Obamacare 2024 Rates for Rogers County, Oklahoma
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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Foyil, OK.
The health insurance rates listed below are for calendar year 2024.
For information on subsidies to make your coverage affordable, you must take one of the following actions:
- Contact a licensed health insurance agent
- Complete an application at Healthcare.gov
- Contact the provider directly
Obamacare Providers, 78 Plans and 2024 Rates for Rogers County, Oklahoma
Below, you’ll find a summary of the 78 plans for Rogers County, Oklahoma and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
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MedicaLocal: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-800-676-3777 |
Toc - Plan #1 Medica | ||||||||||||||||||||
Catastrophic
(PPO) Harmony by Medica Catastrophic |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$226.17 $256.70 $289.05 $403.94 $613.83 |
$399.19 $429.72 $462.07 $576.96 |
$572.21 $602.74 $635.09 $749.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$452.34 $513.40 $578.10 $807.88 $1,227.66 |
$625.36 $686.42 $751.12 $980.90 |
$798.38 $859.44 $924.14 $1,153.92 |
Toc - Plan #2 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Harmony by Medica Bronze Share Plus |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$324.25 $368.02 $414.39 $579.10 $880.00 |
$572.30 $616.07 $662.44 $827.15 |
$820.35 $864.12 $910.49 $1,075.20 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$648.50 $736.04 $828.78 $1,158.20 $1,760.00 |
$896.55 $984.09 $1,076.83 $1,406.25 |
$1,144.60 $1,232.14 $1,324.88 $1,654.30 |
Toc - Plan #3 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Harmony by Medica Bronze Copay $0 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$315.62 $358.22 $403.36 $563.69 $856.58 |
$557.07 $599.67 $644.81 $805.14 |
$798.52 $841.12 $886.26 $1,046.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$631.24 $716.44 $806.72 $1,127.38 $1,713.16 |
$872.69 $957.89 $1,048.17 $1,368.83 |
$1,114.14 $1,199.34 $1,289.62 $1,610.28 |
Toc - Plan #4 Medica | ||||||||||||||||||||
Gold
(PPO) Harmony by Medica Gold Copay $0 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$418.19 $474.64 $534.44 $746.88 $1,134.96 |
$738.10 $794.55 $854.35 $1,066.79 |
$1,058.01 $1,114.46 $1,174.26 $1,386.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$836.38 $949.28 $1,068.88 $1,493.76 $2,269.92 |
$1,156.29 $1,269.19 $1,388.79 $1,813.67 |
$1,476.20 $1,589.10 $1,708.70 $2,133.58 |
Toc - Plan #5 Medica | ||||||||||||||||||||
Silver
(PPO) Harmony by Medica Silver Copay $0 PCP |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$416.24 $472.44 $531.96 $743.41 $1,129.68 |
$734.67 $790.87 $850.39 $1,061.84 |
$1,053.10 $1,109.30 $1,168.82 $1,380.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$832.48 $944.88 $1,063.92 $1,486.82 $2,259.36 |
$1,150.91 $1,263.31 $1,382.35 $1,805.25 |
$1,469.34 $1,581.74 $1,700.78 $2,123.68 |
Toc - Plan #6 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Harmony by Medica Bronze Premier |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$330.30 $374.89 $422.12 $589.92 $896.44 |
$582.98 $627.57 $674.80 $842.60 |
$835.66 $880.25 $927.48 $1,095.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$660.60 $749.78 $844.24 $1,179.84 $1,792.88 |
$913.28 $1,002.46 $1,096.92 $1,432.52 |
$1,165.96 $1,255.14 $1,349.60 $1,685.20 |
Toc - Plan #7 Medica | ||||||||||||||||||||
Gold
(PPO) Harmony by Medica Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$408.43 $463.56 $521.97 $729.45 $1,108.47 |
$720.88 $776.01 $834.42 $1,041.90 |
$1,033.33 $1,088.46 $1,146.87 $1,354.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$816.86 $927.12 $1,043.94 $1,458.90 $2,216.94 |
$1,129.31 $1,239.57 $1,356.39 $1,771.35 |
$1,441.76 $1,552.02 $1,668.84 $2,083.80 |
Toc - Plan #8 Medica | ||||||||||||||||||||
Silver
(PPO) Harmony by Medica Silver Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$407.16 $462.13 $520.35 $727.19 $1,105.03 |
$718.64 $773.61 $831.83 $1,038.67 |
$1,030.12 $1,085.09 $1,143.31 $1,350.15 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$814.32 $924.26 $1,040.70 $1,454.38 $2,210.06 |
$1,125.80 $1,235.74 $1,352.18 $1,765.86 |
$1,437.28 $1,547.22 $1,663.66 $2,077.34 |
Toc - Plan #9 Medica | ||||||||||||||||||||
Bronze
(PPO) Harmony by Medica Bronze Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$295.37 $335.25 $377.49 $527.54 $801.64 |
$521.33 $561.21 $603.45 $753.50 |
$747.29 $787.17 $829.41 $979.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$590.74 $670.50 $754.98 $1,055.08 $1,603.28 |
$816.70 $896.46 $980.94 $1,281.04 |
$1,042.66 $1,122.42 $1,206.90 $1,507.00 |
Toc - Plan #10 Medica | ||||||||||||||||||||
Expanded Bronze
(PPO) Harmony by Medica Expanded Bronze Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-592-8211
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 |
$300.52 $341.10 $384.07 $536.74 $815.62 |
$530.42 $571.00 $613.97 $766.64 |
$760.32 $800.90 $843.87 $996.54 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$601.04 $682.20 $768.14 $1,073.48 $1,631.24 |
$830.94 $912.10 $998.04 $1,303.38 |
$1,060.84 $1,142.00 $1,227.94 $1,533.28 |
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UnitedHealthcareLocal: 1-800-980-5319 | Toll Free: 1-800-980-5319 |
Toc - Plan #11 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($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: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$340.09 $386.01 $434.64 $607.41 $923.02 |
$600.26 $646.18 $694.81 $867.58 |
$860.43 $906.35 $954.98 $1,127.75 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.18 $772.02 $869.28 $1,214.82 $1,846.04 |
$940.35 $1,032.19 $1,129.45 $1,474.99 |
$1,200.52 $1,292.36 $1,389.62 $1,735.16 |
Toc - Plan #12 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
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 |
$334.34 $379.48 $427.29 $597.13 $907.40 |
$590.11 $635.25 $683.06 $852.90 |
$845.88 $891.02 $938.83 $1,108.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$668.68 $758.96 $854.58 $1,194.26 $1,814.80 |
$924.45 $1,014.73 $1,110.35 $1,450.03 |
$1,180.22 $1,270.50 $1,366.12 $1,705.80 |
Toc - Plan #13 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
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 |
$469.84 $533.27 $600.45 $839.13 $1,275.14 |
$829.27 $892.70 $959.88 $1,198.56 |
$1,188.70 $1,252.13 $1,319.31 $1,557.99 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$939.68 $1,066.54 $1,200.90 $1,678.26 $2,550.28 |
$1,299.11 $1,425.97 $1,560.33 $2,037.69 |
$1,658.54 $1,785.40 $1,919.76 $2,397.12 |
Toc - Plan #14 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$447.91 $508.38 $572.43 $799.97 $1,215.63 |
$790.56 $851.03 $915.08 $1,142.62 |
$1,133.21 $1,193.68 $1,257.73 $1,485.27 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$895.82 $1,016.76 $1,144.86 $1,599.94 $2,431.26 |
$1,238.47 $1,359.41 $1,487.51 $1,942.59 |
$1,581.12 $1,702.06 $1,830.16 $2,285.24 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard (No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$349.73 $396.95 $446.96 $624.62 $949.17 |
$617.27 $664.49 $714.50 $892.16 |
$884.81 $932.03 $982.04 $1,159.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$699.46 $793.90 $893.92 $1,249.24 $1,898.34 |
$967.00 $1,061.44 $1,161.46 $1,516.78 |
$1,234.54 $1,328.98 $1,429.00 $1,784.32 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($5 Tier 2 Rx, $0 Insulin) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
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 |
$452.31 $513.38 $578.06 $807.83 $1,227.58 |
$798.33 $859.40 $924.08 $1,153.85 |
$1,144.35 $1,205.42 $1,270.10 $1,499.87 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$904.62 $1,026.76 $1,156.12 $1,615.66 $2,455.16 |
$1,250.64 $1,372.78 $1,502.14 $1,961.68 |
$1,596.66 $1,718.80 $1,848.16 $2,307.70 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
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 |
$443.41 $503.27 $566.68 $791.94 $1,203.42 |
$782.62 $842.48 $905.89 $1,131.15 |
$1,121.83 $1,181.69 $1,245.10 $1,470.36 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$886.82 $1,006.54 $1,133.36 $1,583.88 $2,406.84 |
$1,226.03 $1,345.75 $1,472.57 $1,923.09 |
$1,565.24 $1,684.96 $1,811.78 $2,262.30 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($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: 1-800-980-5319
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 |
$477.45 $541.91 $610.19 $852.73 $1,295.81 |
$842.70 $907.16 $975.44 $1,217.98 |
$1,207.95 $1,272.41 $1,340.69 $1,583.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$954.90 $1,083.82 $1,220.38 $1,705.46 $2,591.62 |
$1,320.15 $1,449.07 $1,585.63 $2,070.71 |
$1,685.40 $1,814.32 $1,950.88 $2,435.96 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
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 |
$362.98 $411.98 $463.88 $648.28 $985.12 |
$640.66 $689.66 $741.56 $925.96 |
$918.34 $967.34 $1,019.24 $1,203.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$725.96 $823.96 $927.76 $1,296.56 $1,970.24 |
$1,003.64 $1,101.64 $1,205.44 $1,574.24 |
$1,281.32 $1,379.32 $1,483.12 $1,851.92 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($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: 1-800-980-5319
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 |
$436.99 $495.98 $558.47 $780.46 $1,185.99 |
$771.29 $830.28 $892.77 $1,114.76 |
$1,105.59 $1,164.58 $1,227.07 $1,449.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$873.98 $991.96 $1,116.94 $1,560.92 $2,371.98 |
$1,208.28 $1,326.26 $1,451.24 $1,895.22 |
$1,542.58 $1,660.56 $1,785.54 $2,229.52 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) 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: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$441.42 $501.01 $564.13 $788.37 $1,198.00 |
$779.10 $838.69 $901.81 $1,126.05 |
$1,116.78 $1,176.37 $1,239.49 $1,463.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$882.84 $1,002.02 $1,128.26 $1,576.74 $2,396.00 |
$1,220.52 $1,339.70 $1,465.94 $1,914.42 |
$1,558.20 $1,677.38 $1,803.62 $2,252.10 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.88 $558.29 $628.63 $878.51 $1,334.97 |
$868.17 $934.58 $1,004.92 $1,254.80 |
$1,244.46 $1,310.87 $1,381.21 $1,631.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.76 $1,116.58 $1,257.26 $1,757.02 $2,669.94 |
$1,360.05 $1,492.87 $1,633.55 $2,133.31 |
$1,736.34 $1,869.16 $2,009.84 $2,509.60 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-980-5319
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.40 $520.29 $585.84 $818.71 $1,244.11 |
$809.08 $870.97 $936.52 $1,169.39 |
$1,159.76 $1,221.65 $1,287.20 $1,520.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.80 $1,040.58 $1,171.68 $1,637.42 $2,488.22 |
$1,267.48 $1,391.26 $1,522.36 $1,988.10 |
$1,618.16 $1,741.94 $1,873.04 $2,338.78 |
ADVERTISEMENT
Ambetter of OklahomaLocal: 1-833-492-0679 | Toll Free: 1-833-492-0679 |
Toc - Plan #24 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.20 $400.87 $451.37 $630.79 $958.55 |
$623.39 $671.06 $721.56 $900.98 |
$893.58 $941.25 $991.75 $1,171.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.40 $801.74 $902.74 $1,261.58 $1,917.10 |
$976.59 $1,071.93 $1,172.93 $1,531.77 |
$1,246.78 $1,342.12 $1,443.12 $1,801.96 |
Toc - Plan #25 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.30 $466.81 $525.63 $734.56 $1,116.24 |
$725.94 $781.45 $840.27 $1,049.20 |
$1,040.58 $1,096.09 $1,154.91 $1,363.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$822.60 $933.62 $1,051.26 $1,469.12 $2,232.48 |
$1,137.24 $1,248.26 $1,365.90 $1,783.76 |
$1,451.88 $1,562.90 $1,680.54 $2,098.40 |
Toc - Plan #26 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$414.75 $470.73 $530.04 $740.72 $1,125.60 |
$732.02 $788.00 $847.31 $1,057.99 |
$1,049.29 $1,105.27 $1,164.58 $1,375.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$829.50 $941.46 $1,060.08 $1,481.44 $2,251.20 |
$1,146.77 $1,258.73 $1,377.35 $1,798.71 |
$1,464.04 $1,576.00 $1,694.62 $2,115.98 |
Toc - Plan #27 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.47 $445.45 $501.57 $700.94 $1,065.15 |
$692.70 $745.68 $801.80 $1,001.17 |
$992.93 $1,045.91 $1,102.03 $1,301.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.94 $890.90 $1,003.14 $1,401.88 $2,130.30 |
$1,085.17 $1,191.13 $1,303.37 $1,702.11 |
$1,385.40 $1,491.36 $1,603.60 $2,002.34 |
Toc - Plan #28 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.01 $458.54 $516.31 $721.54 $1,096.45 |
$713.07 $767.60 $825.37 $1,030.60 |
$1,022.13 $1,076.66 $1,134.43 $1,339.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.02 $917.08 $1,032.62 $1,443.08 $2,192.90 |
$1,117.08 $1,226.14 $1,341.68 $1,752.14 |
$1,426.14 $1,535.20 $1,650.74 $2,061.20 |
Toc - Plan #29 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.60 $528.44 $595.02 $831.54 $1,263.61 |
$821.78 $884.62 $951.20 $1,187.72 |
$1,177.96 $1,240.80 $1,307.38 $1,543.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.20 $1,056.88 $1,190.04 $1,663.08 $2,527.22 |
$1,287.38 $1,413.06 $1,546.22 $2,019.26 |
$1,643.56 $1,769.24 $1,902.40 $2,375.44 |
Toc - Plan #30 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$541.82 $614.95 $692.43 $967.67 $1,470.47 |
$956.30 $1,029.43 $1,106.91 $1,382.15 |
$1,370.78 $1,443.91 $1,521.39 $1,796.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,083.64 $1,229.90 $1,384.86 $1,935.34 $2,940.94 |
$1,498.12 $1,644.38 $1,799.34 $2,349.82 |
$1,912.60 $2,058.86 $2,213.82 $2,764.30 |
Toc - Plan #31 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.66 $520.57 $586.16 $819.16 $1,244.79 |
$809.53 $871.44 $937.03 $1,170.03 |
$1,160.40 $1,222.31 $1,287.90 $1,520.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.32 $1,041.14 $1,172.32 $1,638.32 $2,489.58 |
$1,268.19 $1,392.01 $1,523.19 $1,989.19 |
$1,619.06 $1,742.88 $1,874.06 $2,340.06 |
Toc - Plan #32 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.44 $390.92 $440.18 $615.15 $934.77 |
$607.93 $654.41 $703.67 $878.64 |
$871.42 $917.90 $967.16 $1,142.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$688.88 $781.84 $880.36 $1,230.30 $1,869.54 |
$952.37 $1,045.33 $1,143.85 $1,493.79 |
$1,215.86 $1,308.82 $1,407.34 $1,757.28 |
Toc - Plan #33 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.36 $449.85 $506.53 $707.88 $1,075.69 |
$699.57 $753.06 $809.74 $1,011.09 |
$1,002.78 $1,056.27 $1,112.95 $1,314.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$792.72 $899.70 $1,013.06 $1,415.76 $2,151.38 |
$1,095.93 $1,202.91 $1,316.27 $1,718.97 |
$1,399.14 $1,506.12 $1,619.48 $2,022.18 |
Toc - Plan #34 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$462.87 $525.34 $591.53 $826.66 $1,256.19 |
$816.95 $879.42 $945.61 $1,180.74 |
$1,171.03 $1,233.50 $1,299.69 $1,534.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$925.74 $1,050.68 $1,183.06 $1,653.32 $2,512.38 |
$1,279.82 $1,404.76 $1,537.14 $2,007.40 |
$1,633.90 $1,758.84 $1,891.22 $2,361.48 |
Toc - Plan #35 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.32 $416.90 $469.42 $656.02 $996.88 |
$648.31 $697.89 $750.41 $937.01 |
$929.30 $978.88 $1,031.40 $1,218.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$734.64 $833.80 $938.84 $1,312.04 $1,993.76 |
$1,015.63 $1,114.79 $1,219.83 $1,593.03 |
$1,296.62 $1,395.78 $1,500.82 $1,874.02 |
Toc - Plan #36 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$427.75 $485.49 $546.65 $763.94 $1,160.89 |
$754.97 $812.71 $873.87 $1,091.16 |
$1,082.19 $1,139.93 $1,201.09 $1,418.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$855.50 $970.98 $1,093.30 $1,527.88 $2,321.78 |
$1,182.72 $1,298.20 $1,420.52 $1,855.10 |
$1,509.94 $1,625.42 $1,747.74 $2,182.32 |
Toc - Plan #37 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.34 $489.56 $551.24 $770.35 $1,170.62 |
$761.30 $819.52 $881.20 $1,100.31 |
$1,091.26 $1,149.48 $1,211.16 $1,430.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.68 $979.12 $1,102.48 $1,540.70 $2,341.24 |
$1,192.64 $1,309.08 $1,432.44 $1,870.66 |
$1,522.60 $1,639.04 $1,762.40 $2,200.62 |
Toc - Plan #38 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.17 $476.88 $536.96 $750.40 $1,140.30 |
$741.59 $798.30 $858.38 $1,071.82 |
$1,063.01 $1,119.72 $1,179.80 $1,393.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.34 $953.76 $1,073.92 $1,500.80 $2,280.60 |
$1,161.76 $1,275.18 $1,395.34 $1,822.22 |
$1,483.18 $1,596.60 $1,716.76 $2,143.64 |
Toc - Plan #39 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.22 $549.58 $618.82 $864.80 $1,314.15 |
$854.64 $920.00 $989.24 $1,235.22 |
$1,225.06 $1,290.42 $1,359.66 $1,605.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.44 $1,099.16 $1,237.64 $1,729.60 $2,628.30 |
$1,338.86 $1,469.58 $1,608.06 $2,100.02 |
$1,709.28 $1,840.00 $1,978.48 $2,470.44 |
Toc - Plan #40 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$408.17 $463.26 $521.63 $728.98 $1,107.75 |
$720.41 $775.50 $833.87 $1,041.22 |
$1,032.65 $1,087.74 $1,146.11 $1,353.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$816.34 $926.52 $1,043.26 $1,457.96 $2,215.50 |
$1,128.58 $1,238.76 $1,355.50 $1,770.20 |
$1,440.82 $1,551.00 $1,667.74 $2,082.44 |
Toc - Plan #41 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$563.49 $639.55 $720.13 $1,006.37 $1,529.28 |
$994.55 $1,070.61 $1,151.19 $1,437.43 |
$1,425.61 $1,501.67 $1,582.25 $1,868.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,126.98 $1,279.10 $1,440.26 $2,012.74 $3,058.56 |
$1,558.04 $1,710.16 $1,871.32 $2,443.80 |
$1,989.10 $2,141.22 $2,302.38 $2,874.86 |
Toc - Plan #42 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$477.01 $541.39 $609.60 $851.92 $1,294.57 |
$841.91 $906.29 $974.50 $1,216.82 |
$1,206.81 $1,271.19 $1,339.40 $1,581.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$954.02 $1,082.78 $1,219.20 $1,703.84 $2,589.14 |
$1,318.92 $1,447.68 $1,584.10 $2,068.74 |
$1,683.82 $1,812.58 $1,949.00 $2,433.64 |
Toc - Plan #43 Ambetter of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.21 $406.56 $457.78 $639.75 $972.16 |
$632.23 $680.58 $731.80 $913.77 |
$906.25 $954.60 $1,005.82 $1,187.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.42 $813.12 $915.56 $1,279.50 $1,944.32 |
$990.44 $1,087.14 $1,189.58 $1,553.52 |
$1,264.46 $1,361.16 $1,463.60 $1,827.54 |
Toc - Plan #44 Ambetter of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.21 $467.85 $526.79 $736.19 $1,118.71 |
$727.54 $783.18 $842.12 $1,051.52 |
$1,042.87 $1,098.51 $1,157.45 $1,366.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.42 $935.70 $1,053.58 $1,472.38 $2,237.42 |
$1,139.75 $1,251.03 $1,368.91 $1,787.71 |
$1,455.08 $1,566.36 $1,684.24 $2,103.04 |
Toc - Plan #45 Ambetter of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-492-0679
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$481.38 $546.35 $615.19 $859.72 $1,306.43 |
$849.63 $914.60 $983.44 $1,227.97 |
$1,217.88 $1,282.85 $1,351.69 $1,596.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$962.76 $1,092.70 $1,230.38 $1,719.44 $2,612.86 |
$1,331.01 $1,460.95 $1,598.63 $2,087.69 |
$1,699.26 $1,829.20 $1,966.88 $2,455.94 |
ADVERTISEMENT
Blue Cross and Blue Shield of OklahomaLocal: 1-866-520-2507 | Toll Free: 1-866-520-2507 | TTY: 1-800-722-0353 |
Toc - Plan #46 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze PPO? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.21 $486.02 $547.26 $764.79 $1,162.17 |
$755.79 $813.60 $874.84 $1,092.37 |
$1,083.37 $1,141.18 $1,202.42 $1,419.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.42 $972.04 $1,094.52 $1,529.58 $2,324.34 |
$1,184.00 $1,299.62 $1,422.10 $1,857.16 |
$1,511.58 $1,627.20 $1,749.68 $2,184.74 |
Toc - Plan #47 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver PPO? 204 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$503.65 $571.65 $643.67 $899.53 $1,366.92 |
$888.95 $956.95 $1,028.97 $1,284.83 |
$1,274.25 $1,342.25 $1,414.27 $1,670.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,007.30 $1,143.30 $1,287.34 $1,799.06 $2,733.84 |
$1,392.60 $1,528.60 $1,672.64 $2,184.36 |
$1,777.90 $1,913.90 $2,057.94 $2,569.66 |
Toc - Plan #48 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Advantage Bronze PPO? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.33 $420.32 $473.28 $661.40 $1,005.07 |
$653.63 $703.62 $756.58 $944.70 |
$936.93 $986.92 $1,039.88 $1,228.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.66 $840.64 $946.56 $1,322.80 $2,010.14 |
$1,023.96 $1,123.94 $1,229.86 $1,606.10 |
$1,307.26 $1,407.24 $1,513.16 $1,889.40 |
Toc - Plan #49 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold PPO? 309 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.12 $544.94 $613.59 $857.50 $1,303.05 |
$847.41 $912.23 $980.88 $1,224.79 |
$1,214.70 $1,279.52 $1,348.17 $1,592.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$960.24 $1,089.88 $1,227.18 $1,715.00 $2,606.10 |
$1,327.53 $1,457.17 $1,594.47 $2,082.29 |
$1,694.82 $1,824.46 $1,961.76 $2,449.58 |
Toc - Plan #50 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver PPO? 605 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.45 $591.84 $666.41 $931.30 $1,415.21 |
$920.36 $990.75 $1,065.32 $1,330.21 |
$1,319.27 $1,389.66 $1,464.23 $1,729.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.90 $1,183.68 $1,332.82 $1,862.60 $2,830.42 |
$1,441.81 $1,582.59 $1,731.73 $2,261.51 |
$1,840.72 $1,981.50 $2,130.64 $2,660.42 |
Toc - Plan #51 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold PPO? 604 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.07 $550.56 $619.92 $866.34 $1,316.48 |
$856.15 $921.64 $991.00 $1,237.42 |
$1,227.23 $1,292.72 $1,362.08 $1,608.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.14 $1,101.12 $1,239.84 $1,732.68 $2,632.96 |
$1,341.22 $1,472.20 $1,610.92 $2,103.76 |
$1,712.30 $1,843.28 $1,982.00 $2,474.84 |
Toc - Plan #52 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Bronze
(PPO) Blue Preferred Bronze PPO? 206 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.27 $513.32 $578.00 $807.75 $1,227.45 |
$798.25 $859.30 $923.98 $1,153.73 |
$1,144.23 $1,205.28 $1,269.96 $1,499.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$904.54 $1,026.64 $1,156.00 $1,615.50 $2,454.90 |
$1,250.52 $1,372.62 $1,501.98 $1,961.48 |
$1,596.50 $1,718.60 $1,847.96 $2,307.46 |
Toc - Plan #53 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Preferred Bronze PPO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$470.39 $533.89 $601.15 $840.11 $1,276.63 |
$830.24 $893.74 $961.00 $1,199.96 |
$1,190.09 $1,253.59 $1,320.85 $1,559.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$940.78 $1,067.78 $1,202.30 $1,680.22 $2,553.26 |
$1,300.63 $1,427.63 $1,562.15 $2,040.07 |
$1,660.48 $1,787.48 $1,922.00 $2,399.92 |
Toc - Plan #54 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Preferred Gold PPO? 205 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$571.10 $648.20 $729.86 $1,019.98 $1,549.96 |
$1,007.99 $1,085.09 $1,166.75 $1,456.87 |
$1,444.88 $1,521.98 $1,603.64 $1,893.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,142.20 $1,296.40 $1,459.72 $2,039.96 $3,099.92 |
$1,579.09 $1,733.29 $1,896.61 $2,476.85 |
$2,015.98 $2,170.18 $2,333.50 $2,913.74 |
Toc - Plan #55 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Preferred Gold PPO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$605.15 $686.84 $773.38 $1,080.79 $1,642.37 |
$1,068.09 $1,149.78 $1,236.32 $1,543.73 |
$1,531.03 $1,612.72 $1,699.26 $2,006.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,210.30 $1,373.68 $1,546.76 $2,161.58 $3,284.74 |
$1,673.24 $1,836.62 $2,009.70 $2,624.52 |
$2,136.18 $2,299.56 $2,472.64 $3,087.46 |
Toc - Plan #56 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Catastrophic
(PPO) Blue Preferred Security PPO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.21 $420.19 $473.13 $661.19 $1,004.75 |
$653.42 $703.40 $756.34 $944.40 |
$936.63 $986.61 $1,039.55 $1,227.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.42 $840.38 $946.26 $1,322.38 $2,009.50 |
$1,023.63 $1,123.59 $1,229.47 $1,605.59 |
$1,306.84 $1,406.80 $1,512.68 $1,888.80 |
Toc - Plan #57 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$612.73 $695.44 $783.06 $1,094.33 $1,662.94 |
$1,081.47 $1,164.18 $1,251.80 $1,563.07 |
$1,550.21 $1,632.92 $1,720.54 $2,031.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,225.46 $1,390.88 $1,566.12 $2,188.66 $3,325.88 |
$1,694.20 $1,859.62 $2,034.86 $2,657.40 |
$2,162.94 $2,328.36 $2,503.60 $3,126.14 |
Toc - Plan #58 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Preferred Silver PPO? 701 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$591.78 $671.67 $756.30 $1,056.92 $1,606.10 |
$1,044.49 $1,124.38 $1,209.01 $1,509.63 |
$1,497.20 $1,577.09 $1,661.72 $1,962.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,183.56 $1,343.34 $1,512.60 $2,113.84 $3,212.20 |
$1,636.27 $1,796.05 $1,965.31 $2,566.55 |
$2,088.98 $2,248.76 $2,418.02 $3,019.26 |
Toc - Plan #59 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Advantage Bronze PPO? 801 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.26 $438.40 $493.64 $689.86 $1,048.31 |
$681.75 $733.89 $789.13 $985.35 |
$977.24 $1,029.38 $1,084.62 $1,280.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$772.52 $876.80 $987.28 $1,379.72 $2,096.62 |
$1,068.01 $1,172.29 $1,282.77 $1,675.21 |
$1,363.50 $1,467.78 $1,578.26 $1,970.70 |
Toc - Plan #60 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(PPO) Blue Advantage Silver PPO? 802 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$493.92 $560.60 $631.24 $882.15 $1,340.51 |
$871.77 $938.45 $1,009.09 $1,260.00 |
$1,249.62 $1,316.30 $1,386.94 $1,637.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$987.84 $1,121.20 $1,262.48 $1,764.30 $2,681.02 |
$1,365.69 $1,499.05 $1,640.33 $2,142.15 |
$1,743.54 $1,876.90 $2,018.18 $2,520.00 |
Toc - Plan #61 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(PPO) Blue Advantage Gold PPO? 803 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$512.54 $581.74 $655.03 $915.40 $1,391.04 |
$904.64 $973.84 $1,047.13 $1,307.50 |
$1,296.74 $1,365.94 $1,439.23 $1,699.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,025.08 $1,163.48 $1,310.06 $1,830.80 $2,782.08 |
$1,417.18 $1,555.58 $1,702.16 $2,222.90 |
$1,809.28 $1,947.68 $2,094.26 $2,615.00 |
Toc - Plan #62 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(HMO) MyBlue Gold HMO? 704 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.16 $415.59 $467.96 $653.97 $993.77 |
$646.27 $695.70 $748.07 $934.08 |
$926.38 $975.81 $1,028.18 $1,214.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.32 $831.18 $935.92 $1,307.94 $1,987.54 |
$1,012.43 $1,111.29 $1,216.03 $1,588.05 |
$1,292.54 $1,391.40 $1,496.14 $1,868.16 |
Toc - Plan #63 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(HMO) MyBlue Silver HMO? 705 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.50 $443.21 $499.05 $697.43 $1,059.81 |
$689.23 $741.94 $797.78 $996.16 |
$987.96 $1,040.67 $1,096.51 $1,294.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$781.00 $886.42 $998.10 $1,394.86 $2,119.62 |
$1,079.73 $1,185.15 $1,296.83 $1,693.59 |
$1,378.46 $1,483.88 $1,595.56 $1,992.32 |
Toc - Plan #64 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(HMO) MyBlue Gold HMO? 708 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.35 $460.07 $518.04 $723.96 $1,100.12 |
$715.44 $770.16 $828.13 $1,034.05 |
$1,025.53 $1,080.25 $1,138.22 $1,344.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$810.70 $920.14 $1,036.08 $1,447.92 $2,200.24 |
$1,120.79 $1,230.23 $1,346.17 $1,758.01 |
$1,430.88 $1,540.32 $1,656.26 $2,068.10 |
Toc - Plan #65 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(HMO) MyBlue Silver HMO? 709 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.38 $440.81 $496.35 $693.65 $1,054.06 |
$685.49 $737.92 $793.46 $990.76 |
$982.60 $1,035.03 $1,090.57 $1,287.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.76 $881.62 $992.70 $1,387.30 $2,108.12 |
$1,073.87 $1,178.73 $1,289.81 $1,684.41 |
$1,370.98 $1,475.84 $1,586.92 $1,981.52 |
Toc - Plan #66 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Silver
(HMO) MyBlue Silver HMO? 803 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.49 $436.39 $491.38 $686.70 $1,043.50 |
$678.62 $730.52 $785.51 $980.83 |
$972.75 $1,024.65 $1,079.64 $1,274.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.98 $872.78 $982.76 $1,373.40 $2,087.00 |
$1,063.11 $1,166.91 $1,276.89 $1,667.53 |
$1,357.24 $1,461.04 $1,571.02 $1,961.66 |
Toc - Plan #67 Blue Cross and Blue Shield of Oklahoma | ||||||||||||||||||||
Gold
(HMO) MyBlue Gold HMO? 804 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-520-2507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$395.10 $448.44 $504.94 $705.65 $1,072.30 |
$697.35 $750.69 $807.19 $1,007.90 |
$999.60 $1,052.94 $1,109.44 $1,310.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$790.20 $896.88 $1,009.88 $1,411.30 $2,144.60 |
$1,092.45 $1,199.13 $1,312.13 $1,713.55 |
$1,394.70 $1,501.38 $1,614.38 $2,015.80 |
ADVERTISEMENT
CommunityCareLocal: 1-918-594-5242 | Toll Free: 1-800-777-4890 | TTY: 1-800-722-0353 |
Toc - Plan #68 CommunityCare | ||||||||||||||||||||
Catastrophic
(HMO) CommunityCare Catastrophic Select |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$185.82 $210.91 $237.48 $331.88 $504.32 |
$327.97 $353.06 $379.63 $474.03 |
$470.12 $495.21 $521.78 $616.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$371.64 $421.82 $474.96 $663.76 $1,008.64 |
$513.79 $563.97 $617.11 $805.91 |
$655.94 $706.12 $759.26 $948.06 |
Toc - Plan #69 CommunityCare | ||||||||||||||||||||
Gold
(HMO) CommunityCare Gold L21 Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$429.20 $487.14 $548.52 $766.55 $1,164.85 |
$757.54 $815.48 $876.86 $1,094.89 |
$1,085.88 $1,143.82 $1,205.20 $1,423.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$858.40 $974.28 $1,097.04 $1,533.10 $2,329.70 |
$1,186.74 $1,302.62 $1,425.38 $1,861.44 |
$1,515.08 $1,630.96 $1,753.72 $2,189.78 |
Toc - Plan #70 CommunityCare | ||||||||||||||||||||
Silver
(HMO) CommunityCare Silver L21 Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.65 $501.27 $564.43 $788.78 $1,198.63 |
$779.51 $839.13 $902.29 $1,126.64 |
$1,117.37 $1,176.99 $1,240.15 $1,464.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.30 $1,002.54 $1,128.86 $1,577.56 $2,397.26 |
$1,221.16 $1,340.40 $1,466.72 $1,915.42 |
$1,559.02 $1,678.26 $1,804.58 $2,253.28 |
Toc - Plan #71 CommunityCare | ||||||||||||||||||||
Gold
(HMO) CommunityCare Gold IH221 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.81 $492.37 $554.41 $774.79 $1,177.36 |
$765.67 $824.23 $886.27 $1,106.65 |
$1,097.53 $1,156.09 $1,218.13 $1,438.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.62 $984.74 $1,108.82 $1,549.58 $2,354.72 |
$1,199.48 $1,316.60 $1,440.68 $1,881.44 |
$1,531.34 $1,648.46 $1,772.54 $2,213.30 |
Toc - Plan #72 CommunityCare | ||||||||||||||||||||
Gold
(HMO) CommunityCare Gold IH222 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.27 $492.90 $555.00 $775.61 $1,178.61 |
$766.49 $825.12 $887.22 $1,107.83 |
$1,098.71 $1,157.34 $1,219.44 $1,440.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.54 $985.80 $1,110.00 $1,551.22 $2,357.22 |
$1,200.76 $1,318.02 $1,442.22 $1,883.44 |
$1,532.98 $1,650.24 $1,774.44 $2,215.66 |
Toc - Plan #73 CommunityCare | ||||||||||||||||||||
Expanded Bronze
(HMO) CommunityCare Bronze IH223 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.64 $360.52 $405.94 $567.30 $862.06 |
$560.63 $603.51 $648.93 $810.29 |
$803.62 $846.50 $891.92 $1,053.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$635.28 $721.04 $811.88 $1,134.60 $1,724.12 |
$878.27 $964.03 $1,054.87 $1,377.59 |
$1,121.26 $1,207.02 $1,297.86 $1,620.58 |
Toc - Plan #74 CommunityCare | ||||||||||||||||||||
Expanded Bronze
(HMO) CommunityCare Bronze IH224 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.24 $372.55 $419.49 $586.23 $890.84 |
$579.34 $623.65 $670.59 $837.33 |
$830.44 $874.75 $921.69 $1,088.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$656.48 $745.10 $838.98 $1,172.46 $1,781.68 |
$907.58 $996.20 $1,090.08 $1,423.56 |
$1,158.68 $1,247.30 $1,341.18 $1,674.66 |
Toc - Plan #75 CommunityCare | ||||||||||||||||||||
Gold
(HMO) CommunityCare Gold Standardized Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.12 $488.19 $549.70 $768.20 $1,167.35 |
$759.16 $817.23 $878.74 $1,097.24 |
$1,088.20 $1,146.27 $1,207.78 $1,426.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$860.24 $976.38 $1,099.40 $1,536.40 $2,334.70 |
$1,189.28 $1,305.42 $1,428.44 $1,865.44 |
$1,518.32 $1,634.46 $1,757.48 $2,194.48 |
Toc - Plan #76 CommunityCare | ||||||||||||||||||||
Silver
(HMO) CommunityCare Silver Standardized Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$410.76 $466.21 $524.95 $733.62 $1,114.80 |
$724.99 $780.44 $839.18 $1,047.85 |
$1,039.22 $1,094.67 $1,153.41 $1,362.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.52 $932.42 $1,049.90 $1,467.24 $2,229.60 |
$1,135.75 $1,246.65 $1,364.13 $1,781.47 |
$1,449.98 $1,560.88 $1,678.36 $2,095.70 |
Toc - Plan #77 CommunityCare | ||||||||||||||||||||
Expanded Bronze
(HMO) CommunityCare Expanded Bronze Standardized Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$306.11 $347.44 $391.21 $546.71 $830.78 |
$540.28 $581.61 $625.38 $780.88 |
$774.45 $815.78 $859.55 $1,015.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$612.22 $694.88 $782.42 $1,093.42 $1,661.56 |
$846.39 $929.05 $1,016.59 $1,327.59 |
$1,080.56 $1,163.22 $1,250.76 $1,561.76 |
Toc - Plan #78 CommunityCare | ||||||||||||||||||||
Silver
(HMO) CommunityCare Silver SLIH223 Select Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-777-4890
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.06 $475.63 $535.56 $748.44 $1,137.32 |
$739.64 $796.21 $856.14 $1,069.02 |
$1,060.22 $1,116.79 $1,176.72 $1,389.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.12 $951.26 $1,071.12 $1,496.88 $2,274.64 |
$1,158.70 $1,271.84 $1,391.70 $1,817.46 |
$1,479.28 $1,592.42 $1,712.28 $2,138.04 |
‡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 Rogers County here.
Rogers County is in “Rating Area 4” of Oklahoma.
Currently, there are 78 plans offered in Rating Area 4.