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

Obamacare > Rates > Florida > Volusia County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 |

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 Volusia County, FL.

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

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

Below, you’ll find a summary of the 129 plans for Volusia County, Florida and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • Bright Health

    Local: 1-855-521-9335 | Toll Free: 1-855-521-9335
  • Florida Blue (BlueCross BlueShield FL)

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

  • Ambetter from Sunshine Health

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

  • Florida Blue HMO (a BlueCross BlueShield FL company)

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

  • Health First Commercial Plans, Inc.

    Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771

  • Oscar Insurance Company of Florida

    Local: 1-855-672-2755 | Toll Free: 1-855-672-2755
  • Florida Health Care Plans

    Local: 1-386-676-7110 | Toll Free: 1-800-232-0578 | TTY: 1-800-955-8771

  • For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

    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 Ormond Beach, FL area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Volusia County

    ADVERTISEMENT

    Bright Health

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

    Toc - Plan #1

    Gold

    (EPO) Gold 1000

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $420,91
    $477,74
    $537,93
    $751,75
    $1 142,36
    $841,82
    $955,48
    $1 075,86
    $1 503,50
    $2 284,72
    $1 163,82
    $1 277,48
    $1 397,86
    $1 825,50
    $1 485,82
    $1 599,48
    $1 719,86
    $2 147,50
    $1 807,82
    $1 921,48
    $2 041,86
    $2 469,50
    $742,91
    $799,74
    $859,93
    $1 073,75
    $1 064,91
    $1 121,74
    $1 181,93
    $1 395,75
    $1 386,91
    $1 443,74
    $1 503,93
    $1 717,75
    $322,00
    Toc - Plan #2

    Silver

    (EPO) Silver 5000

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $357,15
    $405,37
    $456,44
    $637,88
    $969,32
    $714,30
    $810,74
    $912,88
    $1 275,76
    $1 938,64
    $987,52
    $1 083,96
    $1 186,10
    $1 548,98
    $1 260,74
    $1 357,18
    $1 459,32
    $1 822,20
    $1 533,96
    $1 630,40
    $1 732,54
    $2 095,42
    $630,37
    $678,59
    $729,66
    $911,10
    $903,59
    $951,81
    $1 002,88
    $1 184,32
    $1 176,81
    $1 225,03
    $1 276,10
    $1 457,54
    $273,22
    Toc - Plan #3

    Silver

    (EPO) Silver 3000

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $7,500 $15,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $370,40
    $420,41
    $473,37
    $661,54
    $1 005,27
    $740,80
    $840,82
    $946,74
    $1 323,08
    $2 010,54
    $1 024,16
    $1 124,18
    $1 230,10
    $1 606,44
    $1 307,52
    $1 407,54
    $1 513,46
    $1 889,80
    $1 590,88
    $1 690,90
    $1 796,82
    $2 173,16
    $653,76
    $703,77
    $756,73
    $944,90
    $937,12
    $987,13
    $1 040,09
    $1 228,26
    $1 220,48
    $1 270,49
    $1 323,45
    $1 511,62
    $283,36
    Toc - Plan #4

    Silver

    (EPO) Silver $0 Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $387,57
    $439,89
    $495,32
    $692,20
    $1 051,87
    $775,14
    $879,78
    $990,64
    $1 384,40
    $2 103,74
    $1 071,63
    $1 176,27
    $1 287,13
    $1 680,89
    $1 368,12
    $1 472,76
    $1 583,62
    $1 977,38
    $1 664,61
    $1 769,25
    $1 880,11
    $2 273,87
    $684,06
    $736,38
    $791,81
    $988,69
    $980,55
    $1 032,87
    $1 088,30
    $1 285,18
    $1 277,04
    $1 329,36
    $1 384,79
    $1 581,67
    $296,49
    Toc - Plan #5

    Expanded Bronze

    (EPO) Bronze 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $268,39
    $304,62
    $343,00
    $479,35
    $728,41
    $536,78
    $609,24
    $686,00
    $958,70
    $1 456,82
    $742,10
    $814,56
    $891,32
    $1 164,02
    $947,42
    $1 019,88
    $1 096,64
    $1 369,34
    $1 152,74
    $1 225,20
    $1 301,96
    $1 574,66
    $473,71
    $509,94
    $548,32
    $684,67
    $679,03
    $715,26
    $753,64
    $889,99
    $884,35
    $920,58
    $958,96
    $1 095,31
    $205,32
    Toc - Plan #6

    Expanded Bronze

    (EPO) Bronze 5900

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $279,43
    $317,15
    $357,11
    $499,06
    $758,37
    $558,86
    $634,30
    $714,22
    $998,12
    $1 516,74
    $772,62
    $848,06
    $927,98
    $1 211,88
    $986,38
    $1 061,82
    $1 141,74
    $1 425,64
    $1 200,14
    $1 275,58
    $1 355,50
    $1 639,40
    $493,19
    $530,91
    $570,87
    $712,82
    $706,95
    $744,67
    $784,63
    $926,58
    $920,71
    $958,43
    $998,39
    $1 140,34
    $213,76
    Toc - Plan #7

    Expanded Bronze

    (EPO) Bronze 7000 HSA

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $318,38
    $361,36
    $406,89
    $568,63
    $864,09
    $636,76
    $722,72
    $813,78
    $1 137,26
    $1 728,18
    $880,32
    $966,28
    $1 057,34
    $1 380,82
    $1 123,88
    $1 209,84
    $1 300,90
    $1 624,38
    $1 367,44
    $1 453,40
    $1 544,46
    $1 867,94
    $561,94
    $604,92
    $650,45
    $812,19
    $805,50
    $848,48
    $894,01
    $1 055,75
    $1 049,06
    $1 092,04
    $1 137,57
    $1 299,31
    $243,56
    Toc - Plan #8

    Catastrophic

    (EPO) Catastrophic 3 $0 PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $219,89
    $249,57
    $281,02
    $392,72
    $596,78
    $439,78
    $499,14
    $562,04
    $785,44
    $1 193,56
    $607,99
    $667,35
    $730,25
    $953,65
    $776,20
    $835,56
    $898,46
    $1 121,86
    $944,41
    $1 003,77
    $1 066,67
    $1 290,07
    $388,10
    $417,78
    $449,23
    $560,93
    $556,31
    $585,99
    $617,44
    $729,14
    $724,52
    $754,20
    $785,65
    $897,35
    $168,21
    Toc - Plan #9

    Silver

    (EPO) Silver $0 Primary Care

    Annual Out of Pocket Expenses
    Individual Family
    $6,700 $13,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $370,35
    $420,35
    $473,31
    $661,45
    $1 005,13
    $740,70
    $840,70
    $946,62
    $1 322,90
    $2 010,26
    $1 024,02
    $1 124,02
    $1 229,94
    $1 606,22
    $1 307,34
    $1 407,34
    $1 513,26
    $1 889,54
    $1 590,66
    $1 690,66
    $1 796,58
    $2 172,86
    $653,67
    $703,67
    $756,63
    $944,77
    $936,99
    $986,99
    $1 039,95
    $1 228,09
    $1 220,31
    $1 270,31
    $1 323,27
    $1 511,41
    $283,32
    Toc - Plan #10

    Expanded Bronze

    (EPO) Bronze $0 Primary Care

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $279,29
    $317,00
    $356,94
    $498,82
    $758,00
    $558,58
    $634,00
    $713,88
    $997,64
    $1 516,00
    $772,24
    $847,66
    $927,54
    $1 211,30
    $985,90
    $1 061,32
    $1 141,20
    $1 424,96
    $1 199,56
    $1 274,98
    $1 354,86
    $1 638,62
    $492,95
    $530,66
    $570,60
    $712,48
    $706,61
    $744,32
    $784,26
    $926,14
    $920,27
    $957,98
    $997,92
    $1 139,80
    $213,66
    Toc - Plan #11

    Expanded Bronze

    (EPO) Bronze $0 Medical Deductible Direct

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $306,16
    $347,49
    $391,28
    $546,81
    $830,92
    $612,32
    $694,98
    $782,56
    $1 093,62
    $1 661,84
    $846,53
    $929,19
    $1 016,77
    $1 327,83
    $1 080,74
    $1 163,40
    $1 250,98
    $1 562,04
    $1 314,95
    $1 397,61
    $1 485,19
    $1 796,25
    $540,37
    $581,70
    $625,49
    $781,02
    $774,58
    $815,91
    $859,70
    $1 015,23
    $1 008,79
    $1 050,12
    $1 093,91
    $1 249,44
    $234,21
    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

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $5,950 $11,900 Annual Deductible
    $7,150 $14,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $608,51
    $690,66
    $777,68
    $1 086,80
    $1 651,50
    $1 217,02
    $1 381,32
    $1 555,36
    $2 173,60
    $3 303,00
    $1 682,53
    $1 846,83
    $2 020,87
    $2 639,11
    $2 148,04
    $2 312,34
    $2 486,38
    $3 104,62
    $2 613,55
    $2 777,85
    $2 951,89
    $3 570,13
    $1 074,02
    $1 156,17
    $1 243,19
    $1 552,31
    $1 539,53
    $1 621,68
    $1 708,70
    $2 017,82
    $2 005,04
    $2 087,19
    $2 174,21
    $2 483,33
    $465,51
    Toc - Plan #13

    Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $376,22
    $427,01
    $480,81
    $671,93
    $1 021,06
    $752,44
    $854,02
    $961,62
    $1 343,86
    $2 042,12
    $1 040,25
    $1 141,83
    $1 249,43
    $1 631,67
    $1 328,06
    $1 429,64
    $1 537,24
    $1 919,48
    $1 615,87
    $1 717,45
    $1 825,05
    $2 207,29
    $664,03
    $714,82
    $768,62
    $959,74
    $951,84
    $1 002,63
    $1 056,43
    $1 247,55
    $1 239,65
    $1 290,44
    $1 344,24
    $1 535,36
    $287,81
    Toc - Plan #14

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $5,600 $11,200 Annual Deductible
    $7,800 $15,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $626,65
    $711,25
    $800,86
    $1 119,20
    $1 700,73
    $1 253,30
    $1 422,50
    $1 601,72
    $2 238,40
    $3 401,46
    $1 732,69
    $1 901,89
    $2 081,11
    $2 717,79
    $2 212,08
    $2 381,28
    $2 560,50
    $3 197,18
    $2 691,47
    $2 860,67
    $3 039,89
    $3 676,57
    $1 106,04
    $1 190,64
    $1 280,25
    $1 598,59
    $1 585,43
    $1 670,03
    $1 759,64
    $2 077,98
    $2 064,82
    $2 149,42
    $2 239,03
    $2 557,37
    $479,39
    Toc - Plan #15

    Platinum

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

    Annual Out of Pocket Expenses
    Individual Family
    $1,250 $2,500 Annual Deductible
    $4,250 $8,500 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $733,48
    $832,50
    $937,39
    $1 310,00
    $1 990,66
    $1 466,96
    $1 665,00
    $1 874,78
    $2 620,00
    $3 981,32
    $2 028,07
    $2 226,11
    $2 435,89
    $3 181,11
    $2 589,18
    $2 787,22
    $2 997,00
    $3 742,22
    $3 150,29
    $3 348,33
    $3 558,11
    $4 303,33
    $1 294,59
    $1 393,61
    $1 498,50
    $1 871,11
    $1 855,70
    $1 954,72
    $2 059,61
    $2 432,22
    $2 416,81
    $2 515,83
    $2 620,72
    $2 993,33
    $561,11
    Toc - Plan #16

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,500 $17,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $405,48
    $460,22
    $518,20
    $724,19
    $1 100,47
    $810,96
    $920,44
    $1 036,40
    $1 448,38
    $2 200,94
    $1 121,15
    $1 230,63
    $1 346,59
    $1 758,57
    $1 431,34
    $1 540,82
    $1 656,78
    $2 068,76
    $1 741,53
    $1 851,01
    $1 966,97
    $2 378,95
    $715,67
    $770,41
    $828,39
    $1 034,38
    $1 025,86
    $1 080,60
    $1 138,58
    $1 344,57
    $1 336,05
    $1 390,79
    $1 448,77
    $1 654,76
    $310,19
    Toc - Plan #17

    Platinum

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $2,000 $4,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $777,23
    $882,16
    $993,30
    $1 388,13
    $2 109,40
    $1 554,46
    $1 764,32
    $1 986,60
    $2 776,26
    $4 218,80
    $2 149,04
    $2 358,90
    $2 581,18
    $3 370,84
    $2 743,62
    $2 953,48
    $3 175,76
    $3 965,42
    $3 338,20
    $3 548,06
    $3 770,34
    $4 560,00
    $1 371,81
    $1 476,74
    $1 587,88
    $1 982,71
    $1 966,39
    $2 071,32
    $2 182,46
    $2 577,29
    $2 560,97
    $2 665,90
    $2 777,04
    $3 171,87
    $594,58
    Toc - Plan #18

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $554,71
    $629,60
    $708,92
    $990,71
    $1 505,48
    $1 109,42
    $1 259,20
    $1 417,84
    $1 981,42
    $3 010,96
    $1 533,77
    $1 683,55
    $1 842,19
    $2 405,77
    $1 958,12
    $2 107,90
    $2 266,54
    $2 830,12
    $2 382,47
    $2 532,25
    $2 690,89
    $3 254,47
    $979,06
    $1 053,95
    $1 133,27
    $1 415,06
    $1 403,41
    $1 478,30
    $1 557,62
    $1 839,41
    $1 827,76
    $1 902,65
    $1 981,97
    $2 263,76
    $424,35
    Toc - Plan #19

    Gold

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $5,000 $10,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $617,47
    $700,83
    $789,13
    $1 102,80
    $1 675,81
    $1 234,94
    $1 401,66
    $1 578,26
    $2 205,60
    $3 351,62
    $1 707,30
    $1 874,02
    $2 050,62
    $2 677,96
    $2 179,66
    $2 346,38
    $2 522,98
    $3 150,32
    $2 652,02
    $2 818,74
    $2 995,34
    $3 622,68
    $1 089,83
    $1 173,19
    $1 261,49
    $1 575,16
    $1 562,19
    $1 645,55
    $1 733,85
    $2 047,52
    $2 034,55
    $2 117,91
    $2 206,21
    $2 519,88
    $472,36
    Toc - Plan #20

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $6,850 $13,700 Annual Deductible
    $6,850 $13,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $392,91
    $445,95
    $502,14
    $701,74
    $1 066,36
    $785,82
    $891,90
    $1 004,28
    $1 403,48
    $2 132,72
    $1 086,40
    $1 192,48
    $1 304,86
    $1 704,06
    $1 386,98
    $1 493,06
    $1 605,44
    $2 004,64
    $1 687,56
    $1 793,64
    $1 906,02
    $2 305,22
    $693,49
    $746,53
    $802,72
    $1 002,32
    $994,07
    $1 047,11
    $1 103,30
    $1 302,90
    $1 294,65
    $1 347,69
    $1 403,88
    $1 603,48
    $300,58
    Toc - Plan #21

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $3,600 $7,200 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $620,21
    $703,94
    $792,63
    $1 107,70
    $1 683,25
    $1 240,42
    $1 407,88
    $1 585,26
    $2 215,40
    $3 366,50
    $1 714,88
    $1 882,34
    $2 059,72
    $2 689,86
    $2 189,34
    $2 356,80
    $2 534,18
    $3 164,32
    $2 663,80
    $2 831,26
    $3 008,64
    $3 638,78
    $1 094,67
    $1 178,40
    $1 267,09
    $1 582,16
    $1 569,13
    $1 652,86
    $1 741,55
    $2 056,62
    $2 043,59
    $2 127,32
    $2 216,01
    $2 531,08
    $474,46
    Toc - Plan #22

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,150 $16,300 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $404,40
    $458,99
    $516,82
    $722,26
    $1 097,54
    $808,80
    $917,98
    $1 033,64
    $1 444,52
    $2 195,08
    $1 118,17
    $1 227,35
    $1 343,01
    $1 753,89
    $1 427,54
    $1 536,72
    $1 652,38
    $2 063,26
    $1 736,91
    $1 846,09
    $1 961,75
    $2 372,63
    $713,77
    $768,36
    $826,19
    $1 031,63
    $1 023,14
    $1 077,73
    $1 135,56
    $1 341,00
    $1 332,51
    $1 387,10
    $1 444,93
    $1 650,37
    $309,37
    Toc - Plan #23

    Gold

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

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 Annual Deductible
    $5,500 $11,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $597,93
    $678,65
    $764,15
    $1 067,90
    $1 622,78
    $1 195,86
    $1 357,30
    $1 528,30
    $2 135,80
    $3 245,56
    $1 653,28
    $1 814,72
    $1 985,72
    $2 593,22
    $2 110,70
    $2 272,14
    $2 443,14
    $3 050,64
    $2 568,12
    $2 729,56
    $2 900,56
    $3 508,06
    $1 055,35
    $1 136,07
    $1 221,57
    $1 525,32
    $1 512,77
    $1 593,49
    $1 678,99
    $1 982,74
    $1 970,19
    $2 050,91
    $2 136,41
    $2 440,16
    $457,42
    Toc - Plan #24

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $432,63
    $491,04
    $552,90
    $772,68
    $1 174,16
    $865,26
    $982,08
    $1 105,80
    $1 545,36
    $2 348,32
    $1 196,22
    $1 313,04
    $1 436,76
    $1 876,32
    $1 527,18
    $1 644,00
    $1 767,72
    $2 207,28
    $1 858,14
    $1 974,96
    $2 098,68
    $2 538,24
    $763,59
    $822,00
    $883,86
    $1 103,64
    $1 094,55
    $1 152,96
    $1 214,82
    $1 434,60
    $1 425,51
    $1 483,92
    $1 545,78
    $1 765,56
    $330,96
    ADVERTISEMENT

    Ambetter from Sunshine Health

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

    Toc - Plan #25

    Gold

    (EPO) Ambetter Secure Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $378,89
    $430,03
    $484,21
    $676,68
    $1 028,27
    $757,78
    $860,06
    $968,42
    $1 353,36
    $2 056,54
    $1 047,62
    $1 149,90
    $1 258,26
    $1 643,20
    $1 337,46
    $1 439,74
    $1 548,10
    $1 933,04
    $1 627,30
    $1 729,58
    $1 837,94
    $2 222,88
    $668,73
    $719,87
    $774,05
    $966,52
    $958,57
    $1 009,71
    $1 063,89
    $1 256,36
    $1 248,41
    $1 299,55
    $1 353,73
    $1 546,20
    $289,84
    Toc - Plan #26

    Bronze

    (EPO) Ambetter Essential Care 1 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $264,99
    $300,75
    $338,64
    $473,25
    $719,14
    $529,98
    $601,50
    $677,28
    $946,50
    $1 438,28
    $732,69
    $804,21
    $879,99
    $1 149,21
    $935,40
    $1 006,92
    $1 082,70
    $1 351,92
    $1 138,11
    $1 209,63
    $1 285,41
    $1 554,63
    $467,70
    $503,46
    $541,35
    $675,96
    $670,41
    $706,17
    $744,06
    $878,67
    $873,12
    $908,88
    $946,77
    $1 081,38
    $202,71
    Toc - Plan #27

    Expanded Bronze

    (EPO) Ambetter Essential Care 2 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $271,05
    $307,63
    $346,39
    $484,07
    $735,60
    $542,10
    $615,26
    $692,78
    $968,14
    $1 471,20
    $749,44
    $822,60
    $900,12
    $1 175,48
    $956,78
    $1 029,94
    $1 107,46
    $1 382,82
    $1 164,12
    $1 237,28
    $1 314,80
    $1 590,16
    $478,39
    $514,97
    $553,73
    $691,41
    $685,73
    $722,31
    $761,07
    $898,75
    $893,07
    $929,65
    $968,41
    $1 106,09
    $207,34
    Toc - Plan #28

    Expanded Bronze

    (EPO) Ambetter Essential Care 10 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $271,54
    $308,19
    $347,02
    $484,95
    $736,94
    $543,08
    $616,38
    $694,04
    $969,90
    $1 473,88
    $750,80
    $824,10
    $901,76
    $1 177,62
    $958,52
    $1 031,82
    $1 109,48
    $1 385,34
    $1 166,24
    $1 239,54
    $1 317,20
    $1 593,06
    $479,26
    $515,91
    $554,74
    $692,67
    $686,98
    $723,63
    $762,46
    $900,39
    $894,70
    $931,35
    $970,18
    $1 108,11
    $207,72
    Toc - Plan #29

    Silver

    (EPO) Ambetter Balanced Care 4 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $7,200 $14,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $378,93
    $430,07
    $484,25
    $676,74
    $1 028,38
    $757,86
    $860,14
    $968,50
    $1 353,48
    $2 056,76
    $1 047,73
    $1 150,01
    $1 258,37
    $1 643,35
    $1 337,60
    $1 439,88
    $1 548,24
    $1 933,22
    $1 627,47
    $1 729,75
    $1 838,11
    $2 223,09
    $668,80
    $719,94
    $774,12
    $966,61
    $958,67
    $1 009,81
    $1 063,99
    $1 256,48
    $1 248,54
    $1 299,68
    $1 353,86
    $1 546,35
    $289,87
    Toc - Plan #30

    Silver

    (EPO) Ambetter Balanced Care 11 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $369,53
    $419,40
    $472,24
    $659,96
    $1 002,87
    $739,06
    $838,80
    $944,48
    $1 319,92
    $2 005,74
    $1 021,74
    $1 121,48
    $1 227,16
    $1 602,60
    $1 304,42
    $1 404,16
    $1 509,84
    $1 885,28
    $1 587,10
    $1 686,84
    $1 792,52
    $2 167,96
    $652,21
    $702,08
    $754,92
    $942,64
    $934,89
    $984,76
    $1 037,60
    $1 225,32
    $1 217,57
    $1 267,44
    $1 320,28
    $1 508,00
    $282,68
    Toc - Plan #31

    Silver

    (EPO) Ambetter Balanced Care 12 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $361,42
    $410,20
    $461,88
    $645,48
    $980,87
    $722,84
    $820,40
    $923,76
    $1 290,96
    $1 961,74
    $999,32
    $1 096,88
    $1 200,24
    $1 567,44
    $1 275,80
    $1 373,36
    $1 476,72
    $1 843,92
    $1 552,28
    $1 649,84
    $1 753,20
    $2 120,40
    $637,90
    $686,68
    $738,36
    $921,96
    $914,38
    $963,16
    $1 014,84
    $1 198,44
    $1 190,86
    $1 239,64
    $1 291,32
    $1 474,92
    $276,48
    Toc - Plan #32

    Silver

    (EPO) Ambetter Balanced Care 24 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $374,68
    $425,25
    $478,83
    $669,16
    $1 016,86
    $749,36
    $850,50
    $957,66
    $1 338,32
    $2 033,72
    $1 035,98
    $1 137,12
    $1 244,28
    $1 624,94
    $1 322,60
    $1 423,74
    $1 530,90
    $1 911,56
    $1 609,22
    $1 710,36
    $1 817,52
    $2 198,18
    $661,30
    $711,87
    $765,45
    $955,78
    $947,92
    $998,49
    $1 052,07
    $1 242,40
    $1 234,54
    $1 285,11
    $1 338,69
    $1 529,02
    $286,62
    Toc - Plan #33

    Silver

    (EPO) Ambetter Balanced Care 29 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $358,16
    $406,50
    $457,72
    $639,66
    $972,02
    $716,32
    $813,00
    $915,44
    $1 279,32
    $1 944,04
    $990,31
    $1 086,99
    $1 189,43
    $1 553,31
    $1 264,30
    $1 360,98
    $1 463,42
    $1 827,30
    $1 538,29
    $1 634,97
    $1 737,41
    $2 101,29
    $632,15
    $680,49
    $731,71
    $913,65
    $906,14
    $954,48
    $1 005,70
    $1 187,64
    $1 180,13
    $1 228,47
    $1 279,69
    $1 461,63
    $273,99
    Toc - Plan #34

    Silver

    (EPO) Ambetter Balanced Care 25 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $373,70
    $424,13
    $477,57
    $667,40
    $1 014,19
    $747,40
    $848,26
    $955,14
    $1 334,80
    $2 028,38
    $1 033,27
    $1 134,13
    $1 241,01
    $1 620,67
    $1 319,14
    $1 420,00
    $1 526,88
    $1 906,54
    $1 605,01
    $1 705,87
    $1 812,75
    $2 192,41
    $659,57
    $710,00
    $763,44
    $953,27
    $945,44
    $995,87
    $1 049,31
    $1 239,14
    $1 231,31
    $1 281,74
    $1 335,18
    $1 525,01
    $285,87
    Toc - Plan #35

    Silver

    (EPO) Ambetter Balanced Care 26 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $381,01
    $432,43
    $486,92
    $680,47
    $1 034,03
    $762,02
    $864,86
    $973,84
    $1 360,94
    $2 068,06
    $1 053,48
    $1 156,32
    $1 265,30
    $1 652,40
    $1 344,94
    $1 447,78
    $1 556,76
    $1 943,86
    $1 636,40
    $1 739,24
    $1 848,22
    $2 235,32
    $672,47
    $723,89
    $778,38
    $971,93
    $963,93
    $1 015,35
    $1 069,84
    $1 263,39
    $1 255,39
    $1 306,81
    $1 361,30
    $1 554,85
    $291,46
    Toc - Plan #36

    Silver

    (EPO) Ambetter Balanced Care 27 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $397,95
    $451,66
    $508,56
    $710,72
    $1 080,00
    $795,90
    $903,32
    $1 017,12
    $1 421,44
    $2 160,00
    $1 100,32
    $1 207,74
    $1 321,54
    $1 725,86
    $1 404,74
    $1 512,16
    $1 625,96
    $2 030,28
    $1 709,16
    $1 816,58
    $1 930,38
    $2 334,70
    $702,37
    $756,08
    $812,98
    $1 015,14
    $1 006,79
    $1 060,50
    $1 117,40
    $1 319,56
    $1 311,21
    $1 364,92
    $1 421,82
    $1 623,98
    $304,42
    Toc - Plan #37

    Silver

    (EPO) Ambetter Balanced Care 28 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $405,37
    $460,09
    $518,06
    $723,98
    $1 100,16
    $810,74
    $920,18
    $1 036,12
    $1 447,96
    $2 200,32
    $1 120,84
    $1 230,28
    $1 346,22
    $1 758,06
    $1 430,94
    $1 540,38
    $1 656,32
    $2 068,16
    $1 741,04
    $1 850,48
    $1 966,42
    $2 378,26
    $715,47
    $770,19
    $828,16
    $1 034,08
    $1 025,57
    $1 080,29
    $1 138,26
    $1 344,18
    $1 335,67
    $1 390,39
    $1 448,36
    $1 654,28
    $310,10
    Toc - Plan #38

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $375,65
    $426,35
    $480,06
    $670,88
    $1 019,47
    $751,30
    $852,70
    $960,12
    $1 341,76
    $2 038,94
    $1 038,66
    $1 140,06
    $1 247,48
    $1 629,12
    $1 326,02
    $1 427,42
    $1 534,84
    $1 916,48
    $1 613,38
    $1 714,78
    $1 822,20
    $2 203,84
    $663,01
    $713,71
    $767,42
    $958,24
    $950,37
    $1 001,07
    $1 054,78
    $1 245,60
    $1 237,73
    $1 288,43
    $1 342,14
    $1 532,96
    $287,36
    Toc - Plan #39

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $281,72
    $319,74
    $360,02
    $503,13
    $764,55
    $563,44
    $639,48
    $720,04
    $1 006,26
    $1 529,10
    $778,95
    $854,99
    $935,55
    $1 221,77
    $994,46
    $1 070,50
    $1 151,06
    $1 437,28
    $1 209,97
    $1 286,01
    $1 366,57
    $1 652,79
    $497,23
    $535,25
    $575,53
    $718,64
    $712,74
    $750,76
    $791,04
    $934,15
    $928,25
    $966,27
    $1 006,55
    $1 149,66
    $215,51
    Toc - Plan #40

    Gold

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

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $393,80
    $446,95
    $503,26
    $703,31
    $1 068,75
    $787,60
    $893,90
    $1 006,52
    $1 406,62
    $2 137,50
    $1 088,85
    $1 195,15
    $1 307,77
    $1 707,87
    $1 390,10
    $1 496,40
    $1 609,02
    $2 009,12
    $1 691,35
    $1 797,65
    $1 910,27
    $2 310,37
    $695,05
    $748,20
    $804,51
    $1 004,56
    $996,30
    $1 049,45
    $1 105,76
    $1 305,81
    $1 297,55
    $1 350,70
    $1 407,01
    $1 607,06
    $301,25
    Toc - Plan #41

    Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $275,42
    $312,59
    $351,97
    $491,87
    $747,45
    $550,84
    $625,18
    $703,94
    $983,74
    $1 494,90
    $761,53
    $835,87
    $914,63
    $1 194,43
    $972,22
    $1 046,56
    $1 125,32
    $1 405,12
    $1 182,91
    $1 257,25
    $1 336,01
    $1 615,81
    $486,11
    $523,28
    $562,66
    $702,56
    $696,80
    $733,97
    $773,35
    $913,25
    $907,49
    $944,66
    $984,04
    $1 123,94
    $210,69
    Toc - Plan #42

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $282,23
    $320,32
    $360,68
    $504,04
    $765,94
    $564,46
    $640,64
    $721,36
    $1 008,08
    $1 531,88
    $780,36
    $856,54
    $937,26
    $1 223,98
    $996,26
    $1 072,44
    $1 153,16
    $1 439,88
    $1 212,16
    $1 288,34
    $1 369,06
    $1 655,78
    $498,13
    $536,22
    $576,58
    $719,94
    $714,03
    $752,12
    $792,48
    $935,84
    $929,93
    $968,02
    $1 008,38
    $1 151,74
    $215,90
    Toc - Plan #43

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $7,200 $14,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $393,84
    $447,00
    $503,31
    $703,38
    $1 068,85
    $787,68
    $894,00
    $1 006,62
    $1 406,76
    $2 137,70
    $1 088,96
    $1 195,28
    $1 307,90
    $1 708,04
    $1 390,24
    $1 496,56
    $1 609,18
    $2 009,32
    $1 691,52
    $1 797,84
    $1 910,46
    $2 310,60
    $695,12
    $748,28
    $804,59
    $1 004,66
    $996,40
    $1 049,56
    $1 105,87
    $1 305,94
    $1 297,68
    $1 350,84
    $1 407,15
    $1 607,22
    $301,28
    Toc - Plan #44

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $384,07
    $435,91
    $490,83
    $685,94
    $1 042,35
    $768,14
    $871,82
    $981,66
    $1 371,88
    $2 084,70
    $1 061,95
    $1 165,63
    $1 275,47
    $1 665,69
    $1 355,76
    $1 459,44
    $1 569,28
    $1 959,50
    $1 649,57
    $1 753,25
    $1 863,09
    $2 253,31
    $677,88
    $729,72
    $784,64
    $979,75
    $971,69
    $1 023,53
    $1 078,45
    $1 273,56
    $1 265,50
    $1 317,34
    $1 372,26
    $1 567,37
    $293,81
    Toc - Plan #45

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $389,43
    $441,99
    $497,68
    $695,50
    $1 056,88
    $778,86
    $883,98
    $995,36
    $1 391,00
    $2 113,76
    $1 076,77
    $1 181,89
    $1 293,27
    $1 688,91
    $1 374,68
    $1 479,80
    $1 591,18
    $1 986,82
    $1 672,59
    $1 777,71
    $1 889,09
    $2 284,73
    $687,34
    $739,90
    $795,59
    $993,41
    $985,25
    $1 037,81
    $1 093,50
    $1 291,32
    $1 283,16
    $1 335,72
    $1 391,41
    $1 589,23
    $297,91
    Toc - Plan #46

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $388,41
    $440,83
    $496,37
    $693,67
    $1 054,10
    $776,82
    $881,66
    $992,74
    $1 387,34
    $2 108,20
    $1 073,94
    $1 178,78
    $1 289,86
    $1 684,46
    $1 371,06
    $1 475,90
    $1 586,98
    $1 981,58
    $1 668,18
    $1 773,02
    $1 884,10
    $2 278,70
    $685,53
    $737,95
    $793,49
    $990,79
    $982,65
    $1 035,07
    $1 090,61
    $1 287,91
    $1 279,77
    $1 332,19
    $1 387,73
    $1 585,03
    $297,12
    Toc - Plan #47

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $396,01
    $449,46
    $506,08
    $707,25
    $1 074,73
    $792,02
    $898,92
    $1 012,16
    $1 414,50
    $2 149,46
    $1 094,96
    $1 201,86
    $1 315,10
    $1 717,44
    $1 397,90
    $1 504,80
    $1 618,04
    $2 020,38
    $1 700,84
    $1 807,74
    $1 920,98
    $2 323,32
    $698,95
    $752,40
    $809,02
    $1 010,19
    $1 001,89
    $1 055,34
    $1 111,96
    $1 313,13
    $1 304,83
    $1 358,28
    $1 414,90
    $1 616,07
    $302,94
    Toc - Plan #48

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $413,61
    $469,44
    $528,58
    $738,69
    $1 122,51
    $827,22
    $938,88
    $1 057,16
    $1 477,38
    $2 245,02
    $1 143,62
    $1 255,28
    $1 373,56
    $1 793,78
    $1 460,02
    $1 571,68
    $1 689,96
    $2 110,18
    $1 776,42
    $1 888,08
    $2 006,36
    $2 426,58
    $730,01
    $785,84
    $844,98
    $1 055,09
    $1 046,41
    $1 102,24
    $1 161,38
    $1 371,49
    $1 362,81
    $1 418,64
    $1 477,78
    $1 687,89
    $316,40
    Toc - Plan #49

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $421,33
    $478,20
    $538,45
    $752,48
    $1 143,46
    $842,66
    $956,40
    $1 076,90
    $1 504,96
    $2 286,92
    $1 164,97
    $1 278,71
    $1 399,21
    $1 827,27
    $1 487,28
    $1 601,02
    $1 721,52
    $2 149,58
    $1 809,59
    $1 923,33
    $2 043,83
    $2 471,89
    $743,64
    $800,51
    $860,76
    $1 074,79
    $1 065,95
    $1 122,82
    $1 183,07
    $1 397,10
    $1 388,26
    $1 445,13
    $1 505,38
    $1 719,41
    $322,31
    ADVERTISEMENT

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    Toc - Plan #50

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $5,950 $11,900 Annual Deductible
    $7,150 $14,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $558,40
    $633,78
    $713,64
    $997,30
    $1 515,50
    $1 116,80
    $1 267,56
    $1 427,28
    $1 994,60
    $3 031,00
    $1 543,98
    $1 694,74
    $1 854,46
    $2 421,78
    $1 971,16
    $2 121,92
    $2 281,64
    $2 848,96
    $2 398,34
    $2 549,10
    $2 708,82
    $3 276,14
    $985,58
    $1 060,96
    $1 140,82
    $1 424,48
    $1 412,76
    $1 488,14
    $1 568,00
    $1 851,66
    $1 839,94
    $1 915,32
    $1 995,18
    $2 278,84
    $427,18
    Toc - Plan #51

    Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $354,07
    $401,87
    $452,50
    $632,37
    $960,95
    $708,14
    $803,74
    $905,00
    $1 264,74
    $1 921,90
    $979,00
    $1 074,60
    $1 175,86
    $1 535,60
    $1 249,86
    $1 345,46
    $1 446,72
    $1 806,46
    $1 520,72
    $1 616,32
    $1 717,58
    $2 077,32
    $624,93
    $672,73
    $723,36
    $903,23
    $895,79
    $943,59
    $994,22
    $1 174,09
    $1 166,65
    $1 214,45
    $1 265,08
    $1 444,95
    $270,86
    Toc - Plan #52

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $5,600 $11,200 Annual Deductible
    $7,800 $15,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $563,03
    $639,04
    $719,55
    $1 005,57
    $1 528,06
    $1 126,06
    $1 278,08
    $1 439,10
    $2 011,14
    $3 056,12
    $1 556,78
    $1 708,80
    $1 869,82
    $2 441,86
    $1 987,50
    $2 139,52
    $2 300,54
    $2 872,58
    $2 418,22
    $2 570,24
    $2 731,26
    $3 303,30
    $993,75
    $1 069,76
    $1 150,27
    $1 436,29
    $1 424,47
    $1 500,48
    $1 580,99
    $1 867,01
    $1 855,19
    $1 931,20
    $2 011,71
    $2 297,73
    $430,72
    Toc - Plan #53

    Platinum

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

    Annual Out of Pocket Expenses
    Individual Family
    $1,250 $2,500 Annual Deductible
    $4,250 $8,500 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $608,18
    $690,28
    $777,25
    $1 086,21
    $1 650,60
    $1 216,36
    $1 380,56
    $1 554,50
    $2 172,42
    $3 301,20
    $1 681,62
    $1 845,82
    $2 019,76
    $2 637,68
    $2 146,88
    $2 311,08
    $2 485,02
    $3 102,94
    $2 612,14
    $2 776,34
    $2 950,28
    $3 568,20
    $1 073,44
    $1 155,54
    $1 242,51
    $1 551,47
    $1 538,70
    $1 620,80
    $1 707,77
    $2 016,73
    $2 003,96
    $2 086,06
    $2 173,03
    $2 481,99
    $465,26
    Toc - Plan #54

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,500 $17,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $393,17
    $446,25
    $502,47
    $702,20
    $1 067,06
    $786,34
    $892,50
    $1 004,94
    $1 404,40
    $2 134,12
    $1 087,12
    $1 193,28
    $1 305,72
    $1 705,18
    $1 387,90
    $1 494,06
    $1 606,50
    $2 005,96
    $1 688,68
    $1 794,84
    $1 907,28
    $2 306,74
    $693,95
    $747,03
    $803,25
    $1 002,98
    $994,73
    $1 047,81
    $1 104,03
    $1 303,76
    $1 295,51
    $1 348,59
    $1 404,81
    $1 604,54
    $300,78
    Toc - Plan #55

    Platinum

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $2,000 $4,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $656,46
    $745,08
    $838,96
    $1 172,44
    $1 781,63
    $1 312,92
    $1 490,16
    $1 677,92
    $2 344,88
    $3 563,26
    $1 815,11
    $1 992,35
    $2 180,11
    $2 847,07
    $2 317,30
    $2 494,54
    $2 682,30
    $3 349,26
    $2 819,49
    $2 996,73
    $3 184,49
    $3 851,45
    $1 158,65
    $1 247,27
    $1 341,15
    $1 674,63
    $1 660,84
    $1 749,46
    $1 843,34
    $2 176,82
    $2 163,03
    $2 251,65
    $2 345,53
    $2 679,01
    $502,19
    Toc - Plan #56

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $477,43
    $541,88
    $610,16
    $852,69
    $1 295,75
    $954,86
    $1 083,76
    $1 220,32
    $1 705,38
    $2 591,50
    $1 320,09
    $1 448,99
    $1 585,55
    $2 070,61
    $1 685,32
    $1 814,22
    $1 950,78
    $2 435,84
    $2 050,55
    $2 179,45
    $2 316,01
    $2 801,07
    $842,66
    $907,11
    $975,39
    $1 217,92
    $1 207,89
    $1 272,34
    $1 340,62
    $1 583,15
    $1 573,12
    $1 637,57
    $1 705,85
    $1 948,38
    $365,23
    Toc - Plan #57

    Gold

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $5,000 $10,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $561,47
    $637,27
    $717,56
    $1 002,79
    $1 523,83
    $1 122,94
    $1 274,54
    $1 435,12
    $2 005,58
    $3 047,66
    $1 552,46
    $1 704,06
    $1 864,64
    $2 435,10
    $1 981,98
    $2 133,58
    $2 294,16
    $2 864,62
    $2 411,50
    $2 563,10
    $2 723,68
    $3 294,14
    $990,99
    $1 066,79
    $1 147,08
    $1 432,31
    $1 420,51
    $1 496,31
    $1 576,60
    $1 861,83
    $1 850,03
    $1 925,83
    $2 006,12
    $2 291,35
    $429,52
    Toc - Plan #58

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $6,850 $13,700 Annual Deductible
    $6,850 $13,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $374,08
    $424,58
    $478,07
    $668,11
    $1 015,25
    $748,16
    $849,16
    $956,14
    $1 336,22
    $2 030,50
    $1 034,33
    $1 135,33
    $1 242,31
    $1 622,39
    $1 320,50
    $1 421,50
    $1 528,48
    $1 908,56
    $1 606,67
    $1 707,67
    $1 814,65
    $2 194,73
    $660,25
    $710,75
    $764,24
    $954,28
    $946,42
    $996,92
    $1 050,41
    $1 240,45
    $1 232,59
    $1 283,09
    $1 336,58
    $1 526,62
    $286,17
    Toc - Plan #59

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $3,600 $7,200 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $554,03
    $628,82
    $708,05
    $989,50
    $1 503,64
    $1 108,06
    $1 257,64
    $1 416,10
    $1 979,00
    $3 007,28
    $1 531,89
    $1 681,47
    $1 839,93
    $2 402,83
    $1 955,72
    $2 105,30
    $2 263,76
    $2 826,66
    $2 379,55
    $2 529,13
    $2 687,59
    $3 250,49
    $977,86
    $1 052,65
    $1 131,88
    $1 413,33
    $1 401,69
    $1 476,48
    $1 555,71
    $1 837,16
    $1 825,52
    $1 900,31
    $1 979,54
    $2 260,99
    $423,83
    Toc - Plan #60

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,150 $16,300 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $391,13
    $443,93
    $499,86
    $698,56
    $1 061,53
    $782,26
    $887,86
    $999,72
    $1 397,12
    $2 123,06
    $1 081,47
    $1 187,07
    $1 298,93
    $1 696,33
    $1 380,68
    $1 486,28
    $1 598,14
    $1 995,54
    $1 679,89
    $1 785,49
    $1 897,35
    $2 294,75
    $690,34
    $743,14
    $799,07
    $997,77
    $989,55
    $1 042,35
    $1 098,28
    $1 296,98
    $1 288,76
    $1 341,56
    $1 397,49
    $1 596,19
    $299,21
    Toc - Plan #61

    Gold

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

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 Annual Deductible
    $5,500 $11,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $538,38
    $611,06
    $688,05
    $961,55
    $1 461,16
    $1 076,76
    $1 222,12
    $1 376,10
    $1 923,10
    $2 922,32
    $1 488,62
    $1 633,98
    $1 787,96
    $2 334,96
    $1 900,48
    $2 045,84
    $2 199,82
    $2 746,82
    $2 312,34
    $2 457,70
    $2 611,68
    $3 158,68
    $950,24
    $1 022,92
    $1 099,91
    $1 373,41
    $1 362,10
    $1 434,78
    $1 511,77
    $1 785,27
    $1 773,96
    $1 846,64
    $1 923,63
    $2 197,13
    $411,86
    Toc - Plan #62

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $428,94
    $486,85
    $548,19
    $766,09
    $1 164,14
    $857,88
    $973,70
    $1 096,38
    $1 532,18
    $2 328,28
    $1 186,02
    $1 301,84
    $1 424,52
    $1 860,32
    $1 514,16
    $1 629,98
    $1 752,66
    $2 188,46
    $1 842,30
    $1 958,12
    $2 080,80
    $2 516,60
    $757,08
    $814,99
    $876,33
    $1 094,23
    $1 085,22
    $1 143,13
    $1 204,47
    $1 422,37
    $1 413,36
    $1 471,27
    $1 532,61
    $1 750,51
    $328,14
    ADVERTISEMENT

    Health First Commercial Plans, Inc.

    Local: 1-855-443-4735 | Toll Free: 1-855-443-4735 | TTY: 1-800-955-8771

    Toc - Plan #63

    Gold

    (HMO) AdventHealth GYM ACCESS Gold HMO 90 HSA 1745

    Annual Out of Pocket Expenses
    Individual Family
    $1,700 $3,400 Annual Deductible
    $4,000 $8,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $413,94
    $469,82
    $529,01
    $739,29
    $1 123,43
    $827,88
    $939,64
    $1 058,02
    $1 478,58
    $2 246,86
    $1 144,54
    $1 256,30
    $1 374,68
    $1 795,24
    $1 461,20
    $1 572,96
    $1 691,34
    $2 111,90
    $1 777,86
    $1 889,62
    $2 008,00
    $2 428,56
    $730,60
    $786,48
    $845,67
    $1 055,95
    $1 047,26
    $1 103,14
    $1 162,33
    $1 372,61
    $1 363,92
    $1 419,80
    $1 478,99
    $1 689,27
    $316,66
    Toc - Plan #64

    Silver

    (HMO) AdventHealth GYM ACCESS Silver HMO 80 1696

    Annual Out of Pocket Expenses
    Individual Family
    $4,950 $9,900 Annual Deductible
    $7,900 $15,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $391,33
    $444,16
    $500,12
    $698,92
    $1 062,08
    $782,66
    $888,32
    $1 000,24
    $1 397,84
    $2 124,16
    $1 082,03
    $1 187,69
    $1 299,61
    $1 697,21
    $1 381,40
    $1 487,06
    $1 598,98
    $1 996,58
    $1 680,77
    $1 786,43
    $1 898,35
    $2 295,95
    $690,70
    $743,53
    $799,49
    $998,29
    $990,07
    $1 042,90
    $1 098,86
    $1 297,66
    $1 289,44
    $1 342,27
    $1 398,23
    $1 597,03
    $299,37
    Toc - Plan #65

    Catastrophic

    (HMO) AdventHealth GYM ACCESS Catastrophic HMO 1748

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $159,83
    $181,41
    $204,26
    $285,46
    $433,78
    $319,66
    $362,82
    $408,52
    $570,92
    $867,56
    $441,93
    $485,09
    $530,79
    $693,19
    $564,20
    $607,36
    $653,06
    $815,46
    $686,47
    $729,63
    $775,33
    $937,73
    $282,10
    $303,68
    $326,53
    $407,73
    $404,37
    $425,95
    $448,80
    $530,00
    $526,64
    $548,22
    $571,07
    $652,27
    $122,27
    Toc - Plan #66

    Gold

    (HMO) AdventHealth GYM ACCESS Gold HMO 70 1743

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 Annual Deductible
    $5,150 $10,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $415,07
    $471,11
    $530,46
    $741,32
    $1 126,50
    $830,14
    $942,22
    $1 060,92
    $1 482,64
    $2 253,00
    $1 147,67
    $1 259,75
    $1 378,45
    $1 800,17
    $1 465,20
    $1 577,28
    $1 695,98
    $2 117,70
    $1 782,73
    $1 894,81
    $2 013,51
    $2 435,23
    $732,60
    $788,64
    $847,99
    $1 058,85
    $1 050,13
    $1 106,17
    $1 165,52
    $1 376,38
    $1 367,66
    $1 423,70
    $1 483,05
    $1 693,91
    $317,53
    Toc - Plan #67

