Obamacare 2022 Rates and Health Insurance Providers for DuPage County , Illinois

Obamacare > Rates > Illinois > DuPage County

Obamacare Rates and Providers for Other Years

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

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 DuPage County, IL.

The health insurance rates listed below are for calendar year 2022.

For detailed information on available 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

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 Bartlett, IL area accept this insurance coverage as within the plan's network.

Obamacare Providers, Plans and 2022 Rates for DuPage County, Illinois

Below, you’ll find a summary of the 51 plans for DuPage 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

You may also be interested in:

How To Sign Up for Obamacare in Illinois

For 2022 health plans, Illinois open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)

To get covered, you can go directly to the online health insurance marketplace for Illinois. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.

Where's the Illinois Health Care Exchange?

You can find the health insurance exchange for Illinois at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.

more...  

Illinois Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?

The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Illinois in 2021, that’s $17,609. For a family of four, it’s $36,156.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.

Illinois Has Expanded Medicaid

Because Illinois did decide to expand its Medicaid program, residents can qualify for Medicaid more easily today than in years past.

more...  

Get Help Finding a Health Insurance Plan in Illinois

Get Help From Illinois's Health Insurance Exchange

The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Illinois.

Help by phone: 800-318-2596 (TTY: 855-889-4325)

In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.

Get Help From a Licensed Insurance Broker

To directly connect with a Illinois insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)

More Information

For more detailed information, see How Do I Sign Up for Obamacare in Illinois?

  • DuPage County, IL Obamacare Rates
  • General Info
  • Rates

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Ambetter of Illinois

Local: 1-855-745-5507 | Toll Free: 1-855-745-5507 | TTY: 1-866-565-8576

Toc - Plan #1 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$316,68
$359,42
$404,71
$565,58
$859,45
$558,93
$601,67
$646,96
$807,83
$801,18
$843,92
$889,21
$1 050,08
$1 043,43
$1 086,17
$1 131,46
$1 292,33
$242,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$633,36
$718,84
$809,42
$1 131,16
$1 718,90
$875,61
$961,09
$1 051,67
$1 373,41
$1 117,86
$1 203,34
$1 293,92
$1 615,66
$1 360,11
$1 445,59
$1 536,17
$1 857,91
$242,25
Toc - Plan #2 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$369,16
$418,98
$471,77
$659,29
$1 001,86
$651,56
$701,38
$754,17
$941,69
$933,96
$983,78
$1 036,57
$1 224,09
$1 216,36
$1 266,18
$1 318,97
$1 506,49
$282,40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$738,32
$837,96
$943,54
$1 318,58
$2 003,72
$1 020,72
$1 120,36
$1 225,94
$1 600,98
$1 303,12
$1 402,76
$1 508,34
$1 883,38
$1 585,52
$1 685,16
$1 790,74
$2 165,78
$282,40
Toc - Plan #3 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308,20
$349,79
$393,86
$550,42
$836,42
$543,96
$585,55
$629,62
$786,18
$779,72
$821,31
$865,38
$1 021,94
$1 015,48
$1 057,07
$1 101,14
$1 257,70
$235,76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$616,40
$699,58
$787,72
$1 100,84
$1 672,84
$852,16
$935,34
$1 023,48
$1 336,60
$1 087,92
$1 171,10
$1 259,24
$1 572,36
$1 323,68
$1 406,86
$1 495,00
$1 808,12
$235,76
Toc - Plan #4 Ambetter of Illinois
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021)

Annual Out of Pocket Expenses
Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$267,19
$303,25
$341,45
$477,18
$725,12
$471,58
$507,64
$545,84
$681,57
$675,97
$712,03
$750,23
$885,96
$880,36
$916,42
$954,62
$1 090,35
$204,39
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$534,38
$606,50
$682,90
$954,36
$1 450,24
$738,77
$810,89
$887,29
$1 158,75
$943,16
$1 015,28
$1 091,68
$1 363,14
$1 147,55
$1 219,67
$1 296,07
$1 567,53
$204,39
Toc - Plan #5 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$300,72
$341,31
$384,31
$537,07
$816,13
$530,77
$571,36
$614,36
$767,12
$760,82
$801,41
$844,41
$997,17
$990,87
$1 031,46
$1 074,46
$1 227,22
$230,05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$601,44
$682,62
$768,62
$1 074,14
$1 632,26
$831,49
$912,67
$998,67
$1 304,19
$1 061,54
$1 142,72
$1 228,72
$1 534,24
$1 291,59
$1 372,77
$1 458,77
$1 764,29
$230,05
Toc - Plan #6 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$317,16
$359,96
$405,32
$566,43
$860,74
$559,78
$602,58
$647,94
$809,05
$802,40
$845,20
$890,56
$1 051,67
$1 045,02
$1 087,82
$1 133,18
$1 294,29
$242,62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$634,32
$719,92
$810,64
$1 132,86
$1 721,48
$876,94
$962,54
$1 053,26
$1 375,48
$1 119,56
$1 205,16
$1 295,88
$1 618,10
$1 362,18
$1 447,78
$1 538,50
$1 860,72
$242,62
Toc - Plan #7 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$324,50
$368,30
$414,70
$579,55
$880,68
$572,74
$616,54
$662,94
$827,79
$820,98
$864,78
$911,18
$1 076,03
$1 069,22
$1 113,02
$1 159,42
$1 324,27
$248,24
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$649,00
$736,60
$829,40
$1 159,10
$1 761,36
$897,24
$984,84
$1 077,64
$1 407,34
$1 145,48
$1 233,08
$1 325,88
$1 655,58
$1 393,72
$1 481,32
$1 574,12
$1 903,82
$248,24
Toc - Plan #8 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$330,01
$374,56
$421,75
$589,39
$895,63
$582,46
$627,01
$674,20
$841,84
$834,91
$879,46
$926,65
$1 094,29
$1 087,36
$1 131,91
$1 179,10
$1 346,74
$252,45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$660,02
$749,12
$843,50
$1 178,78
$1 791,26
$912,47
$1 001,57
$1 095,95
$1 431,23
$1 164,92
$1 254,02
$1 348,40
$1 683,68
$1 417,37
$1 506,47
$1 600,85
$1 936,13
$252,45
Toc - Plan #9 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335,05
$380,27
$428,18
$598,38
$909,30
$591,36
$636,58
$684,49
$854,69
$847,67
$892,89
$940,80
$1 111,00
$1 103,98
$1 149,20
$1 197,11
$1 367,31
$256,31
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$670,10
$760,54
$856,36
$1 196,76
$1 818,60
$926,41
$1 016,85
$1 112,67
$1 453,07
$1 182,72
$1 273,16
$1 368,98
$1 709,38
$1 439,03
$1 529,47
$1 625,29
$1 965,69
$256,31
Toc - Plan #10 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$390,57
$443,28
$499,13
$697,53
$1 059,97
$689,35
$742,06
$797,91
$996,31
$988,13
$1 040,84
$1 096,69
$1 295,09
$1 286,91
$1 339,62
$1 395,47
$1 593,87
$298,78
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$781,14
$886,56
$998,26
$1 395,06
$2 119,94
$1 079,92
$1 185,34
$1 297,04
$1 693,84
$1 378,70
$1 484,12
$1 595,82
$1 992,62
$1 677,48
$1 782,90
$1 894,60
$2 291,40
$298,78
Toc - Plan #11 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$326,07
$370,08
$416,71
$582,35
$884,93
$575,51
$619,52
$666,15
$831,79
$824,95
$868,96
$915,59
$1 081,23
$1 074,39
$1 118,40
$1 165,03
$1 330,67
$249,44
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$652,14
$740,16
$833,42
$1 164,70
$1 769,86
$901,58
$989,60
$1 082,86
$1 414,14
$1 151,02
$1 239,04
$1 332,30
$1 663,58
$1 400,46
$1 488,48
$1 581,74
$1 913,02
$249,44
Toc - Plan #12 Ambetter of Illinois
Expanded Bronze

(HMO) Ambetter Essential Care 5 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$8,100 $16,200 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$282,68
$320,83
$361,26
$504,85
$767,18
$498,93
$537,08
$577,51
$721,10
$715,18
$753,33
$793,76
$937,35
$931,43
$969,58
$1 010,01
$1 153,60
$216,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$565,36
$641,66
$722,52
$1 009,70
$1 534,36
$781,61
$857,91
$938,77
$1 225,95
$997,86
$1 074,16
$1 155,02
$1 442,20
$1 214,11
$1 290,41
$1 371,27
$1 658,45
$216,25
Toc - Plan #13 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335,55
$380,84
$428,82
$599,28
$910,66
$592,24
$637,53
$685,51
$855,97
$848,93
$894,22
$942,20
$1 112,66
$1 105,62
$1 150,91
$1 198,89
$1 369,35
$256,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$671,10
$761,68
$857,64
$1 198,56
$1 821,32
$927,79
$1 018,37
$1 114,33
$1 455,25
$1 184,48
$1 275,06
$1 371,02
$1 711,94
$1 441,17
$1 531,75
$1 627,71
$1 968,63
$256,69
Toc - Plan #14 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$343,33
$389,66
$438,76
$613,16
$931,76
$605,97
$652,30
$701,40
$875,80
$868,61
$914,94
$964,04
$1 138,44
$1 131,25
$1 177,58
$1 226,68
$1 401,08
$262,64
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$686,66
$779,32
$877,52
$1 226,32
$1 863,52
$949,30
$1 041,96
$1 140,16
$1 488,96
$1 211,94
$1 304,60
$1 402,80
$1 751,60
$1 474,58
$1 567,24
$1 665,44
$2 014,24
$262,64
Toc - Plan #15 Ambetter of Illinois
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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$349,16
$396,28
$446,21
$623,57
$947,58
$616,26
$663,38
$713,31
$890,67
$883,36
$930,48
$980,41
$1 157,77
$1 150,46
$1 197,58
$1 247,51
$1 424,87
$267,10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$698,32
$792,56
$892,42
$1 247,14
$1 895,16
$965,42
$1 059,66
$1 159,52
$1 514,24
$1 232,52
$1 326,76
$1 426,62
$1 781,34
$1 499,62
$1 593,86
$1 693,72
$2 048,44
$267,10

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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 #16 Blue Cross and Blue Shield of Illinois
Gold

(HMO) Blue Precision Gold HMO_ 207

Annual Out of Pocket Expenses
Individual Family
$750 $2,250 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$420,33
$477,08
$537,19
$750,72
$1 140,78
$741,88
$798,63
$858,74
$1 072,27
$1 063,43
$1 120,18
$1 180,29
$1 393,82
$1 384,98
$1 441,73
$1 501,84
$1 715,37
$321,55
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$840,66
$954,16
$1 074,38
$1 501,44
$2 281,56
$1 162,21
$1 275,71
$1 395,93
$1 822,99
$1 483,76
$1 597,26
$1 717,48
$2 144,54
$1 805,31
$1 918,81
$2 039,03
$2 466,09
$321,55
Toc - Plan #17 Blue Cross and Blue Shield of Illinois
Silver

(HMO) Blue Precision Silver HMO_ 206

Annual Out of Pocket Expenses
Individual Family
$3,000 $9,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$365,74
$415,11
$467,41
$653,20
$992,61
$645,53
$694,90
$747,20
$932,99
$925,32
$974,69
$1 026,99
$1 212,78
$1 205,11
$1 254,48
$1 306,78
$1 492,57
$279,79
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$731,48
$830,22
$934,82
$1 306,40
$1 985,22
$1 011,27
$1 110,01
$1 214,61
$1 586,19
$1 291,06
$1 389,80
$1 494,40
$1 865,98
$1 570,85
$1 669,59
$1 774,19
$2 145,77
$279,79
Toc - Plan #18 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(HMO) Blue Precision Bronze HMO_ 205

Annual Out of Pocket Expenses
Individual Family
$7,400 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$289,07
$328,09
$369,43
$516,28
$784,53
$510,21
$549,23
$590,57
$737,42
$731,35
$770,37
$811,71
$958,56
$952,49
$991,51
$1 032,85
$1 179,70
$221,14
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$578,14
$656,18
$738,86
$1 032,56
$1 569,06
$799,28
$877,32
$960,00
$1 253,70
$1 020,42
$1 098,46
$1 181,14
$1 474,84
$1 241,56
$1 319,60
$1 402,28
$1 695,98
$221,14
Toc - Plan #19 Blue Cross and Blue Shield of Illinois
Silver

(HMO) BlueCare Direct Silver 212_ with Advocate

Annual Out of Pocket Expenses
Individual Family
$3,200 $9,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$346,79
$393,60
$443,19
$619,36
$941,18
$612,08
$658,89
$708,48
$884,65
$877,37
$924,18
$973,77
$1 149,94
$1 142,66
$1 189,47
$1 239,06
$1 415,23
$265,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$693,58
$787,20
$886,38
$1 238,72
$1 882,36
$958,87
$1 052,49
$1 151,67
$1 504,01
$1 224,16
$1 317,78
$1 416,96
$1 769,30
$1 489,45
$1 583,07
$1 682,25
$2 034,59
$265,29
Toc - Plan #20 Blue Cross and Blue Shield of Illinois
Gold

(HMO) BlueCare Direct Gold_ 409 with Advocate

Annual Out of Pocket Expenses
Individual Family
$750 $2,250 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$398,55
$452,36
$509,35
$711,81
$1 081,67
$703,44
$757,25
$814,24
$1 016,70
$1 008,33
$1 062,14
$1 119,13
$1 321,59
$1 313,22
$1 367,03
$1 424,02
$1 626,48
$304,89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$797,10
$904,72
$1 018,70
$1 423,62
$2 163,34
$1 101,99
$1 209,61
$1 323,59
$1 728,51
$1 406,88
$1 514,50
$1 628,48
$2 033,40
$1 711,77
$1 819,39
$1 933,37
$2 338,29
$304,89
Toc - Plan #21 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(HMO) BlueCare Direct Bronze 401_ with Advocate

Annual Out of Pocket Expenses
Individual Family
$7,400 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$274,09
$311,09
$350,29
$489,52
$743,88
$483,77
$520,77
$559,97
$699,20
$693,45
$730,45
$769,65
$908,88
$903,13
$940,13
$979,33
$1 118,56
$209,68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$548,18
$622,18
$700,58
$979,04
$1 487,76
$757,86
$831,86
$910,26
$1 188,72
$967,54
$1 041,54
$1 119,94
$1 398,40
$1 177,22
$1 251,22
$1 329,62
$1 608,08
$209,68
Toc - Plan #22 Blue Cross and Blue Shield of Illinois
Gold

(PPO) Blue Choice Preferred Gold PPO_ 204

Annual Out of Pocket Expenses
Individual Family
$750 $2,250 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$466,35
$529,31
$596,00
$832,90
$1 265,68
$823,11
$886,07
$952,76
$1 189,66
$1 179,87
$1 242,83
$1 309,52
$1 546,42
$1 536,63
$1 599,59
$1 666,28
$1 903,18
$356,76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$932,70
$1 058,62
$1 192,00
$1 665,80
$2 531,36
$1 289,46
$1 415,38
$1 548,76
$2 022,56
$1 646,22
$1 772,14
$1 905,52
$2 379,32
$2 002,98
$2 128,90
$2 262,28
$2 736,08
$356,76
Toc - Plan #23 Blue Cross and Blue Shield of Illinois
Silver

(PPO) Blue Choice Preferred Silver PPO_ 203

Annual Out of Pocket Expenses
Individual Family
$2,200 $6,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$400,35
$454,40
$511,65
$715,03
$1 086,55
$706,62
$760,67
$817,92
$1 021,30
$1 012,89
$1 066,94
$1 124,19
$1 327,57
$1 319,16
$1 373,21
$1 430,46
$1 633,84
$306,27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$800,70
$908,80
$1 023,30
$1 430,06
$2 173,10
$1 106,97
$1 215,07
$1 329,57
$1 736,33
$1 413,24
$1 521,34
$1 635,84
$2 042,60
$1 719,51
$1 827,61
$1 942,11
$2 348,87
$306,27
Toc - Plan #24 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 202

Annual Out of Pocket Expenses
Individual Family
$4,500 $13,500 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$326,33
$370,39
$417,05
$582,83
$885,67
$575,98
$620,04
$666,70
$832,48
$825,63
$869,69
$916,35
$1 082,13
$1 075,28
$1 119,34
$1 166,00
$1 331,78
$249,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$652,66
$740,78
$834,10
$1 165,66
$1 771,34
$902,31
$990,43
$1 083,75
$1 415,31
$1 151,96
$1 240,08
$1 333,40
$1 664,96
$1 401,61
$1 489,73
$1 583,05
$1 914,61
$249,65
Toc - Plan #25 Blue Cross and Blue Shield of Illinois
Catastrophic

(PPO) Blue Choice Preferred Security PPO_ 200

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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$274,49
$311,54
$350,79
$490,23
$744,96
$484,47
$521,52
$560,77
$700,21
$694,45
$731,50
$770,75
$910,19
$904,43
$941,48
$980,73
$1 120,17
$209,98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$548,98
$623,08
$701,58
$980,46
$1 489,92
$758,96
$833,06
$911,56
$1 190,44
$968,94
$1 043,04
$1 121,54
$1 400,42
$1 178,92
$1 253,02
$1 331,52
$1 610,40
$209,98
Toc - Plan #26 Blue Cross and Blue Shield of Illinois
Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 201

Annual Out of Pocket Expenses
Individual Family
$6,100 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$302,69
$343,55
$386,84
$540,60
$821,50
$534,25
$575,11
$618,40
$772,16
$765,81
$806,67
$849,96
$1 003,72
$997,37
$1 038,23
$1 081,52
$1 235,28
$231,56
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$605,38
$687,10
$773,68
$1 081,20
$1 643,00
$836,94
$918,66
$1 005,24
$1 312,76
$1 068,50
$1 150,22
$1 236,80
$1 544,32
$1 300,06
$1 381,78
$1 468,36
$1 775,88
$231,56

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Bright Health

Local: 1-855-827-4448 | Toll Free: 1-855-827-4448

Toc - Plan #27 Bright Health
Gold

(HMO) Gold 1000

Annual Out of Pocket Expenses
Individual Family
$1,000 $2,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$482,37
$547,49
$616,47
$861,52
$1 309,16
$851,39
$916,51
$985,49
$1 230,54
$1 220,41
$1 285,53
$1 354,51
$1 599,56
$1 589,43
$1 654,55
$1 723,53
$1 968,58
$369,02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$964,74
$1 094,98
$1 232,94
$1 723,04
$2 618,32
$1 333,76
$1 464,00
$1 601,96
$2 092,06
$1 702,78
$1 833,02
$1 970,98
$2 461,08
$2 071,80
$2 202,04
$2 340,00
$2 830,10
$369,02
Toc - Plan #28 Bright Health
Silver

(HMO) Silver 5000

Annual Out of Pocket Expenses
Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$343,85
$390,27
$439,44
$614,11
$933,20
$606,89
$653,31
$702,48
$877,15
$869,93
$916,35
$965,52
$1 140,19
$1 132,97
$1 179,39
$1 228,56
$1 403,23
$263,04
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$687,70
$780,54
$878,88
$1 228,22
$1 866,40
$950,74
$1 043,58
$1 141,92
$1 491,26
$1 213,78
$1 306,62
$1 404,96
$1 754,30
$1 476,82
$1 569,66
$1 668,00
$2 017,34
$263,04
Toc - Plan #29 Bright Health
Silver

(HMO) Silver 3000

Annual Out of Pocket Expenses
Individual Family
$3,000 $6,000 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$352,51
$400,10
$450,51
$629,58
$956,71
$622,18
$669,77
$720,18
$899,25
$891,85
$939,44
$989,85
$1 168,92
$1 161,52
$1 209,11
$1 259,52
$1 438,59
$269,67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$705,02
$800,20
$901,02
$1 259,16
$1 913,42
$974,69
$1 069,87
$1 170,69
$1 528,83
$1 244,36
$1 339,54
$1 440,36
$1 798,50
$1 514,03
$1 609,21
$1 710,03
$2 068,17
$269,67
Toc - Plan #30 Bright Health
Silver

(HMO) Silver $0 Deductible

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$368,81
$418,60
$471,34
$658,70
$1 000,95
$650,95
$700,74
$753,48
$940,84
$933,09
$982,88
$1 035,62
$1 222,98
$1 215,23
$1 265,02
$1 317,76
$1 505,12
$282,14
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$737,62
$837,20
$942,68
$1 317,40
$2 001,90
$1 019,76
$1 119,34
$1 224,82
$1 599,54
$1 301,90
$1 401,48
$1 506,96
$1 881,68
$1 584,04
$1 683,62
$1 789,10
$2 163,82
$282,14
Toc - Plan #31 Bright Health
Silver

(HMO) Silver $0 Primary Care

Annual Out of Pocket Expenses
Individual Family
$6,700 $13,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$352,96
$400,61
$451,09
$630,39
$957,94
$622,98
$670,63
$721,11
$900,41
$893,00
$940,65
$991,13
$1 170,43
$1 163,02
$1 210,67
$1 261,15
$1 440,45
$270,02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$705,92
$801,22
$902,18
$1 260,78
$1 915,88
$975,94
$1 071,24
$1 172,20
$1 530,80
$1 245,96
$1 341,26
$1 442,22
$1 800,82
$1 515,98
$1 611,28
$1 712,24
$2 070,84
$270,02
Toc - Plan #32 Bright Health
Expanded Bronze

(HMO) Bronze 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$316,60
$359,34
$404,62
$565,45
$859,26
$558,80
$601,54
$646,82
$807,65
$801,00
$843,74
$889,02
$1 049,85
$1 043,20
$1 085,94
$1 131,22
$1 292,05
$242,20
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$633,20
$718,68
$809,24
$1 130,90
$1 718,52
$875,40
$960,88
$1 051,44
$1 373,10
$1 117,60
$1 203,08
$1 293,64
$1 615,30
$1 359,80
$1 445,28
$1 535,84
$1 857,50
$242,20
Toc - Plan #33 Bright Health
Expanded Bronze

(HMO) Bronze 7000 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$374,50
$425,05
$478,61
$668,85
$1 016,38
$660,99
$711,54
$765,10
$955,34
$947,48
$998,03
$1 051,59
$1 241,83
$1 233,97
$1 284,52
$1 338,08
$1 528,32
$286,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$749,00
$850,10
$957,22
$1 337,70
$2 032,76
$1 035,49
$1 136,59
$1 243,71
$1 624,19
$1 321,98
$1 423,08
$1 530,20
$1 910,68
$1 608,47
$1 709,57
$1 816,69
$2 197,17
$286,49
Toc - Plan #34 Bright Health
Expanded Bronze

(HMO) Bronze $0 Medical Deductible

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$360,74
$409,44
$461,03
$644,28
$979,05
$636,71
$685,41
$737,00
$920,25
$912,68
$961,38
$1 012,97
$1 196,22
$1 188,65
$1 237,35
$1 288,94
$1 472,19
$275,97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$721,48
$818,88
$922,06
$1 288,56
$1 958,10
$997,45
$1 094,85
$1 198,03
$1 564,53
$1 273,42
$1 370,82
$1 474,00
$1 840,50
$1 549,39
$1 646,79
$1 749,97
$2 116,47
$275,97
Toc - Plan #35 Bright Health
Expanded Bronze

(HMO) Bronze $0 Primary Care

Annual Out of Pocket Expenses
Individual Family
$7,200 $14,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$329,80
$374,32
$421,48
$589,02
$895,07
$582,09
$626,61
$673,77
$841,31
$834,38
$878,90
$926,06
$1 093,60
$1 086,67
$1 131,19
$1 178,35
$1 345,89
$252,29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$659,60
$748,64
$842,96
$1 178,04
$1 790,14
$911,89
$1 000,93
$1 095,25
$1 430,33
$1 164,18
$1 253,22
$1 347,54
$1 682,62
$1 416,47
$1 505,51
$1 599,83
$1 934,91
$252,29
Toc - Plan #36 Bright Health
Catastrophic

(HMO) Catastrophic 3 $0 Primary Care Visits

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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$285,27
$323,78
$364,57
$509,49
$774,21
$503,50
$542,01
$582,80
$727,72
$721,73
$760,24
$801,03
$945,95
$939,96
$978,47
$1 019,26
$1 164,18
$218,23
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$570,54
$647,56
$729,14
$1 018,98
$1 548,42
$788,77
$865,79
$947,37
$1 237,21
$1 007,00
$1 084,02
$1 165,60
$1 455,44
$1 225,23
$1 302,25
$1 383,83
$1 673,67
$218,23

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Cigna Healthcare

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777

Toc - Plan #37 Cigna Healthcare
Expanded Bronze

(HMO) Cigna Connect 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$288,98
$328,00
$369,32
$516,12
$784,30
$510,05
$549,07
$590,39
$737,19
$731,12
$770,14
$811,46
$958,26
$952,19
$991,21
$1 032,53
$1 179,33
$221,07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$577,96
$656,00
$738,64
$1 032,24
$1 568,60
$799,03
$877,07
$959,71
$1 253,31
$1 020,10
$1 098,14
$1 180,78
$1 474,38
$1 241,17
$1 319,21
$1 401,85
$1 695,45
$221,07
Toc - Plan #38 Cigna Healthcare
Silver

(HMO) Cigna Connect 2800

Annual Out of Pocket Expenses
Individual Family
$2,800 $5,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$338,65
$384,37
$432,80
$604,83
$919,11
$597,72
$643,44
$691,87
$863,90
$856,79
$902,51
$950,94
$1 122,97
$1 115,86
$1 161,58
$1 210,01
$1 382,04
$259,07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$677,30
$768,74
$865,60
$1 209,66
$1 838,22
$936,37
$1 027,81
$1 124,67
$1 468,73
$1 195,44
$1 286,88
$1 383,74
$1 727,80
$1 454,51
$1 545,95
$1 642,81
$1 986,87
$259,07
Toc - Plan #39 Cigna Healthcare
Gold

(HMO) Cigna Connect 1000

Annual Out of Pocket Expenses
Individual Family
$1,000 $2,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$408,40
$463,53
$521,94
$729,40
$1 108,40
$720,83
$775,96
$834,37
$1 041,83
$1 033,26
$1 088,39
$1 146,80
$1 354,26
$1 345,69
$1 400,82
$1 459,23
$1 666,69
$312,43
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$816,80
$927,06
$1 043,88
$1 458,80
$2 216,80
$1 129,23
$1 239,49
$1 356,31
$1 771,23
$1 441,66
$1 551,92
$1 668,74
$2 083,66
$1 754,09
$1 864,35
$1 981,17
$2 396,09
$312,43
Toc - Plan #40 Cigna Healthcare
Bronze

(HMO) Cigna Connect 7150

Annual Out of Pocket Expenses
Individual Family
$7,150 $14,300 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$273,97
$310,95
$350,13
$489,31
$743,55
$483,56
$520,54
$559,72
$698,90
$693,15
$730,13
$769,31
$908,49
$902,74
$939,72
$978,90
$1 118,08
$209,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$547,94
$621,90
$700,26
$978,62
$1 487,10
$757,53
$831,49
$909,85
$1 188,21
$967,12
$1 041,08
$1 119,44
$1 397,80
$1 176,71
$1 250,67
$1 329,03
$1 607,39
$209,59
Toc - Plan #41 Cigna Healthcare
Silver

(HMO) Cigna Connect 5000

Annual Out of Pocket Expenses
Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$337,61
$383,19
$431,47
$602,98
$916,29
$595,89
$641,47
$689,75
$861,26
$854,17
$899,75
$948,03
$1 119,54
$1 112,45
$1 158,03
$1 206,31
$1 377,82
$258,28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$675,22
$766,38
$862,94
$1 205,96
$1 832,58
$933,50
$1 024,66
$1 121,22
$1 464,24
$1 191,78
$1 282,94
$1 379,50
$1 722,52
$1 450,06
$1 541,22
$1 637,78
$1 980,80
$258,28
Toc - Plan #42 Cigna Healthcare
Bronze

(HMO) Cigna Connect 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$273,15
$310,02
$349,08
$487,84
$741,32
$482,11
$518,98
$558,04
$696,80
$691,07
$727,94
$767,00
$905,76
$900,03
$936,90
$975,96
$1 114,72
$208,96
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$546,30
$620,04
$698,16
$975,68
$1 482,64
$755,26
$829,00
$907,12
$1 184,64
$964,22
$1 037,96
$1 116,08
$1 393,60
$1 173,18
$1 246,92
$1 325,04
$1 602,56
$208,96
Toc - Plan #43 Cigna Healthcare
Silver

(HMO) Cigna Connect 7300

Annual Out of Pocket Expenses
Individual Family
$7,300 $14,600 Annual Deductible
$7,300 $14,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$339,69
$385,55
$434,13
$606,69
$921,92
$599,55
$645,41
$693,99
$866,55
$859,41
$905,27
$953,85
$1 126,41
$1 119,27
$1 165,13
$1 213,71
$1 386,27
$259,86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$679,38
$771,10
$868,26
$1 213,38
$1 843,84
$939,24
$1 030,96
$1 128,12
$1 473,24
$1 199,10
$1 290,82
$1 387,98
$1 733,10
$1 458,96
$1 550,68
$1 647,84
$1 992,96
$259,86
Toc - Plan #44 Cigna Healthcare
Silver

(HMO) Cigna Connect 3500 Diabetes Care

Annual Out of Pocket Expenses
Individual Family
$3,500 $7,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$339,65
$385,50
$434,07
$606,61
$921,81
$599,48
$645,33
$693,90
$866,44
$859,31
$905,16
$953,73
$1 126,27
$1 119,14
$1 164,99
$1 213,56
$1 386,10
$259,83
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$679,30
$771,00
$868,14
$1 213,22
$1 843,62
$939,13
$1 030,83
$1 127,97
$1 473,05
$1 198,96
$1 290,66
$1 387,80
$1 732,88
$1 458,79
$1 550,49
$1 647,63
$1 992,71
$259,83
Toc - Plan #45 Cigna Healthcare
Bronze

(HMO) Cigna Plus with Northwestern Medicine 7150

Annual Out of Pocket Expenses
Individual Family
$7,150 $14,300 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$291,95
$331,37
$373,12
$521,43
$792,36
$515,29
$554,71
$596,46
$744,77
$738,63
$778,05
$819,80
$968,11
$961,97
$1 001,39
$1 043,14
$1 191,45
$223,34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$583,90
$662,74
$746,24
$1 042,86
$1 584,72
$807,24
$886,08
$969,58
$1 266,20
$1 030,58
$1 109,42
$1 192,92
$1 489,54
$1 253,92
$1 332,76
$1 416,26
$1 712,88
$223,34
Toc - Plan #46 Cigna Healthcare
Expanded Bronze

(HMO) Cigna Plus with Northwestern Medicine 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$304,73
$345,86
$389,44
$544,24
$827,02
$537,84
$578,97
$622,55
$777,35
$770,95
$812,08
$855,66
$1 010,46
$1 004,06
$1 045,19
$1 088,77
$1 243,57
$233,11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$609,46
$691,72
$778,88
$1 088,48
$1 654,04
$842,57
$924,83
$1 011,99
$1 321,59
$1 075,68
$1 157,94
$1 245,10
$1 554,70
$1 308,79
$1 391,05
$1 478,21
$1 787,81
$233,11
Toc - Plan #47 Cigna Healthcare
Bronze

(HMO) Cigna Plus with Northwestern Medicine 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
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$291,08
$330,37
$372,00
$519,86
$789,98
$513,75
$553,04
$594,67
$742,53
$736,42
$775,71
$817,34
$965,20
$959,09
$998,38
$1 040,01
$1 187,87
$222,67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$582,16
$660,74
$744,00
$1 039,72
$1 579,96
$804,83
$883,41
$966,67
$1 262,39
$1 027,50
$1 106,08
$1 189,34
$1 485,06
$1 250,17
$1 328,75
$1 412,01
$1 707,73
$222,67
Toc - Plan #48 Cigna Healthcare
Silver

(HMO) Cigna Plus with Northwestern Medicine 5000

Annual Out of Pocket Expenses
Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$359,69
$408,24
$459,68
$642,40
$976,19
$634,85
$683,40
$734,84
$917,56
$910,01
$958,56
$1 010,00
$1 192,72
$1 185,17
$1 233,72
$1 285,16
$1 467,88
$275,16
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$719,38
$816,48
$919,36
$1 284,80
$1 952,38
$994,54
$1 091,64
$1 194,52
$1 559,96
$1 269,70
$1 366,80
$1 469,68
$1 835,12
$1 544,86
$1 641,96
$1 744,84
$2 110,28
$275,16
Toc - Plan #49 Cigna Healthcare
Silver

(HMO) Cigna Plus with Northwestern Medicine 2800

Annual Out of Pocket Expenses
Individual Family
$2,800 $5,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$360,84
$409,55
$461,15
$644,46
$979,31
$636,88
$685,59
$737,19
$920,50
$912,92
$961,63
$1 013,23
$1 196,54
$1 188,96
$1 237,67
$1 289,27
$1 472,58
$276,04
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$721,68
$819,10
$922,30
$1 288,92
$1 958,62
$997,72
$1 095,14
$1 198,34
$1 564,96
$1 273,76
$1 371,18
$1 474,38
$1 841,00
$1 549,80
$1 647,22
$1 750,42
$2 117,04
$276,04
Toc - Plan #50 Cigna Healthcare
Silver

(HMO) Cigna Plus with Northwestern Medicine 3500 Diabetes Care

Annual Out of Pocket Expenses
Individual Family
$3,500 $7,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361,94
$410,81
$462,57
$646,43
$982,32
$638,83
$687,70
$739,46
$923,32
$915,72
$964,59
$1 016,35
$1 200,21
$1 192,61
$1 241,48
$1 293,24
$1 477,10
$276,89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$723,88
$821,62
$925,14
$1 292,86
$1 964,64
$1 000,77
$1 098,51
$1 202,03
$1 569,75
$1 277,66
$1 375,40
$1 478,92
$1 846,64
$1 554,55
$1 652,29
$1 755,81
$2 123,53
$276,89
Toc - Plan #51 Cigna Healthcare
Gold

(HMO) Cigna Plus with Northwestern Medicine 1000

Annual Out of Pocket Expenses
Individual Family
$1,000 $2,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$433,60
$492,13
$554,14
$774,40
$1 176,78
$765,30
$823,83
$885,84
$1 106,10
$1 097,00
$1 155,53
$1 217,54
$1 437,80
$1 428,70
$1 487,23
$1 549,24
$1 769,50
$331,70
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$867,20
$984,26
$1 108,28
$1 548,80
$2 353,56
$1 198,90
$1 315,96
$1 439,98
$1 880,50
$1 530,60
$1 647,66
$1 771,68
$2 212,20
$1 862,30
$1 979,36
$2 103,38
$2 543,90
$331,70

‡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 DuPage County here.

DuPage County is in “Rating Area 1” of Illinois.

Currently, there are 51 plans offered in Rating Area 1.

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2022 Obamacare Rates for DuPage County

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