Indiana

Obamacare 2018 Rates

Indiana Obamacare 2018 Rates

 
Shelbyville, IN

Obamacare 2018 Rates and Health Insurance Providers for Shelby County,Shelbyville,IN


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

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

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

Obamacare Providers, Plans and 2018 Rates for Shelby County

Shelby County is in “Rating Area 10” of Indiana.

Currently, there are 33 plans offered in Rating Area 10.

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

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

The table below shows premiums for the following scenarios for:

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

Each scenario is covered for age

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

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

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Shelbyville, IN area accept this insurance coverage as within the plan's "network".

2018 Obamacare Rates Providers, Plans for Shelby County

CareSource Indiana, Inc.

Local: 1-800-479-9502 | Toll Free: 1-877-806-9284

Bronze

Plan: (HMO) CareSource HSA Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $274.78
$311.87
$351.16
$490.75
$745.74		 $549.56
$623.74
$702.32
$981.50
$1,491.48		 $759.76
$833.94
$912.52
$1,191.70		 $969.96
$1,044.14
$1,122.72
$1,401.90		 $1,180.16
$1,254.34
$1,332.92
$1,612.10		 $484.98
$522.07
$561.36
$700.95		 $695.18
$732.27
$771.56
$911.15		 $905.38
$942.47
$981.76
$1,121.35		 $210.20

Silver

Plan: (HMO) CareSource Low Premium Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $6,150 : Family: $12,300
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $286.76
$325.47
$366.48
$512.15
$778.27		 $573.52
$650.94
$732.96
$1,024.30
$1,556.54		 $792.89
$870.31
$952.33
$1,243.67		 $1,012.26
$1,089.68
$1,171.70
$1,463.04		 $1,231.63
$1,309.05
$1,391.07
$1,682.41		 $506.13
$544.84
$585.85
$731.52		 $725.50
$764.21
$805.22
$950.89		 $944.87
$983.58
$1,024.59
$1,170.26		 $219.37

Gold

Plan: (HMO) CareSource Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $392.17
$445.11
$501.19
$700.41
$1,064.34		 $784.34
$890.22
$1,002.38
$1,400.82
$2,128.68		 $1,084.35
$1,190.23
$1,302.39
$1,700.83		 $1,384.36
$1,490.24
$1,602.40
$2,000.84		 $1,684.37
$1,790.25
$1,902.41
$2,300.85		 $692.18
$745.12
$801.20
$1,000.42		 $992.19
$1,045.13
$1,101.21
$1,300.43		 $1,292.20
$1,345.14
$1,401.22
$1,600.44		 $300.01

Gold

Plan: (HMO) CareSource Hoosier Choice Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $411.96
$467.58
$526.49
$735.76
$1,118.06		 $823.92
$935.16
$1,052.98
$1,471.52
$2,236.12		 $1,139.07
$1,250.31
$1,368.13
$1,786.67		 $1,454.22
$1,565.46
$1,683.28
$2,101.82		 $1,769.37
$1,880.61
$1,998.43
$2,416.97		 $727.11
$782.73
$841.64
$1,050.91		 $1,042.26
$1,097.88
$1,156.79
$1,366.06		 $1,357.41
$1,413.03
$1,471.94
$1,681.21		 $315.15

Silver

Plan: (HMO) CareSource Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $304.03
$345.07
$388.55
$543.00
$825.14		 $608.06
$690.14
$777.10
$1,086.00
$1,650.28		 $840.64
$922.72
$1,009.68
$1,318.58		 $1,073.22
$1,155.30
$1,242.26
$1,551.16		 $1,305.80
$1,387.88
$1,474.84
$1,783.74		 $536.61
$577.65
$621.13
$775.58		 $769.19
$810.23
$853.71
$1,008.16		 $1,001.77
$1,042.81
$1,086.29
$1,240.74		 $232.58

Bronze

Plan: (HMO) CareSource Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $252.68
$286.79
$322.93
$451.29
$685.77		 $505.36
$573.58
$645.86
$902.58
$1,371.54		 $698.66
$766.88
$839.16
$1,095.88		 $891.96
$960.18
$1,032.46
$1,289.18		 $1,085.26
$1,153.48
$1,225.76
$1,482.48		 $445.98
$480.09
$516.23
$644.59		 $639.28
$673.39
$709.53
$837.89		 $832.58
$866.69
$902.83
$1,031.19		 $193.30

Silver

Plan: (HMO) CareSource Hoosier Choice Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $319.37
$362.48
$408.15
$570.38
$866.75		 $638.74
$724.96
$816.30
$1,140.76
$1,733.50		 $883.05
$969.27
$1,060.61
$1,385.07		 $1,127.36
$1,213.58
$1,304.92
$1,629.38		 $1,371.67
$1,457.89
$1,549.23
$1,873.69		 $563.68
$606.79
$652.46
$814.69		 $807.99
$851.10
$896.77
$1,059.00		 $1,052.30
$1,095.41
$1,141.08
$1,303.31		 $244.31

Bronze

Plan: (HMO) CareSource Hoosier Choice Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $265.43
$301.26
$339.21
$474.05
$720.36		 $530.86
$602.52
$678.42
$948.10
$1,440.72		 $733.91
$805.57
$881.47
$1,151.15		 $936.96
$1,008.62
$1,084.52
$1,354.20		 $1,140.01
$1,211.67
$1,287.57
$1,557.25		 $468.48
$504.31
$542.26
$677.10		 $671.53
$707.36
$745.31
$880.15		 $874.58
$910.41
$948.36
$1,083.20		 $203.05

Silver

Plan: (HMO) CareSource Low Premium Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $6,150 : Family: $12,300
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $304.08
$345.12
$388.60
$543.07
$825.25		 $608.16
$690.24
$777.20
$1,086.14
$1,650.50		 $840.78
$922.86
$1,009.82
$1,318.76		 $1,073.40
$1,155.48
$1,242.44
$1,551.38		 $1,306.02
$1,388.10
$1,475.06
$1,784.00		 $536.70
$577.74
$621.22
$775.69		 $769.32
$810.36
$853.84
$1,008.31		 $1,001.94
$1,042.98
$1,086.46
$1,240.93		 $232.62

Gold

Plan: (HMO) CareSource Gold Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $409.48
$464.76
$523.31
$731.33
$1,111.32		 $818.96
$929.52
$1,046.62
$1,462.66
$2,222.64		 $1,132.21
$1,242.77
$1,359.87
$1,775.91		 $1,445.46
$1,556.02
$1,673.12
$2,089.16		 $1,758.71
$1,869.27
$1,986.37
$2,402.41		 $722.73
$778.01
$836.56
$1,044.58		 $1,035.98
$1,091.26
$1,149.81
$1,357.83		 $1,349.23
$1,404.51
$1,463.06
$1,671.08		 $313.25

Gold

Plan: (HMO) CareSource Hoosier Choice Gold Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $430.06
$488.11
$549.61
$768.08
$1,167.17		 $860.12
$976.22
$1,099.22
$1,536.16
$2,334.34		 $1,189.11
$1,305.21
$1,428.21
$1,865.15		 $1,518.10
$1,634.20
$1,757.20
$2,194.14		 $1,847.09
$1,963.19
$2,086.19
$2,523.13		 $759.05
$817.10
$878.60
$1,097.07		 $1,088.04
$1,146.09
$1,207.59
$1,426.06		 $1,417.03
$1,475.08
$1,536.58
$1,755.05		 $328.99

Silver

Plan: (HMO) CareSource Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $321.34
$364.71
$410.66
$573.90
$872.09		 $642.68
$729.42
$821.32
$1,147.80
$1,744.18		 $888.50
$975.24
$1,067.14
$1,393.62		 $1,134.32
$1,221.06
$1,312.96
$1,639.44		 $1,380.14
$1,466.88
$1,558.78
$1,885.26		 $567.16
$610.53
$656.48
$819.72		 $812.98
$856.35
$902.30
$1,065.54		 $1,058.80
$1,102.17
$1,148.12
$1,311.36		 $245.82

Bronze

Plan: (HMO) CareSource Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $269.99
$306.43
$345.04
$482.19
$732.73		 $539.98
$612.86
$690.08
$964.38
$1,465.46		 $746.52
$819.40
$896.62
$1,170.92		 $953.06
$1,025.94
$1,103.16
$1,377.46		 $1,159.60
$1,232.48
$1,309.70
$1,584.00		 $476.53
$512.97
$551.58
$688.73		 $683.07
$719.51
$758.12
$895.27		 $889.61
$926.05
$964.66
$1,101.81		 $206.54

Silver

Plan: (HMO) CareSource Hoosier Choice Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,900 : Family: $7,800
Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $337.46
$383.01
$431.27
$602.70
$915.86		 $674.92
$766.02
$862.54
$1,205.40
$1,831.72		 $933.07
$1,024.17
$1,120.69
$1,463.55		 $1,191.22
$1,282.32
$1,378.84
$1,721.70		 $1,449.37
$1,540.47
$1,636.99
$1,979.85		 $595.61
$641.16
$689.42
$860.85		 $853.76
$899.31
$947.57
$1,119.00		 $1,111.91
$1,157.46
$1,205.72
$1,377.15		 $258.15

Bronze

Plan: (HMO) CareSource Hoosier Choice Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $7,250 : Family: $14,500
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $283.51
$321.78
$362.32
$506.34
$769.44		 $567.02
$643.56
$724.64
$1,012.68
$1,538.88		 $783.90
$860.44
$941.52
$1,229.56		 $1,000.78
$1,077.32
$1,158.40
$1,446.44		 $1,217.66
$1,294.20
$1,375.28
$1,663.32		 $500.39
$538.66
$579.20
$723.22		 $717.27
$755.54
$796.08
$940.10		 $934.15
$972.42
$1,012.96
$1,156.98		 $216.88

Silver

Plan: (HMO) CareSource Federal Simple Choice Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $312.66
$354.86
$399.57
$558.40
$848.54		 $625.32
$709.72
$799.14
$1,116.80
$1,697.08		 $864.50
$948.90
$1,038.32
$1,355.98		 $1,103.68
$1,188.08
$1,277.50
$1,595.16		 $1,342.86
$1,427.26
$1,516.68
$1,834.34		 $551.84
$594.04
$638.75
$797.58		 $791.02
$833.22
$877.93
$1,036.76		 $1,030.20
$1,072.40
$1,117.11
$1,275.94		 $239.18

Expanded Bronze

Plan: (HMO) CareSource Federal Simple Choice Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $285.83
$324.42
$365.29
$510.49
$775.74		 $571.66
$648.84
$730.58
$1,020.98
$1,551.48		 $790.32
$867.50
$949.24
$1,239.64		 $1,008.98
$1,086.16
$1,167.90
$1,458.30		 $1,227.64
$1,304.82
$1,386.56
$1,676.96		 $504.49
$543.08
$583.95
$729.15		 $723.15
$761.74
$802.61
$947.81		 $941.81
$980.40
$1,021.27
$1,166.47		 $218.66

Silver

Plan: (HMO) CareSource Federal Simple Choice Silver Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $329.97
$374.51
$421.70
$589.32
$895.53		 $659.94
$749.02
$843.40
$1,178.64
$1,791.06		 $912.36
$1,001.44
$1,095.82
$1,431.06		 $1,164.78
$1,253.86
$1,348.24
$1,683.48		 $1,417.20
$1,506.28
$1,600.66
$1,935.90		 $582.39
$626.93
$674.12
$841.74		 $834.81
$879.35
$926.54
$1,094.16		 $1,087.23
$1,131.77
$1,178.96
$1,346.58		 $252.42

Expanded Bronze

Plan: (HMO) CareSource Federal Simple Choice Bronze Dental and Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (CareSource Indiana, Inc.)
Customer Service Phone: 1-877-806-9284

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $303.13
$344.05
$387.40
$541.39
$822.70		 $606.26
$688.10
$774.80
$1,082.78
$1,645.40		 $838.16
$920.00
$1,006.70
$1,314.68		 $1,070.06
$1,151.90
$1,238.60
$1,546.58		 $1,301.96
$1,383.80
$1,470.50
$1,778.48		 $535.03
$575.95
$619.30
$773.29		 $766.93
$807.85
$851.20
$1,005.19		 $998.83
$1,039.75
$1,083.10
$1,237.09		 $231.90

Celtic Insurance Company

Local: 1-877-687-1182 | Toll Free: 1-877-687-1182

TTY: 1-877-941-9232

Gold

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $401.86
$456.10
$513.56
$717.70
$1,090.62		 $803.72
$912.20
$1,027.12
$1,435.40
$2,181.24		 $1,111.14
$1,219.62
$1,334.54
$1,742.82		 $1,418.56
$1,527.04
$1,641.96
$2,050.24		 $1,725.98
$1,834.46
$1,949.38
$2,357.66		 $709.28
$763.52
$820.98
$1,025.12		 $1,016.70
$1,070.94
$1,128.40
$1,332.54		 $1,324.12
$1,378.36
$1,435.82
$1,639.96		 $307.42

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $306.90
$348.32
$392.20
$548.10
$832.90		 $613.80
$696.64
$784.40
$1,096.20
$1,665.80		 $848.57
$931.41
$1,019.17
$1,330.97		 $1,083.34
$1,166.18
$1,253.94
$1,565.74		 $1,318.11
$1,400.95
$1,488.71
$1,800.51		 $541.67
$583.09
$626.97
$782.87		 $776.44
$817.86
$861.74
$1,017.64		 $1,011.21
$1,052.63
$1,096.51
$1,252.41		 $234.77

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $301.47
$342.16
$385.27
$538.41
$818.17		 $602.94
$684.32
$770.54
$1,076.82
$1,636.34		 $833.56
$914.94
$1,001.16
$1,307.44		 $1,064.18
$1,145.56
$1,231.78
$1,538.06		 $1,294.80
$1,376.18
$1,462.40
$1,768.68		 $532.09
$572.78
$615.89
$769.03		 $762.71
$803.40
$846.51
$999.65		 $993.33
$1,034.02
$1,077.13
$1,230.27		 $230.62

Silver

Plan: (EPO) Ambetter Balanced Care 10 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $321.37
$364.74
$410.70
$573.95
$872.17		 $642.74
$729.48
$821.40
$1,147.90
$1,744.34		 $888.58
$975.32
$1,067.24
$1,393.74		 $1,134.42
$1,221.16
$1,313.08
$1,639.58		 $1,380.26
$1,467.00
$1,558.92
$1,885.42		 $567.21
$610.58
$656.54
$819.79		 $813.05
$856.42
$902.38
$1,065.63		 $1,058.89
$1,102.26
$1,148.22
$1,311.47		 $245.84

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $7,050 : Family: $14,100
Out of Pocket Maximum per year: Individual: $7,050 : Family: $14,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $291.83
$331.21
$372.94
$521.18
$791.99		 $583.66
$662.42
$745.88
$1,042.36
$1,583.98		 $806.90
$885.66
$969.12
$1,265.60		 $1,030.14
$1,108.90
$1,192.36
$1,488.84		 $1,253.38
$1,332.14
$1,415.60
$1,712.08		 $515.07
$554.45
$596.18
$744.42		 $738.31
$777.69
$819.42
$967.66		 $961.55
$1,000.93
$1,042.66
$1,190.90		 $223.24

Silver

Plan: (EPO) Ambetter Balanced Care 12 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $326.49
$370.56
$417.25
$583.10
$886.08		 $652.98
$741.12
$834.50
$1,166.20
$1,772.16		 $902.74
$990.88
$1,084.26
$1,415.96		 $1,152.50
$1,240.64
$1,334.02
$1,665.72		 $1,402.26
$1,490.40
$1,583.78
$1,915.48		 $576.25
$620.32
$667.01
$832.86		 $826.01
$870.08
$916.77
$1,082.62		 $1,075.77
$1,119.84
$1,166.53
$1,332.38		 $249.76

Bronze

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $283.08
$321.29
$361.77
$505.57
$768.26		 $566.16
$642.58
$723.54
$1,011.14
$1,536.52		 $782.71
$859.13
$940.09
$1,227.69		 $999.26
$1,075.68
$1,156.64
$1,444.24		 $1,215.81
$1,292.23
$1,373.19
$1,660.79		 $499.63
$537.84
$578.32
$722.12		 $716.18
$754.39
$794.87
$938.67		 $932.73
$970.94
$1,011.42
$1,155.22		 $216.55

Silver

Plan: (EPO) Ambetter Balanced Care 5 (2018)

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $285.19
$323.68
$364.47
$509.34
$773.99		 $570.38
$647.36
$728.94
$1,018.68
$1,547.98		 $788.55
$865.53
$947.11
$1,236.85		 $1,006.72
$1,083.70
$1,165.28
$1,455.02		 $1,224.89
$1,301.87
$1,383.45
$1,673.19		 $503.36
$541.85
$582.64
$727.51		 $721.53
$760.02
$800.81
$945.68		 $939.70
$978.19
$1,018.98
$1,163.85		 $218.17

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $311.10
$353.09
$397.57
$555.60
$844.29		 $622.20
$706.18
$795.14
$1,111.20
$1,688.58		 $860.18
$944.16
$1,033.12
$1,349.18		 $1,098.16
$1,182.14
$1,271.10
$1,587.16		 $1,336.14
$1,420.12
$1,509.08
$1,825.14		 $549.08
$591.07
$635.55
$793.58		 $787.06
$829.05
$873.53
$1,031.56		 $1,025.04
$1,067.03
$1,111.51
$1,269.54		 $237.98

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $305.60
$346.84
$390.54
$545.78
$829.37		 $611.20
$693.68
$781.08
$1,091.56
$1,658.74		 $844.97
$927.45
$1,014.85
$1,325.33		 $1,078.74
$1,161.22
$1,248.62
$1,559.10		 $1,312.51
$1,394.99
$1,482.39
$1,792.87		 $539.37
$580.61
$624.31
$779.55		 $773.14
$814.38
$858.08
$1,013.32		 $1,006.91
$1,048.15
$1,091.85
$1,247.09		 $233.77

Silver

Plan: (EPO) Ambetter Balanced Care 10 (2018) + Vision

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $325.77
$369.73
$416.32
$581.80
$884.10		 $651.54
$739.46
$832.64
$1,163.60
$1,768.20		 $900.74
$988.66
$1,081.84
$1,412.80		 $1,149.94
$1,237.86
$1,331.04
$1,662.00		 $1,399.14
$1,487.06
$1,580.24
$1,911.20		 $574.97
$618.93
$665.52
$831.00		 $824.17
$868.13
$914.72
$1,080.20		 $1,073.37
$1,117.33
$1,163.92
$1,329.40		 $249.20

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $327.49
$371.69
$418.52
$584.88
$888.78		 $654.98
$743.38
$837.04
$1,169.76
$1,777.56		 $905.50
$993.90
$1,087.56
$1,420.28		 $1,156.02
$1,244.42
$1,338.08
$1,670.80		 $1,406.54
$1,494.94
$1,588.60
$1,921.32		 $578.01
$622.21
$669.04
$835.40		 $828.53
$872.73
$919.56
$1,085.92		 $1,079.05
$1,123.25
$1,170.08
$1,336.44		 $250.52

Silver

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $321.70
$365.12
$411.12
$574.54
$873.06		 $643.40
$730.24
$822.24
$1,149.08
$1,746.12		 $889.49
$976.33
$1,068.33
$1,395.17		 $1,135.58
$1,222.42
$1,314.42
$1,641.26		 $1,381.67
$1,468.51
$1,560.51
$1,887.35		 $567.79
$611.21
$657.21
$820.63		 $813.88
$857.30
$903.30
$1,066.72		 $1,059.97
$1,103.39
$1,149.39
$1,312.81		 $246.09

Silver

Plan: (EPO) Ambetter Balanced Care 10 (2018) + Vision + Adult Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Celtic Insurance Company)
Customer Service Phone: 1-877-687-1182

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $342.93
$389.21
$438.25
$612.46
$930.69		 $685.86
$778.42
$876.50
$1,224.92
$1,861.38		 $948.19
$1,040.75
$1,138.83
$1,487.25		 $1,210.52
$1,303.08
$1,401.16
$1,749.58		 $1,472.85
$1,565.41
$1,663.49
$2,011.91		 $605.26
$651.54
$700.58
$874.79		 $867.59
$913.87
$962.91
$1,137.12		 $1,129.92
$1,176.20
$1,225.24
$1,399.45		 $262.33

‡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 Shelby County here.

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