Obamacare 2024 Rates for Screven County, Georgia
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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 Oliver, GA.
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, 98 Plans and 2024 Rates for Screven County, Georgia
Below, you’ll find a summary of the 98 plans for Screven County, Georgia 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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Cigna HealthCare of Georgia, IncLocal: | Toll Free: |
Toc - Plan #1 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 8500 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$309.40 $351.17 $395.41 $552.59 $839.71 |
$546.09 $587.86 $632.10 $789.28 |
$782.78 $824.55 $868.79 $1,025.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$618.80 $702.34 $790.82 $1,105.18 $1,679.42 |
$855.49 $939.03 $1,027.51 $1,341.87 |
$1,092.18 $1,175.72 $1,264.20 $1,578.56 |
Toc - Plan #2 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 6500 Indiv Med Deductible |
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Benefits & Coverage
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Provider Directory
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$313.20 $355.48 $400.27 $559.38 $850.03 |
$552.80 $595.08 $639.87 $798.98 |
$792.40 $834.68 $879.47 $1,038.58 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$626.40 $710.96 $800.54 $1,118.76 $1,700.06 |
$866.00 $950.56 $1,040.14 $1,358.36 |
$1,105.60 $1,190.16 $1,279.74 $1,597.96 |
Toc - Plan #3 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$316.73 $359.49 $404.79 $565.69 $859.62 |
$559.03 $601.79 $647.09 $807.99 |
$801.33 $844.09 $889.39 $1,050.29 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$633.46 $718.98 $809.58 $1,131.38 $1,719.24 |
$875.76 $961.28 $1,051.88 $1,373.68 |
$1,118.06 $1,203.58 $1,294.18 $1,615.98 |
Toc - Plan #4 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 3700 Indiv Med Deductible |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$377.25 $428.18 $482.13 $673.78 $1,023.87 |
$665.85 $716.78 $770.73 $962.38 |
$954.45 $1,005.38 $1,059.33 $1,250.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$754.50 $856.36 $964.26 $1,347.56 $2,047.74 |
$1,043.10 $1,144.96 $1,252.86 $1,636.16 |
$1,331.70 $1,433.56 $1,541.46 $1,924.76 |
Toc - Plan #5 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 5000 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$378.15 $429.20 $483.27 $675.37 $1,026.30 |
$667.43 $718.48 $772.55 $964.65 |
$956.71 $1,007.76 $1,061.83 $1,253.93 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$756.30 $858.40 $966.54 $1,350.74 $2,052.60 |
$1,045.58 $1,147.68 $1,255.82 $1,640.02 |
$1,334.86 $1,436.96 $1,545.10 $1,929.30 |
Toc - Plan #6 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 7000 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$377.61 $428.59 $482.59 $674.42 $1,024.84 |
$666.48 $717.46 $771.46 $963.29 |
$955.35 $1,006.33 $1,060.33 $1,252.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$755.22 $857.18 $965.18 $1,348.84 $2,049.68 |
$1,044.09 $1,146.05 $1,254.05 $1,637.71 |
$1,332.96 $1,434.92 $1,542.92 $1,926.58 |
Toc - Plan #7 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver 2700 Indiv Med Deductible Enhanced Diabetes Care |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$382.62 $434.28 $488.99 $683.36 $1,038.44 |
$675.33 $726.99 $781.70 $976.07 |
$968.04 $1,019.70 $1,074.41 $1,268.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$765.24 $868.56 $977.98 $1,366.72 $2,076.88 |
$1,057.95 $1,161.27 $1,270.69 $1,659.43 |
$1,350.66 $1,453.98 $1,563.40 $1,952.14 |
Toc - Plan #8 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold 500 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$489.35 $555.41 $625.39 $873.98 $1,328.09 |
$863.70 $929.76 $999.74 $1,248.33 |
$1,238.05 $1,304.11 $1,374.09 $1,622.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$978.70 $1,110.82 $1,250.78 $1,747.96 $2,656.18 |
$1,353.05 $1,485.17 $1,625.13 $2,122.31 |
$1,727.40 $1,859.52 $1,999.48 $2,496.66 |
Toc - Plan #9 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze CMS Standard |
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Benefits & Coverage
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$311.72 $353.81 $398.38 $556.74 $846.02 |
$550.19 $592.28 $636.85 $795.21 |
$788.66 $830.75 $875.32 $1,033.68 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$623.44 $707.62 $796.76 $1,113.48 $1,692.04 |
$861.91 $946.09 $1,035.23 $1,351.95 |
$1,100.38 $1,184.56 $1,273.70 $1,590.42 |
Toc - Plan #10 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Expanded Bronze
(HMO) Connect Bronze 0 Indiv Med Deductible |
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Benefits & Coverage
Plan Brochure
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$340.49 $386.45 $435.14 $608.11 $924.08 |
$600.96 $646.92 $695.61 $868.58 |
$861.43 $907.39 $956.08 $1,129.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$680.98 $772.90 $870.28 $1,216.22 $1,848.16 |
$941.45 $1,033.37 $1,130.75 $1,476.69 |
$1,201.92 $1,293.84 $1,391.22 $1,737.16 |
Toc - Plan #11 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Gold
(HMO) Connect Gold CMS Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$487.34 $553.13 $622.81 $870.38 $1,322.63 |
$860.15 $925.94 $995.62 $1,243.19 |
$1,232.96 $1,298.75 $1,368.43 $1,616.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$974.68 $1,106.26 $1,245.62 $1,740.76 $2,645.26 |
$1,347.49 $1,479.07 $1,618.43 $2,113.57 |
$1,720.30 $1,851.88 $1,991.24 $2,486.38 |
Toc - Plan #12 Cigna HealthCare of Georgia, Inc | ||||||||||||||||||||
Silver
(HMO) Connect Silver CMS Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$378.37 $429.45 $483.56 $675.77 $1,026.90 |
$667.83 $718.91 $773.02 $965.23 |
$957.29 $1,008.37 $1,062.48 $1,254.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$756.74 $858.90 $967.12 $1,351.54 $2,053.80 |
$1,046.20 $1,148.36 $1,256.58 $1,641.00 |
$1,335.66 $1,437.82 $1,546.04 $1,930.46 |
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UnitedHealthcareLocal: 1-800-609-9754 | Toll Free: 1-800-609-9754 | TTY: 1-800-609-9754 |
Toc - Plan #13 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$457.45 $519.20 $584.62 $817.00 $1,241.52 |
$807.40 $869.15 $934.57 $1,166.95 |
$1,157.35 $1,219.10 $1,284.52 $1,516.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$914.90 $1,038.40 $1,169.24 $1,634.00 $2,483.04 |
$1,264.85 $1,388.35 $1,519.19 $1,983.95 |
$1,614.80 $1,738.30 $1,869.14 $2,333.90 |
Toc - Plan #14 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$401.51 $455.72 $513.13 $717.10 $1,089.70 |
$708.67 $762.88 $820.29 $1,024.26 |
$1,015.83 $1,070.04 $1,127.45 $1,331.42 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$803.02 $911.44 $1,026.26 $1,434.20 $2,179.40 |
$1,110.18 $1,218.60 $1,333.42 $1,741.36 |
$1,417.34 $1,525.76 $1,640.58 $2,048.52 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$506.93 $575.37 $647.86 $905.38 $1,375.81 |
$894.73 $963.17 $1,035.66 $1,293.18 |
$1,282.53 $1,350.97 $1,423.46 $1,680.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$1,013.86 $1,150.74 $1,295.72 $1,810.76 $2,751.62 |
$1,401.66 $1,538.54 $1,683.52 $2,198.56 |
$1,789.46 $1,926.34 $2,071.32 $2,586.36 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$464.72 $527.46 $593.91 $829.99 $1,261.25 |
$820.23 $882.97 $949.42 $1,185.50 |
$1,175.74 $1,238.48 $1,304.93 $1,541.01 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$929.44 $1,054.92 $1,187.82 $1,659.98 $2,522.50 |
$1,284.95 $1,410.43 $1,543.33 $2,015.49 |
$1,640.46 $1,765.94 $1,898.84 $2,371.00 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$458.39 $520.28 $585.83 $818.69 $1,244.08 |
$809.06 $870.95 $936.50 $1,169.36 |
$1,159.73 $1,221.62 $1,287.17 $1,520.03 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$916.78 $1,040.56 $1,171.66 $1,637.38 $2,488.16 |
$1,267.45 $1,391.23 $1,522.33 $1,988.05 |
$1,618.12 $1,741.90 $1,873.00 $2,338.72 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$463.38 $525.93 $592.20 $827.59 $1,257.61 |
$817.86 $880.41 $946.68 $1,182.07 |
$1,172.34 $1,234.89 $1,301.16 $1,536.55 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$926.76 $1,051.86 $1,184.40 $1,655.18 $2,515.22 |
$1,281.24 $1,406.34 $1,538.88 $2,009.66 |
$1,635.72 $1,760.82 $1,893.36 $2,364.14 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$399.60 $453.55 $510.69 $713.69 $1,084.52 |
$705.30 $759.25 $816.39 $1,019.39 |
$1,011.00 $1,064.95 $1,122.09 $1,325.09 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$799.20 $907.10 $1,021.38 $1,427.38 $2,169.04 |
$1,104.90 $1,212.80 $1,327.08 $1,733.08 |
$1,410.60 $1,518.50 $1,632.78 $2,038.78 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$414.27 $470.20 $529.44 $739.89 $1,124.33 |
$731.19 $787.12 $846.36 $1,056.81 |
$1,048.11 $1,104.04 $1,163.28 $1,373.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$828.54 $940.40 $1,058.88 $1,479.78 $2,248.66 |
$1,145.46 $1,257.32 $1,375.80 $1,796.70 |
$1,462.38 $1,574.24 $1,692.72 $2,113.62 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
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 |
$407.43 $462.44 $520.70 $727.68 $1,105.77 |
$719.12 $774.13 $832.39 $1,039.37 |
$1,030.81 $1,085.82 $1,144.08 $1,351.06 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$814.86 $924.88 $1,041.40 $1,455.36 $2,211.54 |
$1,126.55 $1,236.57 $1,353.09 $1,767.05 |
$1,438.24 $1,548.26 $1,664.78 $2,078.74 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.89 $479.98 $540.45 $755.28 $1,147.72 |
$746.40 $803.49 $863.96 $1,078.79 |
$1,069.91 $1,127.00 $1,187.47 $1,402.30 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$845.78 $959.96 $1,080.90 $1,510.56 $2,295.44 |
$1,169.29 $1,283.47 $1,404.41 $1,834.07 |
$1,492.80 $1,606.98 $1,727.92 $2,157.58 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.11 $522.22 $588.02 $821.76 $1,248.74 |
$812.09 $874.20 $940.00 $1,173.74 |
$1,164.07 $1,226.18 $1,291.98 $1,525.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$920.22 $1,044.44 $1,176.04 $1,643.52 $2,497.48 |
$1,272.20 $1,396.42 $1,528.02 $1,995.50 |
$1,624.18 $1,748.40 $1,880.00 $2,347.48 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.72 $549.02 $618.19 $863.92 $1,312.81 |
$853.76 $919.06 $988.23 $1,233.96 |
$1,223.80 $1,289.10 $1,358.27 $1,604.00 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.44 $1,098.04 $1,236.38 $1,727.84 $2,625.62 |
$1,337.48 $1,468.08 $1,606.42 $2,097.88 |
$1,707.52 $1,838.12 $1,976.46 $2,467.92 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$486.36 $552.02 $621.57 $868.64 $1,319.98 |
$858.42 $924.08 $993.63 $1,240.70 |
$1,230.48 $1,296.14 $1,365.69 $1,612.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$972.72 $1,104.04 $1,243.14 $1,737.28 $2,639.96 |
$1,344.78 $1,476.10 $1,615.20 $2,109.34 |
$1,716.84 $1,848.16 $1,987.26 $2,481.40 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$508.79 $577.47 $650.23 $908.69 $1,380.84 |
$898.01 $966.69 $1,039.45 $1,297.91 |
$1,287.23 $1,355.91 $1,428.67 $1,687.13 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,017.58 $1,154.94 $1,300.46 $1,817.38 $2,761.68 |
$1,406.80 $1,544.16 $1,689.68 $2,206.60 |
$1,796.02 $1,933.38 $2,078.90 $2,595.82 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$480.09 $544.90 $613.56 $857.44 $1,302.97 |
$847.36 $912.17 $980.83 $1,224.71 |
$1,214.63 $1,279.44 $1,348.10 $1,591.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$960.18 $1,089.80 $1,227.12 $1,714.88 $2,605.94 |
$1,327.45 $1,457.07 $1,594.39 $2,082.15 |
$1,694.72 $1,824.34 $1,961.66 $2,449.42 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-609-9754
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$519.16 $589.24 $663.48 $927.21 $1,408.99 |
$916.31 $986.39 $1,060.63 $1,324.36 |
$1,313.46 $1,383.54 $1,457.78 $1,721.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,038.32 $1,178.48 $1,326.96 $1,854.42 $2,817.98 |
$1,435.47 $1,575.63 $1,724.11 $2,251.57 |
$1,832.62 $1,972.78 $2,121.26 $2,648.72 |
ADVERTISEMENT
Anthem Blue Cross and Blue ShieldLocal: 1-855-738-6652 | Toll Free: |
Toc - Plan #29 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Blue Value 4500($0 Virtual Visits + $0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.18 $414.48 $466.70 $652.21 $991.10 |
$644.54 $693.84 $746.06 $931.57 |
$923.90 $973.20 $1,025.42 $1,210.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.36 $828.96 $933.40 $1,304.42 $1,982.20 |
$1,009.72 $1,108.32 $1,212.76 $1,583.78 |
$1,289.08 $1,387.68 $1,492.12 $1,863.14 |
Toc - Plan #30 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Blue Value 5500($0 Virtual Visits + $0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.34 $410.12 $461.79 $645.35 $980.68 |
$637.77 $686.55 $738.22 $921.78 |
$914.20 $962.98 $1,014.65 $1,198.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.68 $820.24 $923.58 $1,290.70 $1,961.36 |
$999.11 $1,096.67 $1,200.01 $1,567.13 |
$1,275.54 $1,373.10 $1,476.44 $1,843.56 |
Toc - Plan #31 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Blue Value 6500($0 Virtual Visits + $0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.90 $405.08 $456.12 $637.42 $968.63 |
$629.93 $678.11 $729.15 $910.45 |
$902.96 $951.14 $1,002.18 $1,183.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$713.80 $810.16 $912.24 $1,274.84 $1,937.26 |
$986.83 $1,083.19 $1,185.27 $1,547.87 |
$1,259.86 $1,356.22 $1,458.30 $1,820.90 |
Toc - Plan #32 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Blue Value 3000($0 Virtual Visits + $0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$413.47 $469.29 $528.41 $738.46 $1,122.16 |
$729.77 $785.59 $844.71 $1,054.76 |
$1,046.07 $1,101.89 $1,161.01 $1,371.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$826.94 $938.58 $1,056.82 $1,476.92 $2,244.32 |
$1,143.24 $1,254.88 $1,373.12 $1,793.22 |
$1,459.54 $1,571.18 $1,689.42 $2,109.52 |
Toc - Plan #33 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Blue Value 1500/25% Standard |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$439.28 $498.58 $561.40 $784.55 $1,192.21 |
$775.33 $834.63 $897.45 $1,120.60 |
$1,111.38 $1,170.68 $1,233.50 $1,456.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$878.56 $997.16 $1,122.80 $1,569.10 $2,384.42 |
$1,214.61 $1,333.21 $1,458.85 $1,905.15 |
$1,550.66 $1,669.26 $1,794.90 $2,241.20 |
Toc - Plan #34 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Blue Value 5900/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone:
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.56 $406.97 $458.24 $640.39 $973.13 |
$632.86 $681.27 $732.54 $914.69 |
$907.16 $955.57 $1,006.84 $1,188.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$717.12 $813.94 $916.48 $1,280.78 $1,946.26 |
$991.42 $1,088.24 $1,190.78 $1,555.08 |
$1,265.72 $1,362.54 $1,465.08 $1,829.38 |
Toc - Plan #35 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Catastrophic
(HMO) Anthem Catastrophic Pathway X HMO 9450 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.91 $302.94 $341.11 $476.70 $724.39 |
$471.10 $507.13 $545.30 $680.89 |
$675.29 $711.32 $749.49 $885.08 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$533.82 $605.88 $682.22 $953.40 $1,448.78 |
$738.01 $810.07 $886.41 $1,157.59 |
$942.20 $1,014.26 $1,090.60 $1,361.78 |
Toc - Plan #36 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 0% for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.31 $429.38 $483.48 $675.66 $1,026.73 |
$667.72 $718.79 $772.89 $965.07 |
$957.13 $1,008.20 $1,062.30 $1,254.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$756.62 $858.76 $966.96 $1,351.32 $2,053.46 |
$1,046.03 $1,148.17 $1,256.37 $1,640.73 |
$1,335.44 $1,437.58 $1,545.78 $1,930.14 |
Toc - Plan #37 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 6000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.06 $408.67 $460.16 $643.07 $977.20 |
$635.51 $684.12 $735.61 $918.52 |
$910.96 $959.57 $1,011.06 $1,193.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$720.12 $817.34 $920.32 $1,286.14 $1,954.40 |
$995.57 $1,092.79 $1,195.77 $1,561.59 |
$1,271.02 $1,368.24 $1,471.22 $1,837.04 |
Toc - Plan #38 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 3000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.07 $528.99 $595.64 $832.40 $1,264.91 |
$822.61 $885.53 $952.18 $1,188.94 |
$1,179.15 $1,242.07 $1,308.72 $1,545.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$932.14 $1,057.98 $1,191.28 $1,664.80 $2,529.82 |
$1,288.68 $1,414.52 $1,547.82 $2,021.34 |
$1,645.22 $1,771.06 $1,904.36 $2,377.88 |
Toc - Plan #39 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 5500($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.08 $502.90 $566.26 $791.34 $1,202.52 |
$782.04 $841.86 $905.22 $1,130.30 |
$1,121.00 $1,180.82 $1,244.18 $1,469.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.16 $1,005.80 $1,132.52 $1,582.68 $2,405.04 |
$1,225.12 $1,344.76 $1,471.48 $1,921.64 |
$1,564.08 $1,683.72 $1,810.44 $2,260.60 |
Toc - Plan #40 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Bronze
(HMO) Anthem Bronze Pathway HMO 8000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.41 $395.45 $445.27 $622.26 $945.58 |
$614.94 $661.98 $711.80 $888.79 |
$881.47 $928.51 $978.33 $1,155.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.82 $790.90 $890.54 $1,244.52 $1,891.16 |
$963.35 $1,057.43 $1,157.07 $1,511.05 |
$1,229.88 $1,323.96 $1,423.60 $1,777.58 |
Toc - Plan #41 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 4950($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.46 $506.73 $570.58 $797.38 $1,211.69 |
$788.00 $848.27 $912.12 $1,138.92 |
$1,129.54 $1,189.81 $1,253.66 $1,480.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$892.92 $1,013.46 $1,141.16 $1,594.76 $2,423.38 |
$1,234.46 $1,355.00 $1,482.70 $1,936.30 |
$1,576.00 $1,696.54 $1,824.24 $2,277.84 |
Toc - Plan #42 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway HMO 6450($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$437.22 $496.24 $558.77 $780.87 $1,186.62 |
$771.69 $830.71 $893.24 $1,115.34 |
$1,106.16 $1,165.18 $1,227.71 $1,449.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$874.44 $992.48 $1,117.54 $1,561.74 $2,373.24 |
$1,208.91 $1,326.95 $1,452.01 $1,896.21 |
$1,543.38 $1,661.42 $1,786.48 $2,230.68 |
Toc - Plan #43 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway HMO 1350($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$505.13 $573.32 $645.56 $902.16 $1,370.92 |
$891.55 $959.74 $1,031.98 $1,288.58 |
$1,277.97 $1,346.16 $1,418.40 $1,675.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,010.26 $1,146.64 $1,291.12 $1,804.32 $2,741.84 |
$1,396.68 $1,533.06 $1,677.54 $2,190.74 |
$1,783.10 $1,919.48 $2,063.96 $2,577.16 |
Toc - Plan #44 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 5000($0 Virtual PCP+$0 Select Drugs) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.30 $423.70 $477.08 $666.71 $1,013.14 |
$658.87 $709.27 $762.65 $952.28 |
$944.44 $994.84 $1,048.22 $1,237.85 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.60 $847.40 $954.16 $1,333.42 $2,026.28 |
$1,032.17 $1,132.97 $1,239.73 $1,618.99 |
$1,317.74 $1,418.54 $1,525.30 $1,904.56 |
Toc - Plan #45 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem Bronze Pathway HMO 7500/50% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.24 $415.68 $468.05 $654.10 $993.98 |
$646.41 $695.85 $748.22 $934.27 |
$926.58 $976.02 $1,028.39 $1,214.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$732.48 $831.36 $936.10 $1,308.20 $1,987.96 |
$1,012.65 $1,111.53 $1,216.27 $1,588.37 |
$1,292.82 $1,391.70 $1,496.44 $1,868.54 |
Toc - Plan #46 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Silver
(HMO) Anthem Silver Pathway X HMO 5900/40% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.57 $506.86 $570.72 $797.57 $1,211.99 |
$788.20 $848.49 $912.35 $1,139.20 |
$1,129.83 $1,190.12 $1,253.98 $1,480.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.14 $1,013.72 $1,141.44 $1,595.14 $2,423.98 |
$1,234.77 $1,355.35 $1,483.07 $1,936.77 |
$1,576.40 $1,696.98 $1,824.70 $2,278.40 |
Toc - Plan #47 Anthem Blue Cross and Blue Shield | ||||||||||||||||||||
Gold
(HMO) Anthem Gold Pathway X HMO 1500/25% Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-738-6652
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$525.24 $596.15 $671.26 $938.08 $1,425.50 |
$927.05 $997.96 $1,073.07 $1,339.89 |
$1,328.86 $1,399.77 $1,474.88 $1,741.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,050.48 $1,192.30 $1,342.52 $1,876.16 $2,851.00 |
$1,452.29 $1,594.11 $1,744.33 $2,277.97 |
$1,854.10 $1,995.92 $2,146.14 $2,679.78 |
ADVERTISEMENT
CareSourceLocal: 1-833-230-2099 | Toll Free: 1-833-230-2099 | TTY: 1-800-255-0056 |
Toc - Plan #48 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.31 $373.76 $420.86 $588.14 $893.74 |
$581.23 $625.68 $672.78 $840.06 |
$833.15 $877.60 $924.70 $1,091.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$658.62 $747.52 $841.72 $1,176.28 $1,787.48 |
$910.54 $999.44 $1,093.64 $1,428.20 |
$1,162.46 $1,251.36 $1,345.56 $1,680.12 |
Toc - Plan #49 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Core Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$521.37 $591.75 $666.31 $931.17 $1,415.00 |
$920.22 $990.60 $1,065.16 $1,330.02 |
$1,319.07 $1,389.45 $1,464.01 $1,728.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,042.74 $1,183.50 $1,332.62 $1,862.34 $2,830.00 |
$1,441.59 $1,582.35 $1,731.47 $2,261.19 |
$1,840.44 $1,981.20 $2,130.32 $2,660.04 |
Toc - Plan #50 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$433.55 $492.08 $554.08 $774.32 $1,176.66 |
$765.22 $823.75 $885.75 $1,105.99 |
$1,096.89 $1,155.42 $1,217.42 $1,437.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$867.10 $984.16 $1,108.16 $1,548.64 $2,353.32 |
$1,198.77 $1,315.83 $1,439.83 $1,880.31 |
$1,530.44 $1,647.50 $1,771.50 $2,211.98 |
Toc - Plan #51 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace HSA Eligible Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.25 $411.15 $462.96 $646.98 $983.15 |
$639.37 $688.27 $740.08 $924.10 |
$916.49 $965.39 $1,017.20 $1,201.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$724.50 $822.30 $925.92 $1,293.96 $1,966.30 |
$1,001.62 $1,099.42 $1,203.04 $1,571.08 |
$1,278.74 $1,376.54 $1,480.16 $1,848.20 |
Toc - Plan #52 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$431.05 $489.23 $550.87 $769.84 $1,169.85 |
$760.80 $818.98 $880.62 $1,099.59 |
$1,090.55 $1,148.73 $1,210.37 $1,429.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$862.10 $978.46 $1,101.74 $1,539.68 $2,339.70 |
$1,191.85 $1,308.21 $1,431.49 $1,869.43 |
$1,521.60 $1,637.96 $1,761.24 $2,199.18 |
Toc - Plan #53 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$543.74 $617.14 $694.89 $971.11 $1,475.69 |
$959.70 $1,033.10 $1,110.85 $1,387.07 |
$1,375.66 $1,449.06 $1,526.81 $1,803.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,087.48 $1,234.28 $1,389.78 $1,942.22 $2,951.38 |
$1,503.44 $1,650.24 $1,805.74 $2,358.18 |
$1,919.40 $2,066.20 $2,221.70 $2,774.14 |
Toc - Plan #54 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Diabetes Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$558.39 $633.77 $713.62 $997.28 $1,515.46 |
$985.56 $1,060.94 $1,140.79 $1,424.45 |
$1,412.73 $1,488.11 $1,567.96 $1,851.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,116.78 $1,267.54 $1,427.24 $1,994.56 $3,030.92 |
$1,543.95 $1,694.71 $1,854.41 $2,421.73 |
$1,971.12 $2,121.88 $2,281.58 $2,848.90 |
Toc - Plan #55 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Diabetes Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.89 $508.35 $572.40 $799.93 $1,215.57 |
$790.52 $850.98 $915.03 $1,142.56 |
$1,133.15 $1,193.61 $1,257.66 $1,485.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$895.78 $1,016.70 $1,144.80 $1,599.86 $2,431.14 |
$1,238.41 $1,359.33 $1,487.43 $1,942.49 |
$1,581.04 $1,701.96 $1,830.06 $2,285.12 |
Toc - Plan #56 CareSource | ||||||||||||||||||||
Expanded Bronze
(HMO) CareSource Marketplace Bronze First Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.89 $382.37 $430.54 $601.68 $914.31 |
$594.61 $640.09 $688.26 $859.40 |
$852.33 $897.81 $945.98 $1,117.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$673.78 $764.74 $861.08 $1,203.36 $1,828.62 |
$931.50 $1,022.46 $1,118.80 $1,461.08 |
$1,189.22 $1,280.18 $1,376.52 $1,718.80 |
Toc - Plan #57 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Core Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$530.75 $602.40 $678.30 $947.92 $1,440.45 |
$936.77 $1,008.42 $1,084.32 $1,353.94 |
$1,342.79 $1,414.44 $1,490.34 $1,759.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,061.50 $1,204.80 $1,356.60 $1,895.84 $2,880.90 |
$1,467.52 $1,610.82 $1,762.62 $2,301.86 |
$1,873.54 $2,016.84 $2,168.64 $2,707.88 |
Toc - Plan #58 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.18 $500.74 $563.83 $787.95 $1,197.36 |
$778.68 $838.24 $901.33 $1,125.45 |
$1,116.18 $1,175.74 $1,238.83 $1,462.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$882.36 $1,001.48 $1,127.66 $1,575.90 $2,394.72 |
$1,219.86 $1,338.98 $1,465.16 $1,913.40 |
$1,557.36 $1,676.48 $1,802.66 $2,250.90 |
Toc - Plan #59 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.67 $497.89 $560.62 $783.47 $1,190.55 |
$774.25 $833.47 $896.20 $1,119.05 |
$1,109.83 $1,169.05 $1,231.78 $1,454.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$877.34 $995.78 $1,121.24 $1,566.94 $2,381.10 |
$1,212.92 $1,331.36 $1,456.82 $1,902.52 |
$1,548.50 $1,666.94 $1,792.40 $2,238.10 |
Toc - Plan #60 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$553.12 $627.78 $706.88 $987.86 $1,501.15 |
$976.25 $1,050.91 $1,130.01 $1,410.99 |
$1,399.38 $1,474.04 $1,553.14 $1,834.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,106.24 $1,255.56 $1,413.76 $1,975.72 $3,002.30 |
$1,529.37 $1,678.69 $1,836.89 $2,398.85 |
$1,952.50 $2,101.82 $2,260.02 $2,821.98 |
Toc - Plan #61 CareSource | ||||||||||||||||||||
Gold
(HMO) CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$567.76 $644.40 $725.59 $1,014.01 $1,540.89 |
$1,002.09 $1,078.73 $1,159.92 $1,448.34 |
$1,436.42 $1,513.06 $1,594.25 $1,882.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,135.52 $1,288.80 $1,451.18 $2,028.02 $3,081.78 |
$1,569.85 $1,723.13 $1,885.51 $2,462.35 |
$2,004.18 $2,157.46 $2,319.84 $2,896.68 |
Toc - Plan #62 CareSource | ||||||||||||||||||||
Silver
(HMO) CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-230-2099
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$455.52 $517.01 $582.15 $813.55 $1,236.27 |
$803.99 $865.48 $930.62 $1,162.02 |
$1,152.46 $1,213.95 $1,279.09 $1,510.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$911.04 $1,034.02 $1,164.30 $1,627.10 $2,472.54 |
$1,259.51 $1,382.49 $1,512.77 $1,975.57 |
$1,607.98 $1,730.96 $1,861.24 $2,324.04 |
ADVERTISEMENT
Ambetter from Peach State Health PlanLocal: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231 |
Toc - Plan #63 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.73 $364.02 $409.88 $572.81 $870.44 |
$566.08 $609.37 $655.23 $818.16 |
$811.43 $854.72 $900.58 $1,063.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$641.46 $728.04 $819.76 $1,145.62 $1,740.88 |
$886.81 $973.39 $1,065.11 $1,390.97 |
$1,132.16 $1,218.74 $1,310.46 $1,636.32 |
Toc - Plan #64 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.74 $432.12 $486.57 $679.98 $1,033.29 |
$672.00 $723.38 $777.83 $971.24 |
$963.26 $1,014.64 $1,069.09 $1,262.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.48 $864.24 $973.14 $1,359.96 $2,066.58 |
$1,052.74 $1,155.50 $1,264.40 $1,651.22 |
$1,344.00 $1,446.76 $1,555.66 $1,942.48 |
Toc - Plan #65 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$401.22 $455.37 $512.74 $716.55 $1,088.87 |
$708.14 $762.29 $819.66 $1,023.47 |
$1,015.06 $1,069.21 $1,126.58 $1,330.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$802.44 $910.74 $1,025.48 $1,433.10 $2,177.74 |
$1,109.36 $1,217.66 $1,332.40 $1,740.02 |
$1,416.28 $1,524.58 $1,639.32 $2,046.94 |
Toc - Plan #66 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.19 $402.00 $452.64 $632.57 $961.25 |
$625.14 $672.95 $723.59 $903.52 |
$896.09 $943.90 $994.54 $1,174.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$708.38 $804.00 $905.28 $1,265.14 $1,922.50 |
$979.33 $1,074.95 $1,176.23 $1,536.09 |
$1,250.28 $1,345.90 $1,447.18 $1,807.04 |
Toc - Plan #67 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.02 $393.86 $443.48 $619.76 $941.79 |
$612.48 $659.32 $708.94 $885.22 |
$877.94 $924.78 $974.40 $1,150.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.04 $787.72 $886.96 $1,239.52 $1,883.58 |
$959.50 $1,053.18 $1,152.42 $1,504.98 |
$1,224.96 $1,318.64 $1,417.88 $1,770.44 |
Toc - Plan #68 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.34 $419.19 $472.00 $659.62 $1,002.36 |
$651.88 $701.73 $754.54 $942.16 |
$934.42 $984.27 $1,037.08 $1,224.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.68 $838.38 $944.00 $1,319.24 $2,004.72 |
$1,021.22 $1,120.92 $1,226.54 $1,601.78 |
$1,303.76 $1,403.46 $1,509.08 $1,884.32 |
Toc - Plan #69 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$374.85 $425.45 $479.05 $669.47 $1,017.33 |
$661.61 $712.21 $765.81 $956.23 |
$948.37 $998.97 $1,052.57 $1,242.99 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$749.70 $850.90 $958.10 $1,338.94 $2,034.66 |
$1,036.46 $1,137.66 $1,244.86 $1,625.70 |
$1,323.22 $1,424.42 $1,531.62 $1,912.46 |
Toc - Plan #70 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.16 $436.01 $490.94 $686.08 $1,042.57 |
$678.03 $729.88 $784.81 $979.95 |
$971.90 $1,023.75 $1,078.68 $1,273.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.32 $872.02 $981.88 $1,372.16 $2,085.14 |
$1,062.19 $1,165.89 $1,275.75 $1,666.03 |
$1,356.06 $1,459.76 $1,569.62 $1,959.90 |
Toc - Plan #71 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.71 $429.83 $483.98 $676.37 $1,027.80 |
$668.42 $719.54 $773.69 $966.08 |
$958.13 $1,009.25 $1,063.40 $1,255.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.42 $859.66 $967.96 $1,352.74 $2,055.60 |
$1,047.13 $1,149.37 $1,257.67 $1,642.45 |
$1,336.84 $1,439.08 $1,547.38 $1,932.16 |
Toc - Plan #72 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.35 $497.52 $560.20 $782.88 $1,189.66 |
$773.68 $832.85 $895.53 $1,118.21 |
$1,109.01 $1,168.18 $1,230.86 $1,453.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.70 $995.04 $1,120.40 $1,565.76 $2,379.32 |
$1,212.03 $1,330.37 $1,455.73 $1,901.09 |
$1,547.36 $1,665.70 $1,791.06 $2,236.42 |
Toc - Plan #73 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.17 $387.22 $436.01 $609.32 $925.92 |
$602.16 $648.21 $697.00 $870.31 |
$863.15 $909.20 $957.99 $1,131.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.34 $774.44 $872.02 $1,218.64 $1,851.84 |
$943.33 $1,035.43 $1,133.01 $1,479.63 |
$1,204.32 $1,296.42 $1,394.00 $1,740.62 |
Toc - Plan #74 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$367.68 $417.31 $469.89 $656.67 $997.87 |
$648.95 $698.58 $751.16 $937.94 |
$930.22 $979.85 $1,032.43 $1,219.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$735.36 $834.62 $939.78 $1,313.34 $1,995.74 |
$1,016.63 $1,115.89 $1,221.05 $1,594.61 |
$1,297.90 $1,397.16 $1,502.32 $1,875.88 |
Toc - Plan #75 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$385.74 $437.80 $492.96 $688.91 $1,046.86 |
$680.82 $732.88 $788.04 $983.99 |
$975.90 $1,027.96 $1,083.12 $1,279.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$771.48 $875.60 $985.92 $1,377.82 $2,093.72 |
$1,066.56 $1,170.68 $1,281.00 $1,672.90 |
$1,361.64 $1,465.76 $1,576.08 $1,967.98 |
Toc - Plan #76 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Complete Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$394.36 $447.59 $503.98 $704.31 $1,070.27 |
$696.04 $749.27 $805.66 $1,005.99 |
$997.72 $1,050.95 $1,107.34 $1,307.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$788.72 $895.18 $1,007.96 $1,408.62 $2,140.54 |
$1,090.40 $1,196.86 $1,309.64 $1,710.30 |
$1,392.08 $1,498.54 $1,611.32 $2,011.98 |
Toc - Plan #77 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Bronze
(HMO) Clear Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.21 $377.05 $424.55 $593.31 $901.59 |
$586.34 $631.18 $678.68 $847.44 |
$840.47 $885.31 $932.81 $1,101.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$664.42 $754.10 $849.10 $1,186.62 $1,803.18 |
$918.55 $1,008.23 $1,103.23 $1,440.75 |
$1,172.68 $1,262.36 $1,357.36 $1,694.88 |
Toc - Plan #78 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$415.57 $471.66 $531.09 $742.19 $1,127.84 |
$733.48 $789.57 $849.00 $1,060.10 |
$1,051.39 $1,107.48 $1,166.91 $1,378.01 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$831.14 $943.32 $1,062.18 $1,484.38 $2,255.68 |
$1,149.05 $1,261.23 $1,380.09 $1,802.29 |
$1,466.96 $1,579.14 $1,698.00 $2,120.20 |
Toc - Plan #79 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$366.86 $416.38 $468.84 $655.20 $995.64 |
$647.50 $697.02 $749.48 $935.84 |
$928.14 $977.66 $1,030.12 $1,216.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$733.72 $832.76 $937.68 $1,310.40 $1,991.28 |
$1,014.36 $1,113.40 $1,218.32 $1,591.04 |
$1,295.00 $1,394.04 $1,498.96 $1,871.68 |
Toc - Plan #80 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.44 $407.95 $459.35 $641.94 $975.49 |
$634.40 $682.91 $734.31 $916.90 |
$909.36 $957.87 $1,009.27 $1,191.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.88 $815.90 $918.70 $1,283.88 $1,950.98 |
$993.84 $1,090.86 $1,193.66 $1,558.84 |
$1,268.80 $1,365.82 $1,468.62 $1,833.80 |
Toc - Plan #81 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.27 $440.67 $496.19 $693.43 $1,053.73 |
$685.29 $737.69 $793.21 $990.45 |
$982.31 $1,034.71 $1,090.23 $1,287.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.54 $881.34 $992.38 $1,386.86 $2,107.46 |
$1,073.56 $1,178.36 $1,289.40 $1,683.88 |
$1,370.58 $1,475.38 $1,586.42 $1,980.90 |
Toc - Plan #82 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$397.90 $451.61 $508.51 $710.63 $1,079.88 |
$702.29 $756.00 $812.90 $1,015.02 |
$1,006.68 $1,060.39 $1,117.29 $1,319.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$795.80 $903.22 $1,017.02 $1,421.26 $2,159.76 |
$1,100.19 $1,207.61 $1,321.41 $1,725.65 |
$1,404.58 $1,512.00 $1,625.80 $2,030.04 |
Toc - Plan #83 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.55 $434.19 $488.89 $683.22 $1,038.22 |
$675.20 $726.84 $781.54 $975.87 |
$967.85 $1,019.49 $1,074.19 $1,268.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.10 $868.38 $977.78 $1,366.44 $2,076.44 |
$1,057.75 $1,161.03 $1,270.43 $1,659.09 |
$1,350.40 $1,453.68 $1,563.08 $1,951.74 |
Toc - Plan #84 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Clear Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.27 $445.21 $501.30 $700.57 $1,064.58 |
$692.35 $745.29 $801.38 $1,000.65 |
$992.43 $1,045.37 $1,101.46 $1,300.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$784.54 $890.42 $1,002.60 $1,401.14 $2,129.16 |
$1,084.62 $1,190.50 $1,302.68 $1,701.22 |
$1,384.70 $1,490.58 $1,602.76 $2,001.30 |
Toc - Plan #85 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.04 $515.32 $580.25 $810.89 $1,232.23 |
$801.37 $862.65 $927.58 $1,158.22 |
$1,148.70 $1,209.98 $1,274.91 $1,505.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.08 $1,030.64 $1,160.50 $1,621.78 $2,464.46 |
$1,255.41 $1,377.97 $1,507.83 $1,969.11 |
$1,602.74 $1,725.30 $1,855.16 $2,316.44 |
Toc - Plan #86 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.38 $401.08 $451.61 $631.12 $959.05 |
$623.71 $671.41 $721.94 $901.45 |
$894.04 $941.74 $992.27 $1,171.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.76 $802.16 $903.22 $1,262.24 $1,918.10 |
$977.09 $1,072.49 $1,173.55 $1,532.57 |
$1,247.42 $1,342.82 $1,443.88 $1,802.90 |
Toc - Plan #87 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.84 $432.24 $486.70 $680.16 $1,033.57 |
$672.18 $723.58 $778.04 $971.50 |
