Obamacare 2024 Rates for Saint Clair County, Illinois
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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 O Fallon, IL.
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, 64 Plans and 2024 Rates for Saint Clair County, Illinois
Below, you’ll find a summary of the 64 plans for Saint Clair County, Illinois 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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Ambetter of IllinoisLocal: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-844-517-3431 |
Toc - Plan #1 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$467.28 $530.35 $597.17 $834.55 $1,268.17 |
$824.74 $887.81 $954.63 $1,192.01 |
$1,182.20 $1,245.27 $1,312.09 $1,549.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$934.56 $1,060.70 $1,194.34 $1,669.10 $2,536.34 |
$1,292.02 $1,418.16 $1,551.80 $2,026.56 |
$1,649.48 $1,775.62 $1,909.26 $2,384.02 |
Toc - Plan #2 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$328.40 $372.72 $419.68 $586.50 $891.24 |
$579.62 $623.94 $670.90 $837.72 |
$830.84 $875.16 $922.12 $1,088.94 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$656.80 $745.44 $839.36 $1,173.00 $1,782.48 |
$908.02 $996.66 $1,090.58 $1,424.22 |
$1,159.24 $1,247.88 $1,341.80 $1,675.44 |
Toc - Plan #3 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$389.04 $441.55 $497.19 $694.82 $1,055.84 |
$686.65 $739.16 $794.80 $992.43 |
$984.26 $1,036.77 $1,092.41 $1,290.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$778.08 $883.10 $994.38 $1,389.64 $2,111.68 |
$1,075.69 $1,180.71 $1,291.99 $1,687.25 |
$1,373.30 $1,478.32 $1,589.60 $1,984.86 |
Toc - Plan #4 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$368.31 $418.02 $470.69 $657.78 $999.57 |
$650.06 $699.77 $752.44 $939.53 |
$931.81 $981.52 $1,034.19 $1,221.28 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$736.62 $836.04 $941.38 $1,315.56 $1,999.14 |
$1,018.37 $1,117.79 $1,223.13 $1,597.31 |
$1,300.12 $1,399.54 $1,504.88 $1,879.06 |
Toc - Plan #5 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$377.01 $427.90 $481.81 $673.32 $1,023.18 |
$665.42 $716.31 $770.22 $961.73 |
$953.83 $1,004.72 $1,058.63 $1,250.14 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$754.02 $855.80 $963.62 $1,346.64 $2,046.36 |
$1,042.43 $1,144.21 $1,252.03 $1,635.05 |
$1,330.84 $1,432.62 $1,540.44 $1,923.46 |
Toc - Plan #6 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$443.21 $503.04 $566.42 $791.56 $1,202.86 |
$782.26 $842.09 $905.47 $1,130.61 |
$1,121.31 $1,181.14 $1,244.52 $1,469.66 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$886.42 $1,006.08 $1,132.84 $1,583.12 $2,405.72 |
$1,225.47 $1,345.13 $1,471.89 $1,922.17 |
$1,564.52 $1,684.18 $1,810.94 $2,261.22 |
Toc - Plan #7 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$522.56 $593.10 $667.82 $933.28 $1,418.20 |
$922.31 $992.85 $1,067.57 $1,333.03 |
$1,322.06 $1,392.60 $1,467.32 $1,732.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,045.12 $1,186.20 $1,335.64 $1,866.56 $2,836.40 |
$1,444.87 $1,585.95 $1,735.39 $2,266.31 |
$1,844.62 $1,985.70 $2,135.14 $2,666.06 |
Toc - Plan #8 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Central Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$325.80 $369.78 $416.36 $581.87 $884.20 |
$575.03 $619.01 $665.59 $831.10 |
$824.26 $868.24 $914.82 $1,080.33 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$651.60 $739.56 $832.72 $1,163.74 $1,768.40 |
$900.83 $988.79 $1,081.95 $1,412.97 |
$1,150.06 $1,238.02 $1,331.18 $1,662.20 |
Toc - Plan #9 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Central Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$398.30 $452.06 $509.02 $711.35 $1,080.96 |
$702.99 $756.75 $813.71 $1,016.04 |
$1,007.68 $1,061.44 $1,118.40 $1,320.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$796.60 $904.12 $1,018.04 $1,422.70 $2,161.92 |
$1,101.29 $1,208.81 $1,322.73 $1,727.39 |
$1,405.98 $1,513.50 $1,627.42 $2,032.08 |
Toc - Plan #10 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$451.47 $512.41 $576.97 $806.31 $1,225.27 |
$796.84 $857.78 $922.34 $1,151.68 |
$1,142.21 $1,203.15 $1,267.71 $1,497.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$902.94 $1,024.82 $1,153.94 $1,612.62 $2,450.54 |
$1,248.31 $1,370.19 $1,499.31 $1,957.99 |
$1,593.68 $1,715.56 $1,844.68 $2,303.36 |
Toc - Plan #11 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$319.55 $362.67 $408.37 $570.69 $867.22 |
$564.00 $607.12 $652.82 $815.14 |
$808.45 $851.57 $897.27 $1,059.59 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$639.10 $725.34 $816.74 $1,141.38 $1,734.44 |
$883.55 $969.79 $1,061.19 $1,385.83 |
$1,128.00 $1,214.24 $1,305.64 $1,630.28 |
Toc - Plan #12 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$370.27 $420.25 $473.20 $661.29 $1,004.89 |
$653.52 $703.50 $756.45 $944.54 |
$936.77 $986.75 $1,039.70 $1,227.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$740.54 $840.50 $946.40 $1,322.58 $2,009.78 |
$1,023.79 $1,123.75 $1,229.65 $1,605.83 |
$1,307.04 $1,407.00 $1,512.90 $1,889.08 |
Toc - Plan #13 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$440.14 $499.55 $562.49 $786.07 $1,194.52 |
$776.84 $836.25 $899.19 $1,122.77 |
$1,113.54 $1,172.95 $1,235.89 $1,459.47 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$880.28 $999.10 $1,124.98 $1,572.14 $2,389.04 |
$1,216.98 $1,335.80 $1,461.68 $1,908.84 |
$1,553.68 $1,672.50 $1,798.38 $2,245.54 |
Toc - Plan #14 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$482.12 $547.19 $616.13 $861.05 $1,308.44 |
$850.93 $916.00 $984.94 $1,229.86 |
$1,219.74 $1,284.81 $1,353.75 $1,598.67 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$964.24 $1,094.38 $1,232.26 $1,722.10 $2,616.88 |
$1,333.05 $1,463.19 $1,601.07 $2,090.91 |
$1,701.86 $1,832.00 $1,969.88 $2,459.72 |
Toc - Plan #15 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$338.82 $384.55 $433.00 $605.12 $919.54 |
$598.01 $643.74 $692.19 $864.31 |
$857.20 $902.93 $951.38 $1,123.50 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$677.64 $769.10 $866.00 $1,210.24 $1,839.08 |
$936.83 $1,028.29 $1,125.19 $1,469.43 |
$1,196.02 $1,287.48 $1,384.38 $1,728.62 |
Toc - Plan #16 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$401.40 $455.57 $512.97 $716.88 $1,089.37 |
$708.46 $762.63 $820.03 $1,023.94 |
$1,015.52 $1,069.69 $1,127.09 $1,331.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$802.80 $911.14 $1,025.94 $1,433.76 $2,178.74 |
$1,109.86 $1,218.20 $1,333.00 $1,740.82 |
$1,416.92 $1,525.26 $1,640.06 $2,047.88 |
Toc - Plan #17 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$388.98 $441.48 $497.11 $694.70 $1,055.67 |
$686.54 $739.04 $794.67 $992.26 |
$984.10 $1,036.60 $1,092.23 $1,289.82 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$777.96 $882.96 $994.22 $1,389.40 $2,111.34 |
$1,075.52 $1,180.52 $1,291.78 $1,686.96 |
$1,373.08 $1,478.08 $1,589.34 $1,984.52 |
Toc - Plan #18 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$457.29 $519.01 $584.40 $816.70 $1,241.05 |
$807.11 $868.83 $934.22 $1,166.52 |
$1,156.93 $1,218.65 $1,284.04 $1,516.34 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$914.58 $1,038.02 $1,168.80 $1,633.40 $2,482.10 |
$1,264.40 $1,387.84 $1,518.62 $1,983.22 |
$1,614.22 $1,737.66 $1,868.44 $2,333.04 |
Toc - Plan #19 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$380.00 $431.29 $485.63 $678.67 $1,031.30 |
$670.70 $721.99 $776.33 $969.37 |
$961.40 $1,012.69 $1,067.03 $1,260.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$760.00 $862.58 $971.26 $1,357.34 $2,062.60 |
$1,050.70 $1,153.28 $1,261.96 $1,648.04 |
$1,341.40 $1,443.98 $1,552.66 $1,938.74 |
Toc - Plan #20 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$539.15 $611.93 $689.03 $962.91 $1,463.24 |
$951.59 $1,024.37 $1,101.47 $1,375.35 |
$1,364.03 $1,436.81 $1,513.91 $1,787.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,078.30 $1,223.86 $1,378.06 $1,925.82 $2,926.48 |
$1,490.74 $1,636.30 $1,790.50 $2,338.26 |
$1,903.18 $2,048.74 $2,202.94 $2,750.70 |
Toc - Plan #21 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Central Bronze + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$336.15 $381.52 $429.59 $600.34 $912.28 |
$593.30 $638.67 $686.74 $857.49 |
$850.45 $895.82 $943.89 $1,114.64 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$672.30 $763.04 $859.18 $1,200.68 $1,824.56 |
$929.45 $1,020.19 $1,116.33 $1,457.83 |
$1,186.60 $1,277.34 $1,373.48 $1,714.98 |
Toc - Plan #22 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Central Silver + Vision + Adult Dental |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
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 |
$410.95 $466.41 $525.18 $733.94 $1,115.29 |
$725.32 $780.78 $839.55 $1,048.31 |
$1,039.69 $1,095.15 $1,153.92 $1,362.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$821.90 $932.82 $1,050.36 $1,467.88 $2,230.58 |
$1,136.27 $1,247.19 $1,364.73 $1,782.25 |
$1,450.64 $1,561.56 $1,679.10 $2,096.62 |
Toc - Plan #23 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Central Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.81 $528.68 $595.29 $831.91 $1,264.17 |
$822.14 $885.01 $951.62 $1,188.24 |
$1,178.47 $1,241.34 $1,307.95 $1,544.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.62 $1,057.36 $1,190.58 $1,663.82 $2,528.34 |
$1,287.95 $1,413.69 $1,546.91 $2,020.15 |
$1,644.28 $1,770.02 $1,903.24 $2,376.48 |
Toc - Plan #24 Ambetter of Illinois | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.69 $374.19 $421.33 $588.81 $894.76 |
$581.90 $626.40 $673.54 $841.02 |
$834.11 $878.61 $925.75 $1,093.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.38 $748.38 $842.66 $1,177.62 $1,789.52 |
$911.59 $1,000.59 $1,094.87 $1,429.83 |
$1,163.80 $1,252.80 $1,347.08 $1,682.04 |
Toc - Plan #25 Ambetter of Illinois | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.03 $433.59 $488.22 $682.29 $1,036.80 |
$674.27 $725.83 $780.46 $974.53 |
$966.51 $1,018.07 $1,072.70 $1,266.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.06 $867.18 $976.44 $1,364.58 $2,073.60 |
$1,056.30 $1,159.42 $1,268.68 $1,656.82 |
$1,348.54 $1,451.66 $1,560.92 $1,949.06 |
Toc - Plan #26 Ambetter of Illinois | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-745-5507
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.12 $515.41 $580.35 $811.03 $1,232.44 |
$801.51 $862.80 $927.74 $1,158.42 |
$1,148.90 $1,210.19 $1,275.13 $1,505.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.24 $1,030.82 $1,160.70 $1,622.06 $2,464.88 |
$1,255.63 $1,378.21 $1,508.09 $1,969.45 |
$1,603.02 $1,725.60 $1,855.48 $2,316.84 |
ADVERTISEMENT
Blue Cross and Blue Shield of IllinoisLocal: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844 |
Toc - Plan #27 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(PPO) Blue Choice Preferred Gold PPO? 204 - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$567.99 $644.67 $725.89 $1,014.43 $1,541.53 |
$1,002.50 $1,079.18 $1,160.40 $1,448.94 |
$1,437.01 $1,513.69 $1,594.91 $1,883.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,135.98 $1,289.34 $1,451.78 $2,028.86 $3,083.06 |
$1,570.49 $1,723.85 $1,886.29 $2,463.37 |
$2,005.00 $2,158.36 $2,320.80 $2,897.88 |
Toc - Plan #28 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 203 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$479.71 $544.47 $613.06 $856.75 $1,301.92 |
$846.69 $911.45 $980.04 $1,223.73 |
$1,213.67 $1,278.43 $1,347.02 $1,590.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$959.42 $1,088.94 $1,226.12 $1,713.50 $2,603.84 |
$1,326.40 $1,455.92 $1,593.10 $2,080.48 |
$1,693.38 $1,822.90 $1,960.08 $2,447.46 |
Toc - Plan #29 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 202 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$418.79 $475.33 $535.21 $747.96 $1,136.59 |
$739.16 $795.70 $855.58 $1,068.33 |
$1,059.53 $1,116.07 $1,175.95 $1,388.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$837.58 $950.66 $1,070.42 $1,495.92 $2,273.18 |
$1,157.95 $1,271.03 $1,390.79 $1,816.29 |
$1,478.32 $1,591.40 $1,711.16 $2,136.66 |
Toc - Plan #30 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Catastrophic
(PPO) Blue Choice Preferred Security PPO? 200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.15 $391.74 $441.10 $616.43 $936.73 |
$609.19 $655.78 $705.14 $880.47 |
$873.23 $919.82 $969.18 $1,144.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.30 $783.48 $882.20 $1,232.86 $1,873.46 |
$954.34 $1,047.52 $1,146.24 $1,496.90 |
$1,218.38 $1,311.56 $1,410.28 $1,760.94 |
Toc - Plan #31 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 201 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.01 $427.91 $481.82 $673.35 $1,023.21 |
$665.43 $716.33 $770.24 $961.77 |
$953.85 $1,004.75 $1,058.66 $1,250.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.02 $855.82 $963.64 $1,346.70 $2,046.42 |
$1,042.44 $1,144.24 $1,252.06 $1,635.12 |
$1,330.86 $1,432.66 $1,540.48 $1,923.54 |
Toc - Plan #32 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 601 - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.15 $417.85 $470.50 $657.51 $999.16 |
$649.78 $699.48 $752.13 $939.14 |
$931.41 $981.11 $1,033.76 $1,220.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.30 $835.70 $941.00 $1,315.02 $1,998.32 |
$1,017.93 $1,117.33 $1,222.63 $1,596.65 |
$1,299.56 $1,398.96 $1,504.26 $1,878.28 |
Toc - Plan #33 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 701 - Rx Copays |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.66 $394.60 $444.32 $620.93 $943.56 |
$613.62 $660.56 $710.28 $886.89 |
$879.58 $926.52 $976.24 $1,152.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.32 $789.20 $888.64 $1,241.86 $1,887.12 |
$961.28 $1,055.16 $1,154.60 $1,507.82 |
$1,227.24 $1,321.12 $1,420.56 $1,773.78 |
Toc - Plan #34 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Gold
(PPO) Blue Choice Preferred Gold PPO? 707 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$554.42 $629.26 $708.54 $990.19 $1,504.68 |
$978.55 $1,053.39 $1,132.67 $1,414.32 |
$1,402.68 $1,477.52 $1,556.80 $1,838.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,108.84 $1,258.52 $1,417.08 $1,980.38 $3,009.36 |
$1,532.97 $1,682.65 $1,841.21 $2,404.51 |
$1,957.10 $2,106.78 $2,265.34 $2,828.64 |
Toc - Plan #35 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Choice Preferred Bronze PPO? 708 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.53 $480.70 $541.27 $756.42 $1,149.45 |
$747.53 $804.70 $865.27 $1,080.42 |
$1,071.53 $1,128.70 $1,189.27 $1,404.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$847.06 $961.40 $1,082.54 $1,512.84 $2,298.90 |
$1,171.06 $1,285.40 $1,406.54 $1,836.84 |
$1,495.06 $1,609.40 $1,730.54 $2,160.84 |
Toc - Plan #36 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 706 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$485.48 $551.02 $620.44 $867.07 $1,317.60 |
$856.87 $922.41 $991.83 $1,238.46 |
$1,228.26 $1,293.80 $1,363.22 $1,609.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$970.96 $1,102.04 $1,240.88 $1,734.14 $2,635.20 |
$1,342.35 $1,473.43 $1,612.27 $2,105.53 |
$1,713.74 $1,844.82 $1,983.66 $2,476.92 |
Toc - Plan #37 Blue Cross and Blue Shield of Illinois | ||||||||||||||||||||
Silver
(PPO) Blue Choice Preferred Silver PPO? 801 - Rx Copay |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-538-8833
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$473.86 $537.83 $605.60 $846.32 $1,286.06 |
$836.36 $900.33 $968.10 $1,208.82 |
$1,198.86 $1,262.83 $1,330.60 $1,571.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$947.72 $1,075.66 $1,211.20 $1,692.64 $2,572.12 |
$1,310.22 $1,438.16 $1,573.70 $2,055.14 |
$1,672.72 $1,800.66 $1,936.20 $2,417.64 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0325 | Toll Free: 1-888-200-0325 | TTY: 1-888-200-0325 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value (Virtual Urgent Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.43 $409.09 $460.63 $643.73 $978.21 |
$636.16 $684.82 $736.36 $919.46 |
$911.89 $960.55 $1,012.09 $1,195.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.86 $818.18 $921.26 $1,287.46 $1,956.42 |
$996.59 $1,093.91 $1,196.99 $1,563.19 |
$1,272.32 $1,369.64 $1,472.72 $1,838.92 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited App-based Care) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.16 $403.10 $453.89 $634.31 $963.90 |
$626.86 $674.80 $725.59 $906.01 |
$898.56 $946.50 $997.29 $1,177.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.32 $806.20 $907.78 $1,268.62 $1,927.80 |
$982.02 $1,077.90 $1,179.48 $1,540.32 |
$1,253.72 $1,349.60 $1,451.18 $1,812.02 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard (Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.40 $478.29 $538.55 $752.62 $1,143.67 |
$743.77 $800.66 $860.92 $1,074.99 |
$1,066.14 $1,123.03 $1,183.29 $1,397.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.80 $956.58 $1,077.10 $1,505.24 $2,287.34 |
$1,165.17 $1,278.95 $1,399.47 $1,827.61 |
$1,487.54 $1,601.32 $1,721.84 $2,149.98 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus (Virtual Urgent Care + PCP Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$370.00 $419.95 $472.86 $660.82 $1,004.18 |
$653.05 $703.00 $755.91 $943.87 |
$936.10 $986.05 $1,038.96 $1,226.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$740.00 $839.90 $945.72 $1,321.64 $2,008.36 |
$1,023.05 $1,122.95 $1,228.77 $1,604.69 |
$1,306.10 $1,406.00 $1,511.82 $1,887.74 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.90 $410.76 $462.51 $646.35 $982.19 |
$638.75 $687.61 $739.36 $923.20 |
$915.60 $964.46 $1,016.21 $1,200.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.80 $821.52 $925.02 $1,292.70 $1,964.38 |
$1,000.65 $1,098.37 $1,201.87 $1,569.55 |
$1,277.50 $1,375.22 $1,478.72 $1,846.40 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value (Virtual Urgent Care + PCP Visits, Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$297.88 $338.09 $380.69 $532.01 $808.44 |
$525.76 $565.97 $608.57 $759.89 |
$753.64 $793.85 $836.45 $987.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$595.76 $676.18 $761.38 $1,064.02 $1,616.88 |
$823.64 $904.06 $989.26 $1,291.90 |
$1,051.52 $1,131.94 $1,217.14 $1,519.78 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.17 $325.94 $367.01 $512.89 $779.39 |
$506.86 $545.63 $586.70 $732.58 |
$726.55 $765.32 $806.39 $952.27 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.34 $651.88 $734.02 $1,025.78 $1,558.78 |
$794.03 $871.57 $953.71 $1,245.47 |
$1,013.72 $1,091.26 $1,173.40 $1,465.16 |
Toc - Plan #45 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$299.72 $340.18 $383.04 $535.29 $813.43 |
$529.00 $569.46 $612.32 $764.57 |
$758.28 $798.74 $841.60 $993.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$599.44 $680.36 $766.08 $1,070.58 $1,626.86 |
$828.72 $909.64 $995.36 $1,299.86 |
$1,058.00 $1,138.92 $1,224.64 $1,529.14 |
Toc - Plan #46 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus (Virtual Urgent Care) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$317.35 $360.19 $405.57 $566.79 $861.29 |
$560.12 $602.96 $648.34 $809.56 |
$802.89 $845.73 $891.11 $1,052.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$634.70 $720.38 $811.14 $1,133.58 $1,722.58 |
$877.47 $963.15 $1,053.91 $1,376.35 |
$1,120.24 $1,205.92 $1,296.68 $1,619.12 |
Toc - Plan #47 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited App-based Care, Rx Copay) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.94 $333.62 $375.65 $524.97 $797.75 |
$518.80 $558.48 $600.51 $749.83 |
$743.66 $783.34 $825.37 $974.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$587.88 $667.24 $751.30 $1,049.94 $1,595.50 |
$812.74 $892.10 $976.16 $1,274.80 |
$1,037.60 $1,116.96 $1,201.02 $1,499.66 |
Toc - Plan #48 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage (Virtual Urgent Care + PCP Visits, Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.48 $410.28 $461.97 $645.60 $981.05 |
$638.01 $686.81 $738.50 $922.13 |
$914.54 $963.34 $1,015.03 $1,198.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.96 $820.56 $923.94 $1,291.20 $1,962.10 |
$999.49 $1,097.09 $1,200.47 $1,567.73 |
$1,276.02 $1,373.62 $1,477.00 $1,844.26 |
Toc - Plan #49 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage (Virtual Urgent Care + PCP Visits, Rx Copay) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$426.96 $484.60 $545.65 $762.55 $1,158.77 |
$753.58 $811.22 $872.27 $1,089.17 |
$1,080.20 $1,137.84 $1,198.89 $1,415.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$853.92 $969.20 $1,091.30 $1,525.10 $2,317.54 |
$1,180.54 $1,295.82 $1,417.92 $1,851.72 |
$1,507.16 $1,622.44 $1,744.54 $2,178.34 |
Toc - Plan #50 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus (Virtual Urgent Care + PCP Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$428.12 $485.92 $547.14 $764.63 $1,161.93 |
$755.63 $813.43 $874.65 $1,092.14 |
