Florida

Obamacare 2018 Rates

Florida Obamacare 2018 Rates

 
Trenton, FL

Obamacare 2018 Rates and Health Insurance Providers for Gilchrist County,Trenton,FL


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 Gilchrist County, Florida.

Obamacare Providers, Plans and 2018 Rates for Gilchrist County

Gilchrist County is in “Rating Area 20” of Florida.

Currently, there are 24 plans offered in Rating Area 20.

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 Trenton, FL area accept this insurance coverage as within the plan's "network".

2018 Obamacare Rates Providers, Plans for Gilchrist County

Blue Cross and Blue Shield of Florida

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583

TTY: 1-800-955-8771

Silver

Plan: (EPO) BlueOptions Silver 1423

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $5,950 : Family: $11,900
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
Silver 21
30
40
50
60		 $606.33
$688.18
$774.89
$1,082.91
$1,645.58		 $1,212.66
$1,376.36
$1,549.78
$2,165.82
$3,291.16		 $1,676.50
$1,840.20
$2,013.62
$2,629.66		 $2,140.34
$2,304.04
$2,477.46
$3,093.50		 $2,604.18
$2,767.88
$2,941.30
$3,557.34		 $1,070.17
$1,152.02
$1,238.73
$1,546.75		 $1,534.01
$1,615.86
$1,702.57
$2,010.59		 $1,997.85
$2,079.70
$2,166.41
$2,474.43		 $463.84

Bronze

Plan: (EPO) BlueOptions Bronze 1419

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

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
Bronze 21
30
40
50
60		 $340.47
$386.43
$435.12
$608.08
$924.04		 $680.94
$772.86
$870.24
$1,216.16
$1,848.08		 $941.40
$1,033.32
$1,130.70
$1,476.62		 $1,201.86
$1,293.78
$1,391.16
$1,737.08		 $1,462.32
$1,554.24
$1,651.62
$1,997.54		 $600.93
$646.89
$695.58
$868.54		 $861.39
$907.35
$956.04
$1,129.00		 $1,121.85
$1,167.81
$1,216.50
$1,389.46		 $260.46

Silver

Plan: (EPO) BlueOptions Silver 1431

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $5,450 : Family: $10,900
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

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		 $628.22
$713.03
$802.87
$1,122.00
$1,704.99		 $1,256.44
$1,426.06
$1,605.74
$2,244.00
$3,409.98		 $1,737.03
$1,906.65
$2,086.33
$2,724.59		 $2,217.62
$2,387.24
$2,566.92
$3,205.18		 $2,698.21
$2,867.83
$3,047.51
$3,685.77		 $1,108.81
$1,193.62
$1,283.46
$1,602.59		 $1,589.40
$1,674.21
$1,764.05
$2,083.18		 $2,069.99
$2,154.80
$2,244.64
$2,563.77		 $480.59

Platinum

Plan: (EPO) BlueOptions Platinum 1418

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000

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
Platinum 21
30
40
50
60		 $771.94
$876.15
$986.54
$1,378.68
$2,095.05		 $1,543.88
$1,752.30
$1,973.08
$2,757.36
$4,190.10		 $2,134.41
$2,342.83
$2,563.61
$3,347.89		 $2,724.94
$2,933.36
$3,154.14
$3,938.42		 $3,315.47
$3,523.89
$3,744.67
$4,528.95		 $1,362.47
$1,466.68
$1,577.07
$1,969.21		 $1,953.00
$2,057.21
$2,167.60
$2,559.74		 $2,543.53
$2,647.74
$2,758.13
$3,150.27		 $590.53

Expanded Bronze

Plan: (EPO) BlueOptions Bronze 1416

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,400 : Family: $12,800
Out of Pocket Maximum per year: Individual: $6,900 : Family: $13,800

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		 $370.48
$420.49
$473.47
$661.68
$1,005.48		 $740.96
$840.98
$946.94
$1,323.36
$2,010.96		 $1,024.38
$1,124.40
$1,230.36
$1,606.78		 $1,307.80
$1,407.82
$1,513.78
$1,890.20		 $1,591.22
$1,691.24
$1,797.20
$2,173.62		 $653.90
$703.91
$756.89
$945.10		 $937.32
$987.33
$1,040.31
$1,228.52		 $1,220.74
$1,270.75
$1,323.73
$1,511.94		 $283.42

Platinum

Plan: (EPO) BlueOptions Platinum 1424

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

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
Platinum 21
30
40
50
60		 $791.29
$898.11
$1,011.27
$1,413.24
$2,147.56		 $1,582.58
$1,796.22
$2,022.54
$2,826.48
$4,295.12		 $2,187.92
$2,401.56
$2,627.88
$3,431.82		 $2,793.26
$3,006.90
$3,233.22
$4,037.16		 $3,398.60
$3,612.24
$3,838.56
$4,642.50		 $1,396.63
$1,503.45
$1,616.61
$2,018.58		 $2,001.97
$2,108.79
$2,221.95
$2,623.92		 $2,607.31
$2,714.13
$2,827.29
$3,229.26		 $605.34

Gold

Plan: (EPO) BlueOptions Gold 1805

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

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		 $585.97
$665.08
$748.87
$1,046.54
$1,590.32		 $1,171.94
$1,330.16
$1,497.74
$2,093.08
$3,180.64		 $1,620.21
$1,778.43
$1,946.01
$2,541.35		 $2,068.48
$2,226.70
$2,394.28
$2,989.62		 $2,516.75
$2,674.97
$2,842.55
$3,437.89		 $1,034.24
$1,113.35
$1,197.14
$1,494.81		 $1,482.51
$1,561.62
$1,645.41
$1,943.08		 $1,930.78
$2,009.89
$2,093.68
$2,391.35		 $448.27

Silver

Plan: (EPO) BlueOptions Silver 1410

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,050 : Family: $12,100
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		 $563.47
$639.54
$720.11
$1,006.36
$1,529.26		 $1,126.94
$1,279.08
$1,440.22
$2,012.72
$3,058.52		 $1,557.99
$1,710.13
$1,871.27
$2,443.77		 $1,989.04
$2,141.18
$2,302.32
$2,874.82		 $2,420.09
$2,572.23
$2,733.37
$3,305.87		 $994.52
$1,070.59
$1,151.16
$1,437.41		 $1,425.57
$1,501.64
$1,582.21
$1,868.46		 $1,856.62
$1,932.69
$2,013.26
$2,299.51		 $431.05

Gold

Plan: (EPO) BlueOptions Gold 1505

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

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		 $613.26
$696.05
$783.75
$1,095.28
$1,664.39		 $1,226.52
$1,392.10
$1,567.50
$2,190.56
$3,328.78		 $1,695.66
$1,861.24
$2,036.64
$2,659.70		 $2,164.80
$2,330.38
$2,505.78
$3,128.84		 $2,633.94
$2,799.52
$2,974.92
$3,597.98		 $1,082.40
$1,165.19
$1,252.89
$1,564.42		 $1,551.54
$1,634.33
$1,722.03
$2,033.56		 $2,020.68
$2,103.47
$2,191.17
$2,502.70		 $469.14

Bronze

Plan: (EPO) BlueOptions Bronze (HSA) 1705

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,000 : Family: $12,000
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
Bronze 21
30
40
50
60		 $354.32
$402.15
$452.82
$632.82
$961.62		 $708.64
$804.30
$905.64
$1,265.64
$1,923.24		 $979.69
$1,075.35
$1,176.69
$1,536.69		 $1,250.74
$1,346.40
$1,447.74
$1,807.74		 $1,521.79
$1,617.45
$1,718.79
$2,078.79		 $625.37
$673.20
$723.87
$903.87		 $896.42
$944.25
$994.92
$1,174.92		 $1,167.47
$1,215.30
$1,265.97
$1,445.97		 $271.05

Silver

Plan: (EPO) BlueOptions Silver 1706S

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $3,500 : Family: $7,000
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		 $624.39
$708.68
$797.97
$1,115.16
$1,694.59		 $1,248.78
$1,417.36
$1,595.94
$2,230.32
$3,389.18		 $1,726.44
$1,895.02
$2,073.60
$2,707.98		 $2,204.10
$2,372.68
$2,551.26
$3,185.64		 $2,681.76
$2,850.34
$3,028.92
$3,663.30		 $1,102.05
$1,186.34
$1,275.63
$1,592.82		 $1,579.71
$1,664.00
$1,753.29
$2,070.48		 $2,057.37
$2,141.66
$2,230.95
$2,548.14		 $477.66

Expanded Bronze

Plan: (EPO) BlueOptions Bronze 1707S

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,650 : Family: $13,300
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		 $357.36
$405.60
$456.71
$638.24
$969.88		 $714.72
$811.20
$913.42
$1,276.48
$1,939.76		 $988.10
$1,084.58
$1,186.80
$1,549.86		 $1,261.48
$1,357.96
$1,460.18
$1,823.24		 $1,534.86
$1,631.34
$1,733.56
$2,096.62		 $630.74
$678.98
$730.09
$911.62		 $904.12
$952.36
$1,003.47
$1,185.00		 $1,177.50
$1,225.74
$1,276.85
$1,458.38		 $273.38

Health Options, Inc.

Local: 1-800-352-2583 | Toll Free: 1-800-352-2583

TTY: 1-800-955-8771

Silver

Plan: (HMO) BlueCare Silver 1490

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $5,950 : Family: $11,900
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
Silver 21
30
40
50
60		 $487.52
$553.34
$623.05
$870.71
$1,323.13		 $975.04
$1,106.68
$1,246.10
$1,741.42
$2,646.26		 $1,347.99
$1,479.63
$1,619.05
$2,114.37		 $1,720.94
$1,852.58
$1,992.00
$2,487.32		 $2,093.89
$2,225.53
$2,364.95
$2,860.27		 $860.47
$926.29
$996.00
$1,243.66		 $1,233.42
$1,299.24
$1,368.95
$1,616.61		 $1,606.37
$1,672.19
$1,741.90
$1,989.56		 $372.95

Bronze

Plan: (HMO) BlueCare Bronze 1486

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

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
Bronze 21
30
40
50
60		 $287.10
$325.86
$366.91
$512.76
$779.19		 $574.20
$651.72
$733.82
$1,025.52
$1,558.38		 $793.83
$871.35
$953.45
$1,245.15		 $1,013.46
$1,090.98
$1,173.08
$1,464.78		 $1,233.09
$1,310.61
$1,392.71
$1,684.41		 $506.73
$545.49
$586.54
$732.39		 $726.36
$765.12
$806.17
$952.02		 $945.99
$984.75
$1,025.80
$1,171.65		 $219.63

Silver

Plan: (HMO) BlueCare Silver 1498

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $5,450 : Family: $10,900
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

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		 $492.51
$559.00
$629.43
$879.62
$1,336.67		 $985.02
$1,118.00
$1,258.86
$1,759.24
$2,673.34		 $1,361.79
$1,494.77
$1,635.63
$2,136.01		 $1,738.56
$1,871.54
$2,012.40
$2,512.78		 $2,115.33
$2,248.31
$2,389.17
$2,889.55		 $869.28
$935.77
$1,006.20
$1,256.39		 $1,246.05
$1,312.54
$1,382.97
$1,633.16		 $1,622.82
$1,689.31
$1,759.74
$2,009.93		 $376.77

Platinum

Plan: (HMO) BlueCare Platinum 1485

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $800 : Family: $1,600
Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000

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
Platinum 21
30
40
50
60		 $571.07
$648.16
$729.83
$1,019.93
$1,549.88		 $1,142.14
$1,296.32
$1,459.66
$2,039.86
$3,099.76		 $1,579.01
$1,733.19
$1,896.53
$2,476.73		 $2,015.88
$2,170.06
$2,333.40
$2,913.60		 $2,452.75
$2,606.93
$2,770.27
$3,350.47		 $1,007.94
$1,085.03
$1,166.70
$1,456.80		 $1,444.81
$1,521.90
$1,603.57
$1,893.67		 $1,881.68
$1,958.77
$2,040.44
$2,330.54		 $436.87

Expanded Bronze

Plan: (HMO) BlueCare Bronze 1483

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,400 : Family: $12,800
Out of Pocket Maximum per year: Individual: $6,900 : Family: $13,800

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		 $320.89
$364.21
$410.10
$573.11
$870.90		 $641.78
$728.42
$820.20
$1,146.22
$1,741.80		 $887.26
$973.90
$1,065.68
$1,391.70		 $1,132.74
$1,219.38
$1,311.16
$1,637.18		 $1,378.22
$1,464.86
$1,556.64
$1,882.66		 $566.37
$609.69
$655.58
$818.59		 $811.85
$855.17
$901.06
$1,064.07		 $1,057.33
$1,100.65
$1,146.54
$1,309.55		 $245.48

Platinum

Plan: (HMO) BlueCare Platinum 1491

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000

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
Platinum 21
30
40
50
60		 $591.24
$671.06
$755.60
$1,055.95
$1,604.63		 $1,182.48
$1,342.12
$1,511.20
$2,111.90
$3,209.26		 $1,634.78
$1,794.42
$1,963.50
$2,564.20		 $2,087.08
$2,246.72
$2,415.80
$3,016.50		 $2,539.38
$2,699.02
$2,868.10
$3,468.80		 $1,043.54
$1,123.36
$1,207.90
$1,508.25		 $1,495.84
$1,575.66
$1,660.20
$1,960.55		 $1,948.14
$2,027.96
$2,112.50
$2,412.85		 $452.30

Silver

Plan: (HMO) BlueCare Silver 1477

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,050 : Family: $12,100
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		 $428.43
$486.27
$547.53
$765.18
$1,162.76		 $856.86
$972.54
$1,095.06
$1,530.36
$2,325.52		 $1,184.61
$1,300.29
$1,422.81
$1,858.11		 $1,512.36
$1,628.04
$1,750.56
$2,185.86		 $1,840.11
$1,955.79
$2,078.31
$2,513.61		 $756.18
$814.02
$875.28
$1,092.93		 $1,083.93
$1,141.77
$1,203.03
$1,420.68		 $1,411.68
$1,469.52
$1,530.78
$1,748.43		 $327.75

Gold

Plan: (HMO) BlueCare Gold 1565

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

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		 $507.30
$575.79
$648.33
$906.04
$1,376.81		 $1,014.60
$1,151.58
$1,296.66
$1,812.08
$2,753.62		 $1,402.68
$1,539.66
$1,684.74
$2,200.16		 $1,790.76
$1,927.74
$2,072.82
$2,588.24		 $2,178.84
$2,315.82
$2,460.90
$2,976.32		 $895.38
$963.87
$1,036.41
$1,294.12		 $1,283.46
$1,351.95
$1,424.49
$1,682.20		 $1,671.54
$1,740.03
$1,812.57
$2,070.28		 $388.08

Bronze

Plan: (HMO) BlueCare Bronze (HSA) 1765

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,000 : Family: $12,000
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
Bronze 21
30
40
50
60		 $301.81
$342.55
$385.71
$539.03
$819.11		 $603.62
$685.10
$771.42
$1,078.06
$1,638.22		 $834.50
$915.98
$1,002.30
$1,308.94		 $1,065.38
$1,146.86
$1,233.18
$1,539.82		 $1,296.26
$1,377.74
$1,464.06
$1,770.70		 $532.69
$573.43
$616.59
$769.91		 $763.57
$804.31
$847.47
$1,000.79		 $994.45
$1,035.19
$1,078.35
$1,231.67		 $230.88

Silver

Plan: (HMO) BlueCare Silver 1766S

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $3,500 : Family: $7,000
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		 $486.79
$552.51
$622.12
$869.41
$1,321.15		 $973.58
$1,105.02
$1,244.24
$1,738.82
$2,642.30		 $1,345.97
$1,477.41
$1,616.63
$2,111.21		 $1,718.36
$1,849.80
$1,989.02
$2,483.60		 $2,090.75
$2,222.19
$2,361.41
$2,855.99		 $859.18
$924.90
$994.51
$1,241.80		 $1,231.57
$1,297.29
$1,366.90
$1,614.19		 $1,603.96
$1,669.68
$1,739.29
$1,986.58		 $372.39

Expanded Bronze

Plan: (HMO) BlueCare Bronze 1767S

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $6,650 : Family: $13,300
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		 $304.60
$345.72
$389.28
$544.02
$826.68		 $609.20
$691.44
$778.56
$1,088.04
$1,653.36		 $842.22
$924.46
$1,011.58
$1,321.06		 $1,075.24
$1,157.48
$1,244.60
$1,554.08		 $1,308.26
$1,390.50
$1,477.62
$1,787.10		 $537.62
$578.74
$622.30
$777.04		 $770.64
$811.76
$855.32
$1,010.06		 $1,003.66
$1,044.78
$1,088.34
$1,243.08		 $233.02

Gold

Plan: (HMO) BlueCare Gold 1865

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Health Options, Inc.)
Customer Service Phone: 1-800-352-2583

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

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		 $479.79
$544.56
$613.17
$856.90
$1,302.15		 $959.58
$1,089.12
$1,226.34
$1,713.80
$2,604.30		 $1,326.62
$1,456.16
$1,593.38
$2,080.84		 $1,693.66
$1,823.20
$1,960.42
$2,447.88		 $2,060.70
$2,190.24
$2,327.46
$2,814.92		 $846.83
$911.60
$980.21
$1,223.94		 $1,213.87
$1,278.64
$1,347.25
$1,590.98		 $1,580.91
$1,645.68
$1,714.29
$1,958.02		 $367.04

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Gilchrist County here.

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