ADVERTISEMENT
|
Ambetter of Peach State Inc.
Local: 1-877-687-1180 | Toll Free: 1-877-687-1180 | TTY: 1-877-941-9231
|
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$295.42
$335.29
$377.53
$527.60
$801.74 |
$590.84
$670.58
$755.06
$1,055.20
$1,603.48 |
$816.83
$896.57
$981.05
$1,281.19 |
$1,042.82
$1,122.56
$1,207.04
$1,507.18 |
$1,268.81
$1,348.55
$1,433.03
$1,733.17 |
$521.41
$561.28
$603.52
$753.59 |
$747.40
$787.27
$829.51
$979.58 |
$973.39
$1,013.26
$1,055.50
$1,205.57 |
$225.99 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,750 |
$13,500 |
Maximum Out of Pocket Per Year |
$6,750 |
$13,500 |
Deductible: Individual:
$6,750
| Family:
$13,500
Out of Pocket Maximum per year: Individual:
$6,750
| Family:
$13,500
Monthly Premiums:
|
21
30
40
50
60
|
$314.44
$356.87
$401.84
$561.56
$853.35 |
$628.88
$713.74
$803.68
$1,123.12
$1,706.70 |
$869.42
$954.28
$1,044.22
$1,363.66 |
$1,109.96
$1,194.82
$1,284.76
$1,604.20 |
$1,350.50
$1,435.36
$1,525.30
$1,844.74 |
$554.98
$597.41
$642.38
$802.10 |
$795.52
$837.95
$882.92
$1,042.64 |
$1,036.06
$1,078.49
$1,123.46
$1,283.18 |
$240.54 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,000 |
$12,000 |
Maximum Out of Pocket Per Year |
$8,100 |
$16,200 |
Deductible: Individual:
$6,000
| Family:
$12,000
Out of Pocket Maximum per year: Individual:
$8,100
| Family:
$16,200
Monthly Premiums:
|
21
30
40
50
60
|
$340.37
$386.31
$434.98
$607.89
$923.75 |
$680.74
$772.62
$869.96
$1,215.78
$1,847.50 |
$941.12
$1,033.00
$1,130.34
$1,476.16 |
$1,201.50
$1,293.38
$1,390.72
$1,736.54 |
$1,461.88
$1,553.76
$1,651.10
$1,996.92 |
$600.75
$646.69
$695.36
$868.27 |
$861.13
$907.07
$955.74
$1,128.65 |
$1,121.51
$1,167.45
$1,216.12
$1,389.03 |
$260.38 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,350 |
$6,700 |
Maximum Out of Pocket Per Year |
$7,450 |
$14,900 |
Deductible: Individual:
$3,350
| Family:
$6,700
Out of Pocket Maximum per year: Individual:
$7,450
| Family:
$14,900
Monthly Premiums:
|
21
30
40
50
60
|
$372.78
$423.09
$476.40
$665.77
$1,011.70 |
$745.56
$846.18
$952.80
$1,331.54
$2,023.40 |
$1,030.73
$1,131.35
$1,237.97
$1,616.71 |
$1,315.90
$1,416.52
$1,523.14
$1,901.88 |
$1,601.07
$1,701.69
$1,808.31
$2,187.05 |
$657.95
$708.26
$761.57
$950.94 |
$943.12
$993.43
$1,046.74
$1,236.11 |
$1,228.29
$1,278.60
$1,331.91
$1,521.28 |
$285.17 |
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,250 |
$2,500 |
Maximum Out of Pocket Per Year |
$5,900 |
$11,800 |
Deductible: Individual:
$1,250
| Family:
$2,500
Out of Pocket Maximum per year: Individual:
$5,900
| Family:
$11,800
Monthly Premiums:
|
21
30
40
50
60
|
$381.71
$433.23
$487.81
$681.71
$1,035.92 |
$763.42
$866.46
$975.62
$1,363.42
$2,071.84 |
$1,055.42
$1,158.46
$1,267.62
$1,655.42 |
$1,347.42
$1,450.46
$1,559.62
$1,947.42 |
$1,639.42
$1,742.46
$1,851.62
$2,239.42 |
$673.71
$725.23
$779.81
$973.71 |
$965.71
$1,017.23
$1,071.81
$1,265.71 |
$1,257.71
$1,309.23
$1,363.81
$1,557.71 |
$292.00 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,350 |
$6,700 |
Maximum Out of Pocket Per Year |
$7,450 |
$14,900 |
Deductible: Individual:
$3,350
| Family:
$6,700
Out of Pocket Maximum per year: Individual:
$7,450
| Family:
$14,900
Monthly Premiums:
|
21
30
40
50
60
|
$389.50
$442.07
$497.77
$695.63
$1,057.07 |
$779.00
$884.14
$995.54
$1,391.26
$2,114.14 |
$1,076.96
$1,182.10
$1,293.50
$1,689.22 |
$1,374.92
$1,480.06
$1,591.46
$1,987.18 |
$1,672.88
$1,778.02
$1,889.42
$2,285.14 |
$687.46
$740.03
$795.73
$993.59 |
$985.42
$1,037.99
$1,093.69
$1,291.55 |
$1,283.38
$1,335.95
$1,391.65
$1,589.51 |
$297.96 |
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$308.67
$350.33
$394.47
$551.27
$837.70 |
$617.34
$700.66
$788.94
$1,102.54
$1,675.40 |
$853.47
$936.79
$1,025.07
$1,338.67 |
$1,089.60
$1,172.92
$1,261.20
$1,574.80 |
$1,325.73
$1,409.05
$1,497.33
$1,810.93 |
$544.80
$586.46
$630.60
$787.40 |
$780.93
$822.59
$866.73
$1,023.53 |
$1,017.06
$1,058.72
$1,102.86
$1,259.66 |
$236.13 |
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,250 |
$2,500 |
Maximum Out of Pocket Per Year |
$5,900 |
$11,800 |
Deductible: Individual:
$1,250
| Family:
$2,500
Out of Pocket Maximum per year: Individual:
$5,900
| Family:
$11,800
Monthly Premiums:
|
21
30
40
50
60
|
$398.83
$452.66
$509.69
$712.29
$1,082.39 |
$797.66
$905.32
$1,019.38
$1,424.58
$2,164.78 |
$1,102.75
$1,210.41
$1,324.47
$1,729.67 |
$1,407.84
$1,515.50
$1,629.56
$2,034.76 |
$1,712.93
$1,820.59
$1,934.65
$2,339.85 |
$703.92
$757.75
$814.78
$1,017.38 |
$1,009.01
$1,062.84
$1,119.87
$1,322.47 |
$1,314.10
$1,367.93
$1,424.96
$1,627.56 |
$305.09 |
ADVERTISEMENT
|
Alliant Health Plans
Local: 1-800-811-4793 | Toll Free: 1-800-811-4793
|
|
Platinum
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$275 |
$550 |
Maximum Out of Pocket Per Year |
$4,800 |
$9,600 |
Deductible: Individual:
$275
| Family:
$550
Out of Pocket Maximum per year: Individual:
$4,800
| Family:
$9,600
Monthly Premiums:
|
21
30
40
50
60
|
$433.07
$491.53
$553.46
$773.45
$1,175.33 |
$866.14
$983.06
$1,106.92
$1,546.90
$2,350.66 |
$1,197.43
$1,314.35
$1,438.21
$1,878.19 |
$1,528.72
$1,645.64
$1,769.50
$2,209.48 |
$1,860.01
$1,976.93
$2,100.79
$2,540.77 |
$764.36
$822.82
$884.75
$1,104.74 |
$1,095.65
$1,154.11
$1,216.04
$1,436.03 |
$1,426.94
$1,485.40
$1,547.33
$1,767.32 |
$331.29 |
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$2,300 |
$4,600 |
Maximum Out of Pocket Per Year |
$7,900 |
$15,800 |
Deductible: Individual:
$2,300
| Family:
$4,600
Out of Pocket Maximum per year: Individual:
$7,900
| Family:
$15,800
Monthly Premiums:
|
21
30
40
50
60
|
$366.61
$416.09
$468.51
$654.74
$994.94 |
$733.22
$832.18
$937.02
$1,309.48
$1,989.88 |
$1,013.67
$1,112.63
$1,217.47
$1,589.93 |
$1,294.12
$1,393.08
$1,497.92
$1,870.38 |
$1,574.57
$1,673.53
$1,778.37
$2,150.83 |
$647.06
$696.54
$748.96
$935.19 |
$927.51
$976.99
$1,029.41
$1,215.64 |
$1,207.96
$1,257.44
$1,309.86
$1,496.09 |
$280.45 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$7,000 |
$14,000 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$7,000
| Family:
$14,000
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$332.34
$377.20
$424.72
$593.55
$901.96 |
$664.68
$754.40
$849.44
$1,187.10
$1,803.92 |
$918.92
$1,008.64
$1,103.68
$1,441.34 |
$1,173.16
$1,262.88
$1,357.92
$1,695.58 |
$1,427.40
$1,517.12
$1,612.16
$1,949.82 |
$586.58
$631.44
$678.96
$847.79 |
$840.82
$885.68
$933.20
$1,102.03 |
$1,095.06
$1,139.92
$1,187.44
$1,356.27 |
$254.24 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,900 |
$13,800 |
Maximum Out of Pocket Per Year |
$6,900 |
$13,800 |
Deductible: Individual:
$6,900
| Family:
$13,800
Out of Pocket Maximum per year: Individual:
$6,900
| Family:
$13,800
Monthly Premiums:
|
21
30
40
50
60
|
$285.06
$323.54
$364.30
$509.11
$773.64 |
$570.12
$647.08
$728.60
$1,018.22
$1,547.28 |
$788.19
$865.15
$946.67
$1,236.29 |
$1,006.26
$1,083.22
$1,164.74
$1,454.36 |
$1,224.33
$1,301.29
$1,382.81
$1,672.43 |
$503.13
$541.61
$582.37
$727.18 |
$721.20
$759.68
$800.44
$945.25 |
$939.27
$977.75
$1,018.51
$1,163.32 |
$218.07 |
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$7,900 |
$15,800 |
Maximum Out of Pocket Per Year |
$7,900 |
$15,800 |
Deductible: Individual:
$7,900
| Family:
$15,800
Out of Pocket Maximum per year: Individual:
$7,900
| Family:
$15,800
Monthly Premiums:
|
21
30
40
50
60
|
$273.42
$310.32
$349.42
$488.31
$742.03 |
$546.84
$620.64
$698.84
$976.62
$1,484.06 |
$756.00
$829.80
$908.00
$1,185.78 |
$965.16
$1,038.96
$1,117.16
$1,394.94 |
$1,174.32
$1,248.12
$1,326.32
$1,604.10 |
$482.58
$519.48
$558.58
$697.47 |
$691.74
$728.64
$767.74
$906.63 |
$900.90
$937.80
$976.90
$1,115.79 |
$209.16 |
|
Platinum
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$0 |
$0 |
Maximum Out of Pocket Per Year |
$7,000 |
$14,000 |
Deductible: Individual:
$0
| Family:
$0
Out of Pocket Maximum per year: Individual:
$7,000
| Family:
$14,000
Monthly Premiums:
|
21
30
40
50
60
|
$491.67
$558.03
$628.34
$878.10
$1,334.36 |
$983.34
$1,116.06
$1,256.68
$1,756.20
$2,668.72 |
$1,359.46
$1,492.18
$1,632.80
$2,132.32 |
$1,735.58
$1,868.30
$2,008.92
$2,508.44 |
$2,111.70
$2,244.42
$2,385.04
$2,884.56 |
$867.79
$934.15
$1,004.46
$1,254.22 |
$1,243.91
$1,310.27
$1,380.58
$1,630.34 |
$1,620.03
$1,686.39
$1,756.70
$2,006.46 |
$376.12 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$0 |
$0 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$0
| Family:
$0
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$417.66
$474.03
$533.75
$745.92
$1,133.50 |
$835.32
$948.06
$1,067.50
$1,491.84
$2,267.00 |
$1,154.82
$1,267.56
$1,387.00
$1,811.34 |
$1,474.32
$1,587.06
$1,706.50
$2,130.84 |
$1,793.82
$1,906.56
$2,026.00
$2,450.34 |
$737.16
$793.53
$853.25
$1,065.42 |
$1,056.66
$1,113.03
$1,172.75
$1,384.92 |
$1,376.16
$1,432.53
$1,492.25
$1,704.42 |
$319.50 |
Monroe County is in “Rating Area 3” of Georgia.
Currently, there are 15 plans offered in Rating Area 3.