Arkansas

Obamacare 2018 Rates

Arkansas Obamacare 2018 Rates

 
Cave City, AR

Obamacare 2018 Rates and Health Insurance Providers for Sharp County,Cave City,AR


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Sharp County, Arkansas.

Obamacare Providers, Plans and 2018 Rates for Sharp County

Sharp County is in “Rating Area 2” of Arkansas.

Currently, there are 27 plans offered in Rating Area 2.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Cave City, AR area accept this insurance coverage as within the plan's "network".

2018 Obamacare Rates Providers, Plans for Sharp County

USAble Mutual Insurance Company

Local: 1-800-800-4298 | Toll Free: 1-800-800-4298

TTY: 1-800-800-4298

Bronze

Plan: (PPO) Bronze Plan HSA 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $6,400 : Family: $12,800
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $228.78
$259.67
$292.38
$408.60
$620.91		 $457.56
$519.34
$584.76
$817.20
$1,241.82		 $632.58
$694.36
$759.78
$992.22		 $807.60
$869.38
$934.80
$1,167.24		 $982.62
$1,044.40
$1,109.82
$1,342.26		 $403.80
$434.69
$467.40
$583.62		 $578.82
$609.71
$642.42
$758.64		 $753.84
$784.73
$817.44
$933.66		 $175.02

QualChoice Life & Health Insurance Company, Inc.

Local: 1-501-228-7111 x7006 | Toll Free: 1-800-235-7111

TTY: 1-501-219-5188

Silver

Plan: (PPO) Silver 6500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $363.49
$412.56
$464.54
$649.19
$986.50		 $726.98
$825.12
$929.08
$1,298.38
$1,973.00		 $1,005.05
$1,103.19
$1,207.15
$1,576.45		 $1,283.12
$1,381.26
$1,485.22
$1,854.52		 $1,561.19
$1,659.33
$1,763.29
$2,132.59		 $641.56
$690.63
$742.61
$927.26		 $919.63
$968.70
$1,020.68
$1,205.33		 $1,197.70
$1,246.77
$1,298.75
$1,483.40		 $278.07

Gold

Plan: (PPO) Gold 2000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $335.64
$380.95
$428.94
$599.44
$910.91		 $671.28
$761.90
$857.88
$1,198.88
$1,821.82		 $928.04
$1,018.66
$1,114.64
$1,455.64		 $1,184.80
$1,275.42
$1,371.40
$1,712.40		 $1,441.56
$1,532.18
$1,628.16
$1,969.16		 $592.40
$637.71
$685.70
$856.20		 $849.16
$894.47
$942.46
$1,112.96		 $1,105.92
$1,151.23
$1,199.22
$1,369.72		 $256.76

Silver

Plan: (PPO) Silver Saver 4000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QualChoice Life & Health Insurance Company, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $323.05
$366.67
$412.86
$576.97
$876.77		 $646.10
$733.34
$825.72
$1,153.94
$1,753.54		 $893.24
$980.48
$1,072.86
$1,401.08		 $1,140.38
$1,227.62
$1,320.00
$1,648.22		 $1,387.52
$1,474.76
$1,567.14
$1,895.36		 $570.19
$613.81
$660.00
$824.11		 $817.33
$860.95
$907.14
$1,071.25		 $1,064.47
$1,108.09
$1,154.28
$1,318.39		 $247.14

Celtic Insurance Company

Local: 1-877-617-0390 | Toll Free: 1-877-617-0390

TTY: 1-877-617-0392

Gold

Plan: (PPO) Ambetter Secure Care 2 (2018) with 3 Free PCP Visits

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $309.40
$351.16
$395.40
$552.57
$839.68		 $618.80
$702.32
$790.80
$1,105.14
$1,679.36		 $855.48
$939.00
$1,027.48
$1,341.82		 $1,092.16
$1,175.68
$1,264.16
$1,578.50		 $1,328.84
$1,412.36
$1,500.84
$1,815.18		 $546.08
$587.84
$632.08
$789.25		 $782.76
$824.52
$868.76
$1,025.93		 $1,019.44
$1,061.20
$1,105.44
$1,262.61		 $236.68

Bronze

Plan: (PPO) Ambetter Essential Care 6 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $225.10
$255.48
$287.66
$402.01
$610.89		 $450.20
$510.96
$575.32
$804.02
$1,221.78		 $622.39
$683.15
$747.51
$976.21		 $794.58
$855.34
$919.70
$1,148.40		 $966.77
$1,027.53
$1,091.89
$1,320.59		 $397.29
$427.67
$459.85
$574.20		 $569.48
$599.86
$632.04
$746.39		 $741.67
$772.05
$804.23
$918.58		 $172.19

