Georgia

Obamacare 2018 Rates

Georgia Obamacare 2018 Rates

 
Cumming, GA

Obamacare 2018 Rates and Health Insurance Providers for Forsyth County,Cumming,GA


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Forsyth County, Georgia.

Obamacare Providers, Plans and 2018 Rates for Forsyth County

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

Currently, there are 21 plans offered in Rating Area 3.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "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".

2018 Obamacare Rates Providers, Plans for Forsyth County

Ambetter of Peach State Inc.

Local: 1-877-687-1180 | Toll Free: 1-877-687-1180

TTY: 1-877-941-9231

Bronze

Plan: (HMO) Ambetter Essential Care 2 HSA (2018)

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

Plan: (HMO) Ambetter Secure Care 1 (2018) with 3 Free PCP Visits

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

Plan: (HMO) Ambetter Balanced Care 1 (2018)

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

Plan: (HMO) Ambetter Balanced Care 2 (2018)

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

Plan: (HMO) Ambetter Essential Care 1 (2018)

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

Plan: (HMO) Ambetter Balanced Care 4 (2018)

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

Plan: (HMO) Ambetter Balanced Care 1 (2018) + Vision

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

Plan: (HMO) Ambetter Balanced Care 2 (2018) + Vision

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

Plan: (HMO) Ambetter Essential Care 1 (2018) + Vision

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

Plan: (HMO) Ambetter Balanced Care 1 (2018) + Vision + Adult Dental

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

Plan: (HMO) Ambetter Balanced Care 2 (2018) + Vision + Adult Dental

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

Plan: (HMO) Ambetter Essential Care 1 (2018) + Vision + Adult Dental

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

Kaiser Foundation Health Plan of Georgia

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

Gold

Plan: (HMO) KP GA Gold 500/20

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

Plan: (HMO) KP GA Silver 3000/30

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

Plan: (HMO) KP GA Silver 2750/20% HSA

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

Plan: (HMO) KP GA Bronze 5000/50

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

Plan: (HMO) KP GA Bronze 6200/40%/HSA

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

Plan: (HMO) KP GA Catastrophic 7350/0

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

Plan: (HMO) KP GA Gold 1500/20

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

Plan: (HMO) KP GA Silver Std 3500/30

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

Plan: (HMO) KP GA Silver 4700/35

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

‡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.

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