622.01 $734.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$443.02 $502.82 $566.18 $791.24 $1,202.36 |
$612.48 $672.28 $735.64 $960.70 |
$781.94 $841.74 $905.10 $1,130.16 |
Toc - Plan #37 Sanford Health Plan | ||||||||||||||||||||
Silver
(HMO) Sanford Individual TRUE Standardized $5,900 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.20 $364.56 $410.49 $573.66 $871.74 |
$566.92 $610.28 $656.21 $819.38 |
$812.64 $856.00 $901.93 $1,065.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$642.40 $729.12 $820.98 $1,147.32 $1,743.48 |
$888.12 $974.84 $1,066.70 $1,393.04 |
$1,133.84 $1,220.56 $1,312.42 $1,638.76 |
Toc - Plan #38 Sanford Health Plan | ||||||||||||||||||||
Gold
(HMO) Sanford Individual TRUE Standardized $1,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.81 $370.93 $417.66 $583.68 $886.96 |
$576.82 $620.94 $667.67 $833.69 |
$826.83 $870.95 $917.68 $1,083.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.62 $741.86 $835.32 $1,167.36 $1,773.92 |
$903.63 $991.87 $1,085.33 $1,417.37 |
$1,153.64 $1,241.88 $1,335.34 $1,667.38 |
Toc - Plan #39 Sanford Health Plan | ||||||||||||||||||||
Gold
(HMO) Sanford Individual TRUE $2,800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.50 $379.66 $427.49 $597.42 $907.83 |
$590.39 $635.55 $683.38 $853.31 |
$846.28 $891.44 $939.27 $1,109.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$669.00 $759.32 $854.98 $1,194.84 $1,815.66 |
$924.89 $1,015.21 $1,110.87 $1,450.73 |
$1,180.78 $1,271.10 $1,366.76 $1,706.62 |
Toc - Plan #40 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Individual Simplicity $1,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.00 $452.87 $509.92 $712.61 $1,082.89 |
$704.24 $758.11 $815.16 $1,017.85 |
$1,009.48 $1,063.35 $1,120.40 $1,323.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$798.00 $905.74 $1,019.84 $1,425.22 $2,165.78 |
$1,103.24 $1,210.98 $1,325.08 $1,730.46 |
$1,408.48 $1,516.22 $1,630.32 $2,035.70 |
Toc - Plan #41 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Individual Simplicity $3,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$424.04 $481.29 $541.92 $757.34 $1,150.84 |
$748.43 $805.68 $866.31 $1,081.73 |
$1,072.82 $1,130.07 $1,190.70 $1,406.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$848.08 $962.58 $1,083.84 $1,514.68 $2,301.68 |
$1,172.47 $1,286.97 $1,408.23 $1,839.07 |
$1,496.86 $1,611.36 $1,732.62 $2,163.46 |
Toc - Plan #42 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Individual Simplicity $4,750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$416.95 $473.24 $532.86 $744.67 $1,131.60 |
$735.92 $792.21 $851.83 $1,063.64 |
$1,054.89 $1,111.18 $1,170.80 $1,382.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$833.90 $946.48 $1,065.72 $1,489.34 $2,263.20 |
$1,152.87 $1,265.45 $1,384.69 $1,808.31 |
$1,471.84 $1,584.42 $1,703.66 $2,127.28 |
Toc - Plan #43 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Individual Simplicity $7100 HSA Qualified |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.41 $328.48 $369.87 $516.89 $785.46 |
$510.81 $549.88 $591.27 $738.29 |
$732.21 $771.28 $812.67 $959.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$578.82 $656.96 $739.74 $1,033.78 $1,570.92 |
$800.22 $878.36 $961.14 $1,255.18 |
$1,021.62 $1,099.76 $1,182.54 $1,476.58 |
Toc - Plan #44 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Individual Simplicity $6,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
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 |
$281.73 $319.76 $360.05 $503.17 $764.62 |
$497.25 $535.28 $575.57 $718.69 |
$712.77 $750.80 $791.09 $934.21 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$563.46 $639.52 $720.10 $1,006.34 $1,529.24 |
$778.98 $855.04 $935.62 $1,221.86 |
$994.50 $1,070.56 $1,151.14 $1,437.38 |
Toc - Plan #45 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Individual Simplicity $7,000 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.64 $320.80 $361.21 $504.80 $767.08 |
$498.86 $537.02 $577.43 $721.02 |
$715.08 $753.24 $793.65 $937.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$565.28 $641.60 $722.42 $1,009.60 $1,534.16 |
$781.50 $857.82 $938.64 $1,225.82 |
$997.72 $1,074.04 $1,154.86 $1,442.04 |
Toc - Plan #46 Sanford Health Plan | ||||||||||||||||||||
Catastrophic
(PPO) Sanford Individual Simplicity $9,450 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$173.63 $197.07 $221.90 $310.10 $471.23 |
$306.46 $329.90 $354.73 $442.93 |
$439.29 $462.73 $487.56 $575.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$347.26 $394.14 $443.80 $620.20 $942.46 |
$480.09 $526.97 $576.63 $753.03 |
$612.92 $659.80 $709.46 $885.86 |
Toc - Plan #47 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Individual Simplicity Enhanced Care Plan $3,700 HSA Qualified |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.77 $499.14 $562.03 $785.43 $1,193.54 |
$776.19 $835.56 $898.45 $1,121.85 |
$1,112.61 $1,171.98 $1,234.87 $1,458.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$879.54 $998.28 $1,124.06 $1,570.86 $2,387.08 |
$1,215.96 $1,334.70 $1,460.48 $1,907.28 |
$1,552.38 $1,671.12 $1,796.90 $2,243.70 |
Toc - Plan #48 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Individual Simplicity Enhanced Care Plan $1,250 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
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 |
$423.51 $480.68 $541.25 $756.39 $1,149.41 |
$747.50 $804.67 $865.24 $1,080.38 |
$1,071.49 $1,128.66 $1,189.23 $1,404.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.02 $961.36 $1,082.50 $1,512.78 $2,298.82 |
$1,171.01 $1,285.35 $1,406.49 $1,836.77 |
$1,495.00 $1,609.34 $1,730.48 $2,160.76 |
Toc - Plan #49 Sanford Health Plan | ||||||||||||||||||||
Expanded Bronze
(PPO) Sanford Individual Simplicity Standardized $7,500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$271.40 $308.04 $346.85 $484.72 $736.58 |
$479.02 $515.66 $554.47 $692.34 |
$686.64 $723.28 $762.09 $899.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$542.80 $616.08 $693.70 $969.44 $1,473.16 |
$750.42 $823.70 $901.32 $1,177.06 |
$958.04 $1,031.32 $1,108.94 $1,384.68 |
Toc - Plan #50 Sanford Health Plan | ||||||||||||||||||||
Silver
(PPO) Sanford Individual Simplicity Standardized $5,900 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
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 |
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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 #51 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Individual Simplicity Standardized $1,500 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$400.99 $455.12 $512.47 $716.17 $1,088.29 |
$707.75 $761.88 $819.23 $1,022.93 |
$1,014.51 $1,068.64 $1,125.99 $1,329.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$801.98 $910.24 $1,024.94 $1,432.34 $2,176.58 |
$1,108.74 $1,217.00 $1,331.70 $1,739.10 |
$1,415.50 $1,523.76 $1,638.46 $2,045.86 |
Toc - Plan #52 Sanford Health Plan | ||||||||||||||||||||
Gold
(PPO) Sanford Individual Simplicity $2,800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-752-5863
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.30 $457.75 $515.42 $720.29 $1,094.56 |
$711.82 $766.27 $823.94 $1,028.81 |
$1,020.34 $1,074.79 $1,132.46 $1,337.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$806.60 $915.50 $1,030.84 $1,440.58 $2,189.12 |
$1,115.12 $1,224.02 $1,339.36 $1,749.10 |
$1,423.64 $1,532.54 $1,647.88 $2,057.62 |
‡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 Cass County here.
Cass County is in “Rating Area 2” of North Dakota.
Currently, there are 52 plans offered in Rating Area 2.