Silver

Plan: (PPO) Ambetter Balanced Care 7 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $5,100 : Family: $10,200
Out of Pocket Maximum per year: Individual: $6,250 : Family: $12,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $289.70
$328.80
$370.22
$517.39
$786.22		 $579.40
$657.60
$740.44
$1,034.78
$1,572.44		 $801.01
$879.21
$962.05
$1,256.39		 $1,022.62
$1,100.82
$1,183.66
$1,478.00		 $1,244.23
$1,322.43
$1,405.27
$1,699.61		 $511.31
$550.41
$591.83
$739.00		 $732.92
$772.02
$813.44
$960.61		 $954.53
$993.63
$1,035.05
$1,182.22		 $221.61

Silver

Plan: (PPO) Ambetter Balanced Care 6 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $275.80
$313.02
$352.45
$492.55
$748.48		 $551.60
$626.04
$704.90
$985.10
$1,496.96		 $762.58
$837.02
$915.88
$1,196.08		 $973.56
$1,048.00
$1,126.86
$1,407.06		 $1,184.54
$1,258.98
$1,337.84
$1,618.04		 $486.78
$524.00
$563.43
$703.53		 $697.76
$734.98
$774.41
$914.51		 $908.74
$945.96
$985.39
$1,125.49		 $210.98

Silver

Plan: (PPO) Ambetter Balanced Care 4 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $7,050 : Family: $14,100
Out of Pocket Maximum per year: Individual: $7,050 : Family: $14,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $257.54
$292.30
$329.13
$459.96
$698.95		 $515.08
$584.60
$658.26
$919.92
$1,397.90		 $712.09
$781.61
$855.27
$1,116.93		 $909.10
$978.62
$1,052.28
$1,313.94		 $1,106.11
$1,175.63
$1,249.29
$1,510.95		 $454.55
$489.31
$526.14
$656.97		 $651.56
$686.32
$723.15
$853.98		 $848.57
$883.33
$920.16
$1,050.99		 $197.01

Bronze

Plan: (PPO) Ambetter Essential Care 6 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $243.50
$276.36
$311.18
$434.87
$660.82		 $487.00
$552.72
$622.36
$869.74
$1,321.64		 $673.27
$738.99
$808.63
$1,056.01		 $859.54
$925.26
$994.90
$1,242.28		 $1,045.81
$1,111.53
$1,181.17
$1,428.55		 $429.77
$462.63
$497.45
$621.14		 $616.04
$648.90
$683.72
$807.41		 $802.31
$835.17
$869.99
$993.68		 $186.27

Silver

Plan: (PPO) Ambetter Balanced Care 7 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $5,100 : Family: $10,200
Out of Pocket Maximum per year: Individual: $6,250 : Family: $12,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $313.38
$355.67
$400.48
$559.68
$850.48		 $626.76
$711.34
$800.96
$1,119.36
$1,700.96		 $866.49
$951.07
$1,040.69
$1,359.09		 $1,106.22
$1,190.80
$1,280.42
$1,598.82		 $1,345.95
$1,430.53
$1,520.15
$1,838.55		 $553.11
$595.40
$640.21
$799.41		 $792.84
$835.13
$879.94
$1,039.14		 $1,032.57
$1,074.86
$1,119.67
$1,278.87		 $239.73

Silver

Plan: (PPO) Ambetter Balanced Care 6 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-617-0390

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $298.34
$338.60
$381.26
$532.81
$809.66		 $596.68
$677.20
$762.52
$1,065.62
$1,619.32		 $824.90
$905.42
$990.74
$1,293.84		 $1,053.12
$1,133.64
$1,218.96
$1,522.06		 $1,281.34
$1,361.86
$1,447.18
$1,750.28		 $526.56
$566.82
$609.48
$761.03		 $754.78
$795.04
$837.70
$989.25		 $983.00
$1,023.26
$1,065.92
$1,217.47		 $228.22
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QCA Health Plan, Inc.

Local: 1-501-228-7111 x7006 | Toll Free: 1-800-235-7111

TTY: 1-501-219-5188

Bronze

Plan: (POS) Bronze Classic Saver 5000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $249.99
$283.73
$319.48
$446.48
$678.46		 $499.98
$567.46
$638.96
$892.96
$1,356.92		 $691.22
$758.70
$830.20
$1,084.20		 $882.46
$949.94
$1,021.44
$1,275.44		 $1,073.70
$1,141.18
$1,212.68
$1,466.68		 $441.23
$474.97
$510.72
$637.72		 $632.47
$666.21
$701.96
$828.96		 $823.71
$857.45
$893.20
$1,020.20		 $191.24

Silver

Plan: (POS) Silver Classic 6500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $363.49
$412.56
$464.54
$649.19
$986.50		 $726.98
$825.12
$929.08
$1,298.38
$1,973.00		 $1,005.05
$1,103.19
$1,207.15
$1,576.45		 $1,283.12
$1,381.26
$1,485.22
$1,854.52		 $1,561.19
$1,659.33
$1,763.29
$2,132.59		 $641.56
$690.63
$742.61
$927.26		 $919.63
$968.70
$1,020.68
$1,205.33		 $1,197.70
$1,246.77
$1,298.75
$1,483.40		 $278.07

Silver

Plan: (POS) Silver Classic Saver 4000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $323.05
$366.67
$412.86
$576.97
$876.77		 $646.10
$733.34
$825.72
$1,153.94
$1,753.54		 $893.24
$980.48
$1,072.86
$1,401.08		 $1,140.38
$1,227.62
$1,320.00
$1,648.22		 $1,387.52
$1,474.76
$1,567.14
$1,895.36		 $570.19
$613.81
$660.00
$824.11		 $817.33
$860.95
$907.14
$1,071.25		 $1,064.47
$1,108.09
$1,154.28
$1,318.39		 $247.14

Catastrophic

Plan: (POS) Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $163.19
$185.22
$208.55
$291.45
$442.89		 $326.38
$370.44
$417.10
$582.90
$885.78		 $451.22
$495.28
$541.94
$707.74		 $576.06
$620.12
$666.78
$832.58		 $700.90
$744.96
$791.62
$957.42		 $288.03
$310.06
$333.39
$416.29		 $412.87
$434.90
$458.23
$541.13		 $537.71
$559.74
$583.07
$665.97

Gold

Plan: (POS) Gold Classic 2000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $335.64
$380.95
$428.94
$599.44
$910.91		 $671.28
$761.90
$857.88
$1,198.88
$1,821.82		 $928.04
$1,018.66
$1,114.64
$1,455.64		 $1,184.80
$1,275.42
$1,371.40
$1,712.40		 $1,441.56
$1,532.18
$1,628.16
$1,969.16		 $592.40
$637.71
$685.70
$856.20		 $849.16
$894.47
$942.46
$1,112.96		 $1,105.92
$1,151.23
$1,199.22
$1,369.72		 $256.76

Silver

Plan: (POS) Silver Classic Saver 3500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (QCA Health Plan, Inc.)
Customer Service Phone: 1-800-235-7111

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $339.21
$385.00
$433.51
$605.82
$920.61		 $678.42
$770.00
$867.02
$1,211.64
$1,841.22		 $937.91
$1,029.49
$1,126.51
$1,471.13		 $1,197.40
$1,288.98
$1,386.00
$1,730.62		 $1,456.89
$1,548.47
$1,645.49
$1,990.11		 $598.70
$644.49
$693.00
$865.31		 $858.19
$903.98
$952.49
$1,124.80		 $1,117.68
$1,163.47
$1,211.98
$1,384.29		 $259.49

USAble Mutual Insurance Company

Local: 1-800-800-4298 | Toll Free: 1-800-800-4298

TTY: 1-800-800-4298

Gold

Plan: (PPO) Gold Plan HSA M1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $2,700 : Family: $5,400
Out of Pocket Maximum per year: Individual: $2,850 : Family: $5,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $361.63
$410.45
$462.16
$645.87
$981.46		 $723.26
$820.90
$924.32
$1,291.74
$1,962.92		 $999.91
$1,097.55
$1,200.97
$1,568.39		 $1,276.56
$1,374.20
$1,477.62
$1,845.04		 $1,553.21
$1,650.85
$1,754.27
$2,121.69		 $638.28
$687.10
$738.81
$922.52		 $914.93
$963.75
$1,015.46
$1,199.17		 $1,191.58
$1,240.40
$1,292.11
$1,475.82		 $276.65

Silver

Plan: (PPO) Silver Plan 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $1,350 : Family: $2,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $331.80
$376.59
$424.04
$592.59
$900.51		 $663.60
$753.18
$848.08
$1,185.18
$1,801.02		 $917.43
$1,007.01
$1,101.91
$1,439.01		 $1,171.26
$1,260.84
$1,355.74
$1,692.84		 $1,425.09
$1,514.67
$1,609.57
$1,946.67		 $585.63
$630.42
$677.87
$846.42		 $839.46
$884.25
$931.70
$1,100.25		 $1,093.29
$1,138.08
$1,185.53
$1,354.08		 $253.83

Silver

Plan: (PPO) Silver Plan AW1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $2,800 : Family: $5,600
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $320.70
$363.99
$409.85
$572.77
$870.38		 $641.40
$727.98
$819.70
$1,145.54
$1,740.76		 $886.74
$973.32
$1,065.04
$1,390.88		 $1,132.08
$1,218.66
$1,310.38
$1,636.22		 $1,377.42
$1,464.00
$1,555.72
$1,881.56		 $566.04
$609.33
$655.19
$818.11		 $811.38
$854.67
$900.53
$1,063.45		 $1,056.72
$1,100.01
$1,145.87
$1,308.79		 $245.34

Silver

Plan: (PPO) Silver Plan HSA 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $305.54
$346.79
$390.48
$545.69
$829.24		 $611.08
$693.58
$780.96
$1,091.38
$1,658.48		 $844.82
$927.32
$1,014.70
$1,325.12		 $1,078.56
$1,161.06
$1,248.44
$1,558.86		 $1,312.30
$1,394.80
$1,482.18
$1,792.60		 $539.28
$580.53
$624.22
$779.43		 $773.02
$814.27
$857.96
$1,013.17		 $1,006.76
$1,048.01
$1,091.70
$1,246.91		 $233.74

Expanded Bronze

Plan: (PPO) Bronze Plan 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $244.86
$277.92
$312.93
$437.32
$664.55		 $489.72
$555.84
$625.86
$874.64
$1,329.10		 $677.04
$743.16
$813.18
$1,061.96		 $864.36
$930.48
$1,000.50
$1,249.28		 $1,051.68
$1,117.80
$1,187.82
$1,436.60		 $432.18
$465.24
$500.25
$624.64		 $619.50
$652.56
$687.57
$811.96		 $806.82
$839.88
$874.89
$999.28		 $187.32

Silver

Plan: (PPO) Silver Plan 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $286.72
$325.43
$366.43
$512.08
$778.16		 $573.44
$650.86
$732.86
$1,024.16
$1,556.32		 $792.78
$870.20
$952.20
$1,243.50		 $1,012.12
$1,089.54
$1,171.54
$1,462.84		 $1,231.46
$1,308.88
$1,390.88
$1,682.18		 $506.06
$544.77
$585.77
$731.42		 $725.40
$764.11
$805.11
$950.76		 $944.74
$983.45
$1,024.45
$1,170.10		 $219.34

Silver

Plan: (PPO) Silver Plan AW1A

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $320.71
$364.01
$409.87
$572.79
$870.41		 $641.42
$728.02
$819.74
$1,145.58
$1,740.82		 $886.76
$973.36
$1,065.08
$1,390.92		 $1,132.10
$1,218.70
$1,310.42
$1,636.26		 $1,377.44
$1,464.04
$1,555.76
$1,881.60		 $566.05
$609.35
$655.21
$818.13		 $811.39
$854.69
$900.55
$1,063.47		 $1,056.73
$1,100.03
$1,145.89
$1,308.81		 $245.34

Silver

Plan: (PPO) Silver Plan AWM1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $321.17
$364.53
$410.46
$573.61
$871.66		 $642.34
$729.06
$820.92
$1,147.22
$1,743.32		 $888.04
$974.76
$1,066.62
$1,392.92		 $1,133.74
$1,220.46
$1,312.32
$1,638.62		 $1,379.44
$1,466.16
$1,558.02
$1,884.32		 $566.87
$610.23
$656.16
$819.31		 $812.57
$855.93
$901.86
$1,065.01		 $1,058.27
$1,101.63
$1,147.56
$1,310.71		 $245.70

Silver

Plan: (PPO) Silver Plan AWM1A

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (USAble Mutual Insurance Company)
Customer Service Phone: 1-800-800-4298

Deductible: Individual: $5,100 : Family: $10,200
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $321.19
$364.55
$410.48
$573.65
$871.71		 $642.38
$729.10
$820.96
$1,147.30
$1,743.42		 $888.09
$974.81
$1,066.67
$1,393.01		 $1,133.80
$1,220.52
$1,312.38
$1,638.72		 $1,379.51
$1,466.23
$1,558.09
$1,884.43		 $566.90
$610.26
$656.19
$819.36		 $812.61
$855.97
$901.90
$1,065.07		 $1,058.32
$1,101.68
$1,147.61
$1,310.78		 $245.71

‡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 Sharp County here.

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