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Obamacare 2021 Rates and Health Insurance Providers for Winnebago County , Illinois

Obamacare > Rates > Illinois > Winnebago County

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Obamacare Rates and Providers for Other Years

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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Winnebago County, IL.

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

Obamacare Providers, Plans and 2021 Rates for Winnebago County, Illinois

Below, you’ll find a summary of the 31 plans for Winnebago County, Illinois and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

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 Choice Preferred Gold PPO_ 204

5. Silver Blue Choice Preferred Silver PPO_ 203

6. Expanded Bronze Blue Choice Preferred Bronze PPO_ 202

7. Catastrophic Blue Choice Preferred Security PPO_ 200

8. Expanded Bronze Blue Choice Preferred Bronze PPO_ 201

MercyCare Health Plans

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

9. Gold MercyCare HMO Gold Option A

10. Gold MercyCare HMO Gold Option B

11. Gold MercyCare HMO Gold Option C

12. Silver MercyCare HMO Silver Option A

13. Silver MercyCare HMO Silver Option B

14. Silver MercyCare HMO Silver Option C

15. Bronze MercyCare HMO Bronze Option A

16. Expanded Bronze MercyCare HMO Bronze Option B

17. Bronze MercyCare HMO Bronze Option C

Quartz

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

18. Gold Quartz One Gold I401

19. Gold Quartz One Gold I402 Maintenance

20. Gold Quartz One Gold I403 HSA

21. Gold Quartz One Gold I404 HSA

22. Silver Quartz One Silver I301

23. Silver Quartz One Silver I302

24. Silver Quartz One Silver I303

25. Silver Quartz One Silver I304 HSA

26. Expanded Bronze Quartz One Bronze I202

27. Expanded Bronze Quartz One Bronze I203 HSA

28. Catastrophic Quartz One Catastrophic I101

29. Gold Quartz One Gold I405

30. Expanded Bronze Quartz One Bronze I204

31. Expanded Bronze Quartz One Bronze I201

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

Counties in Illinois

2021 Obamacare Rates, Providers, and Plans for Winnebago County

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

Gold

(HMO) Blue Precision Gold HMO_ 207

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$750 $2,250 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $750 | Family: $2,250
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$450,19
$510,96
$575,34
$804,04
$1 221,81

$900,38
$1 021,92
$1 150,68
$1 608,08
$2 443,62

$1 244,77
$1 366,31
$1 495,07
$1 952,47

$1 589,16
$1 710,70
$1 839,46
$2 296,86

$1 933,55
$2 055,09
$2 183,85
$2 641,25

$794,58
$855,35
$919,73
$1 148,43

$1 138,97
$1 199,74
$1 264,12
$1 492,82

$1 483,36
$1 544,13
$1 608,51
$1 837,21

$344,39

Toc - Plan #2

Silver

(HMO) Blue Precision Silver HMO_ 206

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$3,000 $9,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $9,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$392,19
$445,14
$501,22
$700,45
$1 064,41

$784,38
$890,28
$1 002,44
$1 400,90
$2 128,82

$1 084,41
$1 190,31
$1 302,47
$1 700,93

$1 384,44
$1 490,34
$1 602,50
$2 000,96

$1 684,47
$1 790,37
$1 902,53
$2 300,99

$692,22
$745,17
$801,25
$1 000,48

$992,25
$1 045,20
$1 101,28
$1 300,51

$1 292,28
$1 345,23
$1 401,31
$1 600,54

$300,03

Toc - Plan #3

Expanded Bronze

(HMO) Blue Precision Bronze HMO_ 205

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$7,400 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $7,400 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$311,03
$353,02
$397,50
$555,51
$844,15

$622,06
$706,04
$795,00
$1 111,02
$1 688,30

$860,00
$943,98
$1 032,94
$1 348,96

$1 097,94
$1 181,92
$1 270,88
$1 586,90

$1 335,88
$1 419,86
$1 508,82
$1 824,84

$548,97
$590,96
$635,44
$793,45

$786,91
$828,90
$873,38
$1 031,39

$1 024,85
$1 066,84
$1 111,32
$1 269,33

$237,94

Toc - Plan #4

Gold

(PPO) Blue Choice Preferred Gold PPO_ 204

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$750 $2,250 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $750 | Family: $2,250
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$573,78
$651,24
$733,29
$1 024,77
$1 557,23

$1 147,56
$1 302,48
$1 466,58
$2 049,54
$3 114,46

$1 586,50
$1 741,42
$1 905,52
$2 488,48

$2 025,44
$2 180,36
$2 344,46
$2 927,42

$2 464,38
$2 619,30
$2 783,40
$3 366,36

$1 012,72
$1 090,18
$1 172,23
$1 463,71

$1 451,66
$1 529,12
$1 611,17
$1 902,65

$1 890,60
$1 968,06
$2 050,11
$2 341,59

$438,94

Toc - Plan #5

Silver

(PPO) Blue Choice Preferred Silver PPO_ 203

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$2,200 $6,600 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $2,200 | Family: $6,600
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$501,44
$569,14
$640,84
$895,58
$1 360,92

$1 002,88
$1 138,28
$1 281,68
$1 791,16
$2 721,84

$1 386,48
$1 521,88
$1 665,28
$2 174,76

$1 770,08
$1 905,48
$2 048,88
$2 558,36

$2 153,68
$2 289,08
$2 432,48
$2 941,96

$885,04
$952,74
$1 024,44
$1 279,18

$1 268,64
$1 336,34
$1 408,04
$1 662,78

$1 652,24
$1 719,94
$1 791,64
$2 046,38

$383,60

Toc - Plan #6

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 202

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$4,500 $13,500 Annual Deductible

$6,900 $13,800 Maximum Out of Pocket Per Year

Deductible: Individual: $4,500 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,900 | Family: $13,800

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$412,80
$468,53
$527,56
$737,26
$1 120,33

$825,60
$937,06
$1 055,12
$1 474,52
$2 240,66

$1 141,39
$1 252,85
$1 370,91
$1 790,31

$1 457,18
$1 568,64
$1 686,70
$2 106,10

$1 772,97
$1 884,43
$2 002,49
$2 421,89

$728,59
$784,32
$843,35
$1 053,05

$1 044,38
$1 100,11
$1 159,14
$1 368,84

$1 360,17
$1 415,90
$1 474,93
$1 684,63

$315,79

Toc - Plan #7

Catastrophic

(PPO) Blue Choice Preferred Security PPO_ 200

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$8,550 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,550 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$350,68
$398,02
$448,17
$626,31
$951,74

$701,36
$796,04
$896,34
$1 252,62
$1 903,48

$969,63
$1 064,31
$1 164,61
$1 520,89

$1 237,90
$1 332,58
$1 432,88
$1 789,16

$1 506,17
$1 600,85
$1 701,15
$2 057,43

$618,95
$666,29
$716,44
$894,58

$887,22
$934,56
$984,71
$1 162,85

$1 155,49
$1 202,83
$1 252,98
$1 431,12

$268,27

Toc - Plan #8

Expanded Bronze

(PPO) Blue Choice Preferred Bronze PPO_ 201

Summary of Benefits and Coverage
Plan Brochure
Provider Directory for Blue Cross and Blue Shield of Illinois
Customer Service Phone: 1-800-538-8833

Annual Out of Pocket Expenses

Individual Family

$6,100 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $6,100 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$383,82
$435,64
$490,53
$685,51
$1 041,70

$767,64
$871,28
$981,06
$1 371,02
$2 083,40

$1 061,26
$1 164,90
$1 274,68
$1 664,64

$1 354,88
$1 458,52
$1 568,30
$1 958,26

$1 648,50
$1 752,14
$1 861,92
$2 251,88

$677,44
$729,26
$784,15
$979,13

$971,06
$1 022,88
$1 077,77
$1 272,75

$1 264,68
$1 316,50
$1 371,39
$1 566,37

$293,62

MercyCare Health Plans

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

Toc - Plan #9

Gold

(HMO) MercyCare HMO Gold Option A

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$1,500 $3,000 Annual Deductible

$6,200 $12,400 Maximum Out of Pocket Per Year

Deductible: Individual: $1,500 | Family: $3,000
Out of Pocket Maximum per year: Individual: $6,200 | Family: $12,400

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$367,58
$417,20
$469,76
$656,49
$997,60

$735,16
$834,40
$939,52
$1 312,98
$1 995,20

$1 016,36
$1 115,60
$1 220,72
$1 594,18

$1 297,56
$1 396,80
$1 501,92
$1 875,38

$1 578,76
$1 678,00
$1 783,12
$2 156,58

$648,78
$698,40
$750,96
$937,69

$929,98
$979,60
$1 032,16
$1 218,89

$1 211,18
$1 260,80
$1 313,36
$1 500,09

$281,20

Toc - Plan #10

Gold

(HMO) MercyCare HMO Gold Option B

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$2,250 $4,500 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $2,250 | Family: $4,500
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$343,74
$390,15
$439,30
$613,92
$932,91

$687,48
$780,30
$878,60
$1 227,84
$1 865,82

$950,44
$1 043,26
$1 141,56
$1 490,80

$1 213,40
$1 306,22
$1 404,52
$1 753,76

$1 476,36
$1 569,18
$1 667,48
$2 016,72

$606,70
$653,11
$702,26
$876,88

$869,66
$916,07
$965,22
$1 139,84

$1 132,62
$1 179,03
$1 228,18
$1 402,80

$262,96

Toc - Plan #11

Gold

(HMO) MercyCare HMO Gold Option C

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$3,000 $6,000 Annual Deductible

$3,000 $6,000 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 | Family: $6,000

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$366,87
$416,39
$468,86
$655,22
$995,67

$733,74
$832,78
$937,72
$1 310,44
$1 991,34

$1 014,39
$1 113,43
$1 218,37
$1 591,09

$1 295,04
$1 394,08
$1 499,02
$1 871,74

$1 575,69
$1 674,73
$1 779,67
$2 152,39

$647,52
$697,04
$749,51
$935,87

$928,17
$977,69
$1 030,16
$1 216,52

$1 208,82
$1 258,34
$1 310,81
$1 497,17

$280,65

Toc - Plan #12

Silver

(HMO) MercyCare HMO Silver Option A

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$5,750 $11,500 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $5,750 | Family: $11,500
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$392,89
$445,92
$502,11
$701,69
$1 066,28

$785,78
$891,84
$1 004,22
$1 403,38
$2 132,56

$1 086,34
$1 192,40
$1 304,78
$1 703,94

$1 386,90
$1 492,96
$1 605,34
$2 004,50

$1 687,46
$1 793,52
$1 905,90
$2 305,06

$693,45
$746,48
$802,67
$1 002,25

$994,01
$1 047,04
$1 103,23
$1 302,81

$1 294,57
$1 347,60
$1 403,79
$1 603,37

$300,56

Toc - Plan #13

Silver

(HMO) MercyCare HMO Silver Option B

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$4,750 $9,500 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $4,750 | Family: $9,500
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$386,35
$438,51
$493,76
$690,02
$1 048,55

$772,70
$877,02
$987,52
$1 380,04
$2 097,10

$1 068,26
$1 172,58
$1 283,08
$1 675,60

$1 363,82
$1 468,14
$1 578,64
$1 971,16

$1 659,38
$1 763,70
$1 874,20
$2 266,72

$681,91
$734,07
$789,32
$985,58

$977,47
$1 029,63
$1 084,88
$1 281,14

$1 273,03
$1 325,19
$1 380,44
$1 576,70

$295,56

Toc - Plan #14

Silver

(HMO) MercyCare HMO Silver Option C

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$5,800 $11,600 Annual Deductible

$5,800 $11,600 Maximum Out of Pocket Per Year

Deductible: Individual: $5,800 | Family: $11,600
Out of Pocket Maximum per year: Individual: $5,800 | Family: $11,600

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$386,84
$439,06
$494,37
$690,88
$1 049,86

$773,68
$878,12
$988,74
$1 381,76
$2 099,72

$1 069,61
$1 174,05
$1 284,67
$1 677,69

$1 365,54
$1 469,98
$1 580,60
$1 973,62

$1 661,47
$1 765,91
$1 876,53
$2 269,55

$682,77
$734,99
$790,30
$986,81

$978,70
$1 030,92
$1 086,23
$1 282,74

$1 274,63
$1 326,85
$1 382,16
$1 578,67

$295,93

Toc - Plan #15

Bronze

(HMO) MercyCare HMO Bronze Option A

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$6,500 $13,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $6,500 | Family: $13,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$274,59
$311,66
$350,93
$490,42
$745,24

$549,18
$623,32
$701,86
$980,84
$1 490,48

$759,24
$833,38
$911,92
$1 190,90

$969,30
$1 043,44
$1 121,98
$1 400,96

$1 179,36
$1 253,50
$1 332,04
$1 611,02

$484,65
$521,72
$560,99
$700,48

$694,71
$731,78
$771,05
$910,54

$904,77
$941,84
$981,11
$1 120,60

$210,06

Toc - Plan #16

Expanded Bronze

(HMO) MercyCare HMO Bronze Option B

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$7,500 $15,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $7,500 | Family: $15,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$294,65
$334,42
$376,56
$526,24
$799,67

$589,30
$668,84
$753,12
$1 052,48
$1 599,34

$814,71
$894,25
$978,53
$1 277,89

$1 040,12
$1 119,66
$1 203,94
$1 503,30

$1 265,53
$1 345,07
$1 429,35
$1 728,71

$520,06
$559,83
$601,97
$751,65

$745,47
$785,24
$827,38
$977,06

$970,88
$1 010,65
$1 052,79
$1 202,47

$225,41

Toc - Plan #17

Bronze

(HMO) MercyCare HMO Bronze Option C

Summary of Benefits and Coverage
Provider Directory for MercyCare Health Plans
Customer Service Phone:

Annual Out of Pocket Expenses

Individual Family

$8,550 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,550 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$271,66
$308,34
$347,18
$485,19
$737,29

$543,32
$616,68
$694,36
$970,38
$1 474,58

$751,14
$824,50
$902,18
$1 178,20

$958,96
$1 032,32
$1 110,00
$1 386,02

$1 166,78
$1 240,14
$1 317,82
$1 593,84

$479,48
$516,16
$555,00
$693,01

$687,30
$723,98
$762,82
$900,83

$895,12
$931,80
$970,64
$1 108,65

$207,82

Quartz

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

Toc - Plan #18

Gold

(HMO) Quartz One Gold I401

Annual Out of Pocket Expenses

Individual Family

$2,000 $4,000 Annual Deductible

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

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $7,000 | Family: $14,000

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$394,92
$448,23
$504,70
$705,32
$1 071,80

$789,84
$896,46
$1 009,40
$1 410,64
$2 143,60

$1 091,95
$1 198,57
$1 311,51
$1 712,75

$1 394,06
$1 500,68
$1 613,62
$2 014,86

$1 696,17
$1 802,79
$1 915,73
$2 316,97

$697,03
$750,34
$806,81
$1 007,43

$999,14
$1 052,45
$1 108,92
$1 309,54

$1 301,25
$1 354,56
$1 411,03
$1 611,65

$302,11

Toc - Plan #19

Gold

(HMO) Quartz One Gold I402 Maintenance

Annual Out of Pocket Expenses

Individual Family

$1,500 $3,000 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $1,500 | Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$390,42
$443,12
$498,95
$697,29
$1 059,60

$780,84
$886,24
$997,90
$1 394,58
$2 119,20

$1 079,51
$1 184,91
$1 296,57
$1 693,25

$1 378,18
$1 483,58
$1 595,24
$1 991,92

$1 676,85
$1 782,25
$1 893,91
$2 290,59

$689,09
$741,79
$797,62
$995,96

$987,76
$1 040,46
$1 096,29
$1 294,63

$1 286,43
$1 339,13
$1 394,96
$1 593,30

$298,67

Toc - Plan #20

Gold

(HMO) Quartz One Gold I403 HSA

Annual Out of Pocket Expenses

Individual Family

$3,000 $6,000 Annual Deductible

$3,000 $6,000 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 | Family: $6,000

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$417,64
$474,01
$533,74
$745,89
$1 133,46

$835,28
$948,02
$1 067,48
$1 491,78
$2 266,92

$1 154,77
$1 267,51
$1 386,97
$1 811,27

$1 474,26
$1 587,00
$1 706,46
$2 130,76

$1 793,75
$1 906,49
$2 025,95
$2 450,25

$737,13
$793,50
$853,23
$1 065,38

$1 056,62
$1 112,99
$1 172,72
$1 384,87

$1 376,11
$1 432,48
$1 492,21
$1 704,36

$319,49

Toc - Plan #21

Gold

(HMO) Quartz One Gold I404 HSA

Annual Out of Pocket Expenses

Individual Family

$2,000 $4,000 Annual Deductible

$6,650 $13,300 Maximum Out of Pocket Per Year

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $6,650 | Family: $13,300

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$411,60
$467,16
$526,02
$735,12
$1 117,08

$823,20
$934,32
$1 052,04
$1 470,24
$2 234,16

$1 138,07
$1 249,19
$1 366,91
$1 785,11

$1 452,94
$1 564,06
$1 681,78
$2 099,98

$1 767,81
$1 878,93
$1 996,65
$2 414,85

$726,47
$782,03
$840,89
$1 049,99

$1 041,34
$1 096,90
$1 155,76
$1 364,86

$1 356,21
$1 411,77
$1 470,63
$1 679,73

$314,87

Toc - Plan #22

Silver

(HMO) Quartz One Silver I301

Annual Out of Pocket Expenses

Individual Family

$4,400 $8,800 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $4,400 | Family: $8,800
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$426,45
$484,02
$545,00
$761,64
$1 157,38

$852,90
$968,04
$1 090,00
$1 523,28
$2 314,76

$1 179,13
$1 294,27
$1 416,23
$1 849,51

$1 505,36
$1 620,50
$1 742,46
$2 175,74

$1 831,59
$1 946,73
$2 068,69
$2 501,97

$752,68
$810,25
$871,23
$1 087,87

$1 078,91
$1 136,48
$1 197,46
$1 414,10

$1 405,14
$1 462,71
$1 523,69
$1 740,33

$326,23

Toc - Plan #23

Silver

(HMO) Quartz One Silver I302

Annual Out of Pocket Expenses

Individual Family

$5,000 $10,000 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $5,000 | Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$427,22
$484,89
$545,98
$763,01
$1 159,47

$854,44
$969,78
$1 091,96
$1 526,02
$2 318,94

$1 181,26
$1 296,60
$1 418,78
$1 852,84

$1 508,08
$1 623,42
$1 745,60
$2 179,66

$1 834,90
$1 950,24
$2 072,42
$2 506,48

$754,04
$811,71
$872,80
$1 089,83

$1 080,86
$1 138,53
$1 199,62
$1 416,65

$1 407,68
$1 465,35
$1 526,44
$1 743,47

$326,82

Toc - Plan #24

Silver

(HMO) Quartz One Silver I303

Annual Out of Pocket Expenses

Individual Family

$8,500 $17,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,500 | Family: $17,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$410,83
$466,29
$525,04
$733,74
$1 114,99

$821,66
$932,58
$1 050,08
$1 467,48
$2 229,98

$1 135,94
$1 246,86
$1 364,36
$1 781,76

$1 450,22
$1 561,14
$1 678,64
$2 096,04

$1 764,50
$1 875,42
$1 992,92
$2 410,32

$725,11
$780,57
$839,32
$1 048,02

$1 039,39
$1 094,85
$1 153,60
$1 362,30

$1 353,67
$1 409,13
$1 467,88
$1 676,58

$314,28

Toc - Plan #25

Silver

(HMO) Quartz One Silver I304 HSA

Annual Out of Pocket Expenses

Individual Family

$5,250 $10,500 Annual Deductible

$5,250 $10,500 Maximum Out of Pocket Per Year

Deductible: Individual: $5,250 | Family: $10,500
Out of Pocket Maximum per year: Individual: $5,250 | Family: $10,500

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$441,13
$500,67
$563,75
$787,84
$1 197,20

$882,26
$1 001,34
$1 127,50
$1 575,68
$2 394,40

$1 219,72
$1 338,80
$1 464,96
$1 913,14

$1 557,18
$1 676,26
$1 802,42
$2 250,60

$1 894,64
$2 013,72
$2 139,88
$2 588,06

$778,59
$838,13
$901,21
$1 125,30

$1 116,05
$1 175,59
$1 238,67
$1 462,76

$1 453,51
$1 513,05
$1 576,13
$1 800,22

$337,46

Toc - Plan #26

Expanded Bronze

(HMO) Quartz One Bronze I202

Annual Out of Pocket Expenses

Individual Family

$8,200 $16,400 Annual Deductible

$8,200 $16,400 Maximum Out of Pocket Per Year

Deductible: Individual: $8,200 | Family: $16,400
Out of Pocket Maximum per year: Individual: $8,200 | Family: $16,400

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$304,58
$345,69
$389,24
$543,97
$826,61

$609,16
$691,38
$778,48
$1 087,94
$1 653,22

$842,16
$924,38
$1 011,48
$1 320,94

$1 075,16
$1 157,38
$1 244,48
$1 553,94

$1 308,16
$1 390,38
$1 477,48
$1 786,94

$537,58
$578,69
$622,24
$776,97

$770,58
$811,69
$855,24
$1 009,97

$1 003,58
$1 044,69
$1 088,24
$1 242,97

$233,00

Toc - Plan #27

Expanded Bronze

(HMO) Quartz One Bronze I203 HSA

Annual Out of Pocket Expenses

Individual Family

$6,850 $13,700 Annual Deductible

$6,850 $13,700 Maximum Out of Pocket Per Year

Deductible: Individual: $6,850 | Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 | Family: $13,700

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$313,10
$355,36
$400,13
$559,18
$849,73

$626,20
$710,72
$800,26
$1 118,36
$1 699,46

$865,72
$950,24
$1 039,78
$1 357,88

$1 105,24
$1 189,76
$1 279,30
$1 597,40

$1 344,76
$1 429,28
$1 518,82
$1 836,92

$552,62
$594,88
$639,65
$798,70

$792,14
$834,40
$879,17
$1 038,22

$1 031,66
$1 073,92
$1 118,69
$1 277,74

$239,52

Toc - Plan #28

Catastrophic

(HMO) Quartz One Catastrophic I101

Annual Out of Pocket Expenses

Individual Family

$8,550 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,550 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$228,02
$258,80
$291,40
$407,24
$618,83

$456,04
$517,60
$582,80
$814,48
$1 237,66

$630,47
$692,03
$757,23
$988,91

$804,90
$866,46
$931,66
$1 163,34

$979,33
$1 040,89
$1 106,09
$1 337,77

$402,45
$433,23
$465,83
$581,67

$576,88
$607,66
$640,26
$756,10

$751,31
$782,09
$814,69
$930,53

$174,43

Toc - Plan #29

Gold

(HMO) Quartz One Gold I405

Annual Out of Pocket Expenses

Individual Family

$2,000 $4,000 Annual Deductible

$6,500 $13,000 Maximum Out of Pocket Per Year

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $6,500 | Family: $13,000

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$390,96
$443,73
$499,64
$698,24
$1 061,04

$781,92
$887,46
$999,28
$1 396,48
$2 122,08

$1 081,00
$1 186,54
$1 298,36
$1 695,56

$1 380,08
$1 485,62
$1 597,44
$1 994,64

$1 679,16
$1 784,70
$1 896,52
$2 293,72

$690,04
$742,81
$798,72
$997,32

$989,12
$1 041,89
$1 097,80
$1 296,40

$1 288,20
$1 340,97
$1 396,88
$1 595,48

$299,08

Toc - Plan #30

Expanded Bronze

(HMO) Quartz One Bronze I204

Annual Out of Pocket Expenses

Individual Family

$2,450 $4,900 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $2,450 | Family: $4,900
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$318,24
$361,20
$406,71
$568,38
$863,70

$636,48
$722,40
$813,42
$1 136,76
$1 727,40

$879,93
$965,85
$1 056,87
$1 380,21

$1 123,38
$1 209,30
$1 300,32
$1 623,66

$1 366,83
$1 452,75
$1 543,77
$1 867,11

$561,69
$604,65
$650,16
$811,83

$805,14
$848,10
$893,61
$1 055,28

$1 048,59
$1 091,55
$1 137,06
$1 298,73

$243,45

Toc - Plan #31

Expanded Bronze

(HMO) Quartz One Bronze I201

Annual Out of Pocket Expenses

Individual Family

$8,000 $16,000 Annual Deductible

$8,250 $16,500 Maximum Out of Pocket Per Year

Deductible: Individual: $8,000 | Family: $16,000
Out of Pocket Maximum per year: Individual: $8,250 | Family: $16,500

Monthly Premiums:

Age

Individual

Couple

Couple
1 Child

Couple
2 Chidren

Couple
3+ Children

Individual
1 Child

Individual
2 Children

Individual
3+ Children

Child
0-14

21
30
40
50
60

$305,70
$346,97
$390,68
$545,97
$829,66

$611,40
$693,94
$781,36
$1 091,94
$1 659,32

$845,26
$927,80
$1 015,22
$1 325,80

$1 079,12
$1 161,66
$1 249,08
$1 559,66

$1 312,98
$1 395,52
$1 482,94
$1 793,52

$539,56
$580,83
$624,54
$779,83

$773,42
$814,69
$858,40
$1 013,69

$1 007,28
$1 048,55
$1 092,26
$1 247,55

$233,86

‡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 Winnebago County here.

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

Currently, there are 31 plans offered in Rating Area 5.

Obamacare Rates and Providers for Other Years

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

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Obamacare Rates and Providers for Other Years

Obamacare Providers, Plans and 2021 Rates for Winnebago County, Illinois

Blue Cross and Blue Shield of Illinois

MercyCare Health Plans

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

2021 Obamacare Rates, Providers, and Plans for Winnebago County

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 Deductible: Individual: $750 | Family: $2,250 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $3,000 | Family: $9,000 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $7,400 | Family: $17,100 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $750 | Family: $2,250 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $2,200 | Family: $6,600 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $4,500 | Family: $13,500 Out of Pocket Maximum per year: Individual: $6,900 | Family: $13,800

Monthly Premiums:

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 Deductible: Individual: $8,550 | Family: $17,100 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

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 Deductible: Individual: $6,100 | Family: $17,100 Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Monthly Premiums:

MercyCare Health Plans

Gold

(HMO) MercyCare HMO Gold Option A

Annual Out of Pocket Expenses

Individual Family $1,500 $3,000 Annual Deductible $6,200 $12,400 Maximum Out of Pocket Per Year Deductible: Individual: $1,500 | Family: $3,000 Out of Pocket Maximum per year: Individual: $6,200 | Family: $12,400

Monthly Premiums:

Gold

(HMO) MercyCare HMO Gold Option B

Annual Out of Pocket Expenses

Individual Family $2,250 $4,500 Annual Deductible $7,900 $15,800 Maximum Out of Pocket Per Year Deductible: Individual: $2,250 | Family: $4,500 Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Gold

(HMO) MercyCare HMO Gold Option C

Annual Out of Pocket Expenses

Individual Family $3,000 $6,000 Annual Deductible $3,000 $6,000 Maximum Out of Pocket Per Year Deductible: Individual: $3,000 | Family: $6,000 Out of Pocket Maximum per year: Individual: $3,000 | Family: $6,000

Monthly Premiums:

Silver

(HMO) MercyCare HMO Silver Option A

Annual Out of Pocket Expenses

Individual Family $5,750 $11,500 Annual Deductible $8,150 $16,300 Maximum Out of Pocket Per Year Deductible: Individual: $5,750 | Family: $11,500 Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Monthly Premiums:

Silver

(HMO) MercyCare HMO Silver Option B

Annual Out of Pocket Expenses

Individual Family $4,750 $9,500 Annual Deductible $8,150 $16,300 Maximum Out of Pocket Per Year Deductible: Individual: $4,750 | Family: $9,500 Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Monthly Premiums:

Silver

(HMO) MercyCare HMO Silver Option C

Annual Out of Pocket Expenses

Individual Family $5,800 $11,600 Annual Deductible $5,800 $11,600 Maximum Out of Pocket Per Year Deductible: Individual: $5,800 | Family: $11,600 Out of Pocket Maximum per year: Individual: $5,800 | Family: $11,600

Monthly Premiums:

Bronze

Individual Family

$750 $2,250 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $750 | Family: $2,250
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$3,000 $9,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $9,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$7,400 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $7,400 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$750 $2,250 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $750 | Family: $2,250
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$2,200 $6,600 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $2,200 | Family: $6,600
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$4,500 $13,500 Annual Deductible

$6,900 $13,800 Maximum Out of Pocket Per Year

Deductible: Individual: $4,500 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,900 | Family: $13,800

Individual Family

$8,550 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,550 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$6,100 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $6,100 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$1,500 $3,000 Annual Deductible

$6,200 $12,400 Maximum Out of Pocket Per Year

Deductible: Individual: $1,500 | Family: $3,000
Out of Pocket Maximum per year: Individual: $6,200 | Family: $12,400

Individual Family

$2,250 $4,500 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $2,250 | Family: $4,500
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Individual Family

$3,000 $6,000 Annual Deductible

$3,000 $6,000 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 | Family: $6,000

Individual Family

$5,750 $11,500 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $5,750 | Family: $11,500
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Individual Family

$4,750 $9,500 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $4,750 | Family: $9,500
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Individual Family

$5,800 $11,600 Annual Deductible

$5,800 $11,600 Maximum Out of Pocket Per Year

Deductible: Individual: $5,800 | Family: $11,600
Out of Pocket Maximum per year: Individual: $5,800 | Family: $11,600

Individual Family

$6,500 $13,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $6,500 | Family: $13,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$7,500 $15,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $7,500 | Family: $15,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$8,550 $17,100 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,550 | Family: $17,100
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$2,000 $4,000 Annual Deductible

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

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $7,000 | Family: $14,000

Individual Family

$1,500 $3,000 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $1,500 | Family: $3,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Individual Family

$3,000 $6,000 Annual Deductible

$3,000 $6,000 Maximum Out of Pocket Per Year

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $3,000 | Family: $6,000

Individual Family

$2,000 $4,000 Annual Deductible

$6,650 $13,300 Maximum Out of Pocket Per Year

Deductible: Individual: $2,000 | Family: $4,000
Out of Pocket Maximum per year: Individual: $6,650 | Family: $13,300

Individual Family

$4,400 $8,800 Annual Deductible

$8,150 $16,300 Maximum Out of Pocket Per Year

Deductible: Individual: $4,400 | Family: $8,800
Out of Pocket Maximum per year: Individual: $8,150 | Family: $16,300

Individual Family

$5,000 $10,000 Annual Deductible

$7,900 $15,800 Maximum Out of Pocket Per Year

Deductible: Individual: $5,000 | Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Individual Family

$8,500 $17,000 Annual Deductible

$8,550 $17,100 Maximum Out of Pocket Per Year

Deductible: Individual: $8,500 | Family: $17,000
Out of Pocket Maximum per year: Individual: $8,550 | Family: $17,100

Individual Family

$5,250 $10,500 Annual Deductible

$5,250 $10,500 Maximum Out of Pocket Per Year

Deductible: Individual: $5,250 | Family: $10,500
Out of Pocket Maximum per year: Individual: $5,250 | Family: $10,500

Individual Family

$8,200 $16,400 Annual Deductible

$8,200 $16,400 Maximum Out of Pocket Per Year

Deductible: Individual: $8,200 | Family: $16,400
Out of Pocket Maximum per year: Individual: $8,200 | Family: $16,400

Individual Family

$6,850 $13,700 Annual Deductible

$6,850 $13,700 Maximum Out of Pocket Per Year

Deductible: Individual: $6,850 | Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 | Family: $13,700