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|
Ambetter of Peach State Inc.
Local: 1-877-687-1180 | Toll Free: 1-877-687-1180
TTY: 1-877-941-9231
|
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,550
: Family:
$13,100
Out of Pocket Maximum per year: Individual:
$6,550
: Family:
$13,100
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$296.03
$335.99
$378.32
$528.70
$803.41 |
$592.06
$671.98
$756.64
$1,057.40
$1,606.82 |
$818.52
$898.44
$983.10
$1,283.86 |
$1,044.98
$1,124.90
$1,209.56
$1,510.32 |
$1,271.44
$1,351.36
$1,436.02
$1,736.78 |
$522.49
$562.45
$604.78
$755.16 |
$748.95
$788.91
$831.24
$981.62 |
$975.41
$1,015.37
$1,057.70
$1,208.08 |
$226.46 |
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$1,000
: Family:
$2,000
Out of Pocket Maximum per year: Individual:
$6,350
: Family:
$12,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Gold |
21
30
40
50
60 |
$363.73
$412.82
$464.83
$649.60
$987.12 |
$727.46
$825.64
$929.66
$1,299.20
$1,974.24 |
$1,005.70
$1,103.88
$1,207.90
$1,577.44 |
$1,283.94
$1,382.12
$1,486.14
$1,855.68 |
$1,562.18
$1,660.36
$1,764.38
$2,133.92 |
$641.97
$691.06
$743.07
$927.84 |
$920.21
$969.30
$1,021.31
$1,206.08 |
$1,198.45
$1,247.54
$1,299.55
$1,484.32 |
$278.24 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$5,500
: Family:
$11,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$342.51
$388.74
$437.71
$611.70
$929.54 |
$685.02
$777.48
$875.42
$1,223.40
$1,859.08 |
$947.03
$1,039.49
$1,137.43
$1,485.41 |
$1,209.04
$1,301.50
$1,399.44
$1,747.42 |
$1,471.05
$1,563.51
$1,661.45
$2,009.43 |
$604.52
$650.75
$699.72
$873.71 |
$866.53
$912.76
$961.73
$1,135.72 |
$1,128.54
$1,174.77
$1,223.74
$1,397.73 |
$262.01 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,500
: Family:
$13,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$336.78
$382.24
$430.40
$601.48
$914.00 |
$673.56
$764.48
$860.80
$1,202.96
$1,828.00 |
$931.19
$1,022.11
$1,118.43
$1,460.59 |
$1,188.82
$1,279.74
$1,376.06
$1,718.22 |
$1,446.45
$1,537.37
$1,633.69
$1,975.85 |
$594.41
$639.87
$688.03
$859.11 |
$852.04
$897.50
$945.66
$1,116.74 |
$1,109.67
$1,155.13
$1,203.29
$1,374.37 |
$257.63 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,800
: Family:
$13,600
Out of Pocket Maximum per year: Individual:
$6,800
: Family:
$13,600
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$290.65
$329.87
$371.43
$519.07
$788.78 |
$581.30
$659.74
$742.86
$1,038.14
$1,577.56 |
$803.64
$882.08
$965.20
$1,260.48 |
$1,025.98
$1,104.42
$1,187.54
$1,482.82 |
$1,248.32
$1,326.76
$1,409.88
$1,705.16 |
$512.99
$552.21
$593.77
$741.41 |
$735.33
$774.55
$816.11
$963.75 |
$957.67
$996.89
$1,038.45
$1,186.09 |
$222.34 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$7,050
: Family:
$14,100
Out of Pocket Maximum per year: Individual:
$7,050
: Family:
$14,100
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$326.34
$370.39
$417.05
$582.83
$885.67 |
$652.68
$740.78
$834.10
$1,165.66
$1,771.34 |
$902.33
$990.43
$1,083.75
$1,415.31 |
$1,151.98
$1,240.08
$1,333.40
$1,664.96 |
$1,401.63
$1,489.73
$1,583.05
$1,914.61 |
$575.99
$620.04
$666.70
$832.48 |
$825.64
$869.69
$916.35
$1,082.13 |
$1,075.29
$1,119.34
$1,166.00
$1,331.78 |
$249.65 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$5,500
: Family:
$11,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$347.46
$394.35
$444.04
$620.54
$942.98 |
$694.92
$788.70
$888.08
$1,241.08
$1,885.96 |
$960.72
$1,054.50
$1,153.88
$1,506.88 |
$1,226.52
$1,320.30
$1,419.68
$1,772.68 |
$1,492.32
$1,586.10
$1,685.48
$2,038.48 |
$613.26
$660.15
$709.84
$886.34 |
$879.06
$925.95
$975.64
$1,152.14 |
$1,144.86
$1,191.75
$1,241.44
$1,417.94 |
$265.80 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,500
: Family:
$13,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$341.65
$387.76
$436.62
$610.17
$927.21 |
$683.30
$775.52
$873.24
$1,220.34
$1,854.42 |
$944.66
$1,036.88
$1,134.60
$1,481.70 |
$1,206.02
$1,298.24
$1,395.96
$1,743.06 |
$1,467.38
$1,559.60
$1,657.32
$2,004.42 |
$603.01
$649.12
$697.98
$871.53 |
$864.37
$910.48
$959.34
$1,132.89 |
$1,125.73
$1,171.84
$1,220.70
$1,394.25 |
$261.36 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,800
: Family:
$13,600
Out of Pocket Maximum per year: Individual:
$6,800
: Family:
$13,600
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$294.85
$334.64
$376.80
$526.58
$800.19 |
$589.70
$669.28
$753.60
$1,053.16
$1,600.38 |
$815.25
$894.83
$979.15
$1,278.71 |
$1,040.80
$1,120.38
$1,204.70
$1,504.26 |
$1,266.35
$1,345.93
$1,430.25
$1,729.81 |
$520.40
$560.19
$602.35
$752.13 |
$745.95
$785.74
$827.90
$977.68 |
$971.50
$1,011.29
$1,053.45
$1,203.23 |
$225.55 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$5,500
: Family:
$11,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$361.81
$410.64
$462.38
$646.17
$981.91 |
$723.62
$821.28
$924.76
$1,292.34
$1,963.82 |
$1,000.39
$1,098.05
$1,201.53
$1,569.11 |
$1,277.16
$1,374.82
$1,478.30
$1,845.88 |
$1,553.93
$1,651.59
$1,755.07
$2,122.65 |
$638.58
$687.41
$739.15
$922.94 |
$915.35
$964.18
$1,015.92
$1,199.71 |
$1,192.12
$1,240.95
$1,292.69
$1,476.48 |
$276.77 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,500
: Family:
$13,000
Out of Pocket Maximum per year: Individual:
$6,500
: Family:
$13,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$355.76
$403.77
$454.65
$635.37
$965.50 |
$711.52
$807.54
$909.30
$1,270.74
$1,931.00 |
$983.67
$1,079.69
$1,181.45
$1,542.89 |
$1,255.82
$1,351.84
$1,453.60
$1,815.04 |
$1,527.97
$1,623.99
$1,725.75
$2,087.19 |
$627.91
$675.92
$726.80
$907.52 |
$900.06
$948.07
$998.95
$1,179.67 |
$1,172.21
$1,220.22
$1,271.10
$1,451.82 |
$272.15 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Customer Service Phone: 1-877-687-1180
Deductible: Individual:
$6,800
: Family:
$13,600
Out of Pocket Maximum per year: Individual:
$6,800
: Family:
$13,600
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$307.02
$348.46
$392.36
$548.32
$833.23 |
$614.04
$696.92
$784.72
$1,096.64
$1,666.46 |
$848.90
$931.78
$1,019.58
$1,331.50 |
$1,083.76
$1,166.64
$1,254.44
$1,566.36 |
$1,318.62
$1,401.50
$1,489.30
$1,801.22 |
$541.88
$583.32
$627.22
$783.18 |
$776.74
$818.18
$862.08
$1,018.04 |
$1,011.60
$1,053.04
$1,096.94
$1,252.90 |
$234.86 |
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|
Kaiser Foundation Health Plan of Georgia
Local: 1-800-494-5314 | Toll Free: 1-800-494-5314
|
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$500
: Family:
$1,000
Out of Pocket Maximum per year: Individual:
$6,350
: Family:
$12,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Gold |
21
30
40
50
60 |
$483.03
$548.24
$617.32
$862.70
$1,310.96 |
$966.06
$1,096.48
$1,234.64
$1,725.40
$2,621.92 |
$1,335.58
$1,466.00
$1,604.16
$2,094.92 |
$1,705.10
$1,835.52
$1,973.68
$2,464.44 |
$2,074.62
$2,205.04
$2,343.20
$2,833.96 |
$852.55
$917.76
$986.84
$1,232.22 |
$1,222.07
$1,287.28
$1,356.36
$1,601.74 |
$1,591.59
$1,656.80
$1,725.88
$1,971.26 |
$369.52 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$3,000
: Family:
$6,000
Out of Pocket Maximum per year: Individual:
$7,150
: Family:
$14,300
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$416.85
$473.13
$532.74
$744.50
$1,131.33 |
$833.70
$946.26
$1,065.48
$1,489.00
$2,262.66 |
$1,152.59
$1,265.15
$1,384.37
$1,807.89 |
$1,471.48
$1,584.04
$1,703.26
$2,126.78 |
$1,790.37
$1,902.93
$2,022.15
$2,445.67 |
$735.74
$792.02
$851.63
$1,063.39 |
$1,054.63
$1,110.91
$1,170.52
$1,382.28 |
$1,373.52
$1,429.80
$1,489.41
$1,701.17 |
$318.89 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$2,750
: Family:
$5,500
Out of Pocket Maximum per year: Individual:
$6,000
: Family:
$12,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$407.24
$462.22
$520.46
$727.34
$1,105.26 |
$814.48
$924.44
$1,040.92
$1,454.68
$2,210.52 |
$1,126.02
$1,235.98
$1,352.46
$1,766.22 |
$1,437.56
$1,547.52
$1,664.00
$2,077.76 |
$1,749.10
$1,859.06
$1,975.54
$2,389.30 |
$718.78
$773.76
$832.00
$1,038.88 |
$1,030.32
$1,085.30
$1,143.54
$1,350.42 |
$1,341.86
$1,396.84
$1,455.08
$1,661.96 |
$311.54 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$5,000
: Family:
$10,000
Out of Pocket Maximum per year: Individual:
$7,350
: Family:
$14,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$345.33
$391.95
$441.33
$616.76
$937.22 |
$690.66
$783.90
$882.66
$1,233.52
$1,874.44 |
$954.84
$1,048.08
$1,146.84
$1,497.70 |
$1,219.02
$1,312.26
$1,411.02
$1,761.88 |
$1,483.20
$1,576.44
$1,675.20
$2,026.06 |
$609.51
$656.13
$705.51
$880.94 |
$873.69
$920.31
$969.69
$1,145.12 |
$1,137.87
$1,184.49
$1,233.87
$1,409.30 |
$264.18 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$6,200
: Family:
$12,400
Out of Pocket Maximum per year: Individual:
$6,550
: Family:
$13,100
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Bronze |
21
30
40
50
60 |
$338.39
$384.07
$432.46
$604.37
$918.39 |
$676.78
$768.14
$864.92
$1,208.74
$1,836.78 |
$935.65
$1,027.01
$1,123.79
$1,467.61 |
$1,194.52
$1,285.88
$1,382.66
$1,726.48 |
$1,453.39
$1,544.75
$1,641.53
$1,985.35 |
$597.26
$642.94
$691.33
$863.24 |
$856.13
$901.81
$950.20
$1,122.11 |
$1,115.00
$1,160.68
$1,209.07
$1,380.98 |
$258.87 |
Catastrophic
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$7,350
: Family:
$14,700
Out of Pocket Maximum per year: Individual:
$7,350
: Family:
$14,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Catastrophic |
21
30
40
50
60 |
$283.66
$321.96
$362.52
$506.62
$769.86 |
$567.32
$643.92
$725.04
$1,013.24
$1,539.72 |
$784.32
$860.92
$942.04
$1,230.24 |
$1,001.32
$1,077.92
$1,159.04
$1,447.24 |
$1,218.32
$1,294.92
$1,376.04
$1,664.24 |
$500.66
$538.96
$579.52
$723.62 |
$717.66
$755.96
$796.52
$940.62 |
$934.66
$972.96
$1,013.52
$1,157.62 |
$217.00 |
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$1,500
: Family:
$3,000
Out of Pocket Maximum per year: Individual:
$5,000
: Family:
$10,000
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Gold |
21
30
40
50
60 |
$475.03
$539.16
$607.09
$848.40
$1,289.23 |
$950.06
$1,078.32
$1,214.18
$1,696.80
$2,578.46 |
$1,313.46
$1,441.72
$1,577.58
$2,060.20 |
$1,676.86
$1,805.12
$1,940.98
$2,423.60 |
$2,040.26
$2,168.52
$2,304.38
$2,787.00 |
$838.43
$902.56
$970.49
$1,211.80 |
$1,201.83
$1,265.96
$1,333.89
$1,575.20 |
$1,565.23
$1,629.36
$1,697.29
$1,938.60 |
$363.40 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$3,500
: Family:
$7,000
Out of Pocket Maximum per year: Individual:
$7,350
: Family:
$14,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$423.79
$481.00
$541.60
$756.89
$1,150.16 |
$847.58
$962.00
$1,083.20
$1,513.78
$2,300.32 |
$1,171.78
$1,286.20
$1,407.40
$1,837.98 |
$1,495.98
$1,610.40
$1,731.60
$2,162.18 |
$1,820.18
$1,934.60
$2,055.80
$2,486.38 |
$747.99
$805.20
$865.80
$1,081.09 |
$1,072.19
$1,129.40
$1,190.00
$1,405.29 |
$1,396.39
$1,453.60
$1,514.20
$1,729.49 |
$324.20 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
Customer Service Phone: 1-800-494-5314
Deductible: Individual:
$4,700
: Family:
$9,400
Out of Pocket Maximum per year: Individual:
$7,350
: Family:
$14,700
Monthly Premiums: |
Metal level |
Age |
Individual
|
Couple
|
Couple
w
1 Kid
|
Couple
w 2 Kids
|
Couple
w3+Kids
|
Single
w
1 Kid
|
Single
w 2 Kids
|
Single
w3+Kids
|
Child
0-14 |
Silver |
21
30
40
50
60 |
$362.41
$411.33
$463.16
$647.26
$983.58 |
$724.82
$822.66
$926.32
$1,294.52
$1,967.16 |
$1,002.06
$1,099.90
$1,203.56
$1,571.76 |
$1,279.30
$1,377.14
$1,480.80
$1,849.00 |
$1,556.54
$1,654.38
$1,758.04
$2,126.24 |
$639.65
$688.57
$740.40
$924.50 |
$916.89
$965.81
$1,017.64
$1,201.74 |
$1,194.13
$1,243.05
$1,294.88
$1,478.98 |
$277.24 |
Under the Affordable Care Act (ACA) in Georgia, you may be able to reduce your health insurance through tax credits or, if your income is very low, by qualifying for Medicaid.
Many people who apply for coverage at the Georgia exchange will be eligible for some form of financial assistance. Read on to learn more about your options.
For 2018, in most states, open enrollment for health insurance under the Affordable Care Act ended on December 15. That means it’s too late for most people to use a health insurance exchange to get coverage for 2018.
If you let the ACA deadline pass you by this year, here are some things to know.
Certain life events make you eligible to sign up for health insurance outside of open enrolllment. The circumstances under which you may qualify for special enrollment include: