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Obamacare 2020 Rates and Health Insurance Providers for Clay County , Florida


Obamacare > Rates > Florida > Clay County

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 HealthCare.gov, the marketplace for Clay County, Florida.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Clay County, Florida

Below, you’ll find a summary of the 70 plans for Clay County, Florida 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 take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at HealthCare.gov
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Orange Park, FL area accept this insurance coverage as within the plan's network.

2020 Obamacare Rates, Providers, and Plans for Clay County

ADVERTISEMENT

Bright Health Insurance Company of Florida

Local: 1-855-521-9335 | Toll Free: 1-855-521-9335

 

Gold

(EPO) Gold

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,700 $5,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$428.68
$486.55
$547.86
$765.63
$1,163.44
$857.36
$973.10
$1,095.72
$1,531.26
$2,326.88
$1,185.30
$1,301.04
$1,423.66
$1,859.20
$1,513.24
$1,628.98
$1,751.60
$2,187.14
$1,841.18
$1,956.92
$2,079.54
$2,515.08
$756.62
$814.49
$875.80
$1,093.57
$1,084.56
$1,142.43
$1,203.74
$1,421.51
$1,412.50
$1,470.37
$1,531.68
$1,749.45
$327.94
 

Silver

(EPO) Silver 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,700 $9,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344.97
$391.54
$440.87
$616.11
$936.24
$689.94
$783.08
$881.74
$1,232.22
$1,872.48
$953.84
$1,046.98
$1,145.64
$1,496.12
$1,217.74
$1,310.88
$1,409.54
$1,760.02
$1,481.64
$1,574.78
$1,673.44
$2,023.92
$608.87
$655.44
$704.77
$880.01
$872.77
$919.34
$968.67
$1,143.91
$1,136.67
$1,183.24
$1,232.57
$1,407.81
$263.90
 

Silver

(EPO) Silver 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348.70
$395.77
$445.64
$622.77
$946.36
$697.40
$791.54
$891.28
$1,245.54
$1,892.72
$964.15
$1,058.29
$1,158.03
$1,512.29
$1,230.90
$1,325.04
$1,424.78
$1,779.04
$1,497.65
$1,591.79
$1,691.53
$2,045.79
$615.45
$662.52
$712.39
$889.52
$882.20
$929.27
$979.14
$1,156.27
$1,148.95
$1,196.02
$1,245.89
$1,423.02
$266.75
 

Silver

(EPO) Silver 3

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,300 $14,600
Maximum Out of Pocket Per Year $7,300 $14,600
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$357.72
$406.01
$457.16
$638.88
$970.84
$715.44
$812.02
$914.32
$1,277.76
$1,941.68
$989.09
$1,085.67
$1,187.97
$1,551.41
$1,262.74
$1,359.32
$1,461.62
$1,825.06
$1,536.39
$1,632.97
$1,735.27
$2,098.71
$631.37
$679.66
$730.81
$912.53
$905.02
$953.31
$1,004.46
$1,186.18
$1,178.67
$1,226.96
$1,278.11
$1,459.83
$273.65
 

Bronze

(EPO) Bronze

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$260.76
$295.96
$333.25
$465.71
$707.70
$521.52
$591.92
$666.50
$931.42
$1,415.40
$721.00
$791.40
$865.98
$1,130.90
$920.48
$990.88
$1,065.46
$1,330.38
$1,119.96
$1,190.36
$1,264.94
$1,529.86
$460.24
$495.44
$532.73
$665.19
$659.72
$694.92
$732.21
$864.67
$859.20
$894.40
$931.69
$1,064.15
$199.48
 

Expanded Bronze

(EPO) Bronze Premier

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$276.93
$314.32
$353.92
$494.60
$751.59
$553.86
$628.64
$707.84
$989.20
$1,503.18
$765.71
$840.49
$919.69
$1,201.05
$977.56
$1,052.34
$1,131.54
$1,412.90
$1,189.41
$1,264.19
$1,343.39
$1,624.75
$488.78
$526.17
$565.77
$706.45
$700.63
$738.02
$777.62
$918.30
$912.48
$949.87
$989.47
$1,130.15
$211.85
 

Expanded Bronze

(EPO) Bronze HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$310.94
$352.92
$397.39
$555.35
$843.90
$621.88
$705.84
$794.78
$1,110.70
$1,687.80
$859.75
$943.71
$1,032.65
$1,348.57
$1,097.62
$1,181.58
$1,270.52
$1,586.44
$1,335.49
$1,419.45
$1,508.39
$1,824.31
$548.81
$590.79
$635.26
$793.22
$786.68
$828.66
$873.13
$1,031.09
$1,024.55
$1,066.53
$1,111.00
$1,268.96
$237.87
 

Catastrophic

(EPO) Catastrophic

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$210.28
$238.67
$268.74
$375.56
$570.70
$420.56
$477.34
$537.48
$751.12
$1,141.40
$581.42
$638.20
$698.34
$911.98
$742.28
$799.06
$859.20
$1,072.84
$903.14
$959.92
$1,020.06
$1,233.70
$371.14
$399.53
$429.60
$536.42
$532.00
$560.39
$590.46
$697.28
$692.86
$721.25
$751.32
$858.14
$160.86

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Blue Cross and Blue Shield of Florida

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771

 

Silver

(EPO) BlueOptions Silver 1423

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,950 $11,900
Maximum Out of Pocket Per Year $7,150 $14,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$595.06
$675.39
$760.49
$1,062.78
$1,614.99
$1,190.12
$1,350.78
$1,520.98
$2,125.56
$3,229.98
$1,645.34
$1,806.00
$1,976.20
$2,580.78
$2,100.56
$2,261.22
$2,431.42
$3,036.00
$2,555.78
$2,716.44
$2,886.64
$3,491.22
$1,050.28
$1,130.61
$1,215.71
$1,518.00
$1,505.50
$1,585.83
$1,670.93
$1,973.22
$1,960.72
$2,041.05
$2,126.15
$2,428.44
$455.22
 

Bronze

(EPO) BlueOptions Bronze 1419

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$373.43
$423.84
$477.24
$666.95
$1,013.49
$746.86
$847.68
$954.48
$1,333.90
$2,026.98
$1,032.53
$1,133.35
$1,240.15
$1,619.57
$1,318.20
$1,419.02
$1,525.82
$1,905.24
$1,603.87
$1,704.69
$1,811.49
$2,190.91
$659.10
$709.51
$762.91
$952.62
$944.77
$995.18
$1,048.58
$1,238.29
$1,230.44
$1,280.85
$1,334.25
$1,523.96
$285.67
 

Silver

(EPO) BlueOptions Silver 1431

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,700 $11,400
Maximum Out of Pocket Per Year $7,700 $15,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$607.83
$689.89
$776.81
$1,085.58
$1,649.65
$1,215.66
$1,379.78
$1,553.62
$2,171.16
$3,299.30
$1,680.65
$1,844.77
$2,018.61
$2,636.15
$2,145.64
$2,309.76
$2,483.60
$3,101.14
$2,610.63
$2,774.75
$2,948.59
$3,566.13
$1,072.82
$1,154.88
$1,241.80
$1,550.57
$1,537.81
$1,619.87
$1,706.79
$2,015.56
$2,002.80
$2,084.86
$2,171.78
$2,480.55
$464.99
 

Platinum

(EPO) BlueOptions Platinum 1418

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,000 $2,000
Maximum Out of Pocket Per Year $3,500 $7,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$732.42
$831.30
$936.03
$1,308.10
$1,987.79
$1,464.84
$1,662.60
$1,872.06
$2,616.20
$3,975.58
$2,025.14
$2,222.90
$2,432.36
$3,176.50
$2,585.44
$2,783.20
$2,992.66
$3,736.80
$3,145.74
$3,343.50
$3,552.96
$4,297.10
$1,292.72
$1,391.60
$1,496.33
$1,868.40
$1,853.02
$1,951.90
$2,056.63
$2,428.70
$2,413.32
$2,512.20
$2,616.93
$2,989.00
$560.30
 

Expanded Bronze

(EPO) BlueOptions Bronze 1416

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,700 $15,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$399.36
$453.27
$510.38
$713.26
$1,083.86
$798.72
$906.54
$1,020.76
$1,426.52
$2,167.72
$1,104.23
$1,212.05
$1,326.27
$1,732.03
$1,409.74
$1,517.56
$1,631.78
$2,037.54
$1,715.25
$1,823.07
$1,937.29
$2,343.05
$704.87
$758.78
$815.89
$1,018.77
$1,010.38
$1,064.29
$1,121.40
$1,324.28
$1,315.89
$1,369.80
$1,426.91
$1,629.79
$305.51
 

Platinum

(EPO) BlueOptions Platinum 1424

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $2,000 $4,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$768.09
$871.78
$981.62
$1,371.81
$2,084.60
$1,536.18
$1,743.56
$1,963.24
$2,743.62
$4,169.20
$2,123.77
$2,331.15
$2,550.83
$3,331.21
$2,711.36
$2,918.74
$3,138.42
$3,918.80
$3,298.95
$3,506.33
$3,726.01
$4,506.39
$1,355.68
$1,459.37
$1,569.21
$1,959.40
$1,943.27
$2,046.96
$2,156.80
$2,546.99
$2,530.86
$2,634.55
$2,744.39
$3,134.58
$587.59
 

Silver

(EPO) BlueOptions Silver 1410

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,000 $14,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$551.65
$626.12
$705.01
$985.25
$1,497.18
$1,103.30
$1,252.24
$1,410.02
$1,970.50
$2,994.36
$1,525.31
$1,674.25
$1,832.03
$2,392.51
$1,947.32
$2,096.26
$2,254.04
$2,814.52
$2,369.33
$2,518.27
$2,676.05
$3,236.53
$973.66
$1,048.13
$1,127.02
$1,407.26
$1,395.67
$1,470.14
$1,549.03
$1,829.27
$1,817.68
$1,892.15
$1,971.04
$2,251.28
$422.01
 

Gold

(EPO) BlueOptions Gold 1505

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $5,000 $10,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$594.30
$674.53
$759.52
$1,061.42
$1,612.93
$1,188.60
$1,349.06
$1,519.04
$2,122.84
$3,225.86
$1,643.24
$1,803.70
$1,973.68
$2,577.48
$2,097.88
$2,258.34
$2,428.32
$3,032.12
$2,552.52
$2,712.98
$2,882.96
$3,486.76
$1,048.94
$1,129.17
$1,214.16
$1,516.06
$1,503.58
$1,583.81
$1,668.80
$1,970.70
$1,958.22
$2,038.45
$2,123.44
$2,425.34
$454.64
 

Expanded Bronze

(EPO) BlueOptions Bronze (HSA) 1705

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$395.46
$448.85
$505.40
$706.29
$1,073.28
$790.92
$897.70
$1,010.80
$1,412.58
$2,146.56
$1,093.45
$1,200.23
$1,313.33
$1,715.11
$1,395.98
$1,502.76
$1,615.86
$2,017.64
$1,698.51
$1,805.29
$1,918.39
$2,320.17
$697.99
$751.38
$807.93
$1,008.82
$1,000.52
$1,053.91
$1,110.46
$1,311.35
$1,303.05
$1,356.44
$1,412.99
$1,613.88
$302.53
 

Silver

(EPO) BlueOptions Silver 1706S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,600 $7,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$601.18
$682.34
$768.31
$1,073.71
$1,631.60
$1,202.36
$1,364.68
$1,536.62
$2,147.42
$3,263.20
$1,662.26
$1,824.58
$1,996.52
$2,607.32
$2,122.16
$2,284.48
$2,456.42
$3,067.22
$2,582.06
$2,744.38
$2,916.32
$3,527.12
$1,061.08
$1,142.24
$1,228.21
$1,533.61
$1,520.98
$1,602.14
$1,688.11
$1,993.51
$1,980.88
$2,062.04
$2,148.01
$2,453.41
$459.90
 

Expanded Bronze

(EPO) BlueOptions Bronze 1707S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,650 $13,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$396.06
$449.53
$506.16
$707.36
$1,074.91
$792.12
$899.06
$1,012.32
$1,414.72
$2,149.82
$1,095.11
$1,202.05
$1,315.31
$1,717.71
$1,398.10
$1,505.04
$1,618.30
$2,020.70
$1,701.09
$1,808.03
$1,921.29
$2,323.69
$699.05
$752.52
$809.15
$1,010.35
$1,002.04
$1,055.51
$1,112.14
$1,313.34
$1,305.03
$1,358.50
$1,415.13
$1,616.33
$302.99
 

Gold

(EPO) BlueOptions Gold 1805

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $5,500 $11,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$573.63
$651.07
$733.10
$1,024.50
$1,556.83
$1,147.26
$1,302.14
$1,466.20
$2,049.00
$3,113.66
$1,586.09
$1,740.97
$1,905.03
$2,487.83
$2,024.92
$2,179.80
$2,343.86
$2,926.66
$2,463.75
$2,618.63
$2,782.69
$3,365.49
$1,012.46
$1,089.90
$1,171.93
$1,463.33
$1,451.29
$1,528.73
$1,610.76
$1,902.16
$1,890.12
$1,967.56
$2,049.59
$2,340.99
$438.83
 

Silver

(EPO) BlueSelect Silver 1456

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,950 $11,900
Maximum Out of Pocket Per Year $7,150 $14,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$371.37
$421.50
$474.61
$663.27
$1,007.90
$742.74
$843.00
$949.22
$1,326.54
$2,015.80
$1,026.84
$1,127.10
$1,233.32
$1,610.64
$1,310.94
$1,411.20
$1,517.42
$1,894.74
$1,595.04
$1,695.30
$1,801.52
$2,178.84
$655.47
$705.60
$758.71
$947.37
$939.57
$989.70
$1,042.81
$1,231.47
$1,223.67
$1,273.80
$1,326.91
$1,515.57
$284.10
 

Bronze

(EPO) BlueSelect Bronze 1452

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$270.61
$307.14
$345.84
$483.31
$734.44
$541.22
$614.28
$691.68
$966.62
$1,468.88
$748.24
$821.30
$898.70
$1,173.64
$955.26
$1,028.32
$1,105.72
$1,380.66
$1,162.28
$1,235.34
$1,312.74
$1,587.68
$477.63
$514.16
$552.86
$690.33
$684.65
$721.18
$759.88
$897.35
$891.67
$928.20
$966.90
$1,104.37
$207.02
 

Silver

(EPO) BlueSelect Silver 1464

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,700 $11,400
Maximum Out of Pocket Per Year $7,700 $15,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$385.11
$437.10
$492.17
$687.81
$1,045.19
$770.22
$874.20
$984.34
$1,375.62
$2,090.38
$1,064.83
$1,168.81
$1,278.95
$1,670.23
$1,359.44
$1,463.42
$1,573.56
$1,964.84
$1,654.05
$1,758.03
$1,868.17
$2,259.45
$679.72
$731.71
$786.78
$982.42
$974.33
$1,026.32
$1,081.39
$1,277.03
$1,268.94
$1,320.93
$1,376.00
$1,571.64
$294.61
 

Platinum

(EPO) BlueSelect Platinum 1451

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,000 $2,000
Maximum Out of Pocket Per Year $3,500 $7,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$470.93
$534.51
$601.85
$841.08
$1,278.10
$941.86
$1,069.02
$1,203.70
$1,682.16
$2,556.20
$1,302.12
$1,429.28
$1,563.96
$2,042.42
$1,662.38
$1,789.54
$1,924.22
$2,402.68
$2,022.64
$2,149.80
$2,284.48
$2,762.94
$831.19
$894.77
$962.11
$1,201.34
$1,191.45
$1,255.03
$1,322.37
$1,561.60
$1,551.71
$1,615.29
$1,682.63
$1,921.86
$360.26
 

Expanded Bronze

(EPO) BlueSelect Bronze 1449

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,700 $15,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$289.33
$328.39
$369.76
$516.74
$785.24
$578.66
$656.78
$739.52
$1,033.48
$1,570.48
$800.00
$878.12
$960.86
$1,254.82
$1,021.34
$1,099.46
$1,182.20
$1,476.16
$1,242.68
$1,320.80
$1,403.54
$1,697.50
$510.67
$549.73
$591.10
$738.08
$732.01
$771.07
$812.44
$959.42
$953.35
$992.41
$1,033.78
$1,180.76
$221.34
 

Platinum

(EPO) BlueSelect Platinum 1457

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $2,000 $4,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$497.93
$565.15
$636.35
$889.30
$1,351.38
$995.86
$1,130.30
$1,272.70
$1,778.60
$2,702.76
$1,376.78
$1,511.22
$1,653.62
$2,159.52
$1,757.70
$1,892.14
$2,034.54
$2,540.44
$2,138.62
$2,273.06
$2,415.46
$2,921.36
$878.85
$946.07
$1,017.27
$1,270.22
$1,259.77
$1,326.99
$1,398.19
$1,651.14
$1,640.69
$1,707.91
$1,779.11
$2,032.06
$380.92
 

Silver

(EPO) BlueSelect Silver 1443

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,000 $14,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$346.89
$393.72
$443.33
$619.55
$941.46
$693.78
$787.44
$886.66
$1,239.10
$1,882.92
$959.15
$1,052.81
$1,152.03
$1,504.47
$1,224.52
$1,318.18
$1,417.40
$1,769.84
$1,489.89
$1,583.55
$1,682.77
$2,035.21
$612.26
$659.09
$708.70
$884.92
$877.63
$924.46
$974.07
$1,150.29
$1,143.00
$1,189.83
$1,239.44
$1,415.66
$265.37
 

Gold

(EPO) BlueSelect Gold 1535

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $5,000 $10,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$404.86
$459.52
$517.41
$723.08
$1,098.79
$809.72
$919.04
$1,034.82
$1,446.16
$2,197.58
$1,119.44
$1,228.76
$1,344.54
$1,755.88
$1,429.16
$1,538.48
$1,654.26
$2,065.60
$1,738.88
$1,848.20
$1,963.98
$2,375.32
$714.58
$769.24
$827.13
$1,032.80
$1,024.30
$1,078.96
$1,136.85
$1,342.52
$1,334.02
$1,388.68
$1,446.57
$1,652.24
$309.72
 

Expanded Bronze

(EPO) BlueSelect Bronze (HSA) 1735

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$286.21
$324.85
$365.78
$511.17
$776.77
$572.42
$649.70
$731.56
$1,022.34
$1,553.54
$791.37
$868.65
$950.51
$1,241.29
$1,010.32
$1,087.60
$1,169.46
$1,460.24
$1,229.27
$1,306.55
$1,388.41
$1,679.19
$505.16
$543.80
$584.73
$730.12
$724.11
$762.75
$803.68
$949.07
$943.06
$981.70
$1,022.63
$1,168.02
$218.95
 

Silver

(EPO) BlueSelect Silver 1736S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,600 $7,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$377.83
$428.84
$482.87
$674.80
$1,025.43
$755.66
$857.68
$965.74
$1,349.60
$2,050.86
$1,044.70
$1,146.72
$1,254.78
$1,638.64
$1,333.74
$1,435.76
$1,543.82
$1,927.68
$1,622.78
$1,724.80
$1,832.86
$2,216.72
$666.87
$717.88
$771.91
$963.84
$955.91
$1,006.92
$1,060.95
$1,252.88
$1,244.95
$1,295.96
$1,349.99
$1,541.92
$289.04
 

Expanded Bronze

(EPO) BlueSelect Bronze 1737S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,650 $13,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$286.58
$325.27
$366.25
$511.83
$777.78
$573.16
$650.54
$732.50
$1,023.66
$1,555.56
$792.39
$869.77
$951.73
$1,242.89
$1,011.62
$1,089.00
$1,170.96
$1,462.12
$1,230.85
$1,308.23
$1,390.19
$1,681.35
$505.81
$544.50
$585.48
$731.06
$725.04
$763.73
$804.71
$950.29
$944.27
$982.96
$1,023.94
$1,169.52
$219.23
 

Gold

(EPO) BlueSelect Gold 1835

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $5,500 $11,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$385.89
$437.99
$493.17
$689.20
$1,047.31
$771.78
$875.98
$986.34
$1,378.40
$2,094.62
$1,066.99
$1,171.19
$1,281.55
$1,673.61
$1,362.20
$1,466.40
$1,576.76
$1,968.82
$1,657.41
$1,761.61
$1,871.97
$2,264.03
$681.10
$733.20
$788.38
$984.41
$976.31
$1,028.41
$1,083.59
$1,279.62
$1,271.52
$1,323.62
$1,378.80
$1,574.83
$295.21

ADVERTISEMENT

Celtic Insurance Company

Local: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770

 

Gold

(EPO) Ambetter Secure Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$400.40
$454.45
$511.70
$715.10
$1,086.67
$800.80
$908.90
$1,023.40
$1,430.20
$2,173.34
$1,107.10
$1,215.20
$1,329.70
$1,736.50
$1,413.40
$1,521.50
$1,636.00
$2,042.80
$1,719.70
$1,827.80
$1,942.30
$2,349.10
$706.70
$760.75
$818.00
$1,021.40
$1,013.00
$1,067.05
$1,124.30
$1,327.70
$1,319.30
$1,373.35
$1,430.60
$1,634.00
$306.30
 

Bronze

(EPO) Ambetter Essential Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$274.92
$312.02
$351.33
$490.99
$746.10
$549.84
$624.04
$702.66
$981.98
$1,492.20
$760.15
$834.35
$912.97
$1,192.29
$970.46
$1,044.66
$1,123.28
$1,402.60
$1,180.77
$1,254.97
$1,333.59
$1,612.91
$485.23
$522.33
$561.64
$701.30
$695.54
$732.64
$771.95
$911.61
$905.85
$942.95
$982.26
$1,121.92
$210.31
 

Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$281.25
$319.21
$359.42
$502.29
$763.28
$562.50
$638.42
$718.84
$1,004.58
$1,526.56
$777.65
$853.57
$933.99
$1,219.73
$992.80
$1,068.72
$1,149.14
$1,434.88
$1,207.95
$1,283.87
$1,364.29
$1,650.03
$496.40
$534.36
$574.57
$717.44
$711.55
$749.51
$789.72
$932.59
$926.70
$964.66
$1,004.87
$1,147.74
$215.15
 

Expanded Bronze

(EPO) Ambetter Essential Care 10 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$281.76
$319.79
$360.08
$503.20
$764.67
$563.52
$639.58
$720.16
$1,006.40
$1,529.34
$779.06
$855.12
$935.70
$1,221.94
$994.60
$1,070.66
$1,151.24
$1,437.48
$1,210.14
$1,286.20
$1,366.78
$1,653.02
$497.30
$535.33
$575.62
$718.74
$712.84
$750.87
$791.16
$934.28
$928.38
$966.41
$1,006.70
$1,149.82
$215.54
 

Silver

(EPO) Ambetter Balanced Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$405.83
$460.60
$518.64
$724.79
$1,101.39
$811.66
$921.20
$1,037.28
$1,449.58
$2,202.78
$1,122.11
$1,231.65
$1,347.73
$1,760.03
$1,432.56
$1,542.10
$1,658.18
$2,070.48
$1,743.01
$1,852.55
$1,968.63
$2,380.93
$716.28
$771.05
$829.09
$1,035.24
$1,026.73
$1,081.50
$1,139.54
$1,345.69
$1,337.18
$1,391.95
$1,449.99
$1,656.14
$310.45
 

Silver

(EPO) Ambetter Balanced Care 4 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,050 $14,100
Maximum Out of Pocket Per Year $7,050 $14,100
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$393.13
$446.19
$502.41
$702.11
$1,066.93
$786.26
$892.38
$1,004.82
$1,404.22
$2,133.86
$1,087.00
$1,193.12
$1,305.56
$1,704.96
$1,387.74
$1,493.86
$1,606.30
$2,005.70
$1,688.48
$1,794.60
$1,907.04
$2,306.44
$693.87
$746.93
$803.15
$1,002.85
$994.61
$1,047.67
$1,103.89
$1,303.59
$1,295.35
$1,348.41
$1,404.63
$1,604.33
$300.74
 

Silver

(EPO) Ambetter Balanced Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$378.31
$429.37
$483.47
$675.64
$1,026.71
$756.62
$858.74
$966.94
$1,351.28
$2,053.42
$1,046.02
$1,148.14
$1,256.34
$1,640.68
$1,335.42
$1,437.54
$1,545.74
$1,930.08
$1,624.82
$1,726.94
$1,835.14
$2,219.48
$667.71
$718.77
$772.87
$965.04
$957.11
$1,008.17
$1,062.27
$1,254.44
$1,246.51
$1,297.57
$1,351.67
$1,543.84
$289.40
 

Silver

(EPO) Ambetter Balanced Care 11 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$374.77
$425.35
$478.95
$669.32
$1,017.10
$749.54
$850.70
$957.90
$1,338.64
$2,034.20
$1,036.23
$1,137.39
$1,244.59
$1,625.33
$1,322.92
$1,424.08
$1,531.28
$1,912.02
$1,609.61
$1,710.77
$1,817.97
$2,198.71
$661.46
$712.04
$765.64
$956.01
$948.15
$998.73
$1,052.33
$1,242.70
$1,234.84
$1,285.42
$1,339.02
$1,529.39
$286.69
 

Silver

(EPO) Ambetter Balanced Care 12 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$369.58
$419.47
$472.31
$660.06
$1,003.02
$739.16
$838.94
$944.62
$1,320.12
$2,006.04
$1,021.88
$1,121.66
$1,227.34
$1,602.84
$1,304.60
$1,404.38
$1,510.06
$1,885.56
$1,587.32
$1,687.10
$1,792.78
$2,168.28
$652.30
$702.19
$755.03
$942.78
$935.02
$984.91
$1,037.75
$1,225.50
$1,217.74
$1,267.63
$1,320.47
$1,508.22
$282.72
 

Silver

(EPO) Ambetter Balanced Care 15 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$418.57
$475.06
$534.91
$747.54
$1,135.96
$837.14
$950.12
$1,069.82
$1,495.08
$2,271.92
$1,157.34
$1,270.32
$1,390.02
$1,815.28
$1,477.54
$1,590.52
$1,710.22
$2,135.48
$1,797.74
$1,910.72
$2,030.42
$2,455.68
$738.77
$795.26
$855.11
$1,067.74
$1,058.97
$1,115.46
$1,175.31
$1,387.94
$1,379.17
$1,435.66
$1,495.51
$1,708.14
$320.20
 

Gold

(EPO) Ambetter Secure Care 5 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$416.17
$472.34
$531.85
$743.26
$1,129.46
$832.34
$944.68
$1,063.70
$1,486.52
$2,258.92
$1,150.70
$1,263.04
$1,382.06
$1,804.88
$1,469.06
$1,581.40
$1,700.42
$2,123.24
$1,787.42
$1,899.76
$2,018.78
$2,441.60
$734.53
$790.70
$850.21
$1,061.62
$1,052.89
$1,109.06
$1,168.57
$1,379.98
$1,371.25
$1,427.42
$1,486.93
$1,698.34
$318.36
 

Bronze

(EPO) Ambetter Essential Care 1 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$285.74
$324.31
$365.17
$510.32
$775.48
$571.48
$648.62
$730.34
$1,020.64
$1,550.96
$790.07
$867.21
$948.93
$1,239.23
$1,008.66
$1,085.80
$1,167.52
$1,457.82
$1,227.25
$1,304.39
$1,386.11
$1,676.41
$504.33
$542.90
$583.76
$728.91
$722.92
$761.49
$802.35
$947.50
$941.51
$980.08
$1,020.94
$1,166.09
$218.59
 

Expanded Bronze

(EPO) Ambetter Essential Care 10 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$292.85
$332.38
$374.25
$523.02
$794.78
$585.70
$664.76
$748.50
$1,046.04
$1,589.56
$809.73
$888.79
$972.53
$1,270.07
$1,033.76
$1,112.82
$1,196.56
$1,494.10
$1,257.79
$1,336.85
$1,420.59
$1,718.13
$516.88
$556.41
$598.28
$747.05
$740.91
$780.44
$822.31
$971.08
$964.94
$1,004.47
$1,046.34
$1,195.11
$224.03
 

Silver

(EPO) Ambetter Balanced Care 1 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$421.81
$478.74
$539.06
$753.33
$1,144.76
$843.62
$957.48
$1,078.12
$1,506.66
$2,289.52
$1,166.30
$1,280.16
$1,400.80
$1,829.34
$1,488.98
$1,602.84
$1,723.48
$2,152.02
$1,811.66
$1,925.52
$2,046.16
$2,474.70
$744.49
$801.42
$861.74
$1,076.01
$1,067.17
$1,124.10
$1,184.42
$1,398.69
$1,389.85
$1,446.78
$1,507.10
$1,721.37
$322.68
 

Silver

(EPO) Ambetter Balanced Care 4 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,050 $14,100
Maximum Out of Pocket Per Year $7,050 $14,100
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$408.61
$463.76
$522.19
$729.76
$1,108.94
$817.22
$927.52
$1,044.38
$1,459.52
$2,217.88
$1,129.80
$1,240.10
$1,356.96
$1,772.10
$1,442.38
$1,552.68
$1,669.54
$2,084.68
$1,754.96
$1,865.26
$1,982.12
$2,397.26
$721.19
$776.34
$834.77
$1,042.34
$1,033.77
$1,088.92
$1,147.35
$1,354.92
$1,346.35
$1,401.50
$1,459.93
$1,667.50
$312.58
 

Silver

(EPO) Ambetter Balanced Care 5 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$393.21
$446.28
$502.50
$702.25
$1,067.13
$786.42
$892.56
$1,005.00
$1,404.50
$2,134.26
$1,087.22
$1,193.36
$1,305.80
$1,705.30
$1,388.02
$1,494.16
$1,606.60
$2,006.10
$1,688.82
$1,794.96
$1,907.40
$2,306.90
$694.01
$747.08
$803.30
$1,003.05
$994.81
$1,047.88
$1,104.10
$1,303.85
$1,295.61
$1,348.68
$1,404.90
$1,604.65
$300.80
 

Silver

(EPO) Ambetter Balanced Care 11 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$389.53
$442.10
$497.81
$695.68
$1,057.15
$779.06
$884.20
$995.62
$1,391.36
$2,114.30
$1,077.04
$1,182.18
$1,293.60
$1,689.34
$1,375.02
$1,480.16
$1,591.58
$1,987.32
$1,673.00
$1,778.14
$1,889.56
$2,285.30
$687.51
$740.08
$795.79
$993.66
$985.49
$1,038.06
$1,093.77
$1,291.64
$1,283.47
$1,336.04
$1,391.75
$1,589.62
$297.98
 

Silver

(EPO) Ambetter Balanced Care 15 + Vision + Adult Dental (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$435.05
$493.77
$555.98
$776.98
$1,180.69
$870.10
$987.54
$1,111.96
$1,553.96
$2,361.38
$1,202.90
$1,320.34
$1,444.76
$1,886.76
$1,535.70
$1,653.14
$1,777.56
$2,219.56
$1,868.50
$1,985.94
$2,110.36
$2,552.36
$767.85
$826.57
$888.78
$1,109.78
$1,100.65
$1,159.37
$1,221.58
$1,442.58
$1,433.45
$1,492.17
$1,554.38
$1,775.38
$332.80

ADVERTISEMENT

Health Options, Inc.

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771

 

Silver

(HMO) BlueCare Silver 1490

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,950 $11,900
Maximum Out of Pocket Per Year $7,150 $14,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$515.71
$585.33
$659.08
$921.06
$1,399.64
$1,031.42
$1,170.66
$1,318.16
$1,842.12
$2,799.28
$1,425.94
$1,565.18
$1,712.68
$2,236.64
$1,820.46
$1,959.70
$2,107.20
$2,631.16
$2,214.98
$2,354.22
$2,501.72
$3,025.68
$910.23
$979.85
$1,053.60
$1,315.58
$1,304.75
$1,374.37
$1,448.12
$1,710.10
$1,699.27
$1,768.89
$1,842.64
$2,104.62
$394.52
 

Bronze

(HMO) BlueCare Bronze 1486

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$336.77
$382.23
$430.39
$601.47
$913.99
$673.54
$764.46
$860.78
$1,202.94
$1,827.98
$931.17
$1,022.09
$1,118.41
$1,460.57
$1,188.80
$1,279.72
$1,376.04
$1,718.20
$1,446.43
$1,537.35
$1,633.67
$1,975.83
$594.40
$639.86
$688.02
$859.10
$852.03
$897.49
$945.65
$1,116.73
$1,109.66
$1,155.12
$1,203.28
$1,374.36
$257.63
 

Silver

(HMO) BlueCare Silver 1498

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,700 $11,400
Maximum Out of Pocket Per Year $7,700 $15,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$512.22
$581.37
$654.62
$914.82
$1,390.17
$1,024.44
$1,162.74
$1,309.24
$1,829.64
$2,780.34
$1,416.29
$1,554.59
$1,701.09
$2,221.49
$1,808.14
$1,946.44
$2,092.94
$2,613.34
$2,199.99
$2,338.29
$2,484.79
$3,005.19
$904.07
$973.22
$1,046.47
$1,306.67
$1,295.92
$1,365.07
$1,438.32
$1,698.52
$1,687.77
$1,756.92
$1,830.17
$2,090.37
$391.85
 

Platinum

(HMO) BlueCare Platinum 1485

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,000 $2,000
Maximum Out of Pocket Per Year $3,500 $7,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$580.13
$658.45
$741.41
$1,036.11
$1,574.47
$1,160.26
$1,316.90
$1,482.82
$2,072.22
$3,148.94
$1,604.06
$1,760.70
$1,926.62
$2,516.02
$2,047.86
$2,204.50
$2,370.42
$2,959.82
$2,491.66
$2,648.30
$2,814.22
$3,403.62
$1,023.93
$1,102.25
$1,185.21
$1,479.91
$1,467.73
$1,546.05
$1,629.01
$1,923.71
$1,911.53
$1,989.85
$2,072.81
$2,367.51
$443.80
 

Expanded Bronze

(HMO) BlueCare Bronze 1483

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,700 $15,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$369.13
$418.96
$471.75
$659.27
$1,001.82
$738.26
$837.92
$943.50
$1,318.54
$2,003.64
$1,020.64
$1,120.30
$1,225.88
$1,600.92
$1,303.02
$1,402.68
$1,508.26
$1,883.30
$1,585.40
$1,685.06
$1,790.64
$2,165.68
$651.51
$701.34
$754.13
$941.65
$933.89
$983.72
$1,036.51
$1,224.03
$1,216.27
$1,266.10
$1,318.89
$1,506.41
$282.38
 

Platinum

(HMO) BlueCare Platinum 1491

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $2,000 $4,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$617.55
$700.92
$789.23
$1,102.94
$1,676.03
$1,235.10
$1,401.84
$1,578.46
$2,205.88
$3,352.06
$1,707.53
$1,874.27
$2,050.89
$2,678.31
$2,179.96
$2,346.70
$2,523.32
$3,150.74
$2,652.39
$2,819.13
$2,995.75
$3,623.17
$1,089.98
$1,173.35
$1,261.66
$1,575.37
$1,562.41
$1,645.78
$1,734.09
$2,047.80
$2,034.84
$2,118.21
$2,206.52
$2,520.23
$472.43
 

Silver

(HMO) BlueCare Silver 1477

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,000 $14,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$451.23
$512.15
$576.67
$805.90
$1,224.64
$902.46
$1,024.30
$1,153.34
$1,611.80
$2,449.28
$1,247.65
$1,369.49
$1,498.53
$1,956.99
$1,592.84
$1,714.68
$1,843.72
$2,302.18
$1,938.03
$2,059.87
$2,188.91
$2,647.37
$796.42
$857.34
$921.86
$1,151.09
$1,141.61
$1,202.53
$1,267.05
$1,496.28
$1,486.80
$1,547.72
$1,612.24
$1,841.47
$345.19
 

Gold

(HMO) BlueCare Gold 1565

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $5,000 $10,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$529.41
$600.88
$676.59
$945.53
$1,436.82
$1,058.82
$1,201.76
$1,353.18
$1,891.06
$2,873.64
$1,463.82
$1,606.76
$1,758.18
$2,296.06
$1,868.82
$2,011.76
$2,163.18
$2,701.06
$2,273.82
$2,416.76
$2,568.18
$3,106.06
$934.41
$1,005.88
$1,081.59
$1,350.53
$1,339.41
$1,410.88
$1,486.59
$1,755.53
$1,744.41
$1,815.88
$1,891.59
$2,160.53
$405.00
 

Expanded Bronze

(HMO) BlueCare Bronze (HSA) 1765

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361.42
$410.21
$461.89
$645.50
$980.89
$722.84
$820.42
$923.78
$1,291.00
$1,961.78
$999.33
$1,096.91
$1,200.27
$1,567.49
$1,275.82
$1,373.40
$1,476.76
$1,843.98
$1,552.31
$1,649.89
$1,753.25
$2,120.47
$637.91
$686.70
$738.38
$921.99
$914.40
$963.19
$1,014.87
$1,198.48
$1,190.89
$1,239.68
$1,291.36
$1,474.97
$276.49
 

Silver

(HMO) BlueCare Silver 1766S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,600 $7,200
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$508.29
$576.91
$649.59
$907.81
$1,379.50
$1,016.58
$1,153.82
$1,299.18
$1,815.62
$2,759.00
$1,405.42
$1,542.66
$1,688.02
$2,204.46
$1,794.26
$1,931.50
$2,076.86
$2,593.30
$2,183.10
$2,320.34
$2,465.70
$2,982.14
$897.13
$965.75
$1,038.43
$1,296.65
$1,285.97
$1,354.59
$1,427.27
$1,685.49
$1,674.81
$1,743.43
$1,816.11
$2,074.33
$388.84
 

Expanded Bronze

(HMO) BlueCare Bronze 1767S

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,650 $13,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364.46
$413.66
$465.78
$650.93
$989.14
$728.92
$827.32
$931.56
$1,301.86
$1,978.28
$1,007.73
$1,106.13
$1,210.37
$1,580.67
$1,286.54
$1,384.94
$1,489.18
$1,859.48
$1,565.35
$1,663.75
$1,767.99
$2,138.29
$643.27
$692.47
$744.59
$929.74
$922.08
$971.28
$1,023.40
$1,208.55
$1,200.89
$1,250.09
$1,302.21
$1,487.36
$278.81
 

Gold

(HMO) BlueCare Gold 1865

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $5,500 $11,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$506.57
$574.96
$647.40
$904.73
$1,374.83
$1,013.14
$1,149.92
$1,294.80
$1,809.46
$2,749.66
$1,400.67
$1,537.45
$1,682.33
$2,196.99
$1,788.20
$1,924.98
$2,069.86
$2,584.52
$2,175.73
$2,312.51
$2,457.39
$2,972.05
$894.10
$962.49
$1,034.93
$1,292.26
$1,281.63
$1,350.02
$1,422.46
$1,679.79
$1,669.16
$1,737.55
$1,809.99
$2,067.32
$387.53

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Gold

(HMO) Confident Care Gold 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436.21
$495.10
$557.47
$779.07
$1,183.87
$872.42
$990.20
$1,114.94
$1,558.14
$2,367.74
$1,206.12
$1,323.90
$1,448.64
$1,891.84
$1,539.82
$1,657.60
$1,782.34
$2,225.54
$1,873.52
$1,991.30
$2,116.04
$2,559.24
$769.91
$828.80
$891.17
$1,112.77
$1,103.61
$1,162.50
$1,224.87
$1,446.47
$1,437.31
$1,496.20
$1,558.57
$1,780.17
$333.70
 

Silver

(HMO) Constant Care Silver 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$420.76
$477.56
$537.73
$751.47
$1,141.93
$841.52
$955.12
$1,075.46
$1,502.94
$2,283.86
$1,163.40
$1,277.00
$1,397.34
$1,824.82
$1,485.28
$1,598.88
$1,719.22
$2,146.70
$1,807.16
$1,920.76
$2,041.10
$2,468.58
$742.64
$799.44
$859.61
$1,073.35
$1,064.52
$1,121.32
$1,181.49
$1,395.23
$1,386.40
$1,443.20
$1,503.37
$1,717.11
$321.88
 

Bronze

(HMO) Core Care Bronze 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$271.66
$308.33
$347.18
$485.18
$737.27
$543.32
$616.66
$694.36
$970.36
$1,474.54
$751.14
$824.48
$902.18
$1,178.18
$958.96
$1,032.30
$1,110.00
$1,386.00
$1,166.78
$1,240.12
$1,317.82
$1,593.82
$479.48
$516.15
$555.00
$693.00
$687.30
$723.97
$762.82
$900.82
$895.12
$931.79
$970.64
$1,108.64
$207.82
 

Gold

(HMO) Confident Care Gold 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$439.58
$498.93
$561.79
$785.10
$1,193.03
$879.16
$997.86
$1,123.58
$1,570.20
$2,386.06
$1,215.44
$1,334.14
$1,459.86
$1,906.48
$1,551.72
$1,670.42
$1,796.14
$2,242.76
$1,888.00
$2,006.70
$2,132.42
$2,579.04
$775.86
$835.21
$898.07
$1,121.38
$1,112.14
$1,171.49
$1,234.35
$1,457.66
$1,448.42
$1,507.77
$1,570.63
$1,793.94
$336.28
 

Silver

(HMO) Confident Care Silver 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$424.13
$481.39
$542.04
$757.50
$1,151.09
$848.26
$962.78
$1,084.08
$1,515.00
$2,302.18
$1,172.72
$1,287.24
$1,408.54
$1,839.46
$1,497.18
$1,611.70
$1,733.00
$2,163.92
$1,821.64
$1,936.16
$2,057.46
$2,488.38
$748.59
$805.85
$866.50
$1,081.96
$1,073.05
$1,130.31
$1,190.96
$1,406.42
$1,397.51
$1,454.77
$1,515.42
$1,730.88
$324.46
 

Bronze

(HMO) Core Care Bronze 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$274.92
$312.04
$351.35
$491.01
$746.14
$549.84
$624.08
$702.70
$982.02
$1,492.28
$760.16
$834.40
$913.02
$1,192.34
$970.48
$1,044.72
$1,123.34
$1,402.66
$1,180.80
$1,255.04
$1,333.66
$1,612.98
$485.24
$522.36
$561.67
$701.33
$695.56
$732.68
$771.99
$911.65
$905.88
$943.00
$982.31
$1,121.97
$210.32
 

Silver

(HMO) Constant Care Silver 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$408.25
$463.36
$521.74
$729.13
$1,107.99
$816.50
$926.72
$1,043.48
$1,458.26
$2,215.98
$1,128.81
$1,239.03
$1,355.79
$1,770.57
$1,441.12
$1,551.34
$1,668.10
$2,082.88
$1,753.43
$1,863.65
$1,980.41
$2,395.19
$720.56
$775.67
$834.05
$1,041.44
$1,032.87
$1,087.98
$1,146.36
$1,353.75
$1,345.18
$1,400.29
$1,458.67
$1,666.06
$312.31
 

Bronze

(HMO) Core Care Bronze 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$265.98
$301.88
$339.92
$475.04
$721.86
$531.96
$603.76
$679.84
$950.08
$1,443.72
$735.43
$807.23
$883.31
$1,153.55
$938.90
$1,010.70
$1,086.78
$1,357.02
$1,142.37
$1,214.17
$1,290.25
$1,560.49
$469.45
$505.35
$543.39
$678.51
$672.92
$708.82
$746.86
$881.98
$876.39
$912.29
$950.33
$1,085.45
$203.47

‡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 Clay County here.

Clay County is in “Rating Area 10” of Florida.

Currently, there are 70 plans offered in Rating Area 10.

Escambia County Santa Rosa County Okaloosa County Walton County Holmes County Jackson County Washington County Nassau County Gadsden County Leon County Jefferson County Madison County Hamilton County Calhoun County Liberty County Duval County Columbia County Baker County Bay County Suwannee County Taylor County Wakulla County St. Johns County Lafayette County Gulf County Clay County Bradford County Union County Franklin County Alachua County Gilchrist County Putnam County Dixie County Dixie County Franklin County Franklin County Flagler County Levy County Marion County Volusia County Lake County Citrus County Sumter County Seminole County Brevard County Orange County Hernando County Pasco County Osceola County Polk County Hillsborough County Pinellas County Pinellas County Indian River County Okeechobee County Highlands County Hardee County Manatee County St. Lucie County Sarasota County DeSoto County Martin County Glades County Charlotte County Palm Beach County Hendry County Lee County Lee County Lee County Lee County Collier County Broward County Miami-Dade County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County Monroe County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019

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