Obamacare 2022 Rates and Health Insurance Providers for Seminole County , Florida
Obamacare > Rates > Florida > Seminole County
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |
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 Seminole County, FL.
The health insurance rates listed below are for calendar year 2022.
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 Oviedo, FL area accept this insurance coverage as within the plan's network.
Obamacare Providers, Plans and 2022 Rates for Seminole County, Florida
Below, you’ll find a summary of the 180 plans for Seminole County, Florida and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021 2022
You may also be interested in:
-
Do I Qualify For a Tax Credit to Pay My Premiums?
-
How do I sign up in Florida?
-
Using a Broker to Help You Sign Up
How To Sign Up for Obamacare in Florida
For 2022 health plans, Florida open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)
To get covered, you can go directly to the online health insurance marketplace for Florida. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.
Where's the Florida Health Care Exchange?
You can find the health insurance exchange for Florida at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.
Florida Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?
The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Florida in 2021, that’s $17,609. For a family of four, it’s $36,156.)
However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.
Florida Has Not Expanded Medicaid
Florida may put Medicaid expansion on the ballot in 2022. For now, because Florida has not yet expanded Medicaid eligibility, you may have fewer options for health coverage than people in states where Medicaid is more inclusive.
The Medicaid Coverage Gap
The Affordable Care Act assumed that Medicaid would be expanded to cover all Americans with incomes at or below 138% of the federal poverty level. And it created health plan subsidies for people with incomes between 100% - 400% of the poverty level.
That means Florida residents with incomes below the poverty level may fall into a coverage gap where they can get neither Medicaid nor ACA subsidies.
Get Help Finding a Health Insurance Plan in Florida
Get Help From Florida's Health Insurance Exchange
The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Florida.
Help by phone: 800-318-2596 (TTY: 855-889-4325)
In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.
Get Help From a Licensed Insurance Broker
To directly connect with a Florida insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)
More Information
For more detailed information, see How Do I Sign Up for Obamacare in Florida?
-
Seminole County, FL Obamacare Rates
- General Info
- Rates
- How To Sign Up for Obamacare in Florida
- Can I Use a Paper Application to Get Obamacare?
- Where can I get in-person help with my application?
- Information & Documents to Have on Hand
- How an Insurance Agent or Broker Can Help You Sign Up for Obamacare in Florida
- What Happens If I Missed the Florida Obamacare Enrollment Deadline for 2022?
ADVERTISEMENT |
||||||||||
Bright HealthLocal: 1-855-521-9335 | Toll Free: 1-855-521-9335 |
Toc - Plan #2 Bright Health | |||||||||||||||||||
Silver
(EPO) Silver 5000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,000
| Family:
$10,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$381,25 $432,71 $487,23 $680,90 $1 034,70 |
$672,90 $724,36 $778,88 $972,55 |
$964,55 $1 016,01 $1 070,53 $1 264,20 |
$1 256,20 $1 307,66 $1 362,18 $1 555,85 |
$291,65 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$762,50 $865,42 $974,46 $1 361,80 $2 069,40 |
$1 054,15 $1 157,07 $1 266,11 $1 653,45 |
$1 345,80 $1 448,72 $1 557,76 $1 945,10 |
$1 637,45 $1 740,37 $1 849,41 $2 236,75 |
$291,65 |
Toc - Plan #3 Bright Health | |||||||||||||||||||
Silver
(EPO) Silver 3000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,000
| Family:
$6,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$395,39 $448,76 $505,30 $706,16 $1 073,08 |
$697,86 $751,23 $807,77 $1 008,63 |
$1 000,33 $1 053,70 $1 110,24 $1 311,10 |
$1 302,80 $1 356,17 $1 412,71 $1 613,57 |
$302,47 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$790,78 $897,52 $1 010,60 $1 412,32 $2 146,16 |
$1 093,25 $1 199,99 $1 313,07 $1 714,79 |
$1 395,72 $1 502,46 $1 615,54 $2 017,26 |
$1 698,19 $1 804,93 $1 918,01 $2 319,73 |
$302,47 |
Toc - Plan #4 Bright Health | |||||||||||||||||||
Silver
(EPO) Silver $0 Deductible |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$413,71 $469,57 $528,73 $738,89 $1 122,82 |
$730,20 $786,06 $845,22 $1 055,38 |
$1 046,69 $1 102,55 $1 161,71 $1 371,87 |
$1 363,18 $1 419,04 $1 478,20 $1 688,36 |
$316,49 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$827,42 $939,14 $1 057,46 $1 477,78 $2 245,64 |
$1 143,91 $1 255,63 $1 373,95 $1 794,27 |
$1 460,40 $1 572,12 $1 690,44 $2 110,76 |
$1 776,89 $1 888,61 $2 006,93 $2 427,25 |
$316,49 |
Toc - Plan #5 Bright Health | |||||||||||||||||||
Expanded Bronze
(EPO) Bronze 8550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$286,49 $325,17 $366,14 $511,68 $777,54 |
$505,66 $544,34 $585,31 $730,85 |
$724,83 $763,51 $804,48 $950,02 |
$944,00 $982,68 $1 023,65 $1 169,19 |
$219,17 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$572,98 $650,34 $732,28 $1 023,36 $1 555,08 |
$792,15 $869,51 $951,45 $1 242,53 |
$1 011,32 $1 088,68 $1 170,62 $1 461,70 |
$1 230,49 $1 307,85 $1 389,79 $1 680,87 |
$219,17 |
Toc - Plan #6 Bright Health | |||||||||||||||||||
Expanded Bronze
(EPO) Bronze 5900 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,900
| Family:
$11,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$298,28 $338,54 $381,20 $532,72 $809,52 |
$526,46 $566,72 $609,38 $760,90 |
$754,64 $794,90 $837,56 $989,08 |
$982,82 $1 023,08 $1 065,74 $1 217,26 |
$228,18 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$596,56 $677,08 $762,40 $1 065,44 $1 619,04 |
$824,74 $905,26 $990,58 $1 293,62 |
$1 052,92 $1 133,44 $1 218,76 $1 521,80 |
$1 281,10 $1 361,62 $1 446,94 $1 749,98 |
$228,18 |
Toc - Plan #7 Bright Health | |||||||||||||||||||
Expanded Bronze
(EPO) Bronze 7000 HSA |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$339,86 $385,74 $434,34 $606,99 $922,38 |
$599,85 $645,73 $694,33 $866,98 |
$859,84 $905,72 $954,32 $1 126,97 |
$1 119,83 $1 165,71 $1 214,31 $1 386,96 |
$259,99 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$679,72 $771,48 $868,68 $1 213,98 $1 844,76 |
$939,71 $1 031,47 $1 128,67 $1 473,97 |
$1 199,70 $1 291,46 $1 388,66 $1 733,96 |
$1 459,69 $1 551,45 $1 648,65 $1 993,95 |
$259,99 |
Toc - Plan #8 Bright Health | |||||||||||||||||||
Catastrophic
(EPO) Catastrophic 3 $0 PCP Visits |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$234,72 $266,41 $299,97 $419,21 $637,03 |
$414,28 $445,97 $479,53 $598,77 |
$593,84 $625,53 $659,09 $778,33 |
$773,40 $805,09 $838,65 $957,89 |
$179,56 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$469,44 $532,82 $599,94 $838,42 $1 274,06 |
$649,00 $712,38 $779,50 $1 017,98 |
$828,56 $891,94 $959,06 $1 197,54 |
$1 008,12 $1 071,50 $1 138,62 $1 377,10 |
$179,56 |
Toc - Plan #9 Bright Health | |||||||||||||||||||
Silver
(EPO) Silver $0 Primary Care |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,700
| Family:
$13,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$395,33 $448,70 $505,23 $706,06 $1 072,93 |
$697,76 $751,13 $807,66 $1 008,49 |
$1 000,19 $1 053,56 $1 110,09 $1 310,92 |
$1 302,62 $1 355,99 $1 412,52 $1 613,35 |
$302,43 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$790,66 $897,40 $1 010,46 $1 412,12 $2 145,86 |
$1 093,09 $1 199,83 $1 312,89 $1 714,55 |
$1 395,52 $1 502,26 $1 615,32 $2 016,98 |
$1 697,95 $1 804,69 $1 917,75 $2 319,41 |
$302,43 |
Toc - Plan #10 Bright Health | |||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Primary Care |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$298,13 $338,38 $381,01 $532,46 $809,13 |
$526,20 $566,45 $609,08 $760,53 |
$754,27 $794,52 $837,15 $988,60 |
$982,34 $1 022,59 $1 065,22 $1 216,67 |
$228,07 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$596,26 $676,76 $762,02 $1 064,92 $1 618,26 |
$824,33 $904,83 $990,09 $1 292,99 |
$1 052,40 $1 132,90 $1 218,16 $1 521,06 |
$1 280,47 $1 360,97 $1 446,23 $1 749,13 |
$228,07 |
Toc - Plan #11 Bright Health | |||||||||||||||||||
Expanded Bronze
(EPO) Bronze $0 Medical Deductible Direct |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$326,81 $370,93 $417,67 $583,69 $886,97 |
$576,82 $620,94 $667,68 $833,70 |
$826,83 $870,95 $917,69 $1 083,71 |
$1 076,84 $1 120,96 $1 167,70 $1 333,72 |
$250,01 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$653,62 $741,86 $835,34 $1 167,38 $1 773,94 |
$903,63 $991,87 $1 085,35 $1 417,39 |
$1 153,64 $1 241,88 $1 335,36 $1 667,40 |
$1 403,65 $1 491,89 $1 585,37 $1 917,41 |
$250,01 |
ADVERTISEMENT |
||||||||||
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1423 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,950
| Family:
$11,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$733,79 $832,85 $937,78 $1 310,55 $1 991,51 |
$1 295,14 $1 394,20 $1 499,13 $1 871,90 |
$1 856,49 $1 955,55 $2 060,48 $2 433,25 |
$2 417,84 $2 516,90 $2 621,83 $2 994,60 |
$561,35 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 467,58 $1 665,70 $1 875,56 $2 621,10 $3 983,02 |
$2 028,93 $2 227,05 $2 436,91 $3 182,45 |
$2 590,28 $2 788,40 $2 998,26 $3 743,80 |
$3 151,63 $3 349,75 $3 559,61 $4 305,15 |
$561,35 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Bronze
(EPO) BlueOptions Bronze 1419 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$453,68 $514,93 $579,80 $810,27 $1 231,29 |
$800,75 $862,00 $926,87 $1 157,34 |
$1 147,82 $1 209,07 $1 273,94 $1 504,41 |
$1 494,89 $1 556,14 $1 621,01 $1 851,48 |
$347,07 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$907,36 $1 029,86 $1 159,60 $1 620,54 $2 462,58 |
$1 254,43 $1 376,93 $1 506,67 $1 967,61 |
$1 601,50 $1 724,00 $1 853,74 $2 314,68 |
$1 948,57 $2 071,07 $2 200,81 $2 661,75 |
$347,07 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1431 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,600
| Family:
$11,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$755,66 $857,67 $965,73 $1 349,61 $2 050,86 |
$1 333,74 $1 435,75 $1 543,81 $1 927,69 |
$1 911,82 $2 013,83 $2 121,89 $2 505,77 |
$2 489,90 $2 591,91 $2 699,97 $3 083,85 |
$578,08 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 511,32 $1 715,34 $1 931,46 $2 699,22 $4 101,72 |
$2 089,40 $2 293,42 $2 509,54 $3 277,30 |
$2 667,48 $2 871,50 $3 087,62 $3 855,38 |
$3 245,56 $3 449,58 $3 665,70 $4 433,46 |
$578,08 |
Toc - Plan #15 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1418 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,250
| Family:
$2,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$884,49 $1 003,90 $1 130,38 $1 579,70 $2 400,51 |
$1 561,12 $1 680,53 $1 807,01 $2 256,33 |
$2 237,75 $2 357,16 $2 483,64 $2 932,96 |
$2 914,38 $3 033,79 $3 160,27 $3 609,59 |
$676,63 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 768,98 $2 007,80 $2 260,76 $3 159,40 $4 801,02 |
$2 445,61 $2 684,43 $2 937,39 $3 836,03 |
$3 122,24 $3 361,06 $3 614,02 $4 512,66 |
$3 798,87 $4 037,69 $4 290,65 $5 189,29 |
$676,63 |
Toc - Plan #16 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $20) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$488,96 $554,97 $624,89 $873,28 $1 327,04 |
$863,01 $929,02 $998,94 $1 247,33 |
$1 237,06 $1 303,07 $1 372,99 $1 621,38 |
$1 611,11 $1 677,12 $1 747,04 $1 995,43 |
$374,05 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$977,92 $1 109,94 $1 249,78 $1 746,56 $2 654,08 |
$1 351,97 $1 483,99 $1 623,83 $2 120,61 |
$1 726,02 $1 858,04 $1 997,88 $2 494,66 |
$2 100,07 $2 232,09 $2 371,93 $2 868,71 |
$374,05 |
Toc - Plan #17 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Platinum
(EPO) BlueOptions Platinum 1424 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$937,25 $1 063,78 $1 197,81 $1 673,93 $2 543,70 |
$1 654,25 $1 780,78 $1 914,81 $2 390,93 |
$2 371,25 $2 497,78 $2 631,81 $3 107,93 |
$3 088,25 $3 214,78 $3 348,81 $3 824,93 |
$717,00 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 874,50 $2 127,56 $2 395,62 $3 347,86 $5 087,40 |
$2 591,50 $2 844,56 $3 112,62 $4 064,86 |
$3 308,50 $3 561,56 $3 829,62 $4 781,86 |
$4 025,50 $4 278,56 $4 546,62 $5 498,86 |
$717,00 |
Toc - Plan #18 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1410 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,000
| Family:
$16,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$668,92 $759,22 $854,88 $1 194,69 $1 815,45 |
$1 180,64 $1 270,94 $1 366,60 $1 706,41 |
$1 692,36 $1 782,66 $1 878,32 $2 218,13 |
$2 204,08 $2 294,38 $2 390,04 $2 729,85 |
$511,72 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 337,84 $1 518,44 $1 709,76 $2 389,38 $3 630,90 |
$1 849,56 $2 030,16 $2 221,48 $2 901,10 |
$2 361,28 $2 541,88 $2 733,20 $3 412,82 |
$2 873,00 $3 053,60 $3 244,92 $3 924,54 |
$511,72 |
Toc - Plan #19 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1505 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$744,59 $845,11 $951,59 $1 329,84 $2 020,82 |
$1 314,20 $1 414,72 $1 521,20 $1 899,45 |
$1 883,81 $1 984,33 $2 090,81 $2 469,06 |
$2 453,42 $2 553,94 $2 660,42 $3 038,67 |
$569,61 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 489,18 $1 690,22 $1 903,18 $2 659,68 $4 041,64 |
$2 058,79 $2 259,83 $2 472,79 $3 229,29 |
$2 628,40 $2 829,44 $3 042,40 $3 798,90 |
$3 198,01 $3 399,05 $3 612,01 $4 368,51 |
$569,61 |
Toc - Plan #20 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze (HSA) 1705 ($100+ in Rewards / $4 Condition Care Rx) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,850
| Family:
$13,700 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$473,81 $537,77 $605,53 $846,22 $1 285,92 |
$836,27 $900,23 $967,99 $1 208,68 |
$1 198,73 $1 262,69 $1 330,45 $1 571,14 |
$1 561,19 $1 625,15 $1 692,91 $1 933,60 |
$362,46 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$947,62 $1 075,54 $1 211,06 $1 692,44 $2 571,84 |
$1 310,08 $1 438,00 $1 573,52 $2 054,90 |
$1 672,54 $1 800,46 $1 935,98 $2 417,36 |
$2 035,00 $2 162,92 $2 298,44 $2 779,82 |
$362,46 |
Toc - Plan #21 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueOptions Silver 1706S ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,600
| Family:
$7,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$747,90 $848,87 $955,82 $1 335,75 $2 029,80 |
$1 320,04 $1 421,01 $1 527,96 $1 907,89 |
$1 892,18 $1 993,15 $2 100,10 $2 480,03 |
$2 464,32 $2 565,29 $2 672,24 $3 052,17 |
$572,14 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 495,80 $1 697,74 $1 911,64 $2 671,50 $4 059,60 |
$2 067,94 $2 269,88 $2 483,78 $3 243,64 |
$2 640,08 $2 842,02 $3 055,92 $3 815,78 |
$3 212,22 $3 414,16 $3 628,06 $4 387,92 |
$572,14 |
Toc - Plan #22 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 1707S ($0 Virtual Visits / $40 PCP Visits) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,150
| Family:
$16,300 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$487,65 $553,48 $623,22 $870,94 $1 323,48 |
$860,70 $926,53 $996,27 $1 243,99 |
$1 233,75 $1 299,58 $1 369,32 $1 617,04 |
$1 606,80 $1 672,63 $1 742,37 $1 990,09 |
$373,05 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$975,30 $1 106,96 $1 246,44 $1 741,88 $2 646,96 |
$1 348,35 $1 480,01 $1 619,49 $2 114,93 |
$1 721,40 $1 853,06 $1 992,54 $2 487,98 |
$2 094,45 $2 226,11 $2 365,59 $2 861,03 |
$373,05 |
Toc - Plan #23 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Gold
(EPO) BlueOptions Gold 1805 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,500
| Family:
$3,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$721,04 $818,38 $921,49 $1 287,78 $1 956,90 |
$1 272,64 $1 369,98 $1 473,09 $1 839,38 |
$1 824,24 $1 921,58 $2 024,69 $2 390,98 |
$2 375,84 $2 473,18 $2 576,29 $2 942,58 |
$551,60 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 442,08 $1 636,76 $1 842,98 $2 575,56 $3 913,80 |
$1 993,68 $2 188,36 $2 394,58 $3 127,16 |
$2 545,28 $2 739,96 $2 946,18 $3 678,76 |
$3 096,88 $3 291,56 $3 497,78 $4 230,36 |
$551,60 |
Toc - Plan #24 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueOptions Bronze 2119 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$521,70 $592,13 $666,73 $931,76 $1 415,89 |
$920,80 $991,23 $1 065,83 $1 330,86 |
$1 319,90 $1 390,33 $1 464,93 $1 729,96 |
$1 719,00 $1 789,43 $1 864,03 $2 129,06 |
$399,10 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 043,40 $1 184,26 $1 333,46 $1 863,52 $2 831,78 |
$1 442,50 $1 583,36 $1 732,56 $2 262,62 |
$1 841,60 $1 982,46 $2 131,66 $2 661,72 |
$2 240,70 $2 381,56 $2 530,76 $3 060,82 |
$399,10 |
Toc - Plan #25 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1456 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,950
| Family:
$11,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$477,65 $542,13 $610,44 $853,08 $1 296,34 |
$843,05 $907,53 $975,84 $1 218,48 |
$1 208,45 $1 272,93 $1 341,24 $1 583,88 |
$1 573,85 $1 638,33 $1 706,64 $1 949,28 |
$365,40 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$955,30 $1 084,26 $1 220,88 $1 706,16 $2 592,68 |
$1 320,70 $1 449,66 $1 586,28 $2 071,56 |
$1 686,10 $1 815,06 $1 951,68 $2 436,96 |
$2 051,50 $2 180,46 $2 317,08 $2 802,36 |
$365,40 |
Toc - Plan #26 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Bronze
(EPO) BlueSelect Bronze 1452 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$340,51 $386,48 $435,17 $608,15 $924,14 |
$601,00 $646,97 $695,66 $868,64 |
$861,49 $907,46 $956,15 $1 129,13 |
$1 121,98 $1 167,95 $1 216,64 $1 389,62 |
$260,49 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$681,02 $772,96 $870,34 $1 216,30 $1 848,28 |
$941,51 $1 033,45 $1 130,83 $1 476,79 |
$1 202,00 $1 293,94 $1 391,32 $1 737,28 |
$1 462,49 $1 554,43 $1 651,81 $1 997,77 |
$260,49 |
Toc - Plan #27 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1464 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,600
| Family:
$11,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$495,06 $561,89 $632,69 $884,18 $1 343,59 |
$873,78 $940,61 $1 011,41 $1 262,90 |
$1 252,50 $1 319,33 $1 390,13 $1 641,62 |
$1 631,22 $1 698,05 $1 768,85 $2 020,34 |
$378,72 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$990,12 $1 123,78 $1 265,38 $1 768,36 $2 687,18 |
$1 368,84 $1 502,50 $1 644,10 $2 147,08 |
$1 747,56 $1 881,22 $2 022,82 $2 525,80 |
$2 126,28 $2 259,94 $2 401,54 $2 904,52 |
$378,72 |
Toc - Plan #28 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1451 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,250
| Family:
$2,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$584,96 $663,93 $747,58 $1 044,74 $1 587,58 |
$1 032,45 $1 111,42 $1 195,07 $1 492,23 |
$1 479,94 $1 558,91 $1 642,56 $1 939,72 |
$1 927,43 $2 006,40 $2 090,05 $2 387,21 |
$447,49 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 169,92 $1 327,86 $1 495,16 $2 089,48 $3 175,16 |
$1 617,41 $1 775,35 $1 942,65 $2 536,97 |
$2 064,90 $2 222,84 $2 390,14 $2 984,46 |
$2 512,39 $2 670,33 $2 837,63 $3 431,95 |
$447,49 |
Toc - Plan #29 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $20) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$364,27 $413,45 $465,54 $650,59 $988,63 |
$642,94 $692,12 $744,21 $929,26 |
$921,61 $970,79 $1 022,88 $1 207,93 |
$1 200,28 $1 249,46 $1 301,55 $1 486,60 |
$278,67 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$728,54 $826,90 $931,08 $1 301,18 $1 977,26 |
$1 007,21 $1 105,57 $1 209,75 $1 579,85 |
$1 285,88 $1 384,24 $1 488,42 $1 858,52 |
$1 564,55 $1 662,91 $1 767,09 $2 137,19 |
$278,67 |
Toc - Plan #30 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Platinum
(EPO) BlueSelect Platinum 1457 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$627,96 $712,73 $802,53 $1 121,54 $1 704,28 |
$1 108,35 $1 193,12 $1 282,92 $1 601,93 |
$1 588,74 $1 673,51 $1 763,31 $2 082,32 |
$2 069,13 $2 153,90 $2 243,70 $2 562,71 |
$480,39 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 255,92 $1 425,46 $1 605,06 $2 243,08 $3 408,56 |
$1 736,31 $1 905,85 $2 085,45 $2 723,47 |
$2 216,70 $2 386,24 $2 565,84 $3 203,86 |
$2 697,09 $2 866,63 $3 046,23 $3 684,25 |
$480,39 |
Toc - Plan #31 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,000
| Family:
$16,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$434,14 $492,75 $554,83 $775,37 $1 178,26 |
$766,26 $824,87 $886,95 $1 107,49 |
$1 098,38 $1 156,99 $1 219,07 $1 439,61 |
$1 430,50 $1 489,11 $1 551,19 $1 771,73 |
$332,12 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$868,28 $985,50 $1 109,66 $1 550,74 $2 356,52 |
$1 200,40 $1 317,62 $1 441,78 $1 882,86 |
$1 532,52 $1 649,74 $1 773,90 $2 214,98 |
$1 864,64 $1 981,86 $2 106,02 $2 547,10 |
$332,12 |
Toc - Plan #32 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1535 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$509,53 $578,32 $651,18 $910,02 $1 382,86 |
$899,32 $968,11 $1 040,97 $1 299,81 |
$1 289,11 $1 357,90 $1 430,76 $1 689,60 |
$1 678,90 $1 747,69 $1 820,55 $2 079,39 |
$389,79 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 019,06 $1 156,64 $1 302,36 $1 820,04 $2 765,72 |
$1 408,85 $1 546,43 $1 692,15 $2 209,83 |
$1 798,64 $1 936,22 $2 081,94 $2 599,62 |
$2 188,43 $2 326,01 $2 471,73 $2 989,41 |
$389,79 |
Toc - Plan #33 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze (HSA) 1735 ($100+ in Rewards / $4 Condition Care Rx) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,850
| Family:
$13,700 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$355,05 $402,98 $453,75 $634,12 $963,61 |
$626,66 $674,59 $725,36 $905,73 |
$898,27 $946,20 $996,97 $1 177,34 |
$1 169,88 $1 217,81 $1 268,58 $1 448,95 |
$271,61 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$710,10 $805,96 $907,50 $1 268,24 $1 927,22 |
$981,71 $1 077,57 $1 179,11 $1 539,85 |
$1 253,32 $1 349,18 $1 450,72 $1 811,46 |
$1 524,93 $1 620,79 $1 722,33 $2 083,07 |
$271,61 |
Toc - Plan #34 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Silver
(EPO) BlueSelect Silver 1736S ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,600
| Family:
$7,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$484,05 $549,40 $618,62 $864,51 $1 313,71 |
$854,35 $919,70 $988,92 $1 234,81 |
$1 224,65 $1 290,00 $1 359,22 $1 605,11 |
$1 594,95 $1 660,30 $1 729,52 $1 975,41 |
$370,30 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$968,10 $1 098,80 $1 237,24 $1 729,02 $2 627,42 |
$1 338,40 $1 469,10 $1 607,54 $2 099,32 |
$1 708,70 $1 839,40 $1 977,84 $2 469,62 |
$2 079,00 $2 209,70 $2 348,14 $2 839,92 |
$370,30 |
Toc - Plan #35 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,150
| Family:
$16,300 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$363,71 $412,81 $464,82 $649,59 $987,11 |
$641,95 $691,05 $743,06 $927,83 |
$920,19 $969,29 $1 021,30 $1 206,07 |
$1 198,43 $1 247,53 $1 299,54 $1 484,31 |
$278,24 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$727,42 $825,62 $929,64 $1 299,18 $1 974,22 |
$1 005,66 $1 103,86 $1 207,88 $1 577,42 |
$1 283,90 $1 382,10 $1 486,12 $1 855,66 |
$1 562,14 $1 660,34 $1 764,36 $2 133,90 |
$278,24 |
Toc - Plan #36 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Gold
(EPO) BlueSelect Gold 1835 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,500
| Family:
$3,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$486,77 $552,48 $622,09 $869,37 $1 321,09 |
$859,15 $924,86 $994,47 $1 241,75 |
$1 231,53 $1 297,24 $1 366,85 $1 614,13 |
$1 603,91 $1 669,62 $1 739,23 $1 986,51 |
$372,38 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$973,54 $1 104,96 $1 244,18 $1 738,74 $2 642,18 |
$1 345,92 $1 477,34 $1 616,56 $2 111,12 |
$1 718,30 $1 849,72 $1 988,94 $2 483,50 |
$2 090,68 $2 222,10 $2 361,32 $2 855,88 |
$372,38 |
Toc - Plan #37 Florida Blue (BlueCross BlueShield FL) | |||||||||||||||||||
Expanded Bronze
(EPO) BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$388,69 $441,16 $496,75 $694,20 $1 054,90 |
$686,04 $738,51 $794,10 $991,55 |
$983,39 $1 035,86 $1 091,45 $1 288,90 |
$1 280,74 $1 333,21 $1 388,80 $1 586,25 |
$297,35 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$777,38 $882,32 $993,50 $1 388,40 $2 109,80 |
$1 074,73 $1 179,67 $1 290,85 $1 685,75 |
$1 372,08 $1 477,02 $1 588,20 $1 983,10 |
$1 669,43 $1 774,37 $1 885,55 $2 280,45 |
$297,35 |
ADVERTISEMENT |
||||||||||
AvMedLocal: 1-800-477-8768 | Toll Free: |
Toc - Plan #38 AvMed | |||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,000
| Family:
$4,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$454,32 $515,66 $580,62 $811,42 $1 233,03 |
$801,88 $863,22 $928,18 $1 158,98 |
$1 149,44 $1 210,78 $1 275,74 $1 506,54 |
$1 497,00 $1 558,34 $1 623,30 $1 854,10 |
$347,56 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$908,64 $1 031,32 $1 161,24 $1 622,84 $2 466,06 |
$1 256,20 $1 378,88 $1 508,80 $1 970,40 |
$1 603,76 $1 726,44 $1 856,36 $2 317,96 |
$1 951,32 $2 074,00 $2 203,92 $2 665,52 |
$347,56 |
Toc - Plan #39 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,000
| Family:
$6,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$441,64 $501,27 $564,42 $788,78 $1 198,62 |
$779,50 $839,13 $902,28 $1 126,64 |
$1 117,36 $1 176,99 $1 240,14 $1 464,50 |
$1 455,22 $1 514,85 $1 578,00 $1 802,36 |
$337,86 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$883,28 $1 002,54 $1 128,84 $1 577,56 $2 397,24 |
$1 221,14 $1 340,40 $1 466,70 $1 915,42 |
$1 559,00 $1 678,26 $1 804,56 $2 253,28 |
$1 896,86 $2 016,12 $2 142,42 $2 591,14 |
$337,86 |
Toc - Plan #40 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,500
| Family:
$7,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$422,68 $479,74 $540,18 $754,91 $1 147,15 |
$746,03 $803,09 $863,53 $1 078,26 |
$1 069,38 $1 126,44 $1 186,88 $1 401,61 |
$1 392,73 $1 449,79 $1 510,23 $1 724,96 |
$323,35 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$845,36 $959,48 $1 080,36 $1 509,82 $2 294,30 |
$1 168,71 $1 282,83 $1 403,71 $1 833,17 |
$1 492,06 $1 606,18 $1 727,06 $2 156,52 |
$1 815,41 $1 929,53 $2 050,41 $2 479,87 |
$323,35 |
Toc - Plan #41 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,500
| Family:
$11,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$421,62 $478,54 $538,83 $753,01 $1 144,27 |
$744,16 $801,08 $861,37 $1 075,55 |
$1 066,70 $1 123,62 $1 183,91 $1 398,09 |
$1 389,24 $1 446,16 $1 506,45 $1 720,63 |
$322,54 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$843,24 $957,08 $1 077,66 $1 506,02 $2 288,54 |
$1 165,78 $1 279,62 $1 400,20 $1 828,56 |
$1 488,32 $1 602,16 $1 722,74 $2 151,10 |
$1 810,86 $1 924,70 $2 045,28 $2 473,64 |
$322,54 |
Toc - Plan #42 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$418,54 $475,04 $534,89 $747,51 $1 135,91 |
$738,72 $795,22 $855,07 $1 067,69 |
$1 058,90 $1 115,40 $1 175,25 $1 387,87 |
$1 379,08 $1 435,58 $1 495,43 $1 708,05 |
$320,18 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$837,08 $950,08 $1 069,78 $1 495,02 $2 271,82 |
$1 157,26 $1 270,26 $1 389,96 $1 815,20 |
$1 477,44 $1 590,44 $1 710,14 $2 135,38 |
$1 797,62 $1 910,62 $2 030,32 $2 455,56 |
$320,18 |
Toc - Plan #43 AvMed | |||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 600 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$348,16 $395,16 $444,95 $621,81 $944,91 |
$614,50 $661,50 $711,29 $888,15 |
$880,84 $927,84 $977,63 $1 154,49 |
$1 147,18 $1 194,18 $1 243,97 $1 420,83 |
$266,34 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$696,32 $790,32 $889,90 $1 243,62 $1 889,82 |
$962,66 $1 056,66 $1 156,24 $1 509,96 |
$1 229,00 $1 323,00 $1 422,58 $1 776,30 |
$1 495,34 $1 589,34 $1 688,92 $2 042,64 |
$266,34 |
Toc - Plan #44 AvMed | |||||||||||||||||||
Expanded Bronze
(HMO) AvMed Entrust Bronze 650 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,200
| Family:
$16,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$320,18 $363,41 $409,19 $571,84 $868,97 |
$565,12 $608,35 $654,13 $816,78 |
$810,06 $853,29 $899,07 $1 061,72 |
$1 055,00 $1 098,23 $1 144,01 $1 306,66 |
$244,94 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$640,36 $726,82 $818,38 $1 143,68 $1 737,94 |
$885,30 $971,76 $1 063,32 $1 388,62 |
$1 130,24 $1 216,70 $1 308,26 $1 633,56 |
$1 375,18 $1 461,64 $1 553,20 $1 878,50 |
$244,94 |
Toc - Plan #45 AvMed | |||||||||||||||||||
Catastrophic
(HMO) AvMed Catastrophic 100 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$281,45 $319,44 $359,69 $502,66 $763,84 |
$496,76 $534,75 $575,00 $717,97 |
$712,07 $750,06 $790,31 $933,28 |
$927,38 $965,37 $1 005,62 $1 148,59 |
$215,31 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$562,90 $638,88 $719,38 $1 005,32 $1 527,68 |
$778,21 $854,19 $934,69 $1 220,63 |
$993,52 $1 069,50 $1 150,00 $1 435,94 |
$1 208,83 $1 284,81 $1 365,31 $1 651,25 |
$215,31 |
Toc - Plan #46 AvMed | |||||||||||||||||||
Gold
(HMO) AvMed Entrust Gold 125 Adult Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,000
| Family:
$4,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$458,35 $520,22 $585,77 $818,61 $1 243,95 |
$808,98 $870,85 $936,40 $1 169,24 |
$1 159,61 $1 221,48 $1 287,03 $1 519,87 |
$1 510,24 $1 572,11 $1 637,66 $1 870,50 |
$350,63 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$916,70 $1 040,44 $1 171,54 $1 637,22 $2 487,90 |
$1 267,33 $1 391,07 $1 522,17 $1 987,85 |
$1 617,96 $1 741,70 $1 872,80 $2 338,48 |
$1 968,59 $2 092,33 $2 223,43 $2 689,11 |
$350,63 |
Toc - Plan #47 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 300 Adult Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,000
| Family:
$6,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$445,55 $505,70 $569,41 $795,75 $1 209,23 |
$786,40 $846,55 $910,26 $1 136,60 |
$1 127,25 $1 187,40 $1 251,11 $1 477,45 |
$1 468,10 $1 528,25 $1 591,96 $1 818,30 |
$340,85 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$891,10 $1 011,40 $1 138,82 $1 591,50 $2 418,46 |
$1 231,95 $1 352,25 $1 479,67 $1 932,35 |
$1 572,80 $1 693,10 $1 820,52 $2 273,20 |
$1 913,65 $2 033,95 $2 161,37 $2 614,05 |
$340,85 |
Toc - Plan #48 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 350 Adult Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,500
| Family:
$7,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$426,43 $484,00 $544,98 $761,61 $1 157,33 |
$752,65 $810,22 $871,20 $1 087,83 |
$1 078,87 $1 136,44 $1 197,42 $1 414,05 |
$1 405,09 $1 462,66 $1 523,64 $1 740,27 |
$326,22 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$852,86 $968,00 $1 089,96 $1 523,22 $2 314,66 |
$1 179,08 $1 294,22 $1 416,18 $1 849,44 |
$1 505,30 $1 620,44 $1 742,40 $2 175,66 |
$1 831,52 $1 946,66 $2 068,62 $2 501,88 |
$326,22 |
Toc - Plan #49 AvMed | |||||||||||||||||||
Silver
(HMO) AvMed Entrust Silver 500 Adult Dental + Vision |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,500
| Family:
$11,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$425,35 $482,77 $543,60 $759,67 $1 154,40 |
$750,74 $808,16 $868,99 $1 085,06 |
$1 076,13 $1 133,55 $1 194,38 $1 410,45 |
$1 401,52 $1 458,94 $1 519,77 $1 735,84 |
$325,39 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$850,70 $965,54 $1 087,20 $1 519,34 $2 308,80 |
$1 176,09 $1 290,93 $1 412,59 $1 844,73 |
$1 501,48 $1 616,32 $1 737,98 $2 170,12 |
$1 826,87 $1 941,71 $2 063,37 $2 495,51 |
$325,39 |
ADVERTISEMENT |
||||||||||
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #50 Ambetter from Sunshine Health | |||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,450
| Family:
$2,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$432,66 $491,06 $552,93 $772,72 $1 174,22 |
$763,64 $822,04 $883,91 $1 103,70 |
$1 094,62 $1 153,02 $1 214,89 $1 434,68 |
$1 425,60 $1 484,00 $1 545,87 $1 765,66 |
$330,98 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$865,32 $982,12 $1 105,86 $1 545,44 $2 348,44 |
$1 196,30 $1 313,10 $1 436,84 $1 876,42 |
$1 527,28 $1 644,08 $1 767,82 $2 207,40 |
$1 858,26 $1 975,06 $2 098,80 $2 538,38 |
$330,98 |
Toc - Plan #51 Ambetter from Sunshine Health | |||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,300
| Family:
$16,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$302,59 $343,43 $386,70 $540,41 $821,21 |
$534,07 $574,91 $618,18 $771,89 |
$765,55 $806,39 $849,66 $1 003,37 |
$997,03 $1 037,87 $1 081,14 $1 234,85 |
$231,48 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$605,18 $686,86 $773,40 $1 080,82 $1 642,42 |
$836,66 $918,34 $1 004,88 $1 312,30 |
$1 068,14 $1 149,82 $1 236,36 $1 543,78 |
$1 299,62 $1 381,30 $1 467,84 $1 775,26 |
$231,48 |
Toc - Plan #52 Ambetter from Sunshine Health | |||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,900
| Family:
$13,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$309,52 $351,29 $395,55 $552,78 $840,00 |
$546,29 $588,06 $632,32 $789,55 |
$783,06 $824,83 $869,09 $1 026,32 |
$1 019,83 $1 061,60 $1 105,86 $1 263,09 |
$236,77 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$619,04 $702,58 $791,10 $1 105,56 $1 680,00 |
$855,81 $939,35 $1 027,87 $1 342,33 |
$1 092,58 $1 176,12 $1 264,64 $1 579,10 |
$1 329,35 $1 412,89 $1 501,41 $1 815,87 |
$236,77 |
Toc - Plan #53 Ambetter from Sunshine Health | |||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$310,08 $351,93 $396,27 $553,78 $841,53 |
$547,28 $589,13 $633,47 $790,98 |
$784,48 $826,33 $870,67 $1 028,18 |
$1 021,68 $1 063,53 $1 107,87 $1 265,38 |
$237,20 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$620,16 $703,86 $792,54 $1 107,56 $1 683,06 |
$857,36 $941,06 $1 029,74 $1 344,76 |
$1 094,56 $1 178,26 $1 266,94 $1 581,96 |
$1 331,76 $1 415,46 $1 504,14 $1 819,16 |
$237,20 |
Toc - Plan #54 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$432,71 $491,11 $552,98 $772,79 $1 174,34 |
$763,72 $822,12 $883,99 $1 103,80 |
$1 094,73 $1 153,13 $1 215,00 $1 434,81 |
$1 425,74 $1 484,14 $1 546,01 $1 765,82 |
$331,01 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$865,42 $982,22 $1 105,96 $1 545,58 $2 348,68 |
$1 196,43 $1 313,23 $1 436,97 $1 876,59 |
$1 527,44 $1 644,24 $1 767,98 $2 207,60 |
$1 858,45 $1 975,25 $2 098,99 $2 538,61 |
$331,01 |
Toc - Plan #55 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$421,97 $478,93 $539,27 $753,63 $1 145,21 |
$744,77 $801,73 $862,07 $1 076,43 |
$1 067,57 $1 124,53 $1 184,87 $1 399,23 |
$1 390,37 $1 447,33 $1 507,67 $1 722,03 |
$322,80 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$843,94 $957,86 $1 078,54 $1 507,26 $2 290,42 |
$1 166,74 $1 280,66 $1 401,34 $1 830,06 |
$1 489,54 $1 603,46 $1 724,14 $2 152,86 |
$1 812,34 $1 926,26 $2 046,94 $2 475,66 |
$322,80 |
Toc - Plan #56 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$412,71 $468,42 $527,44 $737,09 $1 120,08 |
$728,43 $784,14 $843,16 $1 052,81 |
$1 044,15 $1 099,86 $1 158,88 $1 368,53 |
$1 359,87 $1 415,58 $1 474,60 $1 684,25 |
$315,72 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$825,42 $936,84 $1 054,88 $1 474,18 $2 240,16 |
$1 141,14 $1 252,56 $1 370,60 $1 789,90 |
$1 456,86 $1 568,28 $1 686,32 $2 105,62 |
$1 772,58 $1 884,00 $2 002,04 $2 421,34 |
$315,72 |
Toc - Plan #57 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,450
| Family:
$14,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$427,86 $485,61 $546,79 $764,14 $1 161,18 |
$755,16 $812,91 $874,09 $1 091,44 |
$1 082,46 $1 140,21 $1 201,39 $1 418,74 |
$1 409,76 $1 467,51 $1 528,69 $1 746,04 |
$327,30 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$855,72 $971,22 $1 093,58 $1 528,28 $2 322,36 |
$1 183,02 $1 298,52 $1 420,88 $1 855,58 |
$1 510,32 $1 625,82 $1 748,18 $2 182,88 |
$1 837,62 $1 953,12 $2 075,48 $2 510,18 |
$327,30 |
Toc - Plan #58 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 29 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,450
| Family:
$10,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$408,99 $464,20 $522,68 $730,44 $1 109,98 |
$721,86 $777,07 $835,55 $1 043,31 |
$1 034,73 $1 089,94 $1 148,42 $1 356,18 |
$1 347,60 $1 402,81 $1 461,29 $1 669,05 |
$312,87 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$817,98 $928,40 $1 045,36 $1 460,88 $2 219,96 |
$1 130,85 $1 241,27 $1 358,23 $1 773,75 |
$1 443,72 $1 554,14 $1 671,10 $2 086,62 |
$1 756,59 $1 867,01 $1 983,97 $2 399,49 |
$312,87 |
Toc - Plan #59 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,800
| Family:
$9,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$426,73 $484,33 $545,35 $762,13 $1 158,13 |
$753,17 $810,77 $871,79 $1 088,57 |
$1 079,61 $1 137,21 $1 198,23 $1 415,01 |
$1 406,05 $1 463,65 $1 524,67 $1 741,45 |
$326,44 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$853,46 $968,66 $1 090,70 $1 524,26 $2 316,26 |
$1 179,90 $1 295,10 $1 417,14 $1 850,70 |
$1 506,34 $1 621,54 $1 743,58 $2 177,14 |
$1 832,78 $1 947,98 $2 070,02 $2 503,58 |
$326,44 |
Toc - Plan #60 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,450
| Family:
$10,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$435,09 $493,81 $556,03 $777,04 $1 180,79 |
$767,92 $826,64 $888,86 $1 109,87 |
$1 100,75 $1 159,47 $1 221,69 $1 442,70 |
$1 433,58 $1 492,30 $1 554,52 $1 775,53 |
$332,83 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$870,18 $987,62 $1 112,06 $1 554,08 $2 361,58 |
$1 203,01 $1 320,45 $1 444,89 $1 886,91 |
$1 535,84 $1 653,28 $1 777,72 $2 219,74 |
$1 868,67 $1 986,11 $2 110,55 $2 552,57 |
$332,83 |
Toc - Plan #61 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,750
| Family:
$5,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$454,43 $515,76 $580,74 $811,59 $1 233,29 |
$802,06 $863,39 $928,37 $1 159,22 |
$1 149,69 $1 211,02 $1 276,00 $1 506,85 |
$1 497,32 $1 558,65 $1 623,63 $1 854,48 |
$347,63 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$908,86 $1 031,52 $1 161,48 $1 623,18 $2 466,58 |
$1 256,49 $1 379,15 $1 509,11 $1 970,81 |
$1 604,12 $1 726,78 $1 856,74 $2 318,44 |
$1 951,75 $2 074,41 $2 204,37 $2 666,07 |
$347,63 |
Toc - Plan #62 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$462,91 $525,39 $591,58 $826,73 $1 256,30 |
$817,03 $879,51 $945,70 $1 180,85 |
$1 171,15 $1 233,63 $1 299,82 $1 534,97 |
$1 525,27 $1 587,75 $1 653,94 $1 889,09 |
$354,12 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$925,82 $1 050,78 $1 183,16 $1 653,46 $2 512,60 |
$1 279,94 $1 404,90 $1 537,28 $2 007,58 |
$1 634,06 $1 759,02 $1 891,40 $2 361,70 |
$1 988,18 $2 113,14 $2 245,52 $2 715,82 |
$354,12 |
Toc - Plan #63 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$428,96 $486,86 $548,20 $766,10 $1 164,17 |
$757,11 $815,01 $876,35 $1 094,25 |
$1 085,26 $1 143,16 $1 204,50 $1 422,40 |
$1 413,41 $1 471,31 $1 532,65 $1 750,55 |
$328,15 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$857,92 $973,72 $1 096,40 $1 532,20 $2 328,34 |
$1 186,07 $1 301,87 $1 424,55 $1 860,35 |
$1 514,22 $1 630,02 $1 752,70 $2 188,50 |
$1 842,37 $1 958,17 $2 080,85 $2 516,65 |
$328,15 |
Toc - Plan #64 Ambetter from Sunshine Health | |||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,900
| Family:
$13,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$321,70 $365,12 $411,12 $574,54 $873,06 |
$567,79 $611,21 $657,21 $820,63 |
$813,88 $857,30 $903,30 $1 066,72 |
$1 059,97 $1 103,39 $1 149,39 $1 312,81 |
$246,09 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$643,40 $730,24 $822,24 $1 149,08 $1 746,12 |
$889,49 $976,33 $1 068,33 $1 395,17 |
$1 135,58 $1 222,42 $1 314,42 $1 641,26 |
$1 381,67 $1 468,51 $1 560,51 $1 887,35 |
$246,09 |
Toc - Plan #65 Ambetter from Sunshine Health | |||||||||||||||||||
Gold
(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,450
| Family:
$2,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$449,69 $510,39 $574,69 $803,13 $1 220,44 |
$793,70 $854,40 $918,70 $1 147,14 |
$1 137,71 $1 198,41 $1 262,71 $1 491,15 |
$1 481,72 $1 542,42 $1 606,72 $1 835,16 |
$344,01 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$899,38 $1 020,78 $1 149,38 $1 606,26 $2 440,88 |
$1 243,39 $1 364,79 $1 493,39 $1 950,27 |
$1 587,40 $1 708,80 $1 837,40 $2 294,28 |
$1 931,41 $2 052,81 $2 181,41 $2 638,29 |
$344,01 |
Toc - Plan #66 Ambetter from Sunshine Health | |||||||||||||||||||
Bronze
(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,300
| Family:
$16,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$314,50 $356,95 $401,92 $561,69 $853,54 |
$555,09 $597,54 $642,51 $802,28 |
$795,68 $838,13 $883,10 $1 042,87 |
$1 036,27 $1 078,72 $1 123,69 $1 283,46 |
$240,59 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$629,00 $713,90 $803,84 $1 123,38 $1 707,08 |
$869,59 $954,49 $1 044,43 $1 363,97 |
$1 110,18 $1 195,08 $1 285,02 $1 604,56 |
$1 350,77 $1 435,67 $1 525,61 $1 845,15 |
$240,59 |
Toc - Plan #67 Ambetter from Sunshine Health | |||||||||||||||||||
Expanded Bronze
(EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$322,28 $365,78 $411,87 $575,58 $874,65 |
$568,82 $612,32 $658,41 $822,12 |
$815,36 $858,86 $904,95 $1 068,66 |
$1 061,90 $1 105,40 $1 151,49 $1 315,20 |
$246,54 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$644,56 $731,56 $823,74 $1 151,16 $1 749,30 |
$891,10 $978,10 $1 070,28 $1 397,70 |
$1 137,64 $1 224,64 $1 316,82 $1 644,24 |
$1 384,18 $1 471,18 $1 563,36 $1 890,78 |
$246,54 |
Toc - Plan #68 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$449,74 $510,44 $574,75 $803,21 $1 220,56 |
$793,78 $854,48 $918,79 $1 147,25 |
$1 137,82 $1 198,52 $1 262,83 $1 491,29 |
$1 481,86 $1 542,56 $1 606,87 $1 835,33 |
$344,04 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$899,48 $1 020,88 $1 149,50 $1 606,42 $2 441,12 |
$1 243,52 $1 364,92 $1 493,54 $1 950,46 |
$1 587,56 $1 708,96 $1 837,58 $2 294,50 |
$1 931,60 $2 053,00 $2 181,62 $2 638,54 |
$344,04 |
Toc - Plan #69 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$438,58 $497,78 $560,50 $783,29 $1 190,29 |
$774,09 $833,29 $896,01 $1 118,80 |
$1 109,60 $1 168,80 $1 231,52 $1 454,31 |
$1 445,11 $1 504,31 $1 567,03 $1 789,82 |
$335,51 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$877,16 $995,56 $1 121,00 $1 566,58 $2 380,58 |
$1 212,67 $1 331,07 $1 456,51 $1 902,09 |
$1 548,18 $1 666,58 $1 792,02 $2 237,60 |
$1 883,69 $2 002,09 $2 127,53 $2 573,11 |
$335,51 |
Toc - Plan #70 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,450
| Family:
$14,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$444,70 $504,72 $568,31 $794,22 $1 206,89 |
$784,89 $844,91 $908,50 $1 134,41 |
$1 125,08 $1 185,10 $1 248,69 $1 474,60 |
$1 465,27 $1 525,29 $1 588,88 $1 814,79 |
$340,19 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$889,40 $1 009,44 $1 136,62 $1 588,44 $2 413,78 |
$1 229,59 $1 349,63 $1 476,81 $1 928,63 |
$1 569,78 $1 689,82 $1 817,00 $2 268,82 |
$1 909,97 $2 030,01 $2 157,19 $2 609,01 |
$340,19 |
Toc - Plan #71 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,800
| Family:
$9,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$443,53 $503,40 $566,82 $792,13 $1 203,71 |
$782,82 $842,69 $906,11 $1 131,42 |
$1 122,11 $1 181,98 $1 245,40 $1 470,71 |
$1 461,40 $1 521,27 $1 584,69 $1 810,00 |
$339,29 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$887,06 $1 006,80 $1 133,64 $1 584,26 $2 407,42 |
$1 226,35 $1 346,09 $1 472,93 $1 923,55 |
$1 565,64 $1 685,38 $1 812,22 $2 262,84 |
$1 904,93 $2 024,67 $2 151,51 $2 602,13 |
$339,29 |
Toc - Plan #72 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,450
| Family:
$10,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$452,21 $513,25 $577,91 $807,63 $1 227,27 |
$798,14 $859,18 $923,84 $1 153,56 |
$1 144,07 $1 205,11 $1 269,77 $1 499,49 |
$1 490,00 $1 551,04 $1 615,70 $1 845,42 |
$345,93 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$904,42 $1 026,50 $1 155,82 $1 615,26 $2 454,54 |
$1 250,35 $1 372,43 $1 501,75 $1 961,19 |
$1 596,28 $1 718,36 $1 847,68 $2 307,12 |
$1 942,21 $2 064,29 $2 193,61 $2 653,05 |
$345,93 |
Toc - Plan #73 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,750
| Family:
$5,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$472,31 $536,06 $603,60 $843,53 $1 281,83 |
$833,62 $897,37 $964,91 $1 204,84 |
$1 194,93 $1 258,68 $1 326,22 $1 566,15 |
$1 556,24 $1 619,99 $1 687,53 $1 927,46 |
$361,31 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$944,62 $1 072,12 $1 207,20 $1 687,06 $2 563,66 |
$1 305,93 $1 433,43 $1 568,51 $2 048,37 |
$1 667,24 $1 794,74 $1 929,82 $2 409,68 |
$2 028,55 $2 156,05 $2 291,13 $2 770,99 |
$361,31 |
Toc - Plan #74 Ambetter from Sunshine Health | |||||||||||||||||||
Silver
(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$481,13 $546,07 $614,87 $859,28 $1 305,75 |
$849,18 $914,12 $982,92 $1 227,33 |
$1 217,23 $1 282,17 $1 350,97 $1 595,38 |
$1 585,28 $1 650,22 $1 719,02 $1 963,43 |
$368,05 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$962,26 $1 092,14 $1 229,74 $1 718,56 $2 611,50 |
$1 330,31 $1 460,19 $1 597,79 $2 086,61 |
$1 698,36 $1 828,24 $1 965,84 $2 454,66 |
$2 066,41 $2 196,29 $2 333,89 $2 822,71 |
$368,05 |
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 |
Toc - Plan #75 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Platinum
(HMO) BlueCare Platinum 2151 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$782,01 $887,58 $999,41 $1 396,67 $2 122,38 |
$1 380,25 $1 485,82 $1 597,65 $1 994,91 |
$1 978,49 $2 084,06 $2 195,89 $2 593,15 |
$2 576,73 $2 682,30 $2 794,13 $3 191,39 |
$598,24 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 564,02 $1 775,16 $1 998,82 $2 793,34 $4 244,76 |
$2 162,26 $2 373,40 $2 597,06 $3 391,58 |
$2 760,50 $2 971,64 $3 195,30 $3 989,82 |
$3 358,74 $3 569,88 $3 793,54 $4 588,06 |
$598,24 |
Toc - Plan #76 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2153 ($0 Virtual Visits / 3 PCP Visits for $20) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$468,37 $531,60 $598,58 $836,51 $1 271,16 |
$826,67 $889,90 $956,88 $1 194,81 |
$1 184,97 $1 248,20 $1 315,18 $1 553,11 |
$1 543,27 $1 606,50 $1 673,48 $1 911,41 |
$358,30 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$936,74 $1 063,20 $1 197,16 $1 673,02 $2 542,32 |
$1 295,04 $1 421,50 $1 555,46 $2 031,32 |
$1 653,34 $1 779,80 $1 913,76 $2 389,62 |
$2 011,64 $2 138,10 $2 272,06 $2 747,92 |
$358,30 |
Toc - Plan #77 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Bronze
(HMO) BlueCare Bronze 2154 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$421,78 $478,72 $539,03 $753,30 $1 144,71 |
$744,44 $801,38 $861,69 $1 075,96 |
$1 067,10 $1 124,04 $1 184,35 $1 398,62 |
$1 389,76 $1 446,70 $1 507,01 $1 721,28 |
$322,66 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$843,56 $957,44 $1 078,06 $1 506,60 $2 289,42 |
$1 166,22 $1 280,10 $1 400,72 $1 829,26 |
$1 488,88 $1 602,76 $1 723,38 $2 151,92 |
$1 811,54 $1 925,42 $2 046,04 $2 474,58 |
$322,66 |
Toc - Plan #78 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Gold
(HMO) BlueCare Gold 2156 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$668,85 $759,14 $854,79 $1 194,57 $1 815,26 |
$1 180,52 $1 270,81 $1 366,46 $1 706,24 |
$1 692,19 $1 782,48 $1 878,13 $2 217,91 |
$2 203,86 $2 294,15 $2 389,80 $2 729,58 |
$511,67 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 337,70 $1 518,28 $1 709,58 $2 389,14 $3 630,52 |
$1 849,37 $2 029,95 $2 221,25 $2 900,81 |
$2 361,04 $2 541,62 $2 732,92 $3 412,48 |
$2 872,71 $3 053,29 $3 244,59 $3 924,15 |
$511,67 |
Toc - Plan #79 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) BlueCare Silver 2157 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,000
| Family:
$16,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$563,08 $639,10 $719,62 $1 005,66 $1 528,20 |
$993,84 $1 069,86 $1 150,38 $1 436,42 |
$1 424,60 $1 500,62 $1 581,14 $1 867,18 |
$1 855,36 $1 931,38 $2 011,90 $2 297,94 |
$430,76 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 126,16 $1 278,20 $1 439,24 $2 011,32 $3 056,40 |
$1 556,92 $1 708,96 $1 870,00 $2 442,08 |
$1 987,68 $2 139,72 $2 300,76 $2 872,84 |
$2 418,44 $2 570,48 $2 731,52 $3 303,60 |
$430,76 |
Toc - Plan #80 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) BlueCare Bronze 2159 ($0 Deductible / $50 PCP Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$510,97 $579,95 $653,02 $912,59 $1 386,77 |
$901,86 $970,84 $1 043,91 $1 303,48 |
$1 292,75 $1 361,73 $1 434,80 $1 694,37 |
$1 683,64 $1 752,62 $1 825,69 $2 085,26 |
$390,89 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$1 021,94 $1 159,90 $1 306,04 $1 825,18 $2 773,54 |
$1 412,83 $1 550,79 $1 696,93 $2 216,07 |
$1 803,72 $1 941,68 $2 087,82 $2 606,96 |
$2 194,61 $2 332,57 $2 478,71 $2 997,85 |
$390,89 |
Toc - Plan #81 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 2 PCP Visits for $50) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$318,68 $361,70 $407,27 $569,16 $864,90 |
$562,47 $605,49 $651,06 $812,95 |
$806,26 $849,28 $894,85 $1 056,74 |
$1 050,05 $1 093,07 $1 138,64 $1 300,53 |
$243,79 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$637,36 $723,40 $814,54 $1 138,32 $1 729,80 |
$881,15 $967,19 $1 058,33 $1 382,11 |
$1 124,94 $1 210,98 $1 302,12 $1 625,90 |
$1 368,73 $1 454,77 $1 545,91 $1 869,69 |
$243,79 |
Toc - Plan #82 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1602 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$285,12 $323,61 $364,38 $509,22 $773,82 |
$503,24 $541,73 $582,50 $727,34 |
$721,36 $759,85 $800,62 $945,46 |
$939,48 $977,97 $1 018,74 $1 163,58 |
$218,12 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$570,24 $647,22 $728,76 $1 018,44 $1 547,64 |
$788,36 $865,34 $946,88 $1 236,56 |
$1 006,48 $1 083,46 $1 165,00 $1 454,68 |
$1 224,60 $1 301,58 $1 383,12 $1 672,80 |
$218,12 |
Toc - Plan #83 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 1603 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,900
| Family:
$11,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$413,67 $469,52 $528,67 $738,81 $1 122,70 |
$730,13 $785,98 $845,13 $1 055,27 |
$1 046,59 $1 102,44 $1 161,59 $1 371,73 |
$1 363,05 $1 418,90 $1 478,05 $1 688,19 |
$316,46 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$827,34 $939,04 $1 057,34 $1 477,62 $2 245,40 |
$1 143,80 $1 255,50 $1 373,80 $1 794,08 |
$1 460,26 $1 571,96 $1 690,26 $2 110,54 |
$1 776,72 $1 888,42 $2 006,72 $2 427,00 |
$316,46 |
Toc - Plan #84 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 1604 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,800
| Family:
$11,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$378,77 $429,90 $484,07 $676,48 $1 027,98 |
$668,53 $719,66 $773,83 $966,24 |
$958,29 $1 009,42 $1 063,59 $1 256,00 |
$1 248,05 $1 299,18 $1 353,35 $1 545,76 |
$289,76 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$757,54 $859,80 $968,14 $1 352,96 $2 055,96 |
$1 047,30 $1 149,56 $1 257,90 $1 642,72 |
$1 337,06 $1 439,32 $1 547,66 $1 932,48 |
$1 626,82 $1 729,08 $1 837,42 $2 222,24 |
$289,76 |
Toc - Plan #85 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$940
| Family:
$1,880 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$429,08 $487,01 $548,36 $766,34 $1 164,52 |
$757,33 $815,26 $876,61 $1 094,59 |
$1 085,58 $1 143,51 $1 204,86 $1 422,84 |
$1 413,83 $1 471,76 $1 533,11 $1 751,09 |
$328,25 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$858,16 $974,02 $1 096,72 $1 532,68 $2 329,04 |
$1 186,41 $1 302,27 $1 424,97 $1 860,93 |
$1 514,66 $1 630,52 $1 753,22 $2 189,18 |
$1 842,91 $1 958,77 $2 081,47 $2 517,43 |
$328,25 |
Toc - Plan #86 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 1710 ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,200
| Family:
$12,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$430,79 $488,95 $550,55 $769,39 $1 169,16 |
$760,34 $818,50 $880,10 $1 098,94 |
$1 089,89 $1 148,05 $1 209,65 $1 428,49 |
$1 419,44 $1 477,60 $1 539,20 $1 758,04 |
$329,55 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$861,58 $977,90 $1 101,10 $1 538,78 $2 338,32 |
$1 191,13 $1 307,45 $1 430,65 $1 868,33 |
$1 520,68 $1 637,00 $1 760,20 $2 197,88 |
$1 850,23 $1 966,55 $2 089,75 $2 527,43 |
$329,55 |
Toc - Plan #87 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1711S ($0 Virtual Visits / $55 PCP Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$316,77 $359,53 $404,83 $565,75 $859,71 |
$559,10 $601,86 $647,16 $808,08 |
$801,43 $844,19 $889,49 $1 050,41 |
$1 043,76 $1 086,52 $1 131,82 $1 292,74 |
$242,33 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$633,54 $719,06 $809,66 $1 131,50 $1 719,42 |
$875,87 $961,39 $1 051,99 $1 373,83 |
$1 118,20 $1 203,72 $1 294,32 $1 616,16 |
$1 360,53 $1 446,05 $1 536,65 $1 858,49 |
$242,33 |
Toc - Plan #88 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 1712S ($0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,950
| Family:
$7,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$422,56 $479,61 $540,03 $754,69 $1 146,83 |
$745,82 $802,87 $863,29 $1 077,95 |
$1 069,08 $1 126,13 $1 186,55 $1 401,21 |
$1 392,34 $1 449,39 $1 509,81 $1 724,47 |
$323,26 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$845,12 $959,22 $1 080,06 $1 509,38 $2 293,66 |
$1 168,38 $1 282,48 $1 403,32 $1 832,64 |
$1 491,64 $1 605,74 $1 726,58 $2 155,90 |
$1 814,90 $1 929,00 $2 049,84 $2 479,16 |
$323,26 |
Toc - Plan #89 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,700
| Family:
$15,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$370,99 $421,07 $474,13 $662,59 $1 006,87 |
$654,80 $704,88 $757,94 $946,40 |
$938,61 $988,69 $1 041,75 $1 230,21 |
$1 222,42 $1 272,50 $1 325,56 $1 514,02 |
$283,81 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$741,98 $842,14 $948,26 $1 325,18 $2 013,74 |
$1 025,79 $1 125,95 $1 232,07 $1 608,99 |
$1 309,60 $1 409,76 $1 515,88 $1 892,80 |
$1 593,41 $1 693,57 $1 799,69 $2 176,61 |
$283,81 |
Toc - Plan #90 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Silver
(HMO) myBlue Silver 2127 ($0 Labs / $0 Virtual Visits / $100+ in Rewards) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,450
| Family:
$16,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$359,24 $407,74 $459,11 $641,60 $974,98 |
$634,06 $682,56 $733,93 $916,42 |
$908,88 $957,38 $1 008,75 $1 191,24 |
$1 183,70 $1 232,20 $1 283,57 $1 466,06 |
$274,82 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$718,48 $815,48 $918,22 $1 283,20 $1 949,96 |
$993,30 $1 090,30 $1 193,04 $1 558,02 |
$1 268,12 $1 365,12 $1 467,86 $1 832,84 |
$1 542,94 $1 639,94 $1 742,68 $2 107,66 |
$274,82 |
Toc - Plan #91 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Deductible / $50 PCP Visits / $75 Specialist Visits) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$350,56 $397,89 $448,02 $626,10 $951,42 |
$618,74 $666,07 $716,20 $894,28 |
$886,92 $934,25 $984,38 $1 162,46 |
$1 155,10 $1 202,43 $1 252,56 $1 430,64 |
$268,18 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$701,12 $795,78 $896,04 $1 252,20 $1 902,84 |
$969,30 $1 063,96 $1 164,22 $1 520,38 |
$1 237,48 $1 332,14 $1 432,40 $1 788,56 |
$1 505,66 $1 600,32 $1 700,58 $2 056,74 |
$268,18 |
Toc - Plan #92 Florida Blue HMO (a BlueCross BlueShield FL company) | |||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2126 (3 PCP Visits for $0 / $0 Virtual Visits) |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$316,56 $359,30 $404,56 $565,38 $859,14 |
$558,73 $601,47 $646,73 $807,55 |
$800,90 $843,64 $888,90 $1 049,72 |
$1 043,07 $1 085,81 $1 131,07 $1 291,89 |
$242,17 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$633,12 $718,60 $809,12 $1 130,76 $1 718,28 |
$875,29 $960,77 $1 051,29 $1 372,93 |
$1 117,46 $1 202,94 $1 293,46 $1 615,10 |
$1 359,63 $1 445,11 $1 535,63 $1 857,27 |
$242,17 |
ADVERTISEMENT |
||||||||||
Health First Commercial Plans, Inc.Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771 |
Toc - Plan #93 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth GYM ACCESS Gold HMO 90 HSA 1745 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,700
| Family:
$3,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$447,05 $507,41 $571,33 $798,44 $1 213,30 |
$789,05 $849,41 $913,33 $1 140,44 |
$1 131,05 $1 191,41 $1 255,33 $1 482,44 |
$1 473,05 $1 533,41 $1 597,33 $1 824,44 |
$342,00 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$894,10 $1 014,82 $1 142,66 $1 596,88 $2 426,60 |
$1 236,10 $1 356,82 $1 484,66 $1 938,88 |
$1 578,10 $1 698,82 $1 826,66 $2 280,88 |
$1 920,10 $2 040,82 $2 168,66 $2 622,88 |
$342,00 |
Toc - Plan #94 Health First Commercial Plans, Inc. | |||||||||||||||||||
Silver
(HMO) AdventHealth GYM ACCESS Silver HMO 80 1696 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,950
| Family:
$9,900 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$422,64 $479,70 $540,13 $754,84 $1 147,05 |
$745,96 $803,02 $863,45 $1 078,16 |
$1 069,28 $1 126,34 $1 186,77 $1 401,48 |
$1 392,60 $1 449,66 $1 510,09 $1 724,80 |
$323,32 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$845,28 $959,40 $1 080,26 $1 509,68 $2 294,10 |
$1 168,60 $1 282,72 $1 403,58 $1 833,00 |
$1 491,92 $1 606,04 $1 726,90 $2 156,32 |
$1 815,24 $1 929,36 $2 050,22 $2 479,64 |
$323,32 |
Toc - Plan #95 Health First Commercial Plans, Inc. | |||||||||||||||||||
Catastrophic
(HMO) AdventHealth GYM ACCESS Catastrophic HMO 1748 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$172,62 $195,92 $220,60 $308,29 $468,48 |
$304,67 $327,97 $352,65 $440,34 |
$436,72 $460,02 $484,70 $572,39 |
$568,77 $592,07 $616,75 $704,44 |
$132,05 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$345,24 $391,84 $441,20 $616,58 $936,96 |
$477,29 $523,89 $573,25 $748,63 |
$609,34 $655,94 $705,30 $880,68 |
$741,39 $787,99 $837,35 $1 012,73 |
$132,05 |
Toc - Plan #96 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth GYM ACCESS Gold HMO 70 1743 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,500
| Family:
$3,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$448,28 $508,79 $572,90 $800,62 $1 216,62 |
$791,21 $851,72 $915,83 $1 143,55 |
$1 134,14 $1 194,65 $1 258,76 $1 486,48 |
$1 477,07 $1 537,58 $1 601,69 $1 829,41 |
$342,93 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$896,56 $1 017,58 $1 145,80 $1 601,24 $2 433,24 |
$1 239,49 $1 360,51 $1 488,73 $1 944,17 |
$1 582,42 $1 703,44 $1 831,66 $2 287,10 |
$1 925,35 $2 046,37 $2 174,59 $2 630,03 |
$342,93 |
Toc - Plan #97 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth GYM ACCESS Gold HMO 100 1738 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,650
| Family:
$5,300 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$438,08 $497,22 $559,86 $782,41 $1 188,94 |
$773,21 $832,35 $894,99 $1 117,54 |
$1 108,34 $1 167,48 $1 230,12 $1 452,67 |
$1 443,47 $1 502,61 $1 565,25 $1 787,80 |
$335,13 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$876,16 $994,44 $1 119,72 $1 564,82 $2 377,88 |
$1 211,29 $1 329,57 $1 454,85 $1 899,95 |
$1 546,42 $1 664,70 $1 789,98 $2 235,08 |
$1 881,55 $1 999,83 $2 125,11 $2 570,21 |
$335,13 |
Toc - Plan #98 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth GYM ACCESS Gold HMO 80 1741 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,900
| Family:
$5,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$426,50 $484,08 $545,07 $761,73 $1 157,52 |
$752,77 $810,35 $871,34 $1 088,00 |
$1 079,04 $1 136,62 $1 197,61 $1 414,27 |
$1 405,31 $1 462,89 $1 523,88 $1 740,54 |
$326,27 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$853,00 $968,16 $1 090,14 $1 523,46 $2 315,04 |
$1 179,27 $1 294,43 $1 416,41 $1 849,73 |
$1 505,54 $1 620,70 $1 742,68 $2 176,00 |
$1 831,81 $1 946,97 $2 068,95 $2 502,27 |
$326,27 |
Toc - Plan #99 Health First Commercial Plans, Inc. | |||||||||||||||||||
Silver
(HMO) AdventHealth GYM ACCESS Silver HMO 100 1668 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,750
| Family:
$11,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$431,61 $489,87 $551,59 $770,85 $1 171,38 |
$761,79 $820,05 $881,77 $1 101,03 |
$1 091,97 $1 150,23 $1 211,95 $1 431,21 |
$1 422,15 $1 480,41 $1 542,13 $1 761,39 |
$330,18 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$863,22 $979,74 $1 103,18 $1 541,70 $2 342,76 |
$1 193,40 $1 309,92 $1 433,36 $1 871,88 |
$1 523,58 $1 640,10 $1 763,54 $2 202,06 |
$1 853,76 $1 970,28 $2 093,72 $2 532,24 |
$330,18 |
Toc - Plan #100 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealth GYM ACCESS Bronze HMO 100 HSA 1660 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,900
| Family:
$13,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$324,29 $368,07 $414,45 $579,19 $880,13 |
$572,37 $616,15 $662,53 $827,27 |
$820,45 $864,23 $910,61 $1 075,35 |
$1 068,53 $1 112,31 $1 158,69 $1 323,43 |
$248,08 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$648,58 $736,14 $828,90 $1 158,38 $1 760,26 |
$896,66 $984,22 $1 076,98 $1 406,46 |
$1 144,74 $1 232,30 $1 325,06 $1 654,54 |
$1 392,82 $1 480,38 $1 573,14 $1 902,62 |
$248,08 |
Toc - Plan #101 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealthGYM ACCESS Bronze HMO 50 1797 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,900
| Family:
$13,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$314,97 $357,49 $402,53 $562,53 $854,82 |
$555,92 $598,44 $643,48 $803,48 |
$796,87 $839,39 $884,43 $1 044,43 |
$1 037,82 $1 080,34 $1 125,38 $1 285,38 |
$240,95 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$629,94 $714,98 $805,06 $1 125,06 $1 709,64 |
$870,89 $955,93 $1 046,01 $1 366,01 |
$1 111,84 $1 196,88 $1 286,96 $1 606,96 |
$1 352,79 $1 437,83 $1 527,91 $1 847,91 |
$240,95 |
Toc - Plan #102 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealth GYM ACCESS Bronze HMO 60 1657 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,550
| Family:
$15,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$319,91 $363,10 $408,84 $571,36 $868,23 |
$564,64 $607,83 $653,57 $816,09 |
$809,37 $852,56 $898,30 $1 060,82 |
$1 054,10 $1 097,29 $1 143,03 $1 305,55 |
$244,73 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$639,82 $726,20 $817,68 $1 142,72 $1 736,46 |
$884,55 $970,93 $1 062,41 $1 387,45 |
$1 129,28 $1 215,66 $1 307,14 $1 632,18 |
$1 374,01 $1 460,39 $1 551,87 $1 876,91 |
$244,73 |
Toc - Plan #103 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealth Bronze HMO 60 1752 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,500
| Family:
$17,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$314,97 $357,49 $402,53 $562,53 $854,82 |
$555,92 $598,44 $643,48 $803,48 |
$796,87 $839,39 $884,43 $1 044,43 |
$1 037,82 $1 080,34 $1 125,38 $1 285,38 |
$240,95 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$629,94 $714,98 $805,06 $1 125,06 $1 709,64 |
$870,89 $955,93 $1 046,01 $1 366,01 |
$1 111,84 $1 196,88 $1 286,96 $1 606,96 |
$1 352,79 $1 437,83 $1 527,91 $1 847,91 |
$240,95 |
Toc - Plan #104 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth Gold HMO 80 1772 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$1,600
| Family:
$3,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$428,54 $486,40 $547,68 $765,38 $1 163,07 |
$756,38 $814,24 $875,52 $1 093,22 |
$1 084,22 $1 142,08 $1 203,36 $1 421,06 |
$1 412,06 $1 469,92 $1 531,20 $1 748,90 |
$327,84 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$857,08 $972,80 $1 095,36 $1 530,76 $2 326,14 |
$1 184,92 $1 300,64 $1 423,20 $1 858,60 |
$1 512,76 $1 628,48 $1 751,04 $2 186,44 |
$1 840,60 $1 956,32 $2 078,88 $2 514,28 |
$327,84 |
Toc - Plan #105 Health First Commercial Plans, Inc. | |||||||||||||||||||
Bronze
(HMO) AdventHealth Bronze HMO 100 1776 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,250
| Family:
$16,500 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$309,09 $350,82 $395,02 $552,04 $838,88 |
$545,55 $587,28 $631,48 $788,50 |
$782,01 $823,74 $867,94 $1 024,96 |
$1 018,47 $1 060,20 $1 104,40 $1 261,42 |
$236,46 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$618,18 $701,64 $790,04 $1 104,08 $1 677,76 |
$854,64 $938,10 $1 026,50 $1 340,54 |
$1 091,10 $1 174,56 $1 262,96 $1 577,00 |
$1 327,56 $1 411,02 $1 499,42 $1 813,46 |
$236,46 |
Toc - Plan #106 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealth Bronze HMO 100 HSA 1795 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,900
| Family:
$13,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$320,61 $363,89 $409,74 $572,61 $870,13 |
$565,88 $609,16 $655,01 $817,88 |
$811,15 $854,43 $900,28 $1 063,15 |
$1 056,42 $1 099,70 $1 145,55 $1 308,42 |
$245,27 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$641,22 $727,78 $819,48 $1 145,22 $1 740,26 |
$886,49 $973,05 $1 064,75 $1 390,49 |
$1 131,76 $1 218,32 $1 310,02 $1 635,76 |
$1 377,03 $1 463,59 $1 555,29 $1 881,03 |
$245,27 |
Toc - Plan #107 Health First Commercial Plans, Inc. | |||||||||||||||||||
Silver
(HMO) AdventHealth Silver HMO 65 1810 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,900
| Family:
$5,800 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$415,53 $471,62 $531,04 $742,13 $1 127,74 |
$733,41 $789,50 $848,92 $1 060,01 |
$1 051,29 $1 107,38 $1 166,80 $1 377,89 |
$1 369,17 $1 425,26 $1 484,68 $1 695,77 |
$317,88 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$831,06 $943,24 $1 062,08 $1 484,26 $2 255,48 |
$1 148,94 $1 261,12 $1 379,96 $1 802,14 |
$1 466,82 $1 579,00 $1 697,84 $2 120,02 |
$1 784,70 $1 896,88 $2 015,72 $2 437,90 |
$317,88 |
Toc - Plan #108 Health First Commercial Plans, Inc. | |||||||||||||||||||
Expanded Bronze
(HMO) AdventHealth Bronze VALUE RX 50 1820 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,300
| Family:
$16,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$293,54 $333,17 $375,15 $524,27 $796,67 |
$518,10 $557,73 $599,71 $748,83 |
$742,66 $782,29 $824,27 $973,39 |
$967,22 $1 006,85 $1 048,83 $1 197,95 |
$224,56 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$587,08 $666,34 $750,30 $1 048,54 $1 593,34 |
$811,64 $890,90 $974,86 $1 273,10 |
$1 036,20 $1 115,46 $1 199,42 $1 497,66 |
$1 260,76 $1 340,02 $1 423,98 $1 722,22 |
$224,56 |
Toc - Plan #109 Health First Commercial Plans, Inc. | |||||||||||||||||||
Silver
(HMO) AdventHealth Silver VALUE RX 80 1821 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,100
| Family:
$14,200 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$394,90 $448,21 $504,68 $705,28 $1 071,75 |
$697,00 $750,31 $806,78 $1 007,38 |
$999,10 $1 052,41 $1 108,88 $1 309,48 |
$1 301,20 $1 354,51 $1 410,98 $1 611,58 |
$302,10 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$789,80 $896,42 $1 009,36 $1 410,56 $2 143,50 |
$1 091,90 $1 198,52 $1 311,46 $1 712,66 |
$1 394,00 $1 500,62 $1 613,56 $2 014,76 |
$1 696,10 $1 802,72 $1 915,66 $2 316,86 |
$302,10 |
Toc - Plan #110 Health First Commercial Plans, Inc. | |||||||||||||||||||
Gold
(HMO) AdventHealth Gold VALUE RX 75 1825 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,000
| Family:
$8,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$411,76 $467,35 $526,23 $735,40 $1 117,52 |
$726,76 $782,35 $841,23 $1 050,40 |
$1 041,76 $1 097,35 $1 156,23 $1 365,40 |
$1 356,76 $1 412,35 $1 471,23 $1 680,40 |
$315,00 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$823,52 $934,70 $1 052,46 $1 470,80 $2 235,04 |
$1 138,52 $1 249,70 $1 367,46 $1 785,80 |
$1 453,52 $1 564,70 $1 682,46 $2 100,80 |
$1 768,52 $1 879,70 $1 997,46 $2 415,80 |
$315,00 |
ADVERTISEMENT |
||||||||||
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #111 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Simple |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,300
| Family:
$14,600 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$275,20 $312,34 $351,70 $491,49 $746,87 |
$485,72 $522,86 $562,22 $702,01 |
$696,24 $733,38 $772,74 $912,53 |
$906,76 $943,90 $983,26 $1 123,05 |
$210,52 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$550,40 $624,68 $703,40 $982,98 $1 493,74 |
$760,92 $835,20 $913,92 $1 193,50 |
$971,44 $1 045,72 $1 124,44 $1 404,02 |
$1 181,96 $1 256,24 $1 334,96 $1 614,54 |
$210,52 |
Toc - Plan #112 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic PCP Copay |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$287,37 $326,15 $367,25 $513,23 $779,90 |
$507,20 $545,98 $587,08 $733,06 |
$727,03 $765,81 $806,91 $952,89 |
$946,86 $985,64 $1 026,74 $1 172,72 |
$219,83 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$574,74 $652,30 $734,50 $1 026,46 $1 559,80 |
$794,57 $872,13 $954,33 $1 246,29 |
$1 014,40 $1 091,96 $1 174,16 $1 466,12 |
$1 234,23 $1 311,79 $1 393,99 $1 685,95 |
$219,83 |
Toc - Plan #113 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$277,98 $315,49 $355,24 $496,45 $754,40 |
$490,63 $528,14 $567,89 $709,10 |
$703,28 $740,79 $780,54 $921,75 |
$915,93 $953,44 $993,19 $1 134,40 |
$212,65 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$555,96 $630,98 $710,48 $992,90 $1 508,80 |
$768,61 $843,63 $923,13 $1 205,55 |
$981,26 $1 056,28 $1 135,78 $1 418,20 |
$1 193,91 $1 268,93 $1 348,43 $1 630,85 |
$212,65 |
Toc - Plan #114 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic Next |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$327,44 $371,63 $418,45 $584,78 $888,63 |
$577,92 $622,11 $668,93 $835,26 |
$828,40 $872,59 $919,41 $1 085,74 |
$1 078,88 $1 123,07 $1 169,89 $1 336,22 |
$250,48 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$654,88 $743,26 $836,90 $1 169,56 $1 777,26 |
$905,36 $993,74 $1 087,38 $1 420,04 |
$1 155,84 $1 244,22 $1 337,86 $1 670,52 |
$1 406,32 $1 494,70 $1 588,34 $1 921,00 |
$250,48 |
Toc - Plan #115 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Classic |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,000
| Family:
$10,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$363,21 $412,23 $464,17 $648,68 $985,73 |
$641,06 $690,08 $742,02 $926,53 |
$918,91 $967,93 $1 019,87 $1 204,38 |
$1 196,76 $1 245,78 $1 297,72 $1 482,23 |
$277,85 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$726,42 $824,46 $928,34 $1 297,36 $1 971,46 |
$1 004,27 $1 102,31 $1 206,19 $1 575,21 |
$1 282,12 $1 380,16 $1 484,04 $1 853,06 |
$1 559,97 $1 658,01 $1 761,89 $2 130,91 |
$277,85 |
Toc - Plan #116 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Saver 2 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,200
| Family:
$12,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$359,31 $407,80 $459,18 $641,71 $975,13 |
$634,17 $682,66 $734,04 $916,57 |
$909,03 $957,52 $1 008,90 $1 191,43 |
$1 183,89 $1 232,38 $1 283,76 $1 466,29 |
$274,86 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$718,62 $815,60 $918,36 $1 283,42 $1 950,26 |
$993,48 $1 090,46 $1 193,22 $1 558,28 |
$1 268,34 $1 365,32 $1 468,08 $1 833,14 |
$1 543,20 $1 640,18 $1 742,94 $2 108,00 |
$274,86 |
Toc - Plan #117 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Classic Next |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$362,03 $410,89 $462,66 $646,57 $982,52 |
$638,98 $687,84 $739,61 $923,52 |
$915,93 $964,79 $1 016,56 $1 200,47 |
$1 192,88 $1 241,74 $1 293,51 $1 477,42 |
$276,95 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$724,06 $821,78 $925,32 $1 293,14 $1 965,04 |
$1 001,01 $1 098,73 $1 202,27 $1 570,09 |
$1 277,96 $1 375,68 $1 479,22 $1 847,04 |
$1 554,91 $1 652,63 $1 756,17 $2 123,99 |
$276,95 |
Toc - Plan #118 Oscar Insurance Company of Florida | |||||||||||||||||||
Catastrophic
(EPO) Oscar Secure |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$226,04 $256,55 $288,87 $403,70 $613,46 |
$398,96 $429,47 $461,79 $576,62 |
$571,88 $602,39 $634,71 $749,54 |
$744,80 $775,31 $807,63 $922,46 |
$172,92 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$452,08 $513,10 $577,74 $807,40 $1 226,92 |
$625,00 $686,02 $750,66 $980,32 |
$797,92 $858,94 $923,58 $1 153,24 |
$970,84 $1 031,86 $1 096,50 $1 326,16 |
$172,92 |
Toc - Plan #119 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze Classic Next 2 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$328,06 $372,34 $419,25 $585,90 $890,34 |
$579,02 $623,30 $670,21 $836,86 |
$829,98 $874,26 $921,17 $1 087,82 |
$1 080,94 $1 125,22 $1 172,13 $1 338,78 |
$250,96 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$656,12 $744,68 $838,50 $1 171,80 $1 780,68 |
$907,08 $995,64 $1 089,46 $1 422,76 |
$1 158,04 $1 246,60 $1 340,42 $1 673,72 |
$1 409,00 $1 497,56 $1 591,38 $1 924,68 |
$250,96 |
Toc - Plan #120 Oscar Insurance Company of Florida | |||||||||||||||||||
Gold
(EPO) Oscar Gold Classic |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,500
| Family:
$5,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$382,43 $434,05 $488,73 $683,00 $1 037,89 |
$674,98 $726,60 $781,28 $975,55 |
$967,53 $1 019,15 $1 073,83 $1 268,10 |
$1 260,08 $1 311,70 $1 366,38 $1 560,65 |
$292,55 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$764,86 $868,10 $977,46 $1 366,00 $2 075,78 |
$1 057,41 $1 160,65 $1 270,01 $1 658,55 |
$1 349,96 $1 453,20 $1 562,56 $1 951,10 |
$1 642,51 $1 745,75 $1 855,11 $2 243,65 |
$292,55 |
Toc - Plan #121 Oscar Insurance Company of Florida | |||||||||||||||||||
Expanded Bronze
(EPO) Oscar Bronze HDHP |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$5,200
| Family:
$10,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$292,66 $332,15 $374,00 $522,67 $794,24 |
$516,53 $556,02 $597,87 $746,54 |
$740,40 $779,89 $821,74 $970,41 |
$964,27 $1 003,76 $1 045,61 $1 194,28 |
$223,87 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$585,32 $664,30 $748,00 $1 045,34 $1 588,48 |
$809,19 $888,17 $971,87 $1 269,21 |
$1 033,06 $1 112,04 $1 195,74 $1 493,08 |
$1 256,93 $1 335,91 $1 419,61 $1 716,95 |
$223,87 |
Toc - Plan #122 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Saver |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,200
| Family:
$8,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$358,53 $406,91 $458,18 $640,31 $973,01 |
$632,79 $681,17 $732,44 $914,57 |
$907,05 $955,43 $1 006,70 $1 188,83 |
$1 181,31 $1 229,69 $1 280,96 $1 463,09 |
$274,26 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$717,06 $813,82 $916,36 $1 280,62 $1 946,02 |
$991,32 $1 088,08 $1 190,62 $1 554,88 |
$1 265,58 $1 362,34 $1 464,88 $1 829,14 |
$1 539,84 $1 636,60 $1 739,14 $2 103,40 |
$274,26 |
Toc - Plan #123 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Classic Copay |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$368,73 $418,50 $471,23 $658,54 $1 000,71 |
$650,80 $700,57 $753,30 $940,61 |
$932,87 $982,64 $1 035,37 $1 222,68 |
$1 214,94 $1 264,71 $1 317,44 $1 504,75 |
$282,07 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$737,46 $837,00 $942,46 $1 317,08 $2 001,42 |
$1 019,53 $1 119,07 $1 224,53 $1 599,15 |
$1 301,60 $1 401,14 $1 506,60 $1 881,22 |
$1 583,67 $1 683,21 $1 788,67 $2 163,29 |
$282,07 |
Toc - Plan #124 Oscar Insurance Company of Florida | |||||||||||||||||||
Silver
(EPO) Oscar Silver Classic $0 Ded |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$0
| Family:
$0 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$371,39 $421,52 $474,62 $663,28 $1 007,92 |
$655,50 $705,63 $758,73 $947,39 |
$939,61 $989,74 $1 042,84 $1 231,50 |
$1 223,72 $1 273,85 $1 326,95 $1 515,61 |
$284,11 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$742,78 $843,04 $949,24 $1 326,56 $2 015,84 |
$1 026,89 $1 127,15 $1 233,35 $1 610,67 |
$1 311,00 $1 411,26 $1 517,46 $1 894,78 |
$1 595,11 $1 695,37 $1 801,57 $2 178,89 |
$284,11 |
ADVERTISEMENT |
||||||||||
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #125 Cigna Healthcare | |||||||||||||||||||
Bronze
(EPO) Cigna Connect 8550 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$8,550
| Family:
$17,100 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$309,47 $351,24 $395,50 $552,71 $839,89 |
$546,21 $587,98 $632,24 $789,45 |
$782,95 $824,72 $868,98 $1 026,19 |
$1 019,69 $1 061,46 $1 105,72 $1 262,93 |
$236,74 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$618,94 $702,48 $791,00 $1 105,42 $1 679,78 |
$855,68 $939,22 $1 027,74 $1 342,16 |
$1 092,42 $1 175,96 $1 264,48 $1 578,90 |
$1 329,16 $1 412,70 $1 501,22 $1 815,64 |
$236,74 |
Toc - Plan #126 Cigna Healthcare | |||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6500 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,500
| Family:
$13,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$324,69 $368,52 $414,95 $579,90 $881,21 |
$573,08 $616,91 $663,34 $828,29 |
$821,47 $865,30 $911,73 $1 076,68 |
$1 069,86 $1 113,69 $1 160,12 $1 325,07 |
$248,39 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$649,38 $737,04 $829,90 $1 159,80 $1 762,42 |
$897,77 $985,43 $1 078,29 $1 408,19 |
$1 146,16 $1 233,82 $1 326,68 $1 656,58 |
$1 394,55 $1 482,21 $1 575,07 $1 904,97 |
$248,39 |
Toc - Plan #127 Cigna Healthcare | |||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,000
| Family:
$14,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$321,71 $365,14 $411,14 $574,57 $873,11 |
$567,82 $611,25 $657,25 $820,68 |
$813,93 $857,36 $903,36 $1 066,79 |
$1 060,04 $1 103,47 $1 149,47 $1 312,90 |
$246,11 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$643,42 $730,28 $822,28 $1 149,14 $1 746,22 |
$889,53 $976,39 $1 068,39 $1 395,25 |
$1 135,64 $1 222,50 $1 314,50 $1 641,36 |
$1 381,75 $1 468,61 $1 560,61 $1 887,47 |
$246,11 |
Toc - Plan #128 Cigna Healthcare | |||||||||||||||||||
Silver
(EPO) Cigna Connect 6000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$6,000
| Family:
$12,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$394,07 $447,27 $503,62 $703,80 $1 069,50 |
$695,53 $748,73 $805,08 $1 005,26 |
$996,99 $1 050,19 $1 106,54 $1 306,72 |
$1 298,45 $1 351,65 $1 408,00 $1 608,18 |
$301,46 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$788,14 $894,54 $1 007,24 $1 407,60 $2 139,00 |
$1 089,60 $1 196,00 $1 308,70 $1 709,06 |
$1 391,06 $1 497,46 $1 610,16 $2 010,52 |
$1 692,52 $1 798,92 $1 911,62 $2 311,98 |
$301,46 |
Toc - Plan #129 Cigna Healthcare | |||||||||||||||||||
Silver
(EPO) Cigna Connect 4500 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$4,500
| Family:
$9,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$397,40 $451,05 $507,87 $709,75 $1 078,54 |
$701,41 $755,06 $811,88 $1 013,76 |
$1 005,42 $1 059,07 $1 115,89 $1 317,77 |
$1 309,43 $1 363,08 $1 419,90 $1 621,78 |
$304,01 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$794,80 $902,10 $1 015,74 $1 419,50 $2 157,08 |
$1 098,81 $1 206,11 $1 319,75 $1 723,51 |
$1 402,82 $1 510,12 $1 623,76 $2 027,52 |
$1 706,83 $1 814,13 $1 927,77 $2 331,53 |
$304,01 |
Toc - Plan #130 Cigna Healthcare | |||||||||||||||||||
Silver
(EPO) Cigna Connect 7200 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$7,200
| Family:
$14,400 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$400,21 $454,24 $511,47 $714,77 $1 086,17 |
$706,37 $760,40 $817,63 $1 020,93 |
$1 012,53 $1 066,56 $1 123,79 $1 327,09 |
$1 318,69 $1 372,72 $1 429,95 $1 633,25 |
$306,16 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$800,42 $908,48 $1 022,94 $1 429,54 $2 172,34 |
$1 106,58 $1 214,64 $1 329,10 $1 735,70 |
$1 412,74 $1 520,80 $1 635,26 $2 041,86 |
$1 718,90 $1 826,96 $1 941,42 $2 348,02 |
$306,16 |
Toc - Plan #131 Cigna Healthcare | |||||||||||||||||||
Silver
(EPO) Cigna Connect 3500 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$3,500
| Family:
$7,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$409,81 $465,13 $523,74 $731,92 $1 112,23 |
$723,31 $778,63 $837,24 $1 045,42 |
$1 036,81 $1 092,13 $1 150,74 $1 358,92 |
$1 350,31 $1 405,63 $1 464,24 $1 672,42 |
$313,50 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$819,62 $930,26 $1 047,48 $1 463,84 $2 224,46 |
$1 133,12 $1 243,76 $1 360,98 $1 777,34 |
$1 446,62 $1 557,26 $1 674,48 $2 090,84 |
$1 760,12 $1 870,76 $1 987,98 $2 404,34 |
$313,50 |
Toc - Plan #132 Cigna Healthcare | |||||||||||||||||||
Gold
(EPO) Cigna Connect 2000 |
|||||||||||||||||||
Annual Out of Pocket Expenses
Deductible: Individual:
$2,000
| Family:
$4,000 Monthly Premiums: |
|||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
Individual 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$446,75 $507,06 $570,94 $797,89 $1 212,47 |
$788,51 $848,82 $912,70 $1 139,65 |
$1 130,27 $1 190,58 $1 254,46 $1 481,41 |
$1 472,03 $1 532,34 $1 596,22 $1 823,17 |
$341,76 | ||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
Couple 3+ Children |
Child 0-14 |
||||||||||||||
21 30 40 50 60 |
$893,50 $1 014,12 $1 141,88 $1 595,78 $2 424,94 |
$1 235,26 $1 355,88 $1 483,64 $1 937,54 |
$1 577,02 $1 697,64 $1 825,40 $2 279,30 |
$1 918,78 $2 039,40 $2 167,16 $2 621,06 |
$341,76 |
Toc - Plan #133 Cigna Healthcare | |||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 5500 |
|||||||||||||||||||
Annual Out of Pocket Expenses
|