Pottawattamie County, Iowa Obamacare 2024 Rates

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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 Pottawattamie County, IA.

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

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

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

Obamacare Providers, 41 Plans and 2024 Rates for Pottawattamie County, Iowa

Below, you’ll find a summary of the 41 plans for Pottawattamie County, Iowa and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.


Obamacare Rates and Providers for Other Years

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



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Wellmark Health Plan of Iowa, Inc.

Local: 1-800-819-0893 | Toll Free: 1-800-819-0893 | TTY: 1-888-781-4262

Toc - Plan #1 Wellmark Health Plan of Iowa, Inc.
Expanded Bronze

(HMO) Wellmark Bronze HDHP HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$290.82
$330.08
$371.67
$519.41
$789.29
$513.30
$552.56
$594.15
$741.89
$735.78
$775.04
$816.63
$964.37
$958.26
$997.52
$1,039.11
$1,186.85
$222.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$581.64
$660.16
$743.34
$1,038.82
$1,578.58
$804.12
$882.64
$965.82
$1,261.30
$1,026.60
$1,105.12
$1,188.30
$1,483.78
$1,249.08
$1,327.60
$1,410.78
$1,706.26
$222.48
Toc - Plan #2 Wellmark Health Plan of Iowa, Inc.
Silver

(HMO) Wellmark Silver Traditional HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$403.50
$457.98
$515.68
$720.66
$1,095.11
$712.18
$766.66
$824.36
$1,029.34
$1,020.86
$1,075.34
$1,133.04
$1,338.02
$1,329.54
$1,384.02
$1,441.72
$1,646.70
$308.68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$807.00
$915.96
$1,031.36
$1,441.32
$2,190.22
$1,115.68
$1,224.64
$1,340.04
$1,750.00
$1,424.36
$1,533.32
$1,648.72
$2,058.68
$1,733.04
$1,842.00
$1,957.40
$2,367.36
$308.68
Toc - Plan #3 Wellmark Health Plan of Iowa, Inc.
Expanded Bronze

(HMO) Wellmark Bronze Traditional HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$9,000 $18,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$297.32
$337.46
$379.98
$531.02
$806.93
$524.77
$564.91
$607.43
$758.47
$752.22
$792.36
$834.88
$985.92
$979.67
$1,019.81
$1,062.33
$1,213.37
$227.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$594.64
$674.92
$759.96
$1,062.04
$1,613.86
$822.09
$902.37
$987.41
$1,289.49
$1,049.54
$1,129.82
$1,214.86
$1,516.94
$1,276.99
$1,357.27
$1,442.31
$1,744.39
$227.45
Toc - Plan #4 Wellmark Health Plan of Iowa, Inc.
Gold

(HMO) Wellmark Gold Traditional HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$394.83
$448.13
$504.59
$705.17
$1,071.57
$696.88
$750.18
$806.64
$1,007.22
$998.93
$1,052.23
$1,108.69
$1,309.27
$1,300.98
$1,354.28
$1,410.74
$1,611.32
$302.05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$789.66
$896.26
$1,009.18
$1,410.34
$2,143.14
$1,091.71
$1,198.31
$1,311.23
$1,712.39
$1,393.76
$1,500.36
$1,613.28
$2,014.44
$1,695.81
$1,802.41
$1,915.33
$2,316.49
$302.05
Toc - Plan #5 Wellmark Health Plan of Iowa, Inc.
Expanded Bronze

(HMO) Wellmark Bronze HDHP HMO | Farm Bureau

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$290.82
$330.08
$371.67
$519.41
$789.29
$513.30
$552.56
$594.15
$741.89
$735.78
$775.04
$816.63
$964.37
$958.26
$997.52
$1,039.11
$1,186.85
$222.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$581.64
$660.16
$743.34
$1,038.82
$1,578.58
$804.12
$882.64
$965.82
$1,261.30
$1,026.60
$1,105.12
$1,188.30
$1,483.78
$1,249.08
$1,327.60
$1,410.78
$1,706.26
$222.48
Toc - Plan #6 Wellmark Health Plan of Iowa, Inc.
Gold

(HMO) Wellmark Gold Traditional HMO | Farm Bureau

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$394.83
$448.13
$504.59
$705.17
$1,071.57
$696.88
$750.18
$806.64
$1,007.22
$998.93
$1,052.23
$1,108.69
$1,309.27
$1,300.98
$1,354.28
$1,410.74
$1,611.32
$302.05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$789.66
$896.26
$1,009.18
$1,410.34
$2,143.14
$1,091.71
$1,198.31
$1,311.23
$1,712.39
$1,393.76
$1,500.36
$1,613.28
$2,014.44
$1,695.81
$1,802.41
$1,915.33
$2,316.49
$302.05
Toc - Plan #7 Wellmark Health Plan of Iowa, Inc.
Expanded Bronze

(HMO) Wellmark Standard Bronze HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$292.80
$332.32
$374.19
$522.93
$794.65
$516.79
$556.31
$598.18
$746.92
$740.78
$780.30
$822.17
$970.91
$964.77
$1,004.29
$1,046.16
$1,194.90
$223.99
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$585.60
$664.64
$748.38
$1,045.86
$1,589.30
$809.59
$888.63
$972.37
$1,269.85
$1,033.58
$1,112.62
$1,196.36
$1,493.84
$1,257.57
$1,336.61
$1,420.35
$1,717.83
$223.99
Toc - Plan #8 Wellmark Health Plan of Iowa, Inc.
Silver

(HMO) Wellmark Standard Silver HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$399.06
$452.93
$509.99
$712.71
$1,083.04
$704.34
$758.21
$815.27
$1,017.99
$1,009.62
$1,063.49
$1,120.55
$1,323.27
$1,314.90
$1,368.77
$1,425.83
$1,628.55
$305.28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$798.12
$905.86
$1,019.98
$1,425.42
$2,166.08
$1,103.40
$1,211.14
$1,325.26
$1,730.70
$1,408.68
$1,516.42
$1,630.54
$2,035.98
$1,713.96
$1,821.70
$1,935.82
$2,341.26
$305.28
Toc - Plan #9 Wellmark Health Plan of Iowa, Inc.
Gold

(HMO) Wellmark Standard Gold HMO

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-819-0893

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$384.62
$436.54
$491.54
$686.93
$1,043.85
$678.85
$730.77
$785.77
$981.16
$973.08
$1,025.00
$1,080.00
$1,275.39
$1,267.31
$1,319.23
$1,374.23
$1,569.62
$294.23
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$769.24
$873.08
$983.08
$1,373.86
$2,087.70
$1,063.47
$1,167.31
$1,277.31
$1,668.09
$1,357.70
$1,461.54
$1,571.54
$1,962.32
$1,651.93
$1,755.77
$1,865.77
$2,256.55
$294.23

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Oscar Insurance Company

Local: 1-855-672-2755 | Toll Free: 

Toc - Plan #10 Oscar Insurance Company
Expanded Bronze

(EPO) Bronze Classic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$7,750 $15,500 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$298.39
$338.66
$381.33
$532.91
$809.81
$526.65
$566.92
$609.59
$761.17
$754.91
$795.18
$837.85
$989.43
$983.17
$1,023.44
$1,066.11
$1,217.69
$228.26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$596.78
$677.32
$762.66
$1,065.82
$1,619.62
$825.04
$905.58
$990.92
$1,294.08
$1,053.30
$1,133.84
$1,219.18
$1,522.34
$1,281.56
$1,362.10
$1,447.44
$1,750.60
$228.26
Toc - Plan #11 Oscar Insurance Company
Expanded Bronze

(EPO) Bronze Elite + PCP Saver Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348.58
$395.62
$445.47
$622.54
$946.01
$615.23
$662.27
$712.12
$889.19
$881.88
$928.92
$978.77
$1,155.84
$1,148.53
$1,195.57
$1,245.42
$1,422.49
$266.65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$697.16
$791.24
$890.94
$1,245.08
$1,892.02
$963.81
$1,057.89
$1,157.59
$1,511.73
$1,230.46
$1,324.54
$1,424.24
$1,778.38
$1,497.11
$1,591.19
$1,690.89
$2,045.03
$266.65
Toc - Plan #12 Oscar Insurance Company
Silver

(EPO) Silver Classic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$5,400 $10,800 Annual Deductible
$8,650 $17,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$406.41
$461.27
$519.38
$725.83
$1,102.97
$717.31
$772.17
$830.28
$1,036.73
$1,028.21
$1,083.07
$1,141.18
$1,347.63
$1,339.11
$1,393.97
$1,452.08
$1,658.53
$310.90
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$812.82
$922.54
$1,038.76
$1,451.66
$2,205.94
$1,123.72
$1,233.44
$1,349.66
$1,762.56
$1,434.62
$1,544.34
$1,660.56
$2,073.46
$1,745.52
$1,855.24
$1,971.46
$2,384.36
$310.90
Toc - Plan #13 Oscar Insurance Company
Catastrophic

(EPO) Secure

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$239.11
$271.38
$305.57
$427.03
$648.91
$422.02
$454.29
$488.48
$609.94
$604.93
$637.20
$671.39
$792.85
$787.84
$820.11
$854.30
$975.76
$182.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$478.22
$542.76
$611.14
$854.06
$1,297.82
$661.13
$725.67
$794.05
$1,036.97
$844.04
$908.58
$976.96
$1,219.88
$1,026.95
$1,091.49
$1,159.87
$1,402.79
$182.91
Toc - Plan #14 Oscar Insurance Company
Expanded Bronze

(EPO) Bronze Classic PCP Saver Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$8,500 $17,000 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$311.81
$353.89
$398.48
$556.87
$846.22
$550.34
$592.42
$637.01
$795.40
$788.87
$830.95
$875.54
$1,033.93
$1,027.40
$1,069.48
$1,114.07
$1,272.46
$238.53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$623.62
$707.78
$796.96
$1,113.74
$1,692.44
$862.15
$946.31
$1,035.49
$1,352.27
$1,100.68
$1,184.84
$1,274.02
$1,590.80
$1,339.21
$1,423.37
$1,512.55
$1,829.33
$238.53
Toc - Plan #15 Oscar Insurance Company
Expanded Bronze

(EPO) Bronze Classic 4700

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$4,700 $9,400 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$313.52
$355.83
$400.66
$559.93
$850.86
$553.35
$595.66
$640.49
$799.76
$793.18
$835.49
$880.32
$1,039.59
$1,033.01
$1,075.32
$1,120.15
$1,279.42
$239.83
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$627.04
$711.66
$801.32
$1,119.86
$1,701.72
$866.87
$951.49
$1,041.15
$1,359.69
$1,106.70
$1,191.32
$1,280.98
$1,599.52
$1,346.53
$1,431.15
$1,520.81
$1,839.35
$239.83
Toc - Plan #16 Oscar Insurance Company
Silver

(EPO) Silver Simple PCP Saver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$8,900 $17,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$388.46
$440.89
$496.44
$693.78
$1,054.26
$685.63
$738.06
$793.61
$990.95
$982.80
$1,035.23
$1,090.78
$1,288.12
$1,279.97
$1,332.40
$1,387.95
$1,585.29
$297.17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$776.92
$881.78
$992.88
$1,387.56
$2,108.52
$1,074.09
$1,178.95
$1,290.05
$1,684.73
$1,371.26
$1,476.12
$1,587.22
$1,981.90
$1,668.43
$1,773.29
$1,884.39
$2,279.07
$297.17
Toc - Plan #17 Oscar Insurance Company
Silver

(EPO) Silver Elite Saver Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$414.77
$470.75
$530.06
$740.76
$1,125.66
$732.06
$788.04
$847.35
$1,058.05
$1,049.35
$1,105.33
$1,164.64
$1,375.34
$1,366.64
$1,422.62
$1,481.93
$1,692.63
$317.29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$829.54
$941.50
$1,060.12
$1,481.52
$2,251.32
$1,146.83
$1,258.79
$1,377.41
$1,798.81
$1,464.12
$1,576.08
$1,694.70
$2,116.10
$1,781.41
$1,893.37
$2,011.99
$2,433.39
$317.29
Toc - Plan #18 Oscar Insurance Company
Gold

(EPO) Gold Elite

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$500 $1,000 Annual Deductible
$5,500 $11,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$423.41
$480.56
$541.11
$756.20
$1,149.12
$747.31
$804.46
$865.01
$1,080.10
$1,071.21
$1,128.36
$1,188.91
$1,404.00
$1,395.11
$1,452.26
$1,512.81
$1,727.90
$323.90
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$846.82
$961.12
$1,082.22
$1,512.40
$2,298.24
$1,170.72
$1,285.02
$1,406.12
$1,836.30
$1,494.62
$1,608.92
$1,730.02
$2,160.20
$1,818.52
$1,932.82
$2,053.92
$2,484.10
$323.90
Toc - Plan #19 Oscar Insurance Company
Silver

(EPO) Silver Simple Diabetes

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

Individual Family
$5,900 $11,800 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$402.65
$457.00
$514.58
$719.12
$1,092.77
$710.67
$765.02
$822.60
$1,027.14
$1,018.69
$1,073.04
$1,130.62
$1,335.16
$1,326.71
$1,381.06
$1,438.64
$1,643.18
$308.02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$805.30
$914.00
$1,029.16
$1,438.24
$2,185.54
$1,113.32
$1,222.02
$1,337.18
$1,746.26
$1,421.34
$1,530.04
$1,645.20
$2,054.28
$1,729.36
$1,838.06
$1,953.22
$2,362.30
$308.02
Toc - Plan #20 Oscar Insurance Company
Expanded Bronze

(EPO) Bronze Classic Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$307.47
$348.97
$392.94
$549.13
$834.45
$542.68
$584.18
$628.15
$784.34
$777.89
$819.39
$863.36
$1,019.55
$1,013.10
$1,054.60
$1,098.57
$1,254.76
$235.21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$614.94
$697.94
$785.88
$1,098.26
$1,668.90
$850.15
$933.15
$1,021.09
$1,333.47
$1,085.36
$1,168.36
$1,256.30
$1,568.68
$1,320.57
$1,403.57
$1,491.51
$1,803.89
$235.21
Toc - Plan #21 Oscar Insurance Company
Silver

(EPO) Silver Classic Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$391.96
$444.86
$500.91
$700.02
$1,063.74
$691.80
$744.70
$800.75
$999.86
$991.64
$1,044.54
$1,100.59
$1,299.70
$1,291.48
$1,344.38
$1,400.43
$1,599.54
$299.84
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$783.92
$889.72
$1,001.82
$1,400.04
$2,127.48
$1,083.76
$1,189.56
$1,301.66
$1,699.88
$1,383.60
$1,489.40
$1,601.50
$1,999.72
$1,683.44
$1,789.24
$1,901.34
$2,299.56
$299.84
Toc - Plan #22 Oscar Insurance Company
Gold

(EPO) Gold Classic Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone:

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$384.21
$436.07
$491.01
$686.19
$1,042.73
$678.13
$729.99
$784.93
$980.11
$972.05
$1,023.91
$1,078.85
$1,274.03
$1,265.97
$1,317.83
$1,372.77
$1,567.95
$293.92
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$768.42
$872.14
$982.02
$1,372.38
$2,085.46
$1,062.34
$1,166.06
$1,275.94
$1,666.30
$1,356.26
$1,459.98
$1,569.86
$1,960.22
$1,650.18
$1,753.90
$1,863.78
$2,254.14
$293.92

ADVERTISEMENT

Medica

Local: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-888-516-4692

Toc - Plan #23 Medica
Expanded Bronze

(EPO) Elevate by Medