Forsyth County, Georgia - Obamacare

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Obamacare 2021 Rates and Health Insurance Providers for Forsyth County , Georgia

Obamacare > Rates > Georgia > Forsyth County

Obamacare Rates and Providers for Other Years

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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 Forsyth County, Georgia.

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

Obamacare Providers, Plans and 2021 Rates for Forsyth County, Georgia

Below, you’ll find a summary of the 53 plans for Forsyth County, Georgia and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

  • Blue Cross Blue Shield Healthcare Plan of Georgia, Inc

    Local: 1-855-738-6652 | Toll Free: 1-855-738-6652

  • CareSource

    Local: 1-833-230-2030 | Toll Free: 1-833-230-2030 | TTY: 1-800-255-0056

  • Ambetter from Peach State Health Plan

    Local: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231

  • Kaiser Permanente

    Local: 1-800-494-5314 | Toll Free: 1-800-494-5314

    • 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 Cumming, GA area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Forsyth County

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    Blue Cross Blue Shield Healthcare Plan of Georgia, Inc

    Local: 1-855-738-6652 | Toll Free: 1-855-738-6652

    Toc - Plan #1

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X Guided Access HMO 0 for 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     		$310,25
    $352,13
    $396,50
    $554,11
    $842,02     		$620,50
    $704,26
    $793,00
    $1 108,22
    $1 684,04     		$857,84
    $941,60
    $1 030,34
    $1 345,56     		$1 095,18
    $1 178,94
    $1 267,68
    $1 582,90     		$1 332,52
    $1 416,28
    $1 505,02
    $1 820,24     		$547,59
    $589,47
    $633,84
    $791,45     		$784,93
    $826,81
    $871,18
    $1 028,79     		$1 022,27
    $1 064,15
    $1 108,52
    $1 266,13     		$237,34
    Toc - Plan #2

    Silver

    (HMO) Anthem Silver Pathway X Guided Access HMO 3000

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $7,700 $15,400 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     		$365,79
    $415,17
    $467,48
    $653,30
    $992,75     		$731,58
    $830,34
    $934,96
    $1 306,60
    $1 985,50     		$1 011,41
    $1 110,17
    $1 214,79
    $1 586,43     		$1 291,24
    $1 390,00
    $1 494,62
    $1 866,26     		$1 571,07
    $1 669,83
    $1 774,45
    $2 146,09     		$645,62
    $695,00
    $747,31
    $933,13     		$925,45
    $974,83
    $1 027,14
    $1 212,96     		$1 205,28
    $1 254,66
    $1 306,97
    $1 492,79     		$279,83
    Toc - Plan #3

    Silver

    (HMO) Anthem Silver Pathway X Guided Access HMO 5500

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 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     		$348,84
    $395,93
    $445,82
    $623,03
    $946,75     		$697,68
    $791,86
    $891,64
    $1 246,06
    $1 893,50     		$964,54
    $1 058,72
    $1 158,50
    $1 512,92     		$1 231,40
    $1 325,58
    $1 425,36
    $1 779,78     		$1 498,26
    $1 592,44
    $1 692,22
    $2 046,64     		$615,70
    $662,79
    $712,68
    $889,89     		$882,56
    $929,65
    $979,54
    $1 156,75     		$1 149,42
    $1 196,51
    $1 246,40
    $1 423,61     		$266,86
    Toc - Plan #4

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X Guided Access HMO 5600

    Annual Out of Pocket Expenses
    Individual Family
    $5,600 $11,200 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     		$308,12
    $349,72
    $393,78
    $550,30
    $836,24     		$616,24
    $699,44
    $787,56
    $1 100,60
    $1 672,48     		$851,95
    $935,15
    $1 023,27
    $1 336,31     		$1 087,66
    $1 170,86
    $1 258,98
    $1 572,02     		$1 323,37
    $1 406,57
    $1 494,69
    $1 807,73     		$543,83
    $585,43
    $629,49
    $786,01     		$779,54
    $821,14
    $865,20
    $1 021,72     		$1 015,25
    $1 056,85
    $1 100,91
    $1 257,43     		$235,71
    Toc - Plan #5

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X Guided Access HMO 6000

    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     		$303,55
    $344,53
    $387,94
    $542,14
    $823,83     		$607,10
    $689,06
    $775,88
    $1 084,28
    $1 647,66     		$839,32
    $921,28
    $1 008,10
    $1 316,50     		$1 071,54
    $1 153,50
    $1 240,32
    $1 548,72     		$1 303,76
    $1 385,72
    $1 472,54
    $1 780,94     		$535,77
    $576,75
    $620,16
    $774,36     		$767,99
    $808,97
    $852,38
    $1 006,58     		$1 000,21
    $1 041,19
    $1 084,60
    $1 238,80     		$232,22
    Toc - Plan #6

    Catastrophic

    (HMO) Anthem Catastrophic Pathway X Guided Access HMO 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     		$211,59
    $240,15
    $270,41
    $377,90
    $574,26     		$423,18
    $480,30
    $540,82
    $755,80
    $1 148,52     		$585,05
    $642,17
    $702,69
    $917,67     		$746,92
    $804,04
    $864,56
    $1 079,54     		$908,79
    $965,91
    $1 026,43
    $1 241,41     		$373,46
    $402,02
    $432,28
    $539,77     		$535,33
    $563,89
    $594,15
    $701,64     		$697,20
    $725,76
    $756,02
    $863,51     		$161,87
    Toc - Plan #7

    Bronze

    (HMO) Anthem Bronze Pathway X Guided Access HMO 6750

    Annual Out of Pocket Expenses
    Individual Family
    $6,750 $13,500 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     		$293,18
    $332,76
    $374,68
    $523,62
    $795,69     		$586,36
    $665,52
    $749,36
    $1 047,24
    $1 591,38     		$810,64
    $889,80
    $973,64
    $1 271,52     		$1 034,92
    $1 114,08
    $1 197,92
    $1 495,80     		$1 259,20
    $1 338,36
    $1 422,20
    $1 720,08     		$517,46
    $557,04
    $598,96
    $747,90     		$741,74
    $781,32
    $823,24
    $972,18     		$966,02
    $1 005,60
    $1 047,52
    $1 196,46     		$224,28
    Toc - Plan #8

    Silver

    (HMO) Anthem Silver Pathway X Guided Access HMO 4950

    Annual Out of Pocket Expenses
    Individual Family
    $4,950 $9,900 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     		$359,09
    $407,57
    $458,92
    $641,33
    $974,57     		$718,18
    $815,14
    $917,84
    $1 282,66
    $1 949,14     		$992,88
    $1 089,84
    $1 192,54
    $1 557,36     		$1 267,58
    $1 364,54
    $1 467,24
    $1 832,06     		$1 542,28
    $1 639,24
    $1 741,94
    $2 106,76     		$633,79
    $682,27
    $733,62
    $916,03     		$908,49
    $956,97
    $1 008,32
    $1 190,73     		$1 183,19
    $1 231,67
    $1 283,02
    $1 465,43     		$274,70
    Toc - Plan #9

    Gold

    (HMO) Anthem Gold Pathway X Guided Access HMO 1850

    Annual Out of Pocket Expenses
    Individual Family
    $1,850 $3,700 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     		$428,49
    $486,34
    $547,61
    $765,28
    $1 162,92     		$856,98
    $972,68
    $1 095,22
    $1 530,56
    $2 325,84     		$1 184,77
    $1 300,47
    $1 423,01
    $1 858,35     		$1 512,56
    $1 628,26
    $1 750,80
    $2 186,14     		$1 840,35
    $1 956,05
    $2 078,59
    $2 513,93     		$756,28
    $814,13
    $875,40
    $1 093,07     		$1 084,07
    $1 141,92
    $1 203,19
    $1 420,86     		$1 411,86
    $1 469,71
    $1 530,98
    $1 748,65     		$327,79
    Toc - Plan #10

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X Guided Access HMO 4900

    Annual Out of Pocket Expenses
    Individual Family
    $4,900 $9,800 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     		$320,54
    $363,81
    $409,65
    $572,48
    $869,95     		$641,08
    $727,62
    $819,30
    $1 144,96
    $1 739,90     		$886,29
    $972,83
    $1 064,51
    $1 390,17     		$1 131,50
    $1 218,04
    $1 309,72
    $1 635,38     		$1 376,71
    $1 463,25
    $1 554,93
    $1 880,59     		$565,75
    $609,02
    $654,86
    $817,69     		$810,96
    $854,23
    $900,07
    $1 062,90     		$1 056,17
    $1 099,44
    $1 145,28
    $1 308,11     		$245,21
    Toc - Plan #11

    Silver

    (HMO) Anthem Silver Pathway X Guided Access HMO 2600

    Annual Out of Pocket Expenses
    Individual Family
    $2,600 $5,200 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     		$395,74
    $449,16
    $505,76
    $706,79
    $1 074,04     		$791,48
    $898,32
    $1 011,52
    $1 413,58
    $2 148,08     		$1 094,22
    $1 201,06
    $1 314,26
    $1 716,32     		$1 396,96
    $1 503,80
    $1 617,00
    $2 019,06     		$1 699,70
    $1 806,54
    $1 919,74
    $2 321,80     		$698,48
    $751,90
    $808,50
    $1 009,53     		$1 001,22
    $1 054,64
    $1 111,24
    $1 312,27     		$1 303,96
    $1 357,38
    $1 413,98
    $1 615,01     		$302,74
    Toc - Plan #12

    Silver

    (HMO) Anthem Silver Pathway X Guided Access HMO 6250

    Annual Out of Pocket Expenses
    Individual Family
    $6,250 $12,500 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     		$342,29
    $388,50
    $437,45
    $611,33
    $928,98     		$684,58
    $777,00
    $874,90
    $1 222,66
    $1 857,96     		$946,43
    $1 038,85
    $1 136,75
    $1 484,51     		$1 208,28
    $1 300,70
    $1 398,60
    $1 746,36     		$1 470,13
    $1 562,55
    $1 660,45
    $2 008,21     		$604,14
    $650,35
    $699,30
    $873,18     		$865,99
    $912,20
    $961,15
    $1 135,03     		$1 127,84
    $1 174,05
    $1 223,00
    $1 396,88     		$261,85
    ADVERTISEMENT

    CareSource

    Local: 1-833-230-2030 | Toll Free: 1-833-230-2030 | TTY: 1-800-255-0056
    Toc - Plan #13

    Expanded Bronze

    (HMO) CareSource Marketplace Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $7,700 $15,400 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     		$278,42
    $316,00
    $355,81
    $497,25
    $755,61     		$556,84
    $632,00
    $711,62
    $994,50
    $1 511,22     		$769,83
    $844,99
    $924,61
    $1 207,49     		$982,82
    $1 057,98
    $1 137,60
    $1 420,48     		$1 195,81
    $1 270,97
    $1 350,59
    $1 633,47     		$491,41
    $528,99
    $568,80
    $710,24     		$704,40
    $741,98
    $781,79
    $923,23     		$917,39
    $954,97
    $994,78
    $1 136,22     		$212,99
    Toc - Plan #14

    Gold

    (HMO) CareSource Marketplace Gold

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 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     		$389,09
    $441,61
    $497,25
    $694,90
    $1 055,97     		$778,18
    $883,22
    $994,50
    $1 389,80
    $2 111,94     		$1 075,83
    $1 180,87
    $1 292,15
    $1 687,45     		$1 373,48
    $1 478,52
    $1 589,80
    $1 985,10     		$1 671,13
    $1 776,17
    $1 887,45
    $2 282,75     		$686,74
    $739,26
    $794,90
    $992,55     		$984,39
    $1 036,91
    $1 092,55
    $1 290,20     		$1 282,04
    $1 334,56
    $1 390,20
    $1 587,85     		$297,65
    Toc - Plan #15

    Silver

    (HMO) CareSource Marketplace Low Premium Silver

    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     		$390,09
    $442,75
    $498,53
    $696,69
    $1 058,69     		$780,18
    $885,50
    $997,06
    $1 393,38
    $2 117,38     		$1 078,60
    $1 183,92
    $1 295,48
    $1 691,80     		$1 377,02
    $1 482,34
    $1 593,90
    $1 990,22     		$1 675,44
    $1 780,76
    $1 892,32
    $2 288,64     		$688,51
    $741,17
    $796,95
    $995,11     		$986,93
    $1 039,59
    $1 095,37
    $1 293,53     		$1 285,35
    $1 338,01
    $1 393,79
    $1 591,95     		$298,42
    Toc - Plan #16

    Silver

    (HMO) CareSource Marketplace Standard Silver

    Annual Out of Pocket Expenses
    Individual Family
    $5,800 $11,600 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     		$408,98
    $464,19
    $522,67
    $730,44
    $1 109,97     		$817,96
    $928,38
    $1 045,34
    $1 460,88
    $2 219,94     		$1 130,83
    $1 241,25
    $1 358,21
    $1 773,75     		$1 443,70
    $1 554,12
    $1 671,08
    $2 086,62     		$1 756,57
    $1 866,99
    $1 983,95
    $2 399,49     		$721,85
    $777,06
    $835,54
    $1 043,31     		$1 034,72
    $1 089,93
    $1 148,41
    $1 356,18     		$1 347,59
    $1 402,80
    $1 461,28
    $1 669,05     		$312,87
    Toc - Plan #17

    Silver

    (HMO) CareSource Marketplace Low Deductible Silver

    Annual Out of Pocket Expenses
    Individual Family
    $5,100 $10,200 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     		$419,57
    $476,21
    $536,20
    $749,34
    $1 138,70     		$839,14
    $952,42
    $1 072,40
    $1 498,68
    $2 277,40     		$1 160,11
    $1 273,39
    $1 393,37
    $1 819,65     		$1 481,08
    $1 594,36
    $1 714,34
    $2 140,62     		$1 802,05
    $1 915,33
    $2 035,31
    $2 461,59     		$740,54
    $797,18
    $857,17
    $1 070,31     		$1 061,51
    $1 118,15
    $1 178,14
    $1 391,28     		$1 382,48
    $1 439,12
    $1 499,11
    $1 712,25     		$320,97
    Toc - Plan #18

    Expanded Bronze

    (HMO) CareSource Marketplace HSA Eligible Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $5,400 $10,800 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     		$303,99
    $345,03
    $388,50
    $542,93
    $825,03     		$607,98
    $690,06
    $777,00
    $1 085,86
    $1 650,06     		$840,53
    $922,61
    $1 009,55
    $1 318,41     		$1 073,08
    $1 155,16
    $1 242,10
    $1 550,96     		$1 305,63
    $1 387,71
    $1 474,65
    $1 783,51     		$536,54
    $577,58
    $621,05
    $775,48     		$769,09
    $810,13
    $853,60
    $1 008,03     		$1 001,64
    $1 042,68
    $1 086,15
    $1 240,58     		$232,55
    Toc - Plan #19

    Expanded Bronze

    (HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $7,700 $15,400 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     		$293,78
    $333,44
    $375,45
    $524,69
    $797,32     		$587,56
    $666,88
    $750,90
    $1 049,38
    $1 594,64     		$812,30
    $891,62
    $975,64
    $1 274,12     		$1 037,04
    $1 116,36
    $1 200,38
    $1 498,86     		$1 261,78
    $1 341,10
    $1 425,12
    $1 723,60     		$518,52
    $558,18
    $600,19
    $749,43     		$743,26
    $782,92
    $824,93
    $974,17     		$968,00
    $1 007,66
    $1 049,67
    $1 198,91     		$224,74
    Toc - Plan #20

    Gold

    (HMO) CareSource Marketplace Gold Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 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     		$409,61
    $464,90
    $523,48
    $731,56
    $1 111,67     		$819,22
    $929,80
    $1 046,96
    $1 463,12
    $2 223,34     		$1 132,57
    $1 243,15
    $1 360,31
    $1 776,47     		$1 445,92
    $1 556,50
    $1 673,66
    $2 089,82     		$1 759,27
    $1 869,85
    $1 987,01
    $2 403,17     		$722,96
    $778,25
    $836,83
    $1 044,91     		$1 036,31
    $1 091,60
    $1 150,18
    $1 358,26     		$1 349,66
    $1 404,95
    $1 463,53
    $1 671,61     		$313,35
    Toc - Plan #21

    Silver

    (HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness

    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     		$407,59
    $462,62
    $520,90
    $727,96
    $1 106,20     		$815,18
    $925,24
    $1 041,80
    $1 455,92
    $2 212,40     		$1 126,99
    $1 237,05
    $1 353,61
    $1 767,73     		$1 438,80
    $1 548,86
    $1 665,42
    $2 079,54     		$1 750,61
    $1 860,67
    $1 977,23
    $2 391,35     		$719,40
    $774,43
    $832,71
    $1 039,77     		$1 031,21
    $1 086,24
    $1 144,52
    $1 351,58     		$1 343,02
    $1 398,05
    $1 456,33
    $1 663,39     		$311,81
    Toc - Plan #22

    Silver

    (HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $5,800 $11,600 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     		$427,81
    $485,56
    $546,74
    $764,07
    $1 161,08     		$855,62
    $971,12
    $1 093,48
    $1 528,14
    $2 322,16     		$1 182,89
    $1 298,39
    $1 420,75
    $1 855,41     		$1 510,16
    $1 625,66
    $1 748,02
    $2 182,68     		$1 837,43
    $1 952,93
    $2 075,29
    $2 509,95     		$755,08
    $812,83
    $874,01
    $1 091,34     		$1 082,35
    $1 140,10
    $1 201,28
    $1 418,61     		$1 409,62
    $1 467,37
    $1 528,55
    $1 745,88     		$327,27
    Toc - Plan #23

    Silver

    (HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $5,100 $10,200 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     		$439,63
    $498,97
    $561,84
    $785,16
    $1 193,13     		$879,26
    $997,94
    $1 123,68
    $1 570,32
    $2 386,26     		$1 215,57
    $1 334,25
    $1 459,99
    $1 906,63     		$1 551,88
    $1 670,56
    $1 796,30
    $2 242,94     		$1 888,19
    $2 006,87
    $2 132,61
    $2 579,25     		$775,94
    $835,28
    $898,15
    $1 121,47     		$1 112,25
    $1 171,59
    $1 234,46
    $1 457,78     		$1 448,56
    $1 507,90
    $1 570,77
    $1 794,09     		$336,31
    ADVERTISEMENT

    Ambetter from Peach State Health Plan

    Local: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231
    Toc - Plan #24

    Bronze

    (HMO) 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     		$276,61
    $313,94
    $353,49
    $494,00
    $750,69     		$553,22
    $627,88
    $706,98
    $988,00
    $1 501,38     		$764,82
    $839,48
    $918,58
    $1 199,60     		$976,42
    $1 051,08
    $1 130,18
    $1 411,20     		$1 188,02
    $1 262,68
    $1 341,78
    $1 622,80     		$488,21
    $525,54
    $565,09
    $705,60     		$699,81
    $737,14
    $776,69
    $917,20     		$911,41
    $948,74
    $988,29
    $1 128,80     		$211,60
    Toc - Plan #25

    Silver

    (HMO) 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     		$372,13
    $422,36
    $475,57
    $664,61
    $1 009,94     		$744,26
    $844,72
    $951,14
    $1 329,22
    $2 019,88     		$1 028,93
    $1 129,39
    $1 235,81
    $1 613,89     		$1 313,60
    $1 414,06
    $1 520,48
    $1 898,56     		$1 598,27
    $1 698,73
    $1 805,15
    $2 183,23     		$656,80
    $707,03
    $760,24
    $949,28     		$941,47
    $991,70
    $1 044,91
    $1 233,95     		$1 226,14
    $1 276,37
    $1 329,58
    $1 518,62     		$284,67
    Toc - Plan #26

    Silver

    (HMO) 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     		$360,97
    $409,69
    $461,30
    $644,67
    $979,64     		$721,94
    $819,38
    $922,60
    $1 289,34
    $1 959,28     		$998,07
    $1 095,51
    $1 198,73
    $1 565,47     		$1 274,20
    $1 371,64
    $1 474,86
    $1 841,60     		$1 550,33
    $1 647,77
    $1 750,99
    $2 117,73     		$637,10
    $685,82
    $737,43
    $920,80     		$913,23
    $961,95
    $1 013,56
    $1 196,93     		$1 189,36
    $1 238,08
    $1 289,69
    $1 473,06     		$276,13
    Toc - Plan #27

    Gold

    (HMO) 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     		$372,02
    $422,23
    $475,43
    $664,41
    $1 009,64     		$744,04
    $844,46
    $950,86
    $1 328,82
    $2 019,28     		$1 028,63
    $1 129,05
    $1 235,45
    $1 613,41     		$1 313,22
    $1 413,64
    $1 520,04
    $1 898,00     		$1 597,81
    $1 698,23
    $1 804,63
    $2 182,59     		$656,61
    $706,82
    $760,02
    $949,00     		$941,20
    $991,41
    $1 044,61
    $1 233,59     		$1 225,79
    $1 276,00
    $1 329,20
    $1 518,18     		$284,59
    Toc - Plan #28

    Silver

    (HMO) 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     		$353,67
    $401,41
    $451,98
    $631,65
    $959,85     		$707,34
    $802,82
    $903,96
    $1 263,30
    $1 919,70     		$977,89
    $1 073,37
    $1 174,51
    $1 533,85     		$1 248,44
    $1 343,92
    $1 445,06
    $1 804,40     		$1 518,99
    $1 614,47
    $1 715,61
    $2 074,95     		$624,22
    $671,96
    $722,53
    $902,20     		$894,77
    $942,51
    $993,08
    $1 172,75     		$1 165,32
    $1 213,06
    $1 263,63
    $1 443,30     		$270,55
    Toc - Plan #29

    Silver

    (HMO) 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     		$350,66
    $397,99
    $448,13
    $626,26
    $951,67     		$701,32
    $795,98
    $896,26
    $1 252,52
    $1 903,34     		$969,57
    $1 064,23
    $1 164,51
    $1 520,77     		$1 237,82
    $1 332,48
    $1 432,76
    $1 789,02     		$1 506,07
    $1 600,73
    $1 701,01
    $2 057,27     		$618,91
    $666,24
    $716,38
    $894,51     		$887,16
    $934,49
    $984,63
    $1 162,76     		$1 155,41
    $1 202,74
    $1 252,88
    $1 431,01     		$268,25
    Toc - Plan #30

    Silver

    (HMO) 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     		$367,52
    $417,12
    $469,68
    $656,37
    $997,42     		$735,04
    $834,24
    $939,36
    $1 312,74
    $1 994,84     		$1 016,18
    $1 115,38
    $1 220,50
    $1 593,88     		$1 297,32
    $1 396,52
    $1 501,64
    $1 875,02     		$1 578,46
    $1 677,66
    $1 782,78
    $2 156,16     		$648,66
    $698,26
    $750,82
    $937,51     		$929,80
    $979,40
    $1 031,96
    $1 218,65     		$1 210,94
    $1 260,54
    $1 313,10
    $1 499,79     		$281,14
    Toc - Plan #31

    Silver

    (HMO) 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     		$371,09
    $421,18
    $474,24
    $662,75
    $1 007,11     		$742,18
    $842,36
    $948,48
    $1 325,50
    $2 014,22     		$1 026,06
    $1 126,24
    $1 232,36
    $1 609,38     		$1 309,94
    $1 410,12
    $1 516,24
    $1 893,26     		$1 593,82
    $1 694,00
    $1 800,12
    $2 177,14     		$654,97
    $705,06
    $758,12
    $946,63     		$938,85
    $988,94
    $1 042,00
    $1 230,51     		$1 222,73
    $1 272,82
    $1 325,88
    $1 514,39     		$283,88
    Toc - Plan #32

    Silver

    (HMO) 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     		$386,76
    $438,96
    $494,26
    $690,73
    $1 049,63     		$773,52
    $877,92
    $988,52
    $1 381,46
    $2 099,26     		$1 069,38
    $1 173,78
    $1 284,38
    $1 677,32     		$1 365,24
    $1 469,64
    $1 580,24
    $1 973,18     		$1 661,10
    $1 765,50
    $1 876,10
    $2 269,04     		$682,62
    $734,82
    $790,12
    $986,59     		$978,48
    $1 030,68
    $1 085,98
    $1 282,45     		$1 274,34
    $1 326,54
    $1 381,84
    $1 578,31     		$295,86
    Toc - Plan #33

    Silver

    (HMO) 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     		$389,55
    $442,13
    $497,83
    $695,71
    $1 057,20     		$779,10
    $884,26
    $995,66
    $1 391,42
    $2 114,40     		$1 077,10
    $1 182,26
    $1 293,66
    $1 689,42     		$1 375,10
    $1 480,26
    $1 591,66
    $1 987,42     		$1 673,10
    $1 778,26
    $1 889,66
    $2 285,42     		$687,55
    $740,13
    $795,83
    $993,71     		$985,55
    $1 038,13
    $1 093,83
    $1 291,71     		$1 283,55
    $1 336,13
    $1 391,83
    $1 589,71     		$298,00
    Toc - Plan #34

    Expanded Bronze

    (HMO) 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     		$301,32
    $341,98
    $385,07
    $538,13
    $817,75     		$602,64
    $683,96
    $770,14
    $1 076,26
    $1 635,50     		$833,14
    $914,46
    $1 000,64
    $1 306,76     		$1 063,64
    $1 144,96
    $1 231,14
    $1 537,26     		$1 294,14
    $1 375,46
    $1 461,64
    $1 767,76     		$531,82
    $572,48
    $615,57
    $768,63     		$762,32
    $802,98
    $846,07
    $999,13     		$992,82
    $1 033,48
    $1 076,57
    $1 229,63     		$230,50
    Toc - Plan #35

    Silver

    (HMO) 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     		$368,01
    $417,68
    $470,31
    $657,25
    $998,76     		$736,02
    $835,36
    $940,62
    $1 314,50
    $1 997,52     		$1 017,54
    $1 116,88
    $1 222,14
    $1 596,02     		$1 299,06
    $1 398,40
    $1 503,66
    $1 877,54     		$1 580,58
    $1 679,92
    $1 785,18
    $2 159,06     		$649,53
    $699,20
    $751,83
    $938,77     		$931,05
    $980,72
    $1 033,35
    $1 220,29     		$1 212,57
    $1 262,24
    $1 314,87
    $1 501,81     		$281,52
    Toc - Plan #36

    Silver

    (HMO) 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     		$387,22
    $439,48
    $494,85
    $691,55
    $1 050,88     		$774,44
    $878,96
    $989,70
    $1 383,10
    $2 101,76     		$1 070,65
    $1 175,17
    $1 285,91
    $1 679,31     		$1 366,86
    $1 471,38
    $1 582,12
    $1 975,52     		$1 663,07
    $1 767,59
    $1 878,33
    $2 271,73     		$683,43
    $735,69
    $791,06
    $987,76     		$979,64
    $1 031,90
    $1 087,27
    $1 283,97     		$1 275,85
    $1 328,11
    $1 383,48
    $1 580,18     		$296,21
    Toc - Plan #37

    Silver

    (HMO) 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     		$375,60
    $426,30
    $480,01
    $670,81
    $1 019,35     		$751,20
    $852,60
    $960,02
    $1 341,62
    $2 038,70     		$1 038,53
    $1 139,93
    $1 247,35
    $1 628,95     		$1 325,86
    $1 427,26
    $1 534,68
    $1 916,28     		$1 613,19
    $1 714,59
    $1 822,01
    $2 203,61     		$662,93
    $713,63
    $767,34
    $958,14     		$950,26
    $1 000,96
    $1 054,67
    $1 245,47     		$1 237,59
    $1 288,29
    $1 342,00
    $1 532,80     		$287,33
    Toc - Plan #38

    Bronze

    (HMO) 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     		$287,82
    $326,67
    $367,82
    $514,03
    $781,12     		$575,64
    $653,34
    $735,64
    $1 028,06
    $1 562,24     		$795,82
    $873,52
    $955,82
    $1 248,24     		$1 016,00
    $1 093,70
    $1 176,00
    $1 468,42     		$1 236,18
    $1 313,88
    $1 396,18
    $1 688,60     		$508,00
    $546,85
    $588,00
    $734,21     		$728,18
    $767,03
    $808,18
    $954,39     		$948,36
    $987,21
    $1 028,36
    $1 174,57     		$220,18
    Toc - Plan #39

    Gold

    (HMO) 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     		$387,10
    $439,35
    $494,70
    $691,34
    $1 050,57     		$774,20
    $878,70
    $989,40
    $1 382,68
    $2 101,14     		$1 070,32
    $1 174,82
    $1 285,52
    $1 678,80     		$1 366,44
    $1 470,94
    $1 581,64
    $1 974,92     		$1 662,56
    $1 767,06
    $1 877,76
    $2 271,04     		$683,22
    $735,47
    $790,82
    $987,46     		$979,34
    $1 031,59
    $1 086,94
    $1 283,58     		$1 275,46
    $1 327,71
    $1 383,06
    $1 579,70     		$296,12
    Toc - Plan #40

    Silver

    (HMO) 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     		$382,42
    $434,03
    $488,71
    $682,98
    $1 037,85     		$764,84
    $868,06
    $977,42
    $1 365,96
    $2 075,70     		$1 057,38
    $1 160,60
    $1 269,96
    $1 658,50     		$1 349,92
    $1 453,14
    $1 562,50
    $1 951,04     		$1 642,46
    $1 745,68
    $1 855,04
    $2 243,58     		$674,96
    $726,57
    $781,25
    $975,52     		$967,50
    $1 019,11
    $1 073,79
    $1 268,06     		$1 260,04
    $1 311,65
    $1 366,33
    $1 560,60     		$292,54
    Toc - Plan #41

    Silver

    (HMO) 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     		$386,13
    $438,25
    $493,47
    $689,62
    $1 047,94     		$772,26
    $876,50
    $986,94
    $1 379,24
    $2 095,88     		$1 067,64
    $1 171,88
    $1 282,32
    $1 674,62     		$1 363,02
    $1 467,26
    $1 577,70
    $1 970,00     		$1 658,40
    $1 762,64
    $1 873,08
    $2 265,38     		$681,51
    $733,63
    $788,85
    $985,00     		$976,89
    $1 029,01
    $1 084,23
    $1 280,38     		$1 272,27
    $1 324,39
    $1 379,61
    $1 575,76     		$295,38
    Toc - Plan #42

    Silver

    (HMO) 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     		$402,43
    $456,75
    $514,30
    $718,73
    $1 092,18     		$804,86
    $913,50
    $1 028,60
    $1 437,46
    $2 184,36     		$1 112,71
    $1 221,35
    $1 336,45
    $1 745,31     		$1 420,56
    $1 529,20
    $1 644,30
    $2 053,16     		$1 728,41
    $1 837,05
    $1 952,15
    $2 361,01     		$710,28
    $764,60
    $822,15
    $1 026,58     		$1 018,13
    $1 072,45
    $1 130,00
    $1 334,43     		$1 325,98
    $1 380,30
    $1 437,85
    $1 642,28     		$307,85
    Toc - Plan #43

    Silver

    (HMO) 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     		$405,34
    $460,05
    $518,01
    $723,92
    $1 100,06     		$810,68
    $920,10
    $1 036,02
    $1 447,84
    $2 200,12     		$1 120,76
    $1 230,18
    $1 346,10
    $1 757,92     		$1 430,84
    $1 540,26
    $1 656,18
    $2 068,00     		$1 740,92
    $1 850,34
    $1 966,26
    $2 378,08     		$715,42
    $770,13
    $828,09
    $1 034,00     		$1 025,50
    $1 080,21
    $1 138,17
    $1 344,08     		$1 335,58
    $1 390,29
    $1 448,25
    $1 654,16     		$310,08
    Toc - Plan #44

    Expanded Bronze

    (HMO) 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     		$313,53
    $355,85
    $400,68
    $559,95
    $850,90     		$627,06
    $711,70
    $801,36
    $1 119,90
    $1 701,80     		$866,90
    $951,54
    $1 041,20
    $1 359,74     		$1 106,74
    $1 191,38
    $1 281,04
    $1 599,58     		$1 346,58
    $1 431,22
    $1 520,88
    $1 839,42     		$553,37
    $595,69
    $640,52
    $799,79     		$793,21
    $835,53
    $880,36
    $1 039,63     		$1 033,05
    $1 075,37
    $1 120,20
    $1 279,47     		$239,84
    ADVERTISEMENT

    Kaiser Permanente

    Local: 1-800-494-5314 | Toll Free: 1-800-494-5314

    Toc - Plan #45

    Gold

    (HMO) KP GA Gold 500/20

    Annual Out of Pocket Expenses
    Individual Family
    $500 $1,000 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     		$415,68
    $471,79
    $531,23
    $742,40
    $1 128,15     		$831,36
    $943,58
    $1 062,46
    $1 484,80
    $2 256,30     		$1 149,35
    $1 261,57
    $1 380,45
    $1 802,79     		$1 467,34
    $1 579,56
    $1 698,44
    $2 120,78     		$1 785,33
    $1 897,55
    $2 016,43
    $2 438,77     		$733,67
    $789,78
    $849,22
    $1 060,39     		$1 051,66
    $1 107,77
    $1 167,21
    $1 378,38     		$1 369,65
    $1 425,76
    $1 485,20
    $1 696,37     		$317,99
    Toc - Plan #46

    Silver

    (HMO) KP GA Silver 3000/30

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 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     		$407,68
    $462,72
    $521,01
    $728,11
    $1 106,44     		$815,36
    $925,44
    $1 042,02
    $1 456,22
    $2 212,88     		$1 127,23
    $1 237,31
    $1 353,89
    $1 768,09     		$1 439,10
    $1 549,18
    $1 665,76
    $2 079,96     		$1 750,97
    $1 861,05
    $1 977,63
    $2 391,83     		$719,55
    $774,59
    $832,88
    $1 039,98     		$1 031,42
    $1 086,46
    $1 144,75
    $1 351,85     		$1 343,29
    $1 398,33
    $1 456,62
    $1 663,72     		$311,87
    Toc - Plan #47

    Silver

    (HMO) KP GA Silver 3500/20% HSA

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 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     		$384,09
    $435,94
    $490,87
    $685,99
    $1 042,42     		$768,18
    $871,88
    $981,74
    $1 371,98
    $2 084,84     		$1 062,01
    $1 165,71
    $1 275,57
    $1 665,81     		$1 355,84
    $1 459,54
    $1 569,40
    $1 959,64     		$1 649,67
    $1 753,37
    $1 863,23
    $2 253,47     		$677,92
    $729,77
    $784,70
    $979,82     		$971,75
    $1 023,60
    $1 078,53
    $1 273,65     		$1 265,58
    $1 317,43
    $1 372,36
    $1 567,48     		$293,83
    Toc - Plan #48

    Expanded Bronze

    (HMO) KP GA Bronze 5000/50

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 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     		$296,65
    $336,70
    $379,12
    $529,82
    $805,11     		$593,30
    $673,40
    $758,24
    $1 059,64
    $1 610,22     		$820,24
    $900,34
    $985,18
    $1 286,58     		$1 047,18
    $1 127,28
    $1 212,12
    $1 513,52     		$1 274,12
    $1 354,22
    $1 439,06
    $1 740,46     		$523,59
    $563,64
    $606,06
    $756,76     		$750,53
    $790,58
    $833,00
    $983,70     		$977,47
    $1 017,52
    $1 059,94
    $1 210,64     		$226,94
    Toc - Plan #49

    Expanded Bronze

    (HMO) KP GA Bronze 6500/40%/HSA

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 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     		$296,65
    $336,70
    $379,12
    $529,82
    $805,11     		$593,30
    $673,40
    $758,24
    $1 059,64
    $1 610,22     		$820,24
    $900,34
    $985,18
    $1 286,58     		$1 047,18
    $1 127,28
    $1 212,12
    $1 513,52     		$1 274,12
    $1 354,22
    $1 439,06
    $1 740,46     		$523,59
    $563,64
    $606,06
    $756,76     		$750,53
    $790,58
    $833,00
    $983,70     		$977,47
    $1 017,52
    $1 059,94
    $1 210,64     		$226,94
    Toc - Plan #50

    Catastrophic

    (HMO) KP GA Catastrophic 8550/0

    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     		$260,73
    $295,93
    $333,21
    $465,67
    $707,62     		$521,46
    $591,86
    $666,42
    $931,34
    $1 415,24     		$720,92
    $791,32
    $865,88
    $1 130,80     		$920,38
    $990,78
    $1 065,34
    $1 330,26     		$1 119,84
    $1 190,24
    $1 264,80
    $1 529,72     		$460,19
    $495,39
    $532,67
    $665,13     		$659,65
    $694,85
    $732,13
    $864,59     		$859,11
    $894,31
    $931,59
    $1 064,05     		$199,46
    Toc - Plan #51

    Gold

    (HMO) KP GA Gold 1500/20

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 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     		$404,32
    $458,90
    $516,72
    $722,11
    $1 097,32     		$808,64
    $917,80
    $1 033,44
    $1 444,22
    $2 194,64     		$1 117,94
    $1 227,10
    $1 342,74
    $1 753,52     		$1 427,24
    $1 536,40
    $1 652,04
    $2 062,82     		$1 736,54
    $1 845,70
    $1 961,34
    $2 372,12     		$713,62
    $768,20
    $826,02
    $1 031,41     		$1 022,92
    $1 077,50
    $1 135,32
    $1 340,71     		$1 332,22
    $1 386,80
    $1 444,62
    $1 650,01     		$309,30
    Toc - Plan #52

    Silver

    (HMO) KP GA Silver 4500/35

    Annual Out of Pocket Expenses
    Individual Family
    $4,500 $9,000 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     		$383,06
    $434,78
    $489,56
    $684,15
    $1 039,64     		$766,12
    $869,56
    $979,12
    $1 368,30
    $2 079,28     		$1 059,16
    $1 162,60
    $1 272,16
    $1 661,34     		$1 352,20
    $1 455,64
    $1 565,20
    $1 954,38     		$1 645,24
    $1 748,68
    $1 858,24
    $2 247,42     		$676,10
    $727,82
    $782,60
    $977,19     		$969,14
    $1 020,86
    $1 075,64
    $1 270,23     		$1 262,18
    $1 313,90
    $1 368,68
    $1 563,27     		$293,04
    Toc - Plan #53

    Gold

    (HMO) KP GA Gold 1700/25

    Annual Out of Pocket Expenses
    Individual Family
    $1,700 $3,400 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     		$385,69
    $437,76
    $492,92
    $688,85
    $1 046,77     		$771,38
    $875,52
    $985,84
    $1 377,70
    $2 093,54     		$1 066,44
    $1 170,58
    $1 280,90
    $1 672,76     		$1 361,50
    $1 465,64
    $1 575,96
    $1 967,82     		$1 656,56
    $1 760,70
    $1 871,02
    $2 262,88     		$680,75
    $732,82
    $787,98
    $983,91     		$975,81
    $1 027,88
    $1 083,04
    $1 278,97     		$1 270,87
    $1 322,94
    $1 378,10
    $1 574,03     		$295,06

    ‡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 Forsyth County here.

    Forsyth County is in “Rating Area 3” of Georgia.

    Currently, there are 53 plans offered in Rating Area 3.

    Obamacare Rates and Providers for Other Years

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

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