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Obamacare 2021 Rates and Health Insurance Providers for Levy County , Florida


Obamacare > Rates > Florida > Levy 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 , the marketplace for Levy County, Florida.

The health insurance rates listed below are for calendar year 2021.

Obamacare Providers, Plans and 2021 Rates for Levy County, Florida

Below, you’ll find a summary of the 51 plans for Levy 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
  • 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 Williston, FL area accept this insurance coverage as within the plan's network.

2021 Obamacare Rates, Providers, and Plans for Levy County

Obamacare Rates and Providers for Other Years

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Florida Blue (BlueCross BlueShield FL)

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

 

Silver

(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / $100+ in Rewards)

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
$629,27
$714,22
$804,21
$1 123,88
$1 707,84
$1 258,54
$1 428,44
$1 608,42
$2 247,76
$3 415,68
$1 739,93
$1 909,83
$2 089,81
$2 729,15
$2 221,32
$2 391,22
$2 571,20
$3 210,54
$2 702,71
$2 872,61
$3 052,59
$3 691,93
$1 110,66
$1 195,61
$1 285,60
$1 605,27
$1 592,05
$1 677,00
$1 766,99
$2 086,66
$2 073,44
$2 158,39
$2 248,38
$2 568,05
$481,39
 

Bronze

(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,550 $17,100
Maximum Out of Pocket Per Year $8,550 $17,100
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
$389,05
$441,57
$497,21
$694,84
$1 055,88
$778,10
$883,14
$994,42
$1 389,68
$2 111,76
$1 075,72
$1 180,76
$1 292,04
$1 687,30
$1 373,34
$1 478,38
$1 589,66
$1 984,92
$1 670,96
$1 776,00
$1 887,28
$2 282,54
$686,67
$739,19
$794,83
$992,46
$984,29
$1 036,81
$1 092,45
$1 290,08
$1 281,91
$1 334,43
$1 390,07
$1 587,70
$297,62
 

Silver

(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,600 $11,200
Maximum Out of Pocket Per Year $7,800 $15,600
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
$648,03
$735,51
$828,18
$1 157,38
$1 758,75
$1 296,06
$1 471,02
$1 656,36
$2 314,76
$3 517,50
$1 791,80
$1 966,76
$2 152,10
$2 810,50
$2 287,54
$2 462,50
$2 647,84
$3 306,24
$2 783,28
$2 958,24
$3 143,58
$3 801,98
$1 143,77
$1 231,25
$1 323,92
$1 653,12
$1 639,51
$1 726,99
$1 819,66
$2 148,86
$2 135,25
$2 222,73
$2 315,40
$2 644,60
$495,74
 

Platinum

(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $4,250 $8,500
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
$758,51
$860,91
$969,38
$1 354,70
$2 058,60
$1 517,02
$1 721,82
$1 938,76
$2 709,40
$4 117,20
$2 097,28
$2 302,08
$2 519,02
$3 289,66
$2 677,54
$2 882,34
$3 099,28
$3 869,92
$3 257,80
$3 462,60
$3 679,54
$4 450,18
$1 338,77
$1 441,17
$1 549,64
$1 934,96
$1 919,03
$2 021,43
$2 129,90
$2 515,22
$2 499,29
$2 601,69
$2 710,16
$3 095,48
$580,26
 

Expanded Bronze

(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $20)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,500 $17,000
Maximum Out of Pocket Per Year $8,550 $17,100
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
$419,31
$475,92
$535,88
$748,89
$1 138,01
$838,62
$951,84
$1 071,76
$1 497,78
$2 276,02
$1 159,39
$1 272,61
$1 392,53
$1 818,55
$1 480,16
$1 593,38
$1 713,30
$2 139,32
$1 800,93
$1 914,15
$2 034,07
$2 460,09
$740,08
$796,69
$856,65
$1 069,66
$1 060,85
$1 117,46
$1 177,42
$1 390,43
$1 381,62
$1 438,23
$1 498,19
$1 711,20
$320,77
 

Platinum

(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / $100+ in Rewards)

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
$803,75
$912,26
$1 027,19
$1 435,50
$2 181,38
$1 607,50
$1 824,52
$2 054,38
$2 871,00
$4 362,76
$2 222,37
$2 439,39
$2 669,25
$3 485,87
$2 837,24
$3 054,26
$3 284,12
$4 100,74
$3 452,11
$3 669,13
$3 898,99
$4 715,61
$1 418,62
$1 527,13
$1 642,06
$2 050,37
$2 033,49
$2 142,00
$2 256,93
$2 665,24
$2 648,36
$2 756,87
$2 871,80
$3 280,11
$614,87
 

Silver

(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,550 $17,100
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
$573,64
$651,08
$733,11
$1 024,52
$1 556,86
$1 147,28
$1 302,16
$1 466,22
$2 049,04
$3 113,72
$1 586,11
$1 740,99
$1 905,05
$2 487,87
$2 024,94
$2 179,82
$2 343,88
$2 926,70
$2 463,77
$2 618,65
$2 782,71
$3 365,53
$1 012,47
$1 089,91
$1 171,94
$1 463,35
$1 451,30
$1 528,74
$1 610,77
$1 902,18
$1 890,13
$1 967,57
$2 049,60
$2 341,01
$438,83
 

Gold

(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $100+ in Rewards)

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
$638,53
$724,73
$816,04
$1 140,41
$1 732,97
$1 277,06
$1 449,46
$1 632,08
$2 280,82
$3 465,94
$1 765,54
$1 937,94
$2 120,56
$2 769,30
$2 254,02
$2 426,42
$2 609,04
$3 257,78
$2 742,50
$2 914,90
$3 097,52
$3 746,26
$1 127,01
$1 213,21
$1 304,52
$1 628,89
$1 615,49
$1 701,69
$1 793,00
$2 117,37
$2 103,97
$2 190,17
$2 281,48
$2 605,85
$488,48
 

Expanded Bronze

(EPO) BlueOptions Bronze (HSA) 1705 ($100+ in Rewards / $4 Condition Care Rx)

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
$406,32
$461,17
$519,28
$725,69
$1 102,75
$812,64
$922,34
$1 038,56
$1 451,38
$2 205,50
$1 123,47
$1 233,17
$1 349,39
$1 762,21
$1 434,30
$1 544,00
$1 660,22
$2 073,04
$1 745,13
$1 854,83
$1 971,05
$2 383,87
$717,15
$772,00
$830,11
$1 036,52
$1 027,98
$1 082,83
$1 140,94
$1 347,35
$1 338,81
$1 393,66
$1 451,77
$1 658,18
$310,83
 

Silver

(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / $100+ in Rewards)

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
$641,37
$727,95
$819,67
$1 145,49
$1 740,68
$1 282,74
$1 455,90
$1 639,34
$2 290,98
$3 481,36
$1 773,39
$1 946,55
$2 129,99
$2 781,63
$2 264,04
$2 437,20
$2 620,64
$3 272,28
$2 754,69
$2 927,85
$3 111,29
$3 762,93
$1 132,02
$1 218,60
$1 310,32
$1 636,14
$1 622,67
$1 709,25
$1 800,97
$2 126,79
$2 113,32
$2 199,90
$2 291,62
$2 617,44
$490,65
 

Expanded Bronze

(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $40 PCP Visits)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,550 $17,100
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
$418,19
$474,65
$534,45
$746,89
$1 134,97
$836,38
$949,30
$1 068,90
$1 493,78
$2 269,94
$1 156,30
$1 269,22
$1 388,82
$1 813,70
$1 476,22
$1 589,14
$1 708,74
$2 133,62
$1 796,14
$1 909,06
$2 028,66
$2 453,54
$738,11
$794,57
$854,37
$1 066,81
$1 058,03
$1 114,49
$1 174,29
$1 386,73
$1 377,95
$1 434,41
$1 494,21
$1 706,65
$319,92
 

Gold

(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $100+ in Rewards)

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
$618,33
$701,80
$790,23
$1 104,34
$1 678,15
$1 236,66
$1 403,60
$1 580,46
$2 208,68
$3 356,30
$1 709,68
$1 876,62
$2 053,48
$2 681,70
$2 182,70
$2 349,64
$2 526,50
$3 154,72
$2 655,72
$2 822,66
$2 999,52
$3 627,74
$1 091,35
$1 174,82
$1 263,25
$1 577,36
$1 564,37
$1 647,84
$1 736,27
$2 050,38
$2 037,39
$2 120,86
$2 209,29
$2 523,40
$473,02
 

Expanded Bronze

(EPO) BlueOptions Bronze 2119 ($0 Deductible / $50 PCP Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,550 $17,100
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
$447,39
$507,79
$571,76
$799,04
$1 214,22
$894,78
$1 015,58
$1 143,52
$1 598,08
$2 428,44
$1 237,03
$1 357,83
$1 485,77
$1 940,33
$1 579,28
$1 700,08
$1 828,02
$2 282,58
$1 921,53
$2 042,33
$2 170,27
$2 624,83
$789,64
$850,04
$914,01
$1 141,29
$1 131,89
$1 192,29
$1 256,26
$1 483,54
$1 474,14
$1 534,54
$1 598,51
$1 825,79
$342,25

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

 

Gold

(EPO) Ambetter Secure Care 5 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,450 $2,900
Maximum Out of Pocket Per Year $6,300 $12,600
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
$448,76
$509,33
$573,50
$801,46
$1 217,90
$897,52
$1 018,66
$1 147,00
$1 602,92
$2 435,80
$1 240,81
$1 361,95
$1 490,29
$1 946,21
$1 584,10
$1 705,24
$1 833,58
$2 289,50
$1 927,39
$2 048,53
$2 176,87
$2 632,79
$792,05
$852,62
$916,79
$1 144,75
$1 135,34
$1 195,91
$1 260,08
$1 488,04
$1 478,63
$1 539,20
$1 603,37
$1 831,33
$343,29
 

Bronze

(EPO) Ambetter Essential Care 1 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,300 $16,600
Maximum Out of Pocket Per Year $8,300 $16,600
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
$313,85
$356,21
$401,09
$560,52
$851,76
$627,70
$712,42
$802,18
$1 121,04
$1 703,52
$867,79
$952,51
$1 042,27
$1 361,13
$1 107,88
$1 192,60
$1 282,36
$1 601,22
$1 347,97
$1 432,69
$1 522,45
$1 841,31
$553,94
$596,30
$641,18
$800,61
$794,03
$836,39
$881,27
$1 040,70
$1 034,12
$1 076,48
$1 121,36
$1 280,79
$240,09
 

Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
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
$321,03
$364,36
$410,26
$573,34
$871,25
$642,06
$728,72
$820,52
$1 146,68
$1 742,50
$887,64
$974,30
$1 066,10
$1 392,26
$1 133,22
$1 219,88
$1 311,68
$1 637,84
$1 378,80
$1 465,46
$1 557,26
$1 883,42
$566,61
$609,94
$655,84
$818,92
$812,19
$855,52
$901,42
$1 064,50
$1 057,77
$1 101,10
$1 147,00
$1 310,08
$245,58
 

Expanded Bronze

(EPO) Ambetter Essential Care 10 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,400 $16,800
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
$321,61
$365,02
$411,01
$574,38
$872,83
$643,22
$730,04
$822,02
$1 148,76
$1 745,66
$889,25
$976,07
$1 068,05
$1 394,79
$1 135,28
$1 222,10
$1 314,08
$1 640,82
$1 381,31
$1 468,13
$1 560,11
$1 886,85
$567,64
$611,05
$657,04
$820,41
$813,67
$857,08
$903,07
$1 066,44
$1 059,70
$1 103,11
$1 149,10
$1 312,47
$246,03
 

Silver

(EPO) Ambetter Balanced Care 4 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $7,200 $14,400
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
$448,80
$509,38
$573,55
$801,54
$1 218,02
$897,60
$1 018,76
$1 147,10
$1 603,08
$2 436,04
$1 240,92
$1 362,08
$1 490,42
$1 946,40
$1 584,24
$1 705,40
$1 833,74
$2 289,72
$1 927,56
$2 048,72
$2 177,06
$2 633,04
$792,12
$852,70
$916,87
$1 144,86
$1 135,44
$1 196,02
$1 260,19
$1 488,18
$1 478,76
$1 539,34
$1 603,51
$1 831,50
$343,32
 

Silver

(EPO) Ambetter Balanced Care 11 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,500 $17,000
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
$437,67
$496,74
$559,33
$781,66
$1 187,81
$875,34
$993,48
$1 118,66
$1 563,32
$2 375,62
$1 210,15
$1 328,29
$1 453,47
$1 898,13
$1 544,96
$1 663,10
$1 788,28
$2 232,94
$1 879,77
$1 997,91
$2 123,09
$2 567,75
$772,48
$831,55
$894,14
$1 116,47
$1 107,29
$1 166,36
$1 228,95
$1 451,28
$1 442,10
$1 501,17
$1 563,76
$1 786,09
$334,81
 

Silver

(EPO) Ambetter Balanced Care 12 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,400 $16,800
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
$428,07
$485,84
$547,06
$764,51
$1 161,75
$856,14
$971,68
$1 094,12
$1 529,02
$2 323,50
$1 183,60
$1 299,14
$1 421,58
$1 856,48
$1 511,06
$1 626,60
$1 749,04
$2 183,94
$1 838,52
$1 954,06
$2 076,50
$2 511,40
$755,53
$813,30
$874,52
$1 091,97
$1 082,99
$1 140,76
$1 201,98
$1 419,43
$1 410,45
$1 468,22
$1 529,44
$1 746,89
$327,46
 

Silver

(EPO) Ambetter Balanced Care 24 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,450 $14,900
Maximum Out of Pocket Per Year $7,450 $14,900
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
$443,77
$503,67
$567,13
$792,56
$1 204,38
$887,54
$1 007,34
$1 134,26
$1 585,12
$2 408,76
$1 227,02
$1 346,82
$1 473,74
$1 924,60
$1 566,50
$1 686,30
$1 813,22
$2 264,08
$1 905,98
$2 025,78
$2 152,70
$2 603,56
$783,25
$843,15
$906,61
$1 132,04
$1 122,73
$1 182,63
$1 246,09
$1 471,52
$1 462,21
$1 522,11
$1 585,57
$1 811,00
$339,48
 

Silver

(EPO) Ambetter Balanced Care 29 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,450 $10,900
Maximum Out of Pocket Per Year $8,400 $16,800
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
$424,21
$481,46
$542,12
$757,62
$1 151,27
$848,42
$962,92
$1 084,24
$1 515,24
$2 302,54
$1 172,93
$1 287,43
$1 408,75
$1 839,75
$1 497,44
$1 611,94
$1 733,26
$2 164,26
$1 821,95
$1 936,45
$2 057,77
$2 488,77
$748,72
$805,97
$866,63
$1 082,13
$1 073,23
$1 130,48
$1 191,14
$1 406,64
$1 397,74
$1 454,99
$1 515,65
$1 731,15
$324,51
 

Silver

(EPO) Ambetter Balanced Care 25 HSA (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $4,800 $9,600
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
$442,61
$502,35
$565,64
$790,48
$1 201,21
$885,22
$1 004,70
$1 131,28
$1 580,96
$2 402,42
$1 223,81
$1 343,29
$1 469,87
$1 919,55
$1 562,40
$1 681,88
$1 808,46
$2 258,14
$1 900,99
$2 020,47
$2 147,05
$2 596,73
$781,20
$840,94
$904,23
$1 129,07
$1 119,79
$1 179,53
$1 242,82
$1 467,66
$1 458,38
$1 518,12
$1 581,41
$1 806,25
$338,59
 

Silver

(EPO) Ambetter Balanced Care 26 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,450 $10,900
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
$451,27
$512,18
$576,71
$805,95
$1 224,72
$902,54
$1 024,36
$1 153,42
$1 611,90
$2 449,44
$1 247,75
$1 369,57
$1 498,63
$1 957,11
$1 592,96
$1 714,78
$1 843,84
$2 302,32
$1 938,17
$2 059,99
$2 189,05
$2 647,53
$796,48
$857,39
$921,92
$1 151,16
$1 141,69
$1 202,60
$1 267,13
$1 496,37
$1 486,90
$1 547,81
$1 612,34
$1 841,58
$345,21
 

Silver

(EPO) Ambetter Balanced Care 27 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,750 $5,500
Maximum Out of Pocket Per Year $6,500 $13,000
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
$471,33
$534,95
$602,35
$841,78
$1 279,16
$942,66
$1 069,90
$1 204,70
$1 683,56
$2 558,32
$1 303,22
$1 430,46
$1 565,26
$2 044,12
$1 663,78
$1 791,02
$1 925,82
$2 404,68
$2 024,34
$2 151,58
$2 286,38
$2 765,24
$831,89
$895,51
$962,91
$1 202,34
$1 192,45
$1 256,07
$1 323,47
$1 562,90
$1 553,01
$1 616,63
$1 684,03
$1 923,46
$360,56
 

Silver

(EPO) Ambetter Balanced Care 28 (2021)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,200 $16,400
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
$480,13
$544,93
$613,59
$857,49
$1 303,04
$960,26
$1 089,86
$1 227,18
$1 714,98
$2 606,08
$1 327,55
$1 457,15
$1 594,47
$2 082,27
$1 694,84
$1 824,44
$1 961,76
$2 449,56
$2 062,13
$2 191,73
$2 329,05
$2 816,85
$847,42
$912,22
$980,88
$1 224,78
$1 214,71
$1 279,51
$1 348,17
$1 592,07
$1 582,00
$1 646,80
$1 715,46
$1 959,36
$367,29
 

Silver

(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,400 $16,800
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
$444,92
$504,97
$568,59
$794,60
$1 207,47
$889,84
$1 009,94
$1 137,18
$1 589,20
$2 414,94
$1 230,19
$1 350,29
$1 477,53
$1 929,55
$1 570,54
$1 690,64
$1 817,88
$2 269,90
$1 910,89
$2 030,99
$2 158,23
$2 610,25
$785,27
$845,32
$908,94
$1 134,95
$1 125,62
$1 185,67
$1 249,29
$1 475,30
$1 465,97
$1 526,02
$1 589,64
$1 815,65
$340,35
 

Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,900 $13,800
Maximum Out of Pocket Per Year $6,900 $13,800
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
$333,67
$378,70
$426,41
$595,91
$905,54
$667,34
$757,40
$852,82
$1 191,82
$1 811,08
$922,59
$1 012,65
$1 108,07
$1 447,07
$1 177,84
$1 267,90
$1 363,32
$1 702,32
$1 433,09
$1 523,15
$1 618,57
$1 957,57
$588,92
$633,95
$681,66
$851,16
$844,17
$889,20
$936,91
$1 106,41
$1 099,42
$1 144,45
$1 192,16
$1 361,66
$255,25
 

Gold

(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,450 $2,900
Maximum Out of Pocket Per Year $6,300 $12,600
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
$466,42
$529,37
$596,07
$833,01
$1 265,83
$932,84
$1 058,74
$1 192,14
$1 666,02
$2 531,66
$1 289,64
$1 415,54
$1 548,94
$2 022,82
$1 646,44
$1 772,34
$1 905,74
$2 379,62
$2 003,24
$2 129,14
$2 262,54
$2 736,42
$823,22
$886,17
$952,87
$1 189,81
$1 180,02
$1 242,97
$1 309,67
$1 546,61
$1 536,82
$1 599,77
$1 666,47
$1 903,41
$356,80
 

Bronze

(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,300 $16,600
Maximum Out of Pocket Per Year $8,300 $16,600
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
$326,20
$370,23
$416,87
$582,58
$885,29
$652,40
$740,46
$833,74
$1 165,16
$1 770,58
$901,94
$990,00
$1 083,28
$1 414,70
$1 151,48
$1 239,54
$1 332,82
$1 664,24
$1 401,02
$1 489,08
$1 582,36
$1 913,78
$575,74
$619,77
$666,41
$832,12
$825,28
$869,31
$915,95
$1 081,66
$1 074,82
$1 118,85
$1 165,49
$1 331,20
$249,54
 

Expanded Bronze

(EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,400 $16,800
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
$334,27
$379,39
$427,19
$596,99
$907,19
$668,54
$758,78
$854,38
$1 193,98
$1 814,38
$924,25
$1 014,49
$1 110,09
$1 449,69
$1 179,96
$1 270,20
$1 365,80
$1 705,40
$1 435,67
$1 525,91
$1 621,51
$1 961,11
$589,98
$635,10
$682,90
$852,70
$845,69
$890,81
$938,61
$1 108,41
$1 101,40
$1 146,52
$1 194,32
$1 364,12
$255,71
 

Silver

(EPO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $7,200 $14,400
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
$466,47
$529,43
$596,13
$833,09
$1 265,96
$932,94
$1 058,86
$1 192,26
$1 666,18
$2 531,92
$1 289,78
$1 415,70
$1 549,10
$2 023,02
$1 646,62
$1 772,54
$1 905,94
$2 379,86
$2 003,46
$2 129,38
$2 262,78
$2 736,70
$823,31
$886,27
$952,97
$1 189,93
$1 180,15
$1 243,11
$1 309,81
$1 546,77
$1 536,99
$1 599,95
$1 666,65
$1 903,61
$356,84
 

Silver

(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,500 $17,000
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
$454,90
$516,30
$581,35
$812,43
$1 234,56
$909,80
$1 032,60
$1 162,70
$1 624,86
$2 469,12
$1 257,79
$1 380,59
$1 510,69
$1 972,85
$1 605,78
$1 728,58
$1 858,68
$2 320,84
$1 953,77
$2 076,57
$2 206,67
$2 668,83
$802,89
$864,29
$929,34
$1 160,42
$1 150,88
$1 212,28
$1 277,33
$1 508,41
$1 498,87
$1 560,27
$1 625,32
$1 856,40
$347,99
 

Silver

(EPO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,450 $14,900
Maximum Out of Pocket Per Year $7,450 $14,900
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
$461,24
$523,50
$589,45
$823,76
$1 251,78
$922,48
$1 047,00
$1 178,90
$1 647,52
$2 503,56
$1 275,32
$1 399,84
$1 531,74
$2 000,36
$1 628,16
$1 752,68
$1 884,58
$2 353,20
$1 981,00
$2 105,52
$2 237,42
$2 706,04
$814,08
$876,34
$942,29
$1 176,60
$1 166,92
$1 229,18
$1 295,13
$1 529,44
$1 519,76
$1 582,02
$1 647,97
$1 882,28
$352,84
 

Silver

(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $4,800 $9,600
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
$460,03
$522,12
$587,90
$821,59
$1 248,49
$920,06
$1 044,24
$1 175,80
$1 643,18
$2 496,98
$1 271,97
$1 396,15
$1 527,71
$1 995,09
$1 623,88
$1 748,06
$1 879,62
$2 347,00
$1 975,79
$2 099,97
$2 231,53
$2 698,91
$811,94
$874,03
$939,81
$1 173,50
$1 163,85
$1 225,94
$1 291,72
$1 525,41
$1 515,76
$1 577,85
$1 643,63
$1 877,32
$351,91
 

Silver

(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,450 $10,900
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
$469,03
$532,34
$599,41
$837,67
$1 272,92
$938,06
$1 064,68
$1 198,82
$1 675,34
$2 545,84
$1 296,86
$1 423,48
$1 557,62
$2 034,14
$1 655,66
$1 782,28
$1 916,42
$2 392,94
$2 014,46
$2 141,08
$2 275,22
$2 751,74
$827,83
$891,14
$958,21
$1 196,47
$1 186,63
$1 249,94
$1 317,01
$1 555,27
$1 545,43
$1 608,74
$1 675,81
$1 914,07
$358,80
 

Silver

(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,750 $5,500
Maximum Out of Pocket Per Year $6,500 $13,000
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
$489,88
$556,00
$626,06
$874,91
$1 329,51
$979,76
$1 112,00
$1 252,12
$1 749,82
$2 659,02
$1 354,51
$1 486,75
$1 626,87
$2 124,57
$1 729,26
$1 861,50
$2 001,62
$2 499,32
$2 104,01
$2 236,25
$2 376,37
$2 874,07
$864,63
$930,75
$1 000,81
$1 249,66
$1 239,38
$1 305,50
$1 375,56
$1 624,41
$1 614,13
$1 680,25
$1 750,31
$1 999,16
$374,75
 

Silver

(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,200 $16,400
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
$499,02
$566,38
$637,74
$891,24
$1 354,32
$998,04
$1 132,76
$1 275,48
$1 782,48
$2 708,64
$1 379,79
$1 514,51
$1 657,23
$2 164,23
$1 761,54
$1 896,26
$2 038,98
$2 545,98
$2 143,29
$2 278,01
$2 420,73
$2 927,73
$880,77
$948,13
$1 019,49
$1 272,99
$1 262,52
$1 329,88
$1 401,24
$1 654,74
$1 644,27
$1 711,63
$1 782,99
$2 036,49
$381,75

ADVERTISEMENT

Florida Blue HMO (a BlueCross BlueShield FL company)

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

 

Silver

(HMO) BlueCare Silver 1490 ($0 Virtual Visits / $100+ in Rewards)

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
$508,06
$576,65
$649,30
$907,40
$1 378,87
$1 016,12
$1 153,30
$1 298,60
$1 814,80
$2 757,74
$1 404,79
$1 541,97
$1 687,27
$2 203,47
$1 793,46
$1 930,64
$2 075,94
$2 592,14
$2 182,13
$2 319,31
$2 464,61
$2 980,81
$896,73
$965,32
$1 037,97
$1 296,07
$1 285,40
$1 353,99
$1 426,64
$1 684,74
$1 674,07
$1 742,66
$1 815,31
$2 073,41
$388,67
 

Bronze

(HMO) BlueCare Bronze 1486 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,550 $17,100
Maximum Out of Pocket Per Year $8,550 $17,100
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
$322,15
$365,64
$411,71
$575,36
$874,32
$644,30
$731,28
$823,42
$1 150,72
$1 748,64
$890,74
$977,72
$1 069,86
$1 397,16
$1 137,18
$1 224,16
$1 316,30
$1 643,60
$1 383,62
$1 470,60
$1 562,74
$1 890,04
$568,59
$612,08
$658,15
$821,80
$815,03
$858,52
$904,59
$1 068,24
$1 061,47
$1 104,96
$1 151,03
$1 314,68
$246,44
 

Silver

(HMO) BlueCare Silver 1498 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,600 $11,200
Maximum Out of Pocket Per Year $7,800 $15,600
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
$512,28
$581,44
$654,69
$914,93
$1 390,33
$1 024,56
$1 162,88
$1 309,38
$1 829,86
$2 780,66
$1 416,45
$1 554,77
$1 701,27
$2 221,75
$1 808,34
$1 946,66
$2 093,16
$2 613,64
$2 200,23
$2 338,55
$2 485,05
$3 005,53
$904,17
$973,33
$1 046,58
$1 306,82
$1 296,06
$1 365,22
$1 438,47
$1 698,71
$1 687,95
$1 757,11
$1 830,36
$2 090,60
$391,89
 

Platinum

(HMO) BlueCare Platinum 1485 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $4,250 $8,500
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
$553,36
$628,06
$707,19
$988,30
$1 501,82
$1 106,72
$1 256,12
$1 414,38
$1 976,60
$3 003,64
$1 530,04
$1 679,44
$1 837,70
$2 399,92
$1 953,36
$2 102,76
$2 261,02
$2 823,24
$2 376,68
$2 526,08
$2 684,34
$3 246,56
$976,68
$1 051,38
$1 130,51
$1 411,62
$1 400,00
$1 474,70
$1 553,83
$1 834,94
$1 823,32
$1 898,02
$1 977,15
$2 258,26
$423,32
 

Expanded Bronze

(HMO) BlueCare Bronze 1483 ($0 Virtual Visits / 3 PCP Visits for $20)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,500 $17,000
Maximum Out of Pocket Per Year $8,550 $17,100
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
$357,73
$406,02
$457,18
$638,91
$970,88
$715,46
$812,04
$914,36
$1 277,82
$1 941,76
$989,12
$1 085,70
$1 188,02
$1 551,48
$1 262,78
$1 359,36
$1 461,68
$1 825,14
$1 536,44
$1 633,02
$1 735,34
$2 098,80
$631,39
$679,68
$730,84
$912,57
$905,05
$953,34
$1 004,50
$1 186,23
$1 178,71
$1 227,00
$1 278,16
$1 459,89
$273,66
 

Platinum

(HMO) BlueCare Platinum 1491 ($0 Virtual Visits / $100+ in Rewards)

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
$597,28
$677,91
$763,32
$1 066,74
$1 621,02
$1 194,56
$1 355,82
$1 526,64
$2 133,48
$3 242,04
$1 651,48
$1 812,74
$1 983,56
$2 590,40
$2 108,40
$2 269,66
$2 440,48
$3 047,32
$2 565,32
$2 726,58
$2 897,40
$3 504,24
$1 054,20
$1 134,83
$1 220,24
$1 523,66
$1 511,12
$1 591,75
$1 677,16
$1 980,58
$1 968,04
$2 048,67
$2 134,08
$2 437,50
$456,92
 

Silver

(HMO) BlueCare Silver 1477 ($0 Virtual Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,550 $17,100
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
$434,39
$493,03
$555,15
$775,82
$1 178,93
$868,78
$986,06
$1 110,30
$1 551,64
$2 357,86
$1 201,09
$1 318,37
$1 442,61
$1 883,95
$1 533,40
$1 650,68
$1 774,92
$2 216,26
$1 865,71
$1 982,99
$2 107,23
$2 548,57
$766,70
$825,34
$887,46
$1 108,13
$1 099,01
$1 157,65
$1 219,77
$1 440,44
$1 431,32
$1 489,96
$1 552,08
$1 772,75
$332,31
 

Gold

(HMO) BlueCare Gold 1565 ($0 Virtual Visits / $100+ in Rewards)

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
$510,85
$579,81
$652,87
$912,38
$1 386,45
$1 021,70
$1 159,62
$1 305,74
$1 824,76
$2 772,90
$1 412,50
$1 550,42
$1 696,54
$2 215,56
$1 803,30
$1 941,22
$2 087,34
$2 606,36
$2 194,10
$2 332,02
$2 478,14
$2 997,16
$901,65
$970,61
$1 043,67
$1 303,18
$1 292,45
$1 361,41
$1 434,47
$1 693,98
$1 683,25
$1 752,21
$1 825,27
$2 084,78
$390,80
 

Expanded Bronze

(HMO) BlueCare Bronze (HSA) 1765 ($100+ in Rewards / $4 Condition Care Rx)

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
$340,36
$386,31
$434,98
$607,88
$923,74
$680,72
$772,62
$869,96
$1 215,76
$1 847,48
$941,10
$1 033,00
$1 130,34
$1 476,14
$1 201,48
$1 293,38
$1 390,72
$1 736,52
$1 461,86
$1 553,76
$1 651,10
$1 996,90
$600,74
$646,69
$695,36
$868,26
$861,12
$907,07
$955,74
$1 128,64
$1 121,50
$1 167,45
$1 216,12
$1 389,02
$260,38
 

Silver

(HMO) BlueCare Silver 1766S ($0 Virtual Visits / $100+ in Rewards)

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
$504,08
$572,13
$644,21
$900,29
$1 368,07
$1 008,16
$1 144,26
$1 288,42
$1 800,58
$2 736,14
$1 393,78
$1 529,88
$1 674,04
$2 186,20
$1 779,40
$1 915,50
$2 059,66
$2 571,82
$2 165,02
$2 301,12
$2 445,28
$2 957,44
$889,70
$957,75
$1 029,83
$1 285,91
$1 275,32
$1 343,37
$1 415,45
$1 671,53
$1 660,94
$1 728,99
$1 801,07
$2 057,15
$385,62
 

Expanded Bronze

(HMO) BlueCare Bronze 1767S ($0 Virtual Visits / $40 PCP Visits)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,550 $17,100
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
$355,87
$403,91
$454,80
$635,58
$965,83
$711,74
$807,82
$909,60
$1 271,16
$1 931,66
$983,98
$1 080,06
$1 181,84
$1 543,40
$1 256,22
$1 352,30
$1 454,08
$1 815,64
$1 528,46
$1 624,54
$1 726,32
$2 087,88
$628,11
$676,15
$727,04
$907,82
$900,35
$948,39
$999,28
$1 180,06
$1 172,59
$1 220,63
$1 271,52
$1 452,30
$272,24
 

Gold

(HMO) BlueCare Gold 1865 ($0 Virtual Visits / $100+ in Rewards)

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
$489,85
$555,98
$626,03
$874,87
$1 329,45
$979,70
$1 111,96
$1 252,06
$1 749,74
$2 658,90
$1 354,44
$1 486,70
$1 626,80
$2 124,48
$1 729,18
$1 861,44
$2 001,54
$2 499,22
$2 103,92
$2 236,18
$2 376,28
$2 873,96
$864,59
$930,72
$1 000,77
$1 249,61
$1 239,33
$1 305,46
$1 375,51
$1 624,35
$1 614,07
$1 680,20
$1 750,25
$1 999,09
$374,74
 

Expanded Bronze

(HMO) BlueCare Bronze 2179 ($0 Deductible / $50 PCP Visits / $100+ in Rewards)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,550 $17,100
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
$390,27
$442,96
$498,77
$697,02
$1 059,19
$780,54
$885,92
$997,54
$1 394,04
$2 118,38
$1 079,10
$1 184,48
$1 296,10
$1 692,60
$1 377,66
$1 483,04
$1 594,66
$1 991,16
$1 676,22
$1 781,60
$1 893,22
$2 289,72
$688,83
$741,52
$797,33
$995,58
$987,39
$1 040,08
$1 095,89
$1 294,14
$1 285,95
$1 338,64
$1 394,45
$1 592,70
$298,56

‡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 Levy County here.

Levy County is in “Rating Area 37” of Florida.

Currently, there are 51 plans offered in Rating Area 37.

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 2020 2021

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