$963.52 $1,014.92 $1,069.38 $1,262.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$761.68 $864.48 $973.40 $1,360.32 $2,067.14 |
$1,053.02 $1,155.82 $1,264.74 $1,651.66 |
$1,344.36 $1,447.16 $1,556.08 $1,943.00 |
Toc - Plan #88 Ambetter from Peach State Health Plan | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1180
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.54 $453.47 $510.60 $713.56 $1,084.32 |
$705.18 $759.11 $816.24 $1,019.20 |
$1,010.82 $1,064.75 $1,121.88 $1,324.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$799.08 $906.94 $1,021.20 $1,427.12 $2,168.64 |
$1,104.72 $1,212.58 $1,326.84 $1,732.76 |
$1,410.36 $1,518.22 $1,632.48 $2,038.40 |
ADVERTISEMENT
Aetna CVS HealthLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
Toc - Plan #89 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 5: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$403.97 $458.50 $516.27 $721.48 $1,096.36 |
$713.01 $767.54 $825.31 $1,030.52 |
$1,022.05 $1,076.58 $1,134.35 $1,339.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$807.94 $917.00 $1,032.54 $1,442.96 $2,192.72 |
$1,116.98 $1,226.04 $1,341.58 $1,752.00 |
$1,426.02 $1,535.08 $1,650.62 $2,061.04 |
Toc - Plan #90 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.78 $381.11 $429.12 $599.70 $911.29 |
$592.65 $637.98 $685.99 $856.57 |
$849.52 $894.85 $942.86 $1,113.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.56 $762.22 $858.24 $1,199.40 $1,822.58 |
$928.43 $1,019.09 $1,115.11 $1,456.27 |
$1,185.30 $1,275.96 $1,371.98 $1,713.14 |
Toc - Plan #91 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.53 $510.21 $574.50 $802.85 $1,220.01 |
$793.42 $854.10 $918.39 $1,146.74 |
$1,137.31 $1,197.99 $1,262.28 $1,490.63 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$899.06 $1,020.42 $1,149.00 $1,605.70 $2,440.02 |
$1,242.95 $1,364.31 $1,492.89 $1,949.59 |
$1,586.84 $1,708.20 $1,836.78 $2,293.48 |
Toc - Plan #92 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 6: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$412.21 $467.86 $526.80 $736.20 $1,118.73 |
$727.55 $783.20 $842.14 $1,051.54 |
$1,042.89 $1,098.54 $1,157.48 $1,366.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$824.42 $935.72 $1,053.60 $1,472.40 $2,237.46 |
$1,139.76 $1,251.06 $1,368.94 $1,787.74 |
$1,455.10 $1,566.40 $1,684.28 $2,103.08 |
Toc - Plan #93 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver S: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$404.01 $458.55 $516.32 $721.56 $1,096.47 |
$713.08 $767.62 $825.39 $1,030.63 |
$1,022.15 $1,076.69 $1,134.46 $1,339.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$808.02 $917.10 $1,032.64 $1,443.12 $2,192.94 |
$1,117.09 $1,226.17 $1,341.71 $1,752.19 |
$1,426.16 $1,535.24 $1,650.78 $2,061.26 |
Toc - Plan #94 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.80 $374.32 $421.48 $589.02 $895.07 |
$582.10 $626.62 $673.78 $841.32 |
$834.40 $878.92 $926.08 $1,093.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.60 $748.64 $842.96 $1,178.04 $1,790.14 |
$911.90 $1,000.94 $1,095.26 $1,430.34 |
$1,164.20 $1,253.24 $1,347.56 $1,682.64 |
Toc - Plan #95 Aetna CVS Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Bronze 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.54 $418.29 $470.99 $658.20 $1,000.20 |
$650.47 $700.22 $752.92 $940.13 |
$932.40 $982.15 $1,034.85 $1,222.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.08 $836.58 $941.98 $1,316.40 $2,000.40 |
$1,019.01 $1,118.51 $1,223.91 $1,598.33 |
$1,300.94 $1,400.44 $1,505.84 $1,880.26 |
Toc - Plan #96 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 3: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.79 $507.10 $570.99 $797.96 $1,212.58 |
$788.58 $848.89 $912.78 $1,139.75 |
$1,130.37 $1,190.68 $1,254.57 $1,481.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.58 $1,014.20 $1,141.98 $1,595.92 $2,425.16 |
$1,235.37 $1,355.99 $1,483.77 $1,937.71 |
$1,577.16 $1,697.78 $1,825.56 $2,279.50 |
Toc - Plan #97 Aetna CVS Health | ||||||||||||||||||||
Gold
(HMO) Gold 4: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$452.68 $513.79 $578.52 $808.47 $1,228.55 |
$798.98 $860.09 $924.82 $1,154.77 |
$1,145.28 $1,206.39 $1,271.12 $1,501.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$905.36 $1,027.58 $1,157.04 $1,616.94 $2,457.10 |
$1,251.66 $1,373.88 $1,503.34 $1,963.24 |
$1,597.96 $1,720.18 $1,849.64 $2,309.54 |
Toc - Plan #98 Aetna CVS Health | ||||||||||||||||||||
Silver
(HMO) Silver 7: Aetna network of doctors & hospitals + $0 walk-in clinic + $0 Virtual Care options 24/7 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-336-3915
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$411.97 $467.58 $526.50 $735.77 $1,118.08 |
$727.13 $782.74 $841.66 $1,050.93 |
$1,042.29 $1,097.90 $1,156.82 $1,366.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$823.94 $935.16 $1,053.00 $1,471.54 $2,236.16 |
$1,139.10 $1,250.32 $1,368.16 $1,786.70 |
$1,454.26 $1,565.48 $1,683.32 $2,101.86 |
‡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 Screven County here.
Screven County is in “Rating Area 14” of Georgia.
Currently, there are 98 plans offered in Rating Area 14.