$1,083.14 $1,140.94 $1,202.16 $1,419.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$856.24 $971.84 $1,094.28 $1,529.26 $2,323.86 |
$1,183.75 $1,299.35 $1,421.79 $1,856.77 |
$1,511.26 $1,626.86 $1,749.30 $2,184.28 |
Toc - Plan #51 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Virtual First (Unlimited App-based Care) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.44 $455.63 $513.04 $716.97 $1,089.51 |
$708.54 $762.73 $820.14 $1,024.07 |
$1,015.64 $1,069.83 $1,127.24 $1,331.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.88 $911.26 $1,026.08 $1,433.94 $2,179.02 |
$1,109.98 $1,218.36 $1,333.18 $1,741.04 |
$1,417.08 $1,525.46 $1,640.28 $2,048.14 |
Toc - Plan #52 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ (Virtual Urgent Care + PCP Visits, Rx Copay, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.30 $429.37 $483.46 $675.64 $1,026.70 |
$667.70 $718.77 $772.86 $965.04 |
$957.10 $1,008.17 $1,062.26 $1,254.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.60 $858.74 $966.92 $1,351.28 $2,053.40 |
$1,046.00 $1,148.14 $1,256.32 $1,640.68 |
$1,335.40 $1,437.54 $1,545.72 $1,930.08 |
Toc - Plan #53 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Virtual Urgent Care + PCP Visits, Rx Copay, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0325
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.78 $503.69 $567.15 $792.59 $1,204.42 |
$783.27 $843.18 $906.64 $1,132.08 |
$1,122.76 $1,182.67 $1,246.13 $1,471.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.56 $1,007.38 $1,134.30 $1,585.18 $2,408.84 |
$1,227.05 $1,346.87 $1,473.79 $1,924.67 |
$1,566.54 $1,686.36 $1,813.28 $2,264.16 |
ADVERTISEMENT
MedicaLocal: 1-866-514-4194 | Toll Free: 1-866-514-4194 | TTY: 1-866-514-4194 |
Toc - Plan #54 Medica | ||||||||||||||||||||
Gold
(HMO) WellFirst by Medica Gold Copay Plus 1500X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$533.11 $605.08 $681.32 $952.14 $1,446.87 |
$940.94 $1,012.91 $1,089.15 $1,359.97 |
$1,348.77 $1,420.74 $1,496.98 $1,767.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,066.22 $1,210.16 $1,362.64 $1,904.28 $2,893.74 |
$1,474.05 $1,617.99 $1,770.47 $2,312.11 |
$1,881.88 $2,025.82 $2,178.30 $2,719.94 |
Toc - Plan #55 Medica | ||||||||||||||||||||
Silver
(HMO) WellFirst by Medica Silver Copay Plus 4800X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.69 $531.96 $598.98 $837.07 $1,272.01 |
$827.23 $890.50 $957.52 $1,195.61 |
$1,185.77 $1,249.04 $1,316.06 $1,554.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$937.38 $1,063.92 $1,197.96 $1,674.14 $2,544.02 |
$1,295.92 $1,422.46 $1,556.50 $2,032.68 |
$1,654.46 $1,781.00 $1,915.04 $2,391.22 |
Toc - Plan #56 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) WellFirst by Medica Bronze Copay Plus 9400X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$376.57 $427.41 $481.26 $672.56 $1,022.01 |
$664.65 $715.49 $769.34 $960.64 |
$952.73 $1,003.57 $1,057.42 $1,248.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$753.14 $854.82 $962.52 $1,345.12 $2,044.02 |
$1,041.22 $1,142.90 $1,250.60 $1,633.20 |
$1,329.30 $1,430.98 $1,538.68 $1,921.28 |
Toc - Plan #57 Medica | ||||||||||||||||||||
Silver
(HMO) WellFirst by Medica Silver HSA-E HDHP 3550X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.64 $548.93 $618.09 $863.79 $1,312.61 |
$853.63 $918.92 $988.08 $1,233.78 |
$1,223.62 $1,288.91 $1,358.07 $1,603.77 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.28 $1,097.86 $1,236.18 $1,727.58 $2,625.22 |
$1,337.27 $1,467.85 $1,606.17 $2,097.57 |
$1,707.26 $1,837.84 $1,976.16 $2,467.56 |
Toc - Plan #58 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) WellFirst by Medica Bronze HSA-E HDHP 7450X |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.20 $424.72 $478.23 $668.33 $1,015.59 |
$660.47 $710.99 $764.50 $954.60 |
$946.74 $997.26 $1,050.77 $1,240.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$748.40 $849.44 $956.46 $1,336.66 $2,031.18 |
$1,034.67 $1,135.71 $1,242.73 $1,622.93 |
$1,320.94 $1,421.98 $1,529.00 $1,909.20 |
Toc - Plan #59 Medica | ||||||||||||||||||||
Catastrophic
(HMO) WellFirst by Medica Catastrophic Safety Net |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$258.61 $293.52 $330.51 $461.88 $701.87 |
$456.45 $491.36 $528.35 $659.72 |
$654.29 $689.20 $726.19 $857.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$517.22 $587.04 $661.02 $923.76 $1,403.74 |
$715.06 $784.88 $858.86 $1,121.60 |
$912.90 $982.72 $1,056.70 $1,319.44 |
Toc - Plan #60 Medica | ||||||||||||||||||||
Gold
(HMO) WellFirst by Medica Gold Standard 1500X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$502.61 $570.46 $642.33 $897.66 $1,364.07 |
$887.10 $954.95 $1,026.82 $1,282.15 |
$1,271.59 $1,339.44 $1,411.31 $1,666.64 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,005.22 $1,140.92 $1,284.66 $1,795.32 $2,728.14 |
$1,389.71 $1,525.41 $1,669.15 $2,179.81 |
$1,774.20 $1,909.90 $2,053.64 $2,564.30 |
Toc - Plan #61 Medica | ||||||||||||||||||||
Silver
(HMO) WellFirst by Medica Silver Standard 5900X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$461.66 $523.99 $590.01 $824.53 $1,252.96 |
$814.83 $877.16 $943.18 $1,177.70 |
$1,168.00 $1,230.33 $1,296.35 $1,530.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$923.32 $1,047.98 $1,180.02 $1,649.06 $2,505.92 |
$1,276.49 $1,401.15 $1,533.19 $2,002.23 |
$1,629.66 $1,754.32 $1,886.36 $2,355.40 |
Toc - Plan #62 Medica | ||||||||||||||||||||
Expanded Bronze
(HMO) WellFirst by Medica Bronze Standard 7500X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.58 $408.12 $459.54 $642.20 $975.89 |
$634.66 $683.20 $734.62 $917.28 |
$909.74 $958.28 $1,009.70 $1,192.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.16 $816.24 $919.08 $1,284.40 $1,951.78 |
$994.24 $1,091.32 $1,194.16 $1,559.48 |
$1,269.32 $1,366.40 $1,469.24 $1,834.56 |
Toc - Plan #63 Medica | ||||||||||||||||||||
Gold
(HMO) WellFirst by Medica Gold Copay PCP 3000X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$495.69 $562.61 $633.49 $885.30 $1,345.30 |
$874.89 $941.81 $1,012.69 $1,264.50 |
$1,254.09 $1,321.01 $1,391.89 $1,643.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$991.38 $1,125.22 $1,266.98 $1,770.60 $2,690.60 |
$1,370.58 $1,504.42 $1,646.18 $2,149.80 |
$1,749.78 $1,883.62 $2,025.38 $2,529.00 |
Toc - Plan #64 Medica | ||||||||||||||||||||
Silver
(HMO) WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-514-4194
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$459.44 $521.46 $587.16 $820.56 $1,246.92 |
$810.91 $872.93 $938.63 $1,172.03 |
$1,162.38 $1,224.40 $1,290.10 $1,523.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$918.88 $1,042.92 $1,174.32 $1,641.12 $2,493.84 |
$1,270.35 $1,394.39 $1,525.79 $1,992.59 |
$1,621.82 $1,745.86 $1,877.26 $2,344.06 |
‡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 Saint Clair County here.
Saint Clair County is in “Rating Area 12” of Illinois.
Currently, there are 64 plans offered in Rating Area 12.