    Gold

    (HMO) AdventHealth GYM ACCESS Gold HMO 100 1738

    Annual Out of Pocket Expenses
    Individual Family
    $2,650 $5,300 Annual Deductible
    $6,800 $13,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $405,63
    $460,39
    $518,39
    $724,45
    $1 100,87
    $811,26
    $920,78
    $1 036,78
    $1 448,90
    $2 201,74
    $1 121,57
    $1 231,09
    $1 347,09
    $1 759,21
    $1 431,88
    $1 541,40
    $1 657,40
    $2 069,52
    $1 742,19
    $1 851,71
    $1 967,71
    $2 379,83
    $715,94
    $770,70
    $828,70
    $1 034,76
    $1 026,25
    $1 081,01
    $1 139,01
    $1 345,07
    $1 336,56
    $1 391,32
    $1 449,32
    $1 655,38
    $310,31
    Toc - Plan #68

    Gold

    (HMO) AdventHealth GYM ACCESS Gold HMO 80 1741

    Annual Out of Pocket Expenses
    Individual Family
    $2,900 $5,800 Annual Deductible
    $7,900 $15,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $394,91
    $448,22
    $504,69
    $705,30
    $1 071,78
    $789,82
    $896,44
    $1 009,38
    $1 410,60
    $2 143,56
    $1 091,92
    $1 198,54
    $1 311,48
    $1 712,70
    $1 394,02
    $1 500,64
    $1 613,58
    $2 014,80
    $1 696,12
    $1 802,74
    $1 915,68
    $2 316,90
    $697,01
    $750,32
    $806,79
    $1 007,40
    $999,11
    $1 052,42
    $1 108,89
    $1 309,50
    $1 301,21
    $1 354,52
    $1 410,99
    $1 611,60
    $302,10
    Toc - Plan #69

    Silver

    (HMO) AdventHealth GYM ACCESS Silver HMO 100 1668

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $399,64
    $453,59
    $510,73
    $713,75
    $1 084,61
    $799,28
    $907,18
    $1 021,46
    $1 427,50
    $2 169,22
    $1 105,00
    $1 212,90
    $1 327,18
    $1 733,22
    $1 410,72
    $1 518,62
    $1 632,90
    $2 038,94
    $1 716,44
    $1 824,34
    $1 938,62
    $2 344,66
    $705,36
    $759,31
    $816,45
    $1 019,47
    $1 011,08
    $1 065,03
    $1 122,17
    $1 325,19
    $1 316,80
    $1 370,75
    $1 427,89
    $1 630,91
    $305,72
    Toc - Plan #70

    Expanded Bronze

    (HMO) AdventHealth GYM ACCESS Bronze HMO 100 HSA 1660

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $300,27
    $340,81
    $383,75
    $536,28
    $814,94
    $600,54
    $681,62
    $767,50
    $1 072,56
    $1 629,88
    $830,25
    $911,33
    $997,21
    $1 302,27
    $1 059,96
    $1 141,04
    $1 226,92
    $1 531,98
    $1 289,67
    $1 370,75
    $1 456,63
    $1 761,69
    $529,98
    $570,52
    $613,46
    $765,99
    $759,69
    $800,23
    $843,17
    $995,70
    $989,40
    $1 029,94
    $1 072,88
    $1 225,41
    $229,71
    Toc - Plan #71

    Expanded Bronze

    (HMO) AdventHealthGYM ACCESS Bronze HMO 50 1797

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $291,64
    $331,01
    $372,71
    $520,86
    $791,50
    $583,28
    $662,02
    $745,42
    $1 041,72
    $1 583,00
    $806,38
    $885,12
    $968,52
    $1 264,82
    $1 029,48
    $1 108,22
    $1 191,62
    $1 487,92
    $1 252,58
    $1 331,32
    $1 414,72
    $1 711,02
    $514,74
    $554,11
    $595,81
    $743,96
    $737,84
    $777,21
    $818,91
    $967,06
    $960,94
    $1 000,31
    $1 042,01
    $1 190,16
    $223,10
    Toc - Plan #72

    Expanded Bronze

    (HMO) AdventHealth GYM ACCESS Bronze HMO 60 1657

    Annual Out of Pocket Expenses
    Individual Family
    $7,550 $15,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $296,21
    $336,20
    $378,56
    $529,04
    $803,92
    $592,42
    $672,40
    $757,12
    $1 058,08
    $1 607,84
    $819,02
    $899,00
    $983,72
    $1 284,68
    $1 045,62
    $1 125,60
    $1 210,32
    $1 511,28
    $1 272,22
    $1 352,20
    $1 436,92
    $1 737,88
    $522,81
    $562,80
    $605,16
    $755,64
    $749,41
    $789,40
    $831,76
    $982,24
    $976,01
    $1 016,00
    $1 058,36
    $1 208,84
    $226,60
    Toc - Plan #73

    Expanded Bronze

    (HMO) AdventHealth Bronze HMO 60 1752

    Annual Out of Pocket Expenses
    Individual Family
    $8,500 $17,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $291,64
    $331,01
    $372,71
    $520,86
    $791,50
    $583,28
    $662,02
    $745,42
    $1 041,72
    $1 583,00
    $806,38
    $885,12
    $968,52
    $1 264,82
    $1 029,48
    $1 108,22
    $1 191,62
    $1 487,92
    $1 252,58
    $1 331,32
    $1 414,72
    $1 711,02
    $514,74
    $554,11
    $595,81
    $743,96
    $737,84
    $777,21
    $818,91
    $967,06
    $960,94
    $1 000,31
    $1 042,01
    $1 190,16
    $223,10
    Toc - Plan #74

    Gold

    (HMO) AdventHealth Gold HMO 80 1772

    Annual Out of Pocket Expenses
    Individual Family
    $1,600 $3,200 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $396,80
    $450,37
    $507,11
    $708,69
    $1 076,92
    $793,60
    $900,74
    $1 014,22
    $1 417,38
    $2 153,84
    $1 097,15
    $1 204,29
    $1 317,77
    $1 720,93
    $1 400,70
    $1 507,84
    $1 621,32
    $2 024,48
    $1 704,25
    $1 811,39
    $1 924,87
    $2 328,03
    $700,35
    $753,92
    $810,66
    $1 012,24
    $1 003,90
    $1 057,47
    $1 114,21
    $1 315,79
    $1 307,45
    $1 361,02
    $1 417,76
    $1 619,34
    $303,55
    Toc - Plan #75

    Bronze

    (HMO) AdventHealth Bronze HMO 100 1776

    Annual Out of Pocket Expenses
    Individual Family
    $8,250 $16,500 Annual Deductible
    $8,250 $16,500 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $286,20
    $324,83
    $365,76
    $511,15
    $776,74
    $572,40
    $649,66
    $731,52
    $1 022,30
    $1 553,48
    $791,34
    $868,60
    $950,46
    $1 241,24
    $1 010,28
    $1 087,54
    $1 169,40
    $1 460,18
    $1 229,22
    $1 306,48
    $1 388,34
    $1 679,12
    $505,14
    $543,77
    $584,70
    $730,09
    $724,08
    $762,71
    $803,64
    $949,03
    $943,02
    $981,65
    $1 022,58
    $1 167,97
    $218,94
    Toc - Plan #76

    Expanded Bronze

    (HMO) AdventHealth Bronze HMO 100 HSA 1795

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $296,86
    $336,94
    $379,39
    $530,19
    $805,68
    $593,72
    $673,88
    $758,78
    $1 060,38
    $1 611,36
    $820,82
    $900,98
    $985,88
    $1 287,48
    $1 047,92
    $1 128,08
    $1 212,98
    $1 514,58
    $1 275,02
    $1 355,18
    $1 440,08
    $1 741,68
    $523,96
    $564,04
    $606,49
    $757,29
    $751,06
    $791,14
    $833,59
    $984,39
    $978,16
    $1 018,24
    $1 060,69
    $1 211,49
    $227,10
    Toc - Plan #77

    Silver

    (HMO) AdventHealth Silver HMO 65 1810

    Annual Out of Pocket Expenses
    Individual Family
    $2,900 $5,800 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $384,75
    $436,69
    $491,71
    $687,16
    $1 044,21
    $769,50
    $873,38
    $983,42
    $1 374,32
    $2 088,42
    $1 063,83
    $1 167,71
    $1 277,75
    $1 668,65
    $1 358,16
    $1 462,04
    $1 572,08
    $1 962,98
    $1 652,49
    $1 756,37
    $1 866,41
    $2 257,31
    $679,08
    $731,02
    $786,04
    $981,49
    $973,41
    $1 025,35
    $1 080,37
    $1 275,82
    $1 267,74
    $1 319,68
    $1 374,70
    $1 570,15
    $294,33
    Toc - Plan #78

    Expanded Bronze

    (HMO) AdventHealth Bronze VALUE RX 50 1820

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $271,80
    $308,49
    $347,36
    $485,43
    $737,66
    $543,60
    $616,98
    $694,72
    $970,86
    $1 475,32
    $751,53
    $824,91
    $902,65
    $1 178,79
    $959,46
    $1 032,84
    $1 110,58
    $1 386,72
    $1 167,39
    $1 240,77
    $1 318,51
    $1 594,65
    $479,73
    $516,42
    $555,29
    $693,36
    $687,66
    $724,35
    $763,22
    $901,29
    $895,59
    $932,28
    $971,15
    $1 109,22
    $207,93
    Toc - Plan #79

    Silver

    (HMO) AdventHealth Silver VALUE RX 80 1821

    Annual Out of Pocket Expenses
    Individual Family
    $7,100 $14,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $365,64
    $415,01
    $467,29
    $653,04
    $992,36
    $731,28
    $830,02
    $934,58
    $1 306,08
    $1 984,72
    $1 011,00
    $1 109,74
    $1 214,30
    $1 585,80
    $1 290,72
    $1 389,46
    $1 494,02
    $1 865,52
    $1 570,44
    $1 669,18
    $1 773,74
    $2 145,24
    $645,36
    $694,73
    $747,01
    $932,76
    $925,08
    $974,45
    $1 026,73
    $1 212,48
    $1 204,80
    $1 254,17
    $1 306,45
    $1 492,20
    $279,72
    Toc - Plan #80

    Gold

    (HMO) AdventHealth Gold VALUE RX 75 1825

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $381,26
    $432,73
    $487,25
    $680,93
    $1 034,74
    $762,52
    $865,46
    $974,50
    $1 361,86
    $2 069,48
    $1 054,18
    $1 157,12
    $1 266,16
    $1 653,52
    $1 345,84
    $1 448,78
    $1 557,82
    $1 945,18
    $1 637,50
    $1 740,44
    $1 849,48
    $2 236,84
    $672,92
    $724,39
    $778,91
    $972,59
    $964,58
    $1 016,05
    $1 070,57
    $1 264,25
    $1 256,24
    $1 307,71
    $1 362,23
    $1 555,91
    $291,66
    ADVERTISEMENT

    Oscar Insurance Company of Florida

    Local: 1-855-672-2755 | Toll Free: 1-855-672-2755

    Toc - Plan #81

    Expanded Bronze

    (EPO) Oscar Bronze Simple

    Annual Out of Pocket Expenses
    Individual Family
    $7,300 $14,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $276,05
    $313,31
    $352,78
    $493,01
    $749,18
    $552,10
    $626,62
    $705,56
    $986,02
    $1 498,36
    $763,27
    $837,79
    $916,73
    $1 197,19
    $974,44
    $1 048,96
    $1 127,90
    $1 408,36
    $1 185,61
    $1 260,13
    $1 339,07
    $1 619,53
    $487,22
    $524,48
    $563,95
    $704,18
    $698,39
    $735,65
    $775,12
    $915,35
    $909,56
    $946,82
    $986,29
    $1 126,52
    $211,17
    Toc - Plan #82

    Expanded Bronze

    (EPO) Oscar Bronze Classic PCP Copay

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $288,26
    $327,16
    $368,38
    $514,81
    $782,30
    $576,52
    $654,32
    $736,76
    $1 029,62
    $1 564,60
    $797,03
    $874,83
    $957,27
    $1 250,13
    $1 017,54
    $1 095,34
    $1 177,78
    $1 470,64
    $1 238,05
    $1 315,85
    $1 398,29
    $1 691,15
    $508,77
    $547,67
    $588,89
    $735,32
    $729,28
    $768,18
    $809,40
    $955,83
    $949,79
    $988,69
    $1 029,91
    $1 176,34
    $220,51
    Toc - Plan #83

    Expanded Bronze

    (EPO) Oscar Bronze Classic

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $278,84
    $316,47
    $356,34
    $497,98
    $756,73
    $557,68
    $632,94
    $712,68
    $995,96
    $1 513,46
    $770,98
    $846,24
    $925,98
    $1 209,26
    $984,28
    $1 059,54
    $1 139,28
    $1 422,56
    $1 197,58
    $1 272,84
    $1 352,58
    $1 635,86
    $492,14
    $529,77
    $569,64
    $711,28
    $705,44
    $743,07
    $782,94
    $924,58
    $918,74
    $956,37
    $996,24
    $1 137,88
    $213,30
    Toc - Plan #84

    Expanded Bronze

    (EPO) Oscar Bronze Classic Next

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $328,45
    $372,78
    $419,74
    $586,59
    $891,38
    $656,90
    $745,56
    $839,48
    $1 173,18
    $1 782,76
    $908,15
    $996,81
    $1 090,73
    $1 424,43
    $1 159,40
    $1 248,06
    $1 341,98
    $1 675,68
    $1 410,65
    $1 499,31
    $1 593,23
    $1 926,93
    $579,70
    $624,03
    $670,99
    $837,84
    $830,95
    $875,28
    $922,24
    $1 089,09
    $1 082,20
    $1 126,53
    $1 173,49
    $1 340,34
    $251,25
    Toc - Plan #85

    Silver

    (EPO) Oscar Silver Classic

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $364,33
    $413,51
    $465,61
    $650,68
    $988,77
    $728,66
    $827,02
    $931,22
    $1 301,36
    $1 977,54
    $1 007,37
    $1 105,73
    $1 209,93
    $1 580,07
    $1 286,08
    $1 384,44
    $1 488,64
    $1 858,78
    $1 564,79
    $1 663,15
    $1 767,35
    $2 137,49
    $643,04
    $692,22
    $744,32
    $929,39
    $921,75
    $970,93
    $1 023,03
    $1 208,10
    $1 200,46
    $1 249,64
    $1 301,74
    $1 486,81
    $278,71
    Toc - Plan #86

    Silver

    (EPO) Oscar Silver Saver 2

    Annual Out of Pocket Expenses
    Individual Family
    $6,200 $12,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $360,42
    $409,06
    $460,60
    $643,69
    $978,15
    $720,84
    $818,12
    $921,20
    $1 287,38
    $1 956,30
    $996,55
    $1 093,83
    $1 196,91
    $1 563,09
    $1 272,26
    $1 369,54
    $1 472,62
    $1 838,80
    $1 547,97
    $1 645,25
    $1 748,33
    $2 114,51
    $636,13
    $684,77
    $736,31
    $919,40
    $911,84
    $960,48
    $1 012,02
    $1 195,11
    $1 187,55
    $1 236,19
    $1 287,73
    $1 470,82
    $275,71
    Toc - Plan #87

    Silver

    (EPO) Oscar Silver Classic Next

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,000 $16,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $363,15
    $412,16
    $464,09
    $648,56
    $985,56
    $726,30
    $824,32
    $928,18
    $1 297,12
    $1 971,12
    $1 004,10
    $1 102,12
    $1 205,98
    $1 574,92
    $1 281,90
    $1 379,92
    $1 483,78
    $1 852,72
    $1 559,70
    $1 657,72
    $1 761,58
    $2 130,52
    $640,95
    $689,96
    $741,89
    $926,36
    $918,75
    $967,76
    $1 019,69
    $1 204,16
    $1 196,55
    $1 245,56
    $1 297,49
    $1 481,96
    $277,80
    Toc - Plan #88

    Catastrophic

    (EPO) Oscar Secure

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $226,74
    $257,34
    $289,76
    $404,94
    $615,35
    $453,48
    $514,68
    $579,52
    $809,88
    $1 230,70
    $626,93
    $688,13
    $752,97
    $983,33
    $800,38
    $861,58
    $926,42
    $1 156,78
    $973,83
    $1 035,03
    $1 099,87
    $1 330,23
    $400,19
    $430,79
    $463,21
    $578,39
    $573,64
    $604,24
    $636,66
    $751,84
    $747,09
    $777,69
    $810,11
    $925,29
    $173,45
    Toc - Plan #89

    Expanded Bronze

    (EPO) Oscar Bronze Classic Next 2

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $329,08
    $373,49
    $420,55
    $587,71
    $893,09
    $658,16
    $746,98
    $841,10
    $1 175,42
    $1 786,18
    $909,90
    $998,72
    $1 092,84
    $1 427,16
    $1 161,64
    $1 250,46
    $1 344,58
    $1 678,90
    $1 413,38
    $1 502,20
    $1 596,32
    $1 930,64
    $580,82
    $625,23
    $672,29
    $839,45
    $832,56
    $876,97
    $924,03
    $1 091,19
    $1 084,30
    $1 128,71
    $1 175,77
    $1 342,93
    $251,74
    Toc - Plan #90

    Gold

    (EPO) Oscar Gold Classic

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $6,000 $12,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $383,61
    $435,39
    $490,24
    $685,11
    $1 041,09
    $767,22
    $870,78
    $980,48
    $1 370,22
    $2 082,18
    $1 060,68
    $1 164,24
    $1 273,94
    $1 663,68
    $1 354,14
    $1 457,70
    $1 567,40
    $1 957,14
    $1 647,60
    $1 751,16
    $1 860,86
    $2 250,60
    $677,07
    $728,85
    $783,70
    $978,57
    $970,53
    $1 022,31
    $1 077,16
    $1 272,03
    $1 263,99
    $1 315,77
    $1 370,62
    $1 565,49
    $293,46
    Toc - Plan #91

    Expanded Bronze

    (EPO) Oscar Bronze HDHP

    Annual Out of Pocket Expenses
    Individual Family
    $5,200 $10,400 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $293,56
    $333,18
    $375,16
    $524,28
    $796,70
    $587,12
    $666,36
    $750,32
    $1 048,56
    $1 593,40
    $811,69
    $890,93
    $974,89
    $1 273,13
    $1 036,26
    $1 115,50
    $1 199,46
    $1 497,70
    $1 260,83
    $1 340,07
    $1 424,03
    $1 722,27
    $518,13
    $557,75
    $599,73
    $748,85
    $742,70
    $782,32
    $824,30
    $973,42
    $967,27
    $1 006,89
    $1 048,87
    $1 197,99
    $224,57
    Toc - Plan #92

    Silver

    (EPO) Oscar Silver Saver

    Annual Out of Pocket Expenses
    Individual Family
    $4,200 $8,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $359,63
    $408,17
    $459,60
    $642,29
    $976,01
    $719,26
    $816,34
    $919,20
    $1 284,58
    $1 952,02
    $994,37
    $1 091,45
    $1 194,31
    $1 559,69
    $1 269,48
    $1 366,56
    $1 469,42
    $1 834,80
    $1 544,59
    $1 641,67
    $1 744,53
    $2 109,91
    $634,74
    $683,28
    $734,71
    $917,40
    $909,85
    $958,39
    $1 009,82
    $1 192,51
    $1 184,96
    $1 233,50
    $1 284,93
    $1 467,62
    $275,11
    Toc - Plan #93

    Silver

    (EPO) Oscar Silver Classic Copay

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $369,87
    $419,79
    $472,68
    $660,57
    $1 003,80
    $739,74
    $839,58
    $945,36
    $1 321,14
    $2 007,60
    $1 022,68
    $1 122,52
    $1 228,30
    $1 604,08
    $1 305,62
    $1 405,46
    $1 511,24
    $1 887,02
    $1 588,56
    $1 688,40
    $1 794,18
    $2 169,96
    $652,81
    $702,73
    $755,62
    $943,51
    $935,75
    $985,67
    $1 038,56
    $1 226,45
    $1 218,69
    $1 268,61
    $1 321,50
    $1 509,39
    $282,94
    Toc - Plan #94

    Silver

    (EPO) Oscar Silver Classic $0 Ded

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $372,54
    $422,82
    $476,09
    $665,33
    $1 011,04
    $745,08
    $845,64
    $952,18
    $1 330,66
    $2 022,08
    $1 030,06
    $1 130,62
    $1 237,16
    $1 615,64
    $1 315,04
    $1 415,60
    $1 522,14
    $1 900,62
    $1 600,02
    $1 700,58
    $1 807,12
    $2 185,60
    $657,52
    $707,80
    $761,07
    $950,31
    $942,50
    $992,78
    $1 046,05
    $1 235,29
    $1 227,48
    $1 277,76
    $1 331,03
    $1 520,27
    $284,98
    ADVERTISEMENT

    Florida Health Care Plans

    Local: 1-386-676-7110 | Toll Free: 1-800-232-0578 | TTY: 1-800-955-8771

    Toc - Plan #95

    Catastrophic

    (HMO) Gym Access IND Essential Plus Catastrophic HMO 36

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $206,81
    $234,73
    $264,31
    $369,36
    $561,28
    $413,62
    $469,46
    $528,62
    $738,72
    $1 122,56
    $571,83
    $627,67
    $686,83
    $896,93
    $730,04
    $785,88
    $845,04
    $1 055,14
    $888,25
    $944,09
    $1 003,25
    $1 213,35
    $365,02
    $392,94
    $422,52
    $527,57
    $523,23
    $551,15
    $580,73
    $685,78
    $681,44
    $709,36
    $738,94
    $843,99
    $158,21
    Toc - Plan #96

    Catastrophic

    (POS) Gym Access IND Essential Plus Catastrophic POS 37

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $223,36
    $253,51
    $285,45
    $398,91
    $606,18
    $446,72
    $507,02
    $570,90
    $797,82
    $1 212,36
    $617,59
    $677,89
    $741,77
    $968,69
    $788,46
    $848,76
    $912,64
    $1 139,56
    $959,33
    $1 019,63
    $1 083,51
    $1 310,43
    $394,23
    $424,38
    $456,32
    $569,78
    $565,10
    $595,25
    $627,19
    $740,65
    $735,97
    $766,12
    $798,06
    $911,52
    $170,87
    Toc - Plan #97

    Silver

    (HMO) Gym Access IND Essential Plus Silver HMO 53

    Annual Out of Pocket Expenses
    Individual Family
    $2,900 $5,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $386,94
    $439,18
    $494,51
    $691,08
    $1 050,15
    $773,88
    $878,36
    $989,02
    $1 382,16
    $2 100,30
    $1 069,89
    $1 174,37
    $1 285,03
    $1 678,17
    $1 365,90
    $1 470,38
    $1 581,04
    $1 974,18
    $1 661,91
    $1 766,39
    $1 877,05
    $2 270,19
    $682,95
    $735,19
    $790,52
    $987,09
    $978,96
    $1 031,20
    $1 086,53
    $1 283,10
    $1 274,97
    $1 327,21
    $1 382,54
    $1 579,11
    $296,01
    Toc - Plan #98

    Gold

    (HMO) Gym Access IND Essential Plus Gold HMO 63

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $5,000 $10,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $384,78
    $436,73
    $491,75
    $687,22
    $1 044,30
    $769,56
    $873,46
    $983,50
    $1 374,44
    $2 088,60
    $1 063,92
    $1 167,82
    $1 277,86
    $1 668,80
    $1 358,28
    $1 462,18
    $1 572,22
    $1 963,16
    $1 652,64
    $1 756,54
    $1 866,58
    $2 257,52
    $679,14
    $731,09
    $786,11
    $981,58
    $973,50
    $1 025,45
    $1 080,47
    $1 275,94
    $1 267,86
    $1 319,81
    $1 374,83
    $1 570,30
    $294,36
    Toc - Plan #99

    Platinum

    (HMO) Gym Access IND Essential Plus Platinum HMO 65

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $2,000 $4,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $525,44
    $596,38
    $671,51
    $938,44
    $1 426,04
    $1 050,88
    $1 192,76
    $1 343,02
    $1 876,88
    $2 852,08
    $1 452,84
    $1 594,72
    $1 744,98
    $2 278,84
    $1 854,80
    $1 996,68
    $2 146,94
    $2 680,80
    $2 256,76
    $2 398,64
    $2 548,90
    $3 082,76
    $927,40
    $998,34
    $1 073,47
    $1 340,40
    $1 329,36
    $1 400,30
    $1 475,43
    $1 742,36
    $1 731,32
    $1 802,26
    $1 877,39
    $2 144,32
    $401,96
    Toc - Plan #100

    Silver

    (POS) Gym Access IND Essential Plus Silver POS 54

    Annual Out of Pocket Expenses
    Individual Family
    $2,900 $5,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $399,73
    $453,69
    $510,85
    $713,91
    $1 084,86
    $799,46
    $907,38
    $1 021,70
    $1 427,82
    $2 169,72
    $1 105,25
    $1 213,17
    $1 327,49
    $1 733,61
    $1 411,04
    $1 518,96
    $1 633,28
    $2 039,40
    $1 716,83
    $1 824,75
    $1 939,07
    $2 345,19
    $705,52
    $759,48
    $816,64
    $1 019,70
    $1 011,31
    $1 065,27
    $1 122,43
    $1 325,49
    $1 317,10
    $1 371,06
    $1 428,22
    $1 631,28
    $305,79
    Toc - Plan #101

    Platinum

    (HMO) Gym Access IND Platinum HMO 4000

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $4,000 $8,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $514,23
    $583,65
    $657,18
    $918,40
    $1 395,60
    $1 028,46
    $1 167,30
    $1 314,36
    $1 836,80
    $2 791,20
    $1 421,84
    $1 560,68
    $1 707,74
    $2 230,18
    $1 815,22
    $1 954,06
    $2 101,12
    $2 623,56
    $2 208,60
    $2 347,44
    $2 494,50
    $3 016,94
    $907,61
    $977,03
    $1 050,56
    $1 311,78
    $1 300,99
    $1 370,41
    $1 443,94
    $1 705,16
    $1 694,37
    $1 763,79
    $1 837,32
    $2 098,54
    $393,38
    Toc - Plan #102

    Platinum

    (POS) Gym Access IND Platinum POS 4000

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $4,000 $8,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $555,36
    $630,34
    $709,75
    $991,87
    $1 507,25
    $1 110,72
    $1 260,68
    $1 419,50
    $1 983,74
    $3 014,50
    $1 535,57
    $1 685,53
    $1 844,35
    $2 408,59
    $1 960,42
    $2 110,38
    $2 269,20
    $2 833,44
    $2 385,27
    $2 535,23
    $2 694,05
    $3 258,29
    $980,21
    $1 055,19
    $1 134,60
    $1 416,72
    $1 405,06
    $1 480,04
    $1 559,45
    $1 841,57
    $1 829,91
    $1 904,89
    $1 984,30
    $2 266,42
    $424,85
    Toc - Plan #103

    Gold

    (HMO) Gym Access IND Gold HMO 55001

    Annual Out of Pocket Expenses
    Individual Family
    $2,800 $5,600 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $383,81
    $435,62
    $490,50
    $685,48
    $1 041,64
    $767,62
    $871,24
    $981,00
    $1 370,96
    $2 083,28
    $1 061,23
    $1 164,85
    $1 274,61
    $1 664,57
    $1 354,84
    $1 458,46
    $1 568,22
    $1 958,18
    $1 648,45
    $1 752,07
    $1 861,83
    $2 251,79
    $677,42
    $729,23
    $784,11
    $979,09
    $971,03
    $1 022,84
    $1 077,72
    $1 272,70
    $1 264,64
    $1 316,45
    $1 371,33
    $1 566,31
    $293,61
    Toc - Plan #104

    Gold

    (POS) Gym Access IND Gold POS 55001

    Annual Out of Pocket Expenses
    Individual Family
    $2,800 $5,600 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $414,51
    $470,47
    $529,74
    $740,31
    $1 124,98
    $829,02
    $940,94
    $1 059,48
    $1 480,62
    $2 249,96
    $1 146,12
    $1 258,04
    $1 376,58
    $1 797,72
    $1 463,22
    $1 575,14
    $1 693,68
    $2 114,82
    $1 780,32
    $1 892,24
    $2 010,78
    $2 431,92
    $731,61
    $787,57
    $846,84
    $1 057,41
    $1 048,71
    $1 104,67
    $1 163,94
    $1 374,51
    $1 365,81
    $1 421,77
    $1 481,04
    $1 691,61
    $317,10
    Toc - Plan #105

    Gold

    (HMO) Gym Access IND Gold HMO 4500

    Annual Out of Pocket Expenses
    Individual Family
    $2,550 $5,100 Annual Deductible
    $4,500 $9,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $385,23
    $437,24
    $492,32
    $688,02
    $1 045,51
    $770,46
    $874,48
    $984,64
    $1 376,04
    $2 091,02
    $1 065,16
    $1 169,18
    $1 279,34
    $1 670,74
    $1 359,86
    $1 463,88
    $1 574,04
    $1 965,44
    $1 654,56
    $1 758,58
    $1 868,74
    $2 260,14
    $679,93
    $731,94
    $787,02
    $982,72
    $974,63
    $1 026,64
    $1 081,72
    $1 277,42
    $1 269,33
    $1 321,34
    $1 376,42
    $1 572,12
    $294,70
    Toc - Plan #106

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO HSA 5065

    Annual Out of Pocket Expenses
    Individual Family
    $6,300 $12,600 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $282,39
    $320,51
    $360,89
    $504,34
    $766,39
    $564,78
    $641,02
    $721,78
    $1 008,68
    $1 532,78
    $780,81
    $857,05
    $937,81
    $1 224,71
    $996,84
    $1 073,08
    $1 153,84
    $1 440,74
    $1 212,87
    $1 289,11
    $1 369,87
    $1 656,77
    $498,42
    $536,54
    $576,92
    $720,37
    $714,45
    $752,57
    $792,95
    $936,40
    $930,48
    $968,60
    $1 008,98
    $1 152,43
    $216,03
    Toc - Plan #107

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO HSA 6060

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $282,97
    $321,17
    $361,63
    $505,37
    $767,96
    $565,94
    $642,34
    $723,26
    $1 010,74
    $1 535,92
    $782,41
    $858,81
    $939,73
    $1 227,21
    $998,88
    $1 075,28
    $1 156,20
    $1 443,68
    $1 215,35
    $1 291,75
    $1 372,67
    $1 660,15
    $499,44
    $537,64
    $578,10
    $721,84
    $715,91
    $754,11
    $794,57
    $938,31
    $932,38
    $970,58
    $1 011,04
    $1 154,78
    $216,47
    Toc - Plan #108

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO BC 3841

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $301,06
    $341,71
    $384,76
    $537,69
    $817,08
    $602,12
    $683,42
    $769,52
    $1 075,38
    $1 634,16
    $832,43
    $913,73
    $999,83
    $1 305,69
    $1 062,74
    $1 144,04
    $1 230,14
    $1 536,00
    $1 293,05
    $1 374,35
    $1 460,45
    $1 766,31
    $531,37
    $572,02
    $615,07
    $768,00
    $761,68
    $802,33
    $845,38
    $998,31
    $991,99
    $1 032,64
    $1 075,69
    $1 228,62
    $230,31
    Toc - Plan #109

    Expanded Bronze

    (POS) Gym Access IND Bronze POS BC 3841

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $325,15
    $369,04
    $415,54
    $580,71
    $882,44
    $650,30
    $738,08
    $831,08
    $1 161,42
    $1 764,88
    $899,04
    $986,82
    $1 079,82
    $1 410,16
    $1 147,78
    $1 235,56
    $1 328,56
    $1 658,90
    $1 396,52
    $1 484,30
    $1 577,30
    $1 907,64
    $573,89
    $617,78
    $664,28
    $829,45
    $822,63
    $866,52
    $913,02
    $1 078,19
    $1 071,37
    $1 115,26
    $1 161,76
    $1 326,93
    $248,74
    Toc - Plan #110

    Silver

    (HMO) Gym Access IND Silver HMO BC 0941

    Annual Out of Pocket Expenses
    Individual Family
    $5,600 $11,200 Annual Deductible
    $7,150 $14,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $373,53
    $423,96
    $477,37
    $667,12
    $1 013,76
    $747,06
    $847,92
    $954,74
    $1 334,24
    $2 027,52
    $1 032,81
    $1 133,67
    $1 240,49
    $1 619,99
    $1 318,56
    $1 419,42
    $1 526,24
    $1 905,74
    $1 604,31
    $1 705,17
    $1 811,99
    $2 191,49
    $659,28
    $709,71
    $763,12
    $952,87
    $945,03
    $995,46
    $1 048,87
    $1 238,62
    $1 230,78
    $1 281,21
    $1 334,62
    $1 524,37
    $285,75
    Toc - Plan #111

    Silver

    (POS) Gym Access IND Silver POS BC 0941

    Annual Out of Pocket Expenses
    Individual Family
    $5,600 $11,200 Annual Deductible
    $7,150 $14,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $403,41
    $457,87
    $515,56
    $720,49
    $1 094,86
    $806,82
    $915,74
    $1 031,12
    $1 440,98
    $2 189,72
    $1 115,43
    $1 224,35
    $1 339,73
    $1 749,59
    $1 424,04
    $1 532,96
    $1 648,34
    $2 058,20
    $1 732,65
    $1 841,57
    $1 956,95
    $2 366,81
    $712,02
    $766,48
    $824,17
    $1 029,10
    $1 020,63
    $1 075,09
    $1 132,78
    $1 337,71
    $1 329,24
    $1 383,70
    $1 441,39
    $1 646,32
    $308,61
    Toc - Plan #112

    Silver

    (HMO) Gym Access IND Silver HMO BC 7741

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $355,23
    $403,18
    $453,98
    $634,43
    $964,08
    $710,46
    $806,36
    $907,96
    $1 268,86
    $1 928,16
    $982,21
    $1 078,11
    $1 179,71
    $1 540,61
    $1 253,96
    $1 349,86
    $1 451,46
    $1 812,36
    $1 525,71
    $1 621,61
    $1 723,21
    $2 084,11
    $626,98
    $674,93
    $725,73
    $906,18
    $898,73
    $946,68
    $997,48
    $1 177,93
    $1 170,48
    $1 218,43
    $1 269,23
    $1 449,68
    $271,75
    Toc - Plan #113

    Silver

    (POS) Gym Access IND Silver POS BC 7741

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $383,65
    $435,44
    $490,30
    $685,19
    $1 041,20
    $767,30
    $870,88
    $980,60
    $1 370,38
    $2 082,40
    $1 060,79
    $1 164,37
    $1 274,09
    $1 663,87
    $1 354,28
    $1 457,86
    $1 567,58
    $1 957,36
    $1 647,77
    $1 751,35
    $1 861,07
    $2 250,85
    $677,14
    $728,93
    $783,79
    $978,68
    $970,63
    $1 022,42
    $1 077,28
    $1 272,17
    $1 264,12
    $1 315,91
    $1 370,77
    $1 565,66
    $293,49
    Toc - Plan #114

    Gold

    (HMO) Gym Access IND Gold HMO BC 5651

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $5,800 $11,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $405,58
    $460,34
    $518,34
    $724,37
    $1 100,75
    $811,16
    $920,68
    $1 036,68
    $1 448,74
    $2 201,50
    $1 121,43
    $1 230,95
    $1 346,95
    $1 759,01
    $1 431,70
    $1 541,22
    $1 657,22
    $2 069,28
    $1 741,97
    $1 851,49
    $1 967,49
    $2 379,55
    $715,85
    $770,61
    $828,61
    $1 034,64
    $1 026,12
    $1 080,88
    $1 138,88
    $1 344,91
    $1 336,39
    $1 391,15
    $1 449,15
    $1 655,18
    $310,27
    Toc - Plan #115

    Gold

    (POS) Gym Access IND Gold POS BC 5651

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $5,800 $11,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $438,03
    $497,16
    $559,80
    $782,32
    $1 188,81
    $876,06
    $994,32
    $1 119,60
    $1 564,64
    $2 377,62
    $1 211,16
    $1 329,42
    $1 454,70
    $1 899,74
    $1 546,26
    $1 664,52
    $1 789,80
    $2 234,84
    $1 881,36
    $1 999,62
    $2 124,90
    $2 569,94
    $773,13
    $832,26
    $894,90
    $1 117,42
    $1 108,23
    $1 167,36
    $1 230,00
    $1 452,52
    $1 443,33
    $1 502,46
    $1 565,10
    $1 787,62
    $335,10
    Toc - Plan #116

    Platinum

    (HMO) Gym Access IND Platinum HMO BC 5841

    Annual Out of Pocket Expenses
    Individual Family
    $800 $1,600 Annual Deductible
    $2,500 $5,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $504,37
    $572,46
    $644,59
    $900,81
    $1 368,86
    $1 008,74
    $1 144,92
    $1 289,18
    $1 801,62
    $2 737,72
    $1 394,59
    $1 530,77
    $1 675,03
    $2 187,47
    $1 780,44
    $1 916,62
    $2 060,88
    $2 573,32
    $2 166,29
    $2 302,47
    $2 446,73
    $2 959,17
    $890,22
    $958,31
    $1 030,44
    $1 286,66
    $1 276,07
    $1 344,16
    $1 416,29
    $1 672,51
    $1 661,92
    $1 730,01
    $1 802,14
    $2 058,36
    $385,85
    Toc - Plan #117

    Platinum

    (POS) Gym Access IND Platinum POS BC 5841

    Annual Out of Pocket Expenses
    Individual Family
    $800 $1,600 Annual Deductible
    $2,500 $5,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $544,72
    $618,26
    $696,16
    $972,87
    $1 478,37
    $1 089,44
    $1 236,52
    $1 392,32
    $1 945,74
    $2 956,74
    $1 506,16
    $1 653,24
    $1 809,04
    $2 362,46
    $1 922,88
    $2 069,96
    $2 225,76
    $2 779,18
    $2 339,60
    $2 486,68
    $2 642,48
    $3 195,90
    $961,44
    $1 034,98
    $1 112,88
    $1 389,59
    $1 378,16
    $1 451,70
    $1 529,60
    $1 806,31
    $1 794,88
    $1 868,42
    $1 946,32
    $2 223,03
    $416,72
    Toc - Plan #118

    Platinum

    (HMO) Gym Access IND Platinum HMO BC 1941

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $2,000 $4,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $525,26
    $596,17
    $671,28
    $938,11
    $1 425,54
    $1 050,52
    $1 192,34
    $1 342,56
    $1 876,22
    $2 851,08
    $1 452,34
    $1 594,16
    $1 744,38
    $2 278,04
    $1 854,16
    $1 995,98
    $2 146,20
    $2 679,86
    $2 255,98
    $2 397,80
    $2 548,02
    $3 081,68
    $927,08
    $997,99
    $1 073,10
    $1 339,93
    $1 328,90
    $1 399,81
    $1 474,92
    $1 741,75
    $1 730,72
    $1 801,63
    $1 876,74
    $2 143,57
    $401,82
    Toc - Plan #119

    Platinum

    (POS) Gym Access IND Platinum POS BC 1941

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $2,000 $4,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $567,28
    $643,86
    $724,98
    $1 013,16
    $1 539,58
    $1 134,56
    $1 287,72
    $1 449,96
    $2 026,32
    $3 079,16
    $1 568,53
    $1 721,69
    $1 883,93
    $2 460,29
    $2 002,50
    $2 155,66
    $2 317,90
    $2 894,26
    $2 436,47
    $2 589,63
    $2 751,87
    $3 328,23
    $1 001,25
    $1 077,83
    $1 158,95
    $1 447,13
    $1 435,22
    $1 511,80
    $1 592,92
    $1 881,10
    $1 869,19
    $1 945,77
    $2 026,89
    $2 315,07
    $433,97
    Toc - Plan #120

    Platinum

    (HMO) Gym Access IND Platinum HMO 91

    Annual Out of Pocket Expenses
    Individual Family
    $250 $500 Annual Deductible
    $2,500 $5,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $523,28
    $593,92
    $668,75
    $934,57
    $1 420,17
    $1 046,56
    $1 187,84
    $1 337,50
    $1 869,14
    $2 840,34
    $1 446,87
    $1 588,15
    $1 737,81
    $2 269,45
    $1 847,18
    $1 988,46
    $2 138,12
    $2 669,76
    $2 247,49
    $2 388,77
    $2 538,43
    $3 070,07
    $923,59
    $994,23
    $1 069,06
    $1 334,88
    $1 323,90
    $1 394,54
    $1 469,37
    $1 735,19
    $1 724,21
    $1 794,85
    $1 869,68
    $2 135,50
    $400,31
    Toc - Plan #121

    Platinum

    (HMO) Gym Access IND Platinum HMO 92

    Annual Out of Pocket Expenses
    Individual Family
    $500 $1,000 Annual Deductible
    $3,000 $6,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $522,06
    $592,54
    $667,20
    $932,40
    $1 416,87
    $1 044,12
    $1 185,08
    $1 334,40
    $1 864,80
    $2 833,74
    $1 443,50
    $1 584,46
    $1 733,78
    $2 264,18
    $1 842,88
    $1 983,84
    $2 133,16
    $2 663,56
    $2 242,26
    $2 383,22
    $2 532,54
    $3 062,94
    $921,44
    $991,92
    $1 066,58
    $1 331,78
    $1 320,82
    $1 391,30
    $1 465,96
    $1 731,16
    $1 720,20
    $1 790,68
    $1 865,34
    $2 130,54
    $399,38
    Toc - Plan #122

    Expanded Bronze

    (HMO) Gym Access IND Bronze Standardized HMO

    Annual Out of Pocket Expenses
    Individual Family
    $7,150 $14,300 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $284,11
    $322,46
    $363,09
    $507,41
    $771,06
    $568,22
    $644,92
    $726,18
    $1 014,82
    $1 542,12
    $785,56
    $862,26
    $943,52
    $1 232,16
    $1 002,90
    $1 079,60
    $1 160,86
    $1 449,50
    $1 220,24
    $1 296,94
    $1 378,20
    $1 666,84
    $501,45
    $539,80
    $580,43
    $724,75
    $718,79
    $757,14
    $797,77
    $942,09
    $936,13
    $974,48
    $1 015,11
    $1 159,43
    $217,34
    Toc - Plan #123

    Silver

    (HMO) Gym Access IND Silver Standardized HMO 1

    Annual Out of Pocket Expenses
    Individual Family
    $3,800 $7,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $390,28
    $442,97
    $498,78
    $697,03
    $1 059,21
    $780,56
    $885,94
    $997,56
    $1 394,06
    $2 118,42
    $1 079,12
    $1 184,50
    $1 296,12
    $1 692,62
    $1 377,68
    $1 483,06
    $1 594,68
    $1 991,18
    $1 676,24
    $1 781,62
    $1 893,24
    $2 289,74
    $688,84
    $741,53
    $797,34
    $995,59
    $987,40
    $1 040,09
    $1 095,90
    $1 294,15
    $1 285,96
    $1 338,65
    $1 394,46
    $1 592,71
    $298,56
    Toc - Plan #124

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO 1340

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $262,39
    $297,81
    $335,33
    $468,62
    $712,11
    $524,78
    $595,62
    $670,66
    $937,24
    $1 424,22
    $725,51
    $796,35
    $871,39
    $1 137,97
    $926,24
    $997,08
    $1 072,12
    $1 338,70
    $1 126,97
    $1 197,81
    $1 272,85
    $1 539,43
    $463,12
    $498,54
    $536,06
    $669,35
    $663,85
    $699,27
    $736,79
    $870,08
    $864,58
    $900,00
    $937,52
    $1 070,81
    $200,73
    Toc - Plan #125

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO 1041

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $293,74
    $333,40
    $375,40
    $524,62
    $797,21
    $587,48
    $666,80
    $750,80
    $1 049,24
    $1 594,42
    $812,19
    $891,51
    $975,51
    $1 273,95
    $1 036,90
    $1 116,22
    $1 200,22
    $1 498,66
    $1 261,61
    $1 340,93
    $1 424,93
    $1 723,37
    $518,45
    $558,11
    $600,11
    $749,33
    $743,16
    $782,82
    $824,82
    $974,04
    $967,87
    $1 007,53
    $1 049,53
    $1 198,75
    $224,71
    Toc - Plan #126

    Expanded Bronze

    (POS) Gym Access IND Bronze POS 1042

    Annual Out of Pocket Expenses
    Individual Family
    $7,550 $15,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $317,24
    $360,07
    $405,43
    $566,59
    $860,98
    $634,48
    $720,14
    $810,86
    $1 133,18
    $1 721,96
    $877,17
    $962,83
    $1 053,55
    $1 375,87
    $1 119,86
    $1 205,52
    $1 296,24
    $1 618,56
    $1 362,55
    $1 448,21
    $1 538,93
    $1 861,25
    $559,93
    $602,76
    $648,12
    $809,28
    $802,62
    $845,45
    $890,81
    $1 051,97
    $1 045,31
    $1 088,14
    $1 133,50
    $1 294,66
    $242,69
    Toc - Plan #127

    Gold

    (HMO) Gym Access IND Gold HMO H.S.A 9010

    Annual Out of Pocket Expenses
    Individual Family
    $1,700 $3,400 Annual Deductible
    $4,000 $8,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $372,71
    $423,03
    $476,33
    $665,66
    $1 011,54
    $745,42
    $846,06
    $952,66
    $1 331,32
    $2 023,08
    $1 030,55
    $1 131,19
    $1 237,79
    $1 616,45
    $1 315,68
    $1 416,32
    $1 522,92
    $1 901,58
    $1 600,81
    $1 701,45
    $1 808,05
    $2 186,71
    $657,84
    $708,16
    $761,46
    $950,79
    $942,97
    $993,29
    $1 046,59
    $1 235,92
    $1 228,10
    $1 278,42
    $1 331,72
    $1 521,05
    $285,13
    Toc - Plan #128

    Expanded Bronze

    (HMO) Gym Access IND Bronze HMO OA 1211

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $322,21
    $365,71
    $411,78
    $575,46
    $874,46
    $644,42
    $731,42
    $823,56
    $1 150,92
    $1 748,92
    $890,91
    $977,91
    $1 070,05
    $1 397,41
    $1 137,40
    $1 224,40
    $1 316,54
    $1 643,90
    $1 383,89
    $1 470,89
    $1 563,03
    $1 890,39
    $568,70
    $612,20
    $658,27
    $821,95
    $815,19
    $858,69
    $904,76
    $1 068,44
    $1 061,68
    $1 105,18
    $1 151,25
    $1 314,93
    $246,49
    Toc - Plan #129

    Silver

    (HMO) Gym Access IND Silver HMO OA 1009

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $387,13
    $439,39
    $494,75
    $691,40
    $1 050,65
    $774,26
    $878,78
    $989,50
    $1 382,80
    $2 101,30
    $1 070,41
    $1 174,93
    $1 285,65
    $1 678,95
    $1 366,56
    $1 471,08
    $1 581,80
    $1 975,10
    $1 662,71
    $1 767,23
    $1 877,95
    $2 271,25
    $683,28
    $735,54
    $790,90
    $987,55
    $979,43
    $1 031,69
    $1 087,05
    $1 283,70
    $1 275,58
    $1 327,84
    $1 383,20
    $1 579,85
    $296,15

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

    Volusia County is in “Rating Area 17” of Florida.

    Currently, there are 129 plans offered in Rating Area 17.

    Obamacare Rates and Providers for Other Years

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