Boone County, Illinois Obamacare 2024 Rates

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 Boone County, IL.

The health insurance rates listed below are for calendar year 2024.

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

Contact a licensed health insurance agent
Complete an application at Healthcare.gov
Contact the provider directly

Obamacare Providers, 47 Plans and 2024 Rates for Boone County, Illinois

Below, you’ll find a summary of the 47 plans for Boone County, Illinois and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |

Blue Cross and Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844

Toc - Plan #1 Blue Cross and Blue Shield of Illinois

Gold

(HMO) Blue Precision Gold HMO? 207

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$750 $1,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$528.60
$599.96
$675.55
$944.08
$1,434.62

$932.98
$1,004.34
$1,079.93
$1,348.46

$1,337.36
$1,408.72
$1,484.31
$1,752.84

$1,741.74
$1,813.10
$1,888.69
$2,157.22

$404.38

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,057.20
$1,199.92
$1,351.10
$1,888.16
$2,869.24

$1,461.58
$1,604.30
$1,755.48
$2,292.54

$1,865.96
$2,008.68
$2,159.86
$2,696.92

$2,270.34
$2,413.06
$2,564.24
$3,101.30

$404.38

Toc - Plan #2 Blue Cross and Blue Shield of Illinois

Silver

(HMO) Blue Precision Silver HMO? 206

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$4,400 $8,800 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$444.62
$504.64
$568.22
$794.08
$1,206.69

$784.75
$844.77
$908.35
$1,134.21

$1,124.88
$1,184.90
$1,248.48
$1,474.34

$1,465.01
$1,525.03
$1,588.61
$1,814.47

$340.13

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$889.24
$1,009.28
$1,136.44
$1,588.16
$2,413.38

$1,229.37
$1,349.41
$1,476.57
$1,928.29

$1,569.50
$1,689.54
$1,816.70
$2,268.42

$1,909.63
$2,029.67
$2,156.83
$2,608.55

$340.13

Toc - Plan #3 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(HMO) Blue Precision Bronze HMO? 205

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,400 $14,800 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$386.69
$438.90
$494.19
$690.63
$1,049.48

$682.51
$734.72
$790.01
$986.45

$978.33
$1,030.54
$1,085.83
$1,282.27

$1,274.15
$1,326.36
$1,381.65
$1,578.09

$295.82

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$773.38
$877.80
$988.38
$1,381.26
$2,098.96

$1,069.20
$1,173.62
$1,284.20
$1,677.08

$1,365.02
$1,469.44
$1,580.02
$1,972.90

$1,660.84
$1,765.26
$1,875.84
$2,268.72

$295.82

Toc - Plan #4 Blue Cross and Blue Shield of Illinois

Gold

(HMO) Blue Precision Gold HMO? 703 - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$2,000 $4,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$540.00
$612.90
$690.12
$964.44
$1,465.55

$953.10
$1,026.00
$1,103.22
$1,377.54

$1,366.20
$1,439.10
$1,516.32
$1,790.64

$1,779.30
$1,852.20
$1,929.42
$2,203.74

$413.10

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,080.00
$1,225.80
$1,380.24
$1,928.88
$2,931.10

$1,493.10
$1,638.90
$1,793.34
$2,341.98

$1,906.20
$2,052.00
$2,206.44
$2,755.08

$2,319.30
$2,465.10
$2,619.54
$3,168.18

$413.10

Toc - Plan #5 Blue Cross and Blue Shield of Illinois

Silver

(HMO) Blue Precision Silver HMO 704? - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,500 $15,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$461.80
$524.14
$590.18
$824.77
$1,253.32

$815.08
$877.42
$943.46
$1,178.05

$1,168.36
$1,230.70
$1,296.74
$1,531.33

$1,521.64
$1,583.98
$1,650.02
$1,884.61

$353.28

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$923.60
$1,048.28
$1,180.36
$1,649.54
$2,506.64

$1,276.88
$1,401.56
$1,533.64
$2,002.82

$1,630.16
$1,754.84
$1,886.92
$2,356.10

$1,983.44
$2,108.12
$2,240.20
$2,709.38

$353.28

Toc - Plan #6 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(HMO) Blue Precision Bronze HMO? 701 - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$0 $0 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$378.33
$429.41
$483.51
$675.70
$1,026.79

$667.75
$718.83
$772.93
$965.12

$957.17
$1,008.25
$1,062.35
$1,254.54

$1,246.59
$1,297.67
$1,351.77
$1,543.96

$289.42

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$756.66
$858.82
$967.02
$1,351.40
$2,053.58

$1,046.08
$1,148.24
$1,256.44
$1,640.82

$1,335.50
$1,437.66
$1,545.86
$1,930.24

$1,624.92
$1,727.08
$1,835.28
$2,219.66

$289.42

Toc - Plan #7 Blue Cross and Blue Shield of Illinois

Gold

(HMO) Blue Precision Gold HMO? 707

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$531.66
$603.43
$679.46
$949.54
$1,442.91

$938.38
$1,010.15
$1,086.18
$1,356.26

$1,345.10
$1,416.87
$1,492.90
$1,762.98

$1,751.82
$1,823.59
$1,899.62
$2,169.70

$406.72

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,063.32
$1,206.86
$1,358.92
$1,899.08
$2,885.82

$1,470.04
$1,613.58
$1,765.64
$2,305.80

$1,876.76
$2,020.30
$2,172.36
$2,712.52

$2,283.48
$2,427.02
$2,579.08
$3,119.24

$406.72

Toc - Plan #8 Blue Cross and Blue Shield of Illinois

Silver

(HMO) Blue Precision Silver HMO? 706

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$470.85
$534.41
$601.75
$840.94
$1,277.89

$831.05
$894.61
$961.95
$1,201.14

$1,191.25
$1,254.81
$1,322.15
$1,561.34

$1,551.45
$1,615.01
$1,682.35
$1,921.54

$360.20

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$941.70
$1,068.82
$1,203.50
$1,681.88
$2,555.78

$1,301.90
$1,429.02
$1,563.70
$2,042.08

$1,662.10
$1,789.22
$1,923.90
$2,402.28

$2,022.30
$2,149.42
$2,284.10
$2,762.48

$360.20

Toc - Plan #9 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(HMO) Blue Precision Bronze HMO? 708

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,500 $15,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$399.91
$453.90
$511.09
$714.25
$1,085.37

$705.84
$759.83
$817.02
$1,020.18

$1,011.77
$1,065.76
$1,122.95
$1,326.11

$1,317.70
$1,371.69
$1,428.88
$1,632.04

$305.93

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$799.82
$907.80
$1,022.18
$1,428.50
$2,170.74

$1,105.75
$1,213.73
$1,328.11
$1,734.43

$1,411.68
$1,519.66
$1,634.04
$2,040.36

$1,717.61
$1,825.59
$1,939.97
$2,346.29

$305.93

Toc - Plan #10 Blue Cross and Blue Shield of Illinois

Gold

(PPO) Blue Choice Preferred Gold PPO? 204 - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$750 $1,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$664.66
$754.39
$849.43
$1,187.08
$1,803.88

$1,173.12
$1,262.85
$1,357.89
$1,695.54

$1,681.58
$1,771.31
$1,866.35
$2,204.00

$2,190.04
$2,279.77
$2,374.81
$2,712.46

$508.46

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,329.32
$1,508.78
$1,698.86
$2,374.16
$3,607.76

$1,837.78
$2,017.24
$2,207.32
$2,882.62

$2,346.24
$2,525.70
$2,715.78
$3,391.08

$2,854.70
$3,034.16
$3,224.24
$3,899.54

$508.46

Toc - Plan #11 Blue Cross and Blue Shield of Illinois

Silver

(PPO) Blue Choice Preferred Silver PPO? 203

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$2,250 $4,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$573.15
$650.53
$732.49
$1,023.65
$1,555.53

$1,011.61
$1,088.99
$1,170.95
$1,462.11

$1,450.07
$1,527.45
$1,609.41
$1,900.57

$1,888.53
$1,965.91
$2,047.87
$2,339.03

$438.46

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,146.30
$1,301.06
$1,464.98
$2,047.30
$3,111.06

$1,584.76
$1,739.52
$1,903.44
$2,485.76

$2,023.22
$2,177.98
$2,341.90
$2,924.22

$2,461.68
$2,616.44
$2,780.36
$3,362.68

$438.46

Toc - Plan #12 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO? 202

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$4,500 $9,000 Annual Deductible

$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$503.37
$571.33
$643.31
$899.03
$1,366.16

$888.45
$956.41
$1,028.39
$1,284.11

$1,273.53
$1,341.49
$1,413.47
$1,669.19

$1,658.61
$1,726.57
$1,798.55
$2,054.27

$385.08

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,006.74
$1,142.66
$1,286.62
$1,798.06
$2,732.32

$1,391.82
$1,527.74
$1,671.70
$2,183.14

$1,776.90
$1,912.82
$2,056.78
$2,568.22

$2,161.98
$2,297.90
$2,441.86
$2,953.30

$385.08

Toc - Plan #13 Blue Cross and Blue Shield of Illinois

Catastrophic

(PPO) Blue Choice Preferred Security PPO? 200

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$9,450 $18,900 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$418.23
$474.69
$534.50
$746.96
$1,135.07

$738.17
$794.63
$854.44
$1,066.90

$1,058.11
$1,114.57
$1,174.38
$1,386.84

$1,378.05
$1,434.51
$1,494.32
$1,706.78

$319.94

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$836.46
$949.38
$1,069.00
$1,493.92
$2,270.14

$1,156.40
$1,269.32
$1,388.94
$1,813.86

$1,476.34
$1,589.26
$1,708.88
$2,133.80

$1,796.28
$1,909.20
$2,028.82
$2,453.74

$319.94

Toc - Plan #14 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO? 201

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,000 $14,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$453.83
$515.10
$579.99
$810.54
$1,231.69

$801.01
$862.28
$927.17
$1,157.72

$1,148.19
$1,209.46
$1,274.35
$1,504.90

$1,495.37
$1,556.64
$1,621.53
$1,852.08

$347.18

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$907.66
$1,030.20
$1,159.98
$1,621.08
$2,463.38

$1,254.84
$1,377.38
$1,507.16
$1,968.26

$1,602.02
$1,724.56
$1,854.34
$2,315.44

$1,949.20
$2,071.74
$2,201.52
$2,662.62

$347.18

Toc - Plan #15 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO? 601 - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,500 $15,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$443.63
$503.52
$566.96
$792.32
$1,204.00

$783.00
$842.89
$906.33
$1,131.69

$1,122.37
$1,182.26
$1,245.70
$1,471.06

$1,461.74
$1,521.63
$1,585.07
$1,810.43

$339.37

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$887.26
$1,007.04
$1,133.92
$1,584.64
$2,408.00

$1,226.63
$1,346.41
$1,473.29
$1,924.01

$1,566.00
$1,685.78
$1,812.66
$2,263.38

$1,905.37
$2,025.15
$2,152.03
$2,602.75

$339.37

Toc - Plan #16 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO? 701 - Rx Copays

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$9,000 $18,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$421.58
$478.49
$538.78
$752.94
$1,144.17

$744.09
$801.00
$861.29
$1,075.45

$1,066.60
$1,123.51
$1,183.80
$1,397.96

$1,389.11
$1,446.02
$1,506.31
$1,720.47

$322.51

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$843.16
$956.98
$1,077.56
$1,505.88
$2,288.34

$1,165.67
$1,279.49
$1,400.07
$1,828.39

$1,488.18
$1,602.00
$1,722.58
$2,150.90

$1,810.69
$1,924.51
$2,045.09
$2,473.41

$322.51

Toc - Plan #17 Blue Cross and Blue Shield of Illinois

Gold

(PPO) Blue Choice Preferred Gold PPO? 707

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$655.40
$743.88
$837.60
$1,170.55
$1,778.76

$1,156.78
$1,245.26
$1,338.98
$1,671.93

$1,658.16
$1,746.64
$1,840.36
$2,173.31

$2,159.54
$2,248.02
$2,341.74
$2,674.69

$501.38

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,310.80
$1,487.76
$1,675.20
$2,341.10
$3,557.52

$1,812.18
$1,989.14
$2,176.58
$2,842.48

$2,313.56
$2,490.52
$2,677.96
$3,343.86

$2,814.94
$2,991.90
$3,179.34
$3,845.24

$501.38

Toc - Plan #18 Blue Cross and Blue Shield of Illinois

Silver

(PPO) Blue Choice Preferred Silver PPO? 706

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$577.33
$655.27
$737.83
$1,031.11
$1,566.87

$1,018.99
$1,096.93
$1,179.49
$1,472.77

$1,460.65
$1,538.59
$1,621.15
$1,914.43

$1,902.31
$1,980.25
$2,062.81
$2,356.09

$441.66

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,154.66
$1,310.54
$1,475.66
$2,062.22
$3,133.74

$1,596.32
$1,752.20
$1,917.32
$2,503.88

$2,037.98
$2,193.86
$2,358.98
$2,945.54

$2,479.64
$2,635.52
$2,800.64
$3,387.20

$441.66

Toc - Plan #19 Blue Cross and Blue Shield of Illinois

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO? 708

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$7,500 $15,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$500.81
$568.42
$640.03
$894.44
$1,359.19

$883.93
$951.54
$1,023.15
$1,277.56

$1,267.05
$1,334.66
$1,406.27
$1,660.68

$1,650.17
$1,717.78
$1,789.39
$2,043.80

$383.12

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,001.62
$1,136.84
$1,280.06
$1,788.88
$2,718.38

$1,384.74
$1,519.96
$1,663.18
$2,172.00

$1,767.86
$1,903.08
$2,046.30
$2,555.12

$2,150.98
$2,286.20
$2,429.42
$2,938.24

$383.12

Toc - Plan #20 Blue Cross and Blue Shield of Illinois

Silver

(PPO) Blue Choice Preferred Silver PPO? 801 - Rx Copay

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses:

Individual Family

$6,200 $12,400 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$566.38
$642.84
$723.83
$1,011.56
$1,537.16

$999.66
$1,076.12
$1,157.11
$1,444.84

$1,432.94
$1,509.40
$1,590.39
$1,878.12

$1,866.22
$1,942.68
$2,023.67
$2,311.40

$433.28

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,132.76
$1,285.68
$1,447.66
$2,023.12
$3,074.32

$1,566.04
$1,718.96
$1,880.94
$2,456.40

$1,999.32
$2,152.24
$2,314.22
$2,889.68

$2,432.60
$2,585.52
$2,747.50
$3,322.96

$433.28

MercyCare Health Plans

Local: 1-877-908-6027 | Toll Free:

Toc - Plan #21 MercyCare Health Plans

Gold

(HMO) MercyCare HMO Gold Option B

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family

$3,200 $6,400 Annual Deductible

$3,200 $6,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$465.92
$528.82
$595.44
$832.13
$1,264.50

$822.35
$885.25
$951.87
$1,188.56

$1,178.78
$1,241.68
$1,308.30
$1,544.99

$1,535.21
$1,598.11
$1,664.73
$1,901.42

$356.43

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$931.84
$1,057.64
$1,190.88
$1,664.26
$2,529.00

$1,288.27
$1,414.07
$1,547.31
$2,020.69

$1,644.70
$1,770.50
$1,903.74
$2,377.12

$2,001.13
$2,126.93
$2,260.17
$2,733.55

$356.43

Toc - Plan #22 MercyCare Health Plans

Silver

(HMO) MercyCare HMO Silver Option A

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family

$6,500 $13,000 Annual Deductible

$8,800 $17,600 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$437.96
$497.08
$559.71
$782.19
$1,188.61

$773.00
$832.12
$894.75
$1,117.23

$1,108.04
$1,167.16
$1,229.79
$1,452.27

$1,443.08
$1,502.20
$1,564.83
$1,787.31

$335.04

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$875.92
$994.16
$1,119.42
$1,564.38
$2,377.22

$1,210.96
$1,329.20
$1,454.46
$1,899.42

$1,546.00
$1,664.24
$1,789.50
$2,234.46

$1,881.04
$1,999.28
$2,124.54
$2,569.50

$335.04

Toc - Plan #23 MercyCare Health Plans

Silver

(HMO) MercyCare HMO Silver Option B

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family

$5,400 $10,800 Annual Deductible

$5,400 $10,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$443.84
$503.76
$567.23
$792.69
$1,204.57

$783.38
$843.30
$906.77
$1,132.23

$1,122.92
$1,182.84
$1,246.31
$1,471.77

$1,462.46
$1,522.38
$1,585.85
$1,811.31

$339.54

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$887.68
$1,007.52
$1,134.46
$1,585.38
$2,409.14

$1,227.22
$1,347.06
$1,474.00
$1,924.92

$1,566.76
$1,686.60
$1,813.54
$2,264.46

$1,906.30
$2,026.14
$2,153.08
$2,604.00

$339.54

Toc - Plan #24 MercyCare Health Plans

Gold

(HMO) MercyCare HMO Gold Standard

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$456.54
$518.17
$583.46
$815.38
$1,239.05

$805.80
$867.43
$932.72
$1,164.64

$1,155.06
$1,216.69
$1,281.98
$1,513.90

$1,504.32
$1,565.95
$1,631.24
$1,863.16

$349.26

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$913.08
$1,036.34
$1,166.92
$1,630.76
$2,478.10

$1,262.34
$1,385.60
$1,516.18
$1,980.02

$1,611.60
$1,734.86
$1,865.44
$2,329.28

$1,960.86
$2,084.12
$2,214.70
$2,678.54

$349.26

Toc - Plan #25 MercyCare Health Plans

Silver

(HMO) MercyCare HMO Silver Standard

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$439.41
$498.74
$561.57
$784.79
$1,192.56

$775.56
$834.89
$897.72
$1,120.94

$1,111.71
$1,171.04
$1,233.87
$1,457.09

$1,447.86
$1,507.19
$1,570.02
$1,793.24

$336.15

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$878.82
$997.48
$1,123.14
$1,569.58
$2,385.12

$1,214.97
$1,333.63
$1,459.29
$1,905.73

$1,551.12
$1,669.78
$1,795.44
$2,241.88

$1,887.27
$2,005.93
$2,131.59
$2,578.03

$336.15

Quartz

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973

Toc - Plan #26 Quartz

Gold

(HMO) Quartz Performance Gold I401 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$2,500 $5,000 Annual Deductible

$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$499.76
$567.22
$638.69
$892.56
$1,356.33

$882.07
$949.53
$1,021.00
$1,274.87

$1,264.38
$1,331.84
$1,403.31
$1,657.18

$1,646.69
$1,714.15
$1,785.62
$2,039.49

$382.31

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$999.52
$1,134.44
$1,277.38
$1,785.12
$2,712.66

$1,381.83
$1,516.75
$1,659.69
$2,167.43

$1,764.14
$1,899.06
$2,042.00
$2,549.74

$2,146.45
$2,281.37
$2,424.31
$2,932.05

$382.31

Toc - Plan #27 Quartz

Gold

(HMO) Quartz Performance Gold I402 Maintenance Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$500 $1,000 Annual Deductible

$9,000 $18,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$527.38
$598.58
$673.99
$941.90
$1,431.31

$930.83
$1,002.03
$1,077.44
$1,345.35

$1,334.28
$1,405.48
$1,480.89
$1,748.80

$1,737.73
$1,808.93
$1,884.34
$2,152.25

$403.45

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,054.76
$1,197.16
$1,347.98
$1,883.80
$2,862.62

$1,458.21
$1,600.61
$1,751.43
$2,287.25

$1,861.66
$2,004.06
$2,154.88
$2,690.70

$2,265.11
$2,407.51
$2,558.33
$3,094.15

$403.45

Toc - Plan #28 Quartz

Gold

(HMO) Quartz Performance Gold I403 HSA - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$3,500 $7,000 Annual Deductible

$3,500 $7,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$520.11
$590.32
$664.69
$928.91
$1,411.57

$917.99
$988.20
$1,062.57
$1,326.79

$1,315.87
$1,386.08
$1,460.45
$1,724.67

$1,713.75
$1,783.96
$1,858.33
$2,122.55

$397.88

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,040.22
$1,180.64
$1,329.38
$1,857.82
$2,823.14

$1,438.10
$1,578.52
$1,727.26
$2,255.70

$1,835.98
$1,976.40
$2,125.14
$2,653.58

$2,233.86
$2,374.28
$2,523.02
$3,051.46

$397.88

Toc - Plan #29 Quartz

Gold

(HMO) Quartz Performance Gold I410 Standard w/Fixed Rx Copay - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$531.50
$603.25
$679.25
$949.25
$1,442.47

$938.09
$1,009.84
$1,085.84
$1,355.84

$1,344.68
$1,416.43
$1,492.43
$1,762.43

$1,751.27
$1,823.02
$1,899.02
$2,169.02

$406.59

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,063.00
$1,206.50
$1,358.50
$1,898.50
$2,884.94

$1,469.59
$1,613.09
$1,765.09
$2,305.09

$1,876.18
$2,019.68
$2,171.68
$2,711.68

$2,282.77
$2,426.27
$2,578.27
$3,118.27

$406.59

Toc - Plan #30 Quartz

Gold

(HMO) Quartz Performance Gold I420 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$1,000 $2,000 Annual Deductible

$8,500 $17,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$507.47
$575.98
$648.54
$906.34
$1,377.27

$895.68
$964.19
$1,036.75
$1,294.55

$1,283.89
$1,352.40
$1,424.96
$1,682.76

$1,672.10
$1,740.61
$1,813.17
$2,070.97

$388.21

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,014.94
$1,151.96
$1,297.08
$1,812.68
$2,754.54

$1,403.15
$1,540.17
$1,685.29
$2,200.89

$1,791.36
$1,928.38
$2,073.50
$2,589.10

$2,179.57
$2,316.59
$2,461.71
$2,977.31

$388.21

Toc - Plan #31 Quartz

Silver

(HMO) Quartz Performance Silver I303 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$7,000 $14,000 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$440.17
$499.59
$562.54
$786.14
$1,194.62

$776.90
$836.32
$899.27
$1,122.87

$1,113.63
$1,173.05
$1,236.00
$1,459.60

$1,450.36
$1,509.78
$1,572.73
$1,796.33

$336.73

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$880.34
$999.18
$1,125.08
$1,572.28
$2,389.24

$1,217.07
$1,335.91
$1,461.81
$1,909.01

$1,553.80
$1,672.64
$1,798.54
$2,245.74

$1,890.53
$2,009.37
$2,135.27
$2,582.47

$336.73

Toc - Plan #32 Quartz

Silver

(HMO) Quartz Performance Silver I304 HSA - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$5,500 $11,000 Annual Deductible

$5,500 $11,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$470.22
$533.70
$600.94
$839.81
$1,276.17

$829.94
$893.42
$960.66
$1,199.53

$1,189.66
$1,253.14
$1,320.38
$1,559.25

$1,549.38
$1,612.86
$1,680.10
$1,918.97

$359.72

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$940.44
$1,067.40
$1,201.88
$1,679.62
$2,552.34

$1,300.16
$1,427.12
$1,561.60
$2,039.34

$1,659.88
$1,786.84
$1,921.32
$2,399.06

$2,019.60
$2,146.56
$2,281.04
$2,758.78

$359.72

Toc - Plan #33 Quartz

Silver

(HMO) Quartz Performance Silver I308 Fixed Rx Copay - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$0 $0 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$465.52
$528.36
$594.93
$831.41
$1,263.41

$821.64
$884.48
$951.05
$1,187.53

$1,177.76
$1,240.60
$1,307.17
$1,543.65

$1,533.88
$1,596.72
$1,663.29
$1,899.77

$356.12

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$931.04
$1,056.72
$1,189.86
$1,662.82
$2,526.82

$1,287.16
$1,412.84
$1,545.98
$2,018.94

$1,643.28
$1,768.96
$1,902.10
$2,375.06

$1,999.40
$2,125.08
$2,258.22
$2,731.18

$356.12

Toc - Plan #34 Quartz

Silver

(HMO) Quartz Performance Silver I309 Standard - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$451.64
$512.60
$577.18
$806.61
$1,225.72

$797.14
$858.10
$922.68
$1,152.11

$1,142.64
$1,203.60
$1,268.18
$1,497.61

$1,488.14
$1,549.10
$1,613.68
$1,843.11

$345.50

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$903.28
$1,025.20
$1,154.36
$1,613.22
$2,451.44

$1,248.78
$1,370.70
$1,499.86
$1,958.72

$1,594.28
$1,716.20
$1,845.36
$2,304.22

$1,939.78
$2,061.70
$2,190.86
$2,649.72

$345.50

Toc - Plan #35 Quartz

Silver

(HMO) Quartz Performance Silver I320 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$2,500 $5,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$477.94
$542.45
$610.80
$853.59
$1,297.11

$843.56
$908.07
$976.42
$1,219.21

$1,209.18
$1,273.69
$1,342.04
$1,584.83

$1,574.80
$1,639.31
$1,707.66
$1,950.45

$365.62

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$955.88
$1,084.90
$1,221.60
$1,707.18
$2,594.22

$1,321.50
$1,450.52
$1,587.22
$2,072.80

$1,687.12
$1,816.14
$1,952.84
$2,438.42

$2,052.74
$2,181.76
$2,318.46
$2,804.04

$365.62

Toc - Plan #36 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I201 Value Tier Rx w/Fixed Copay - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$9,400 $18,800 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$375.81
$426.54
$480.28
$671.19
$1,019.94

$663.30
$714.03
$767.77
$958.68

$950.79
$1,001.52
$1,055.26
$1,246.17

$1,238.28
$1,289.01
$1,342.75
$1,533.66

$287.49

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$751.62
$853.08
$960.56
$1,342.38
$2,039.88

$1,039.11
$1,140.57
$1,248.05
$1,629.87

$1,326.60
$1,428.06
$1,535.54
$1,917.36

$1,614.09
$1,715.55
$1,823.03
$2,204.85

$287.49

Toc - Plan #37 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I203 HSA - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$7,250 $14,500 Annual Deductible

$7,250 $14,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$386.10
$438.22
$493.43
$689.56
$1,047.86

$681.46
$733.58
$788.79
$984.92

$976.82
$1,028.94
$1,084.15
$1,280.28

$1,272.18
$1,324.30
$1,379.51
$1,575.64

$295.36

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$772.20
$876.44
$986.86
$1,379.12
$2,095.72

$1,067.56
$1,171.80
$1,282.22
$1,674.48

$1,362.92
$1,467.16
$1,577.58
$1,969.84

$1,658.28
$1,762.52
$1,872.94
$2,265.20

$295.36

Toc - Plan #38 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I204 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$5,000 $10,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$392.71
$445.72
$501.88
$701.37
$1,065.80

$693.13
$746.14
$802.30
$1,001.79

$993.55
$1,046.56
$1,102.72
$1,302.21

$1,293.97
$1,346.98
$1,403.14
$1,602.63

$300.42

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$785.42
$891.44
$1,003.76
$1,402.74
$2,131.60

$1,085.84
$1,191.86
$1,304.18
$1,703.16

$1,386.26
$1,492.28
$1,604.60
$2,003.58

$1,686.68
$1,792.70
$1,905.02
$2,304.00

$300.42

Toc - Plan #39 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I205 Value Tier Rx - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$0 $0 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$394.99
$448.31
$504.79
$705.44
$1,071.98

$697.15
$750.47
$806.95
$1,007.60

$999.31
$1,052.63
$1,109.11
$1,309.76

$1,301.47
$1,354.79
$1,411.27
$1,611.92

$302.16

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$789.98
$896.62
$1,009.58
$1,410.88
$2,143.96

$1,092.14
$1,198.78
$1,311.74
$1,713.04

$1,394.30
$1,500.94
$1,613.90
$2,015.20

$1,696.46
$1,803.10
$1,916.06
$2,317.36

$302.16

Toc - Plan #40 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I206 Standard - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$7,500 $15,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$376.99
$427.88
$481.78
$673.29
$1,023.13

$665.38
$716.27
$770.17
$961.68

$953.77
$1,004.66
$1,058.56
$1,250.07

$1,242.16
$1,293.05
$1,346.95
$1,538.46

$288.39

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$753.98
$855.76
$963.56
$1,346.58
$2,046.26

$1,042.37
$1,144.15
$1,251.95
$1,634.97

$1,330.76
$1,432.54
$1,540.34
$1,923.36

$1,619.15
$1,720.93
$1,828.73
$2,211.75

$288.39

Toc - Plan #41 Quartz

Catastrophic

(HMO) Quartz Performance Catastrophic I101 - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$9,450 $18,900 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$277.51
$314.97
$354.65
$495.62
$753.14

$489.80
$527.26
$566.94
$707.91

$702.09
$739.55
$779.23
$920.20

$914.38
$951.84
$991.52
$1,132.49

$212.29

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$555.02
$629.94
$709.30
$991.24
$1,506.28

$767.31
$842.23
$921.59
$1,203.53

$979.60
$1,054.52
$1,133.88
$1,415.82

$1,191.89
$1,266.81
$1,346.17
$1,628.11

$212.29

Toc - Plan #42 Quartz

Silver

(HMO) Quartz Performance Silver I308 Fixed Rx Copay w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$0 $0 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$478.28
$542.85
$611.24
$854.21
$1,298.05

$844.16
$908.73
$977.12
$1,220.09

$1,210.04
$1,274.61
$1,343.00
$1,585.97

$1,575.92
$1,640.49
$1,708.88
$1,951.85

$365.88

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$956.56
$1,085.70
$1,222.48
$1,708.42
$2,596.10

$1,322.44
$1,451.58
$1,588.36
$2,074.30

$1,688.32
$1,817.46
$1,954.24
$2,440.18

$2,054.20
$2,183.34
$2,320.12
$2,806.06

$365.88

Toc - Plan #43 Quartz

Silver

(HMO) Quartz Performance Silver I320 Value Tier Rx w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$2,500 $5,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$491.04
$557.33
$627.54
$876.99
$1,332.67

$866.68
$932.97
$1,003.18
$1,252.63

$1,242.32
$1,308.61
$1,378.82
$1,628.27

$1,617.96
$1,684.25
$1,754.46
$2,003.91

$375.64

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$982.08
$1,114.66
$1,255.08
$1,753.98
$2,665.34

$1,357.72
$1,490.30
$1,630.72
$2,129.62

$1,733.36
$1,865.94
$2,006.36
$2,505.26

$2,109.00
$2,241.58
$2,382.00
$2,880.90

$375.64

Toc - Plan #44 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I204 Value Tier Rx w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$5,000 $10,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$403.48
$457.94
$515.64
$720.60
$1,095.03

$712.14
$766.60
$824.30
$1,029.26

$1,020.80
$1,075.26
$1,132.96
$1,337.92

$1,329.46
$1,383.92
$1,441.62
$1,646.58

$308.66

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$806.96
$915.88
$1,031.28
$1,441.20
$2,190.06

$1,115.62
$1,224.54
$1,339.94
$1,749.86

$1,424.28
$1,533.20
$1,648.60
$2,058.52

$1,732.94
$1,841.86
$1,957.26
$2,367.18

$308.66

Toc - Plan #45 Quartz

Expanded Bronze

(HMO) Quartz Performance Bronze I205 Value Tier Rx w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$0 $0 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$405.82
$460.60
$518.63
$724.78
$1,101.38

$716.27
$771.05
$829.08
$1,035.23

$1,026.72
$1,081.50
$1,139.53
$1,345.68

$1,337.17
$1,391.95
$1,449.98
$1,656.13

$310.45

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$811.64
$921.20
$1,037.26
$1,449.56
$2,202.76

$1,122.09
$1,231.65
$1,347.71
$1,760.01

$1,432.54
$1,542.10
$1,658.16
$2,070.46

$1,742.99
$1,852.55
$1,968.61
$2,380.91

$310.45

Toc - Plan #46 Quartz

Gold

(HMO) Quartz Performance Gold I402 Maintenance Value Tier Rx w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$500 $1,000 Annual Deductible

$9,000 $18,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$541.84
$614.99
$692.47
$967.72
$1,470.55

$956.35
$1,029.50
$1,106.98
$1,382.23

$1,370.86
$1,444.01
$1,521.49
$1,796.74

$1,785.37
$1,858.52
$1,936.00
$2,211.25

$414.51

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,083.68
$1,229.98
$1,384.94
$1,935.44
$2,941.10

$1,498.19
$1,644.49
$1,799.45
$2,349.95

$1,912.70
$2,059.00
$2,213.96
$2,764.46

$2,327.21
$2,473.51
$2,628.47
$3,178.97

$414.51

Toc - Plan #47 Quartz

Gold

(HMO) Quartz Performance Gold I410 Standard w/Fixed Rx Copay w/Dental - IL

Benefits & Coverage Plan Brochure Provider Directory

Customer Service Phone: 1-800-362-3310

Annual Out of Pocket Expenses:

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]

Age

Individual

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$546.07
$619.78
$697.87
$975.27
$1,482.02

$963.81
$1,037.52
$1,115.61
$1,393.01

$1,381.55
$1,455.26
$1,533.35
$1,810.75

$1,799.29
$1,873.00
$1,951.09
$2,228.49

$417.74

Age

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Child
0-14

21
30
40
50
60

$1,092.14
$1,239.56
$1,395.74
$1,950.54
$2,964.04

$1,509.88
$1,657.30
$1,813.48
$2,368.28

$1,927.62
$2,075.04
$2,231.22
$2,786.02

$2,345.36
$2,492.78
$2,648.96
$3,203.76

$417.74

‡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 Boone County here.

Boone County is in “Rating Area 5” of Illinois.

Currently, there are 47 plans offered in Rating Area 5.

Top

2024 Obamacare Plans for Boone County, IL

Plan Browser: 47 Plans

Blue Cross and Blue Shield of Illinois

Local: 1-800-538-8833 | Toll Free: 1-800-538-8833 | TTY: 1-800-526-0844

1. Gold Blue Precision Gold HMO? 207

2. Silver Blue Precision Silver HMO? 206

3. Expanded Bronze Blue Precision Bronze HMO? 205

4. Gold Blue Precision Gold HMO? 703 - Rx Copays

5. Silver Blue Precision Silver HMO 704? - Rx Copays

6. Expanded Bronze Blue Precision Bronze HMO? 701 - Rx Copays

7. Gold Blue Precision Gold HMO? 707

8. Silver Blue Precision Silver HMO? 706

9. Expanded Bronze Blue Precision Bronze HMO? 708

10. Gold Blue Choice Preferred Gold PPO? 204 - Rx Copays

11. Silver Blue Choice Preferred Silver PPO? 203

12. Expanded Bronze Blue Choice Preferred Bronze PPO? 202

13. Catastrophic Blue Choice Preferred Security PPO? 200

14. Expanded Bronze Blue Choice Preferred Bronze PPO? 201

15. Expanded Bronze Blue Choice Preferred Bronze PPO? 601 - Rx Copays

16. Expanded Bronze Blue Choice Preferred Bronze PPO? 701 - Rx Copays

17. Gold Blue Choice Preferred Gold PPO? 707

18. Silver Blue Choice Preferred Silver PPO? 706

19. Expanded Bronze Blue Choice Preferred Bronze PPO? 708

20. Silver Blue Choice Preferred Silver PPO? 801 - Rx Copay

MercyCare Health Plans

Local: 1-877-908-6027 | Toll Free:

21. Gold MercyCare HMO Gold Option B

22. Silver MercyCare HMO Silver Option A

23. Silver MercyCare HMO Silver Option B

24. Gold MercyCare HMO Gold Standard

25. Silver MercyCare HMO Silver Standard

Quartz

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973

26. Gold Quartz Performance Gold I401 Value Tier Rx - IL

27. Gold Quartz Performance Gold I402 Maintenance Value Tier Rx - IL

28. Gold Quartz Performance Gold I403 HSA - IL

29. Gold Quartz Performance Gold I410 Standard w/Fixed Rx Copay - IL

30. Gold Quartz Performance Gold I420 Value Tier Rx - IL

31. Silver Quartz Performance Silver I303 Value Tier Rx - IL

32. Silver Quartz Performance Silver I304 HSA - IL

33. Silver Quartz Performance Silver I308 Fixed Rx Copay - IL

34. Silver Quartz Performance Silver I309 Standard - IL

35. Silver Quartz Performance Silver I320 Value Tier Rx - IL

36. Expanded Bronze Quartz Performance Bronze I201 Value Tier Rx w/Fixed Copay - IL

37. Expanded Bronze Quartz Performance Bronze I203 HSA - IL

38. Expanded Bronze Quartz Performance Bronze I204 Value Tier Rx - IL

39. Expanded Bronze Quartz Performance Bronze I205 Value Tier Rx - IL

40. Expanded Bronze Quartz Performance Bronze I206 Standard - IL

41. Catastrophic Quartz Performance Catastrophic I101 - IL

42. Silver Quartz Performance Silver I308 Fixed Rx Copay w/Dental - IL

43. Silver Quartz Performance Silver I320 Value Tier Rx w/Dental - IL

44. Expanded Bronze Quartz Performance Bronze I204 Value Tier Rx w/Dental - IL

45. Expanded Bronze Quartz Performance Bronze I205 Value Tier Rx w/Dental - IL

46. Gold Quartz Performance Gold I402 Maintenance Value Tier Rx w/Dental - IL

47. Gold Quartz Performance Gold I410 Standard w/Fixed Rx Copay w/Dental - IL

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More Information

Blue Cross and Blue Shield of Illinois

(HMO) Blue Precision Gold HMO? 207

Annual Out of Pocket Expenses:

Individual Family $750 $1,500 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Silver HMO? 206

Annual Out of Pocket Expenses:

Individual Family $4,400 $8,800 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Bronze HMO? 205

Annual Out of Pocket Expenses:

Individual Family $7,400 $14,800 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Gold HMO? 703 - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $2,000 $4,000 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Silver HMO 704? - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $7,500 $15,000 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Bronze HMO? 701 - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $0 $0 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Gold HMO? 707

Annual Out of Pocket Expenses:

Individual Family $1,500 $3,000 Annual Deductible $8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Silver HMO? 706

Annual Out of Pocket Expenses:

Individual Family $5,900 $11,800 Annual Deductible $9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

(HMO) Blue Precision Bronze HMO? 708

Annual Out of Pocket Expenses:

Individual Family $7,500 $15,000 Annual Deductible $9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Gold PPO? 204 - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $750 $1,500 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Silver PPO? 203

Annual Out of Pocket Expenses:

Individual Family $2,250 $4,500 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Bronze PPO? 202

Annual Out of Pocket Expenses:

Individual Family $4,500 $9,000 Annual Deductible $7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Security PPO? 200

Annual Out of Pocket Expenses:

Individual Family $9,450 $18,900 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Bronze PPO? 201

Annual Out of Pocket Expenses:

Individual Family $7,000 $14,000 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Bronze PPO? 601 - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $7,500 $15,000 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Bronze PPO? 701 - Rx Copays

Annual Out of Pocket Expenses:

Individual Family $9,000 $18,000 Annual Deductible $9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

(PPO) Blue Choice Preferred Gold PPO? 707

Annual Out of Pocket Expenses:

Individual Family $1,500 $3,000 Annual Deductible $8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

Individual Family

$750 $1,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$4,400 $8,800 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$7,400 $14,800 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$2,000 $4,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$7,500 $15,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$0 $0 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Individual Family

$7,500 $15,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Individual Family

$750 $1,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$2,250 $4,500 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$4,500 $9,000 Annual Deductible

$7,500 $15,000 Maximum Out of Pocket Per Year

Individual Family

$9,450 $18,900 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$7,000 $14,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$7,500 $15,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$9,000 $18,000 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Individual Family

$7,500 $15,000 Annual Deductible

$9,400 $18,800 Maximum Out of Pocket Per Year

Individual Family

$6,200 $12,400 Annual Deductible

$9,450 $18,900 Maximum Out of Pocket Per Year

Individual Family

$3,200 $6,400 Annual Deductible

$3,200 $6,400 Maximum Out of Pocket Per Year

Individual Family

$6,500 $13,000 Annual Deductible

$8,800 $17,600 Maximum Out of Pocket Per Year

Individual Family

$5,400 $10,800 Annual Deductible

$5,400 $10,800 Maximum Out of Pocket Per Year

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Individual Family

$5,900 $11,800 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Individual Family

$2,500 $5,000 Annual Deductible

$7,000 $14,000 Maximum Out of Pocket Per Year

Individual Family

$500 $1,000 Annual Deductible

$9,000 $18,000 Maximum Out of Pocket Per Year

Individual Family

$3,500 $7,000 Annual Deductible

$3,500 $7,000 Maximum Out of Pocket Per Year

Individual Family

$1,500 $3,000 Annual Deductible

$8,700 $17,400 Maximum Out of Pocket Per Year

Individual Family

$1,000 $2,000 Annual Deductible

$8,500 $17,000 Maximum Out of Pocket Per Year

Individual Family

$7,000 $14,000 Annual Deductible

$9,100 $18,200 Maximum Out of Pocket Per Year

Individual Family

$5,500 $11,000 Annual Deductible

$5,500 $11,000 Maximum Out of Pocket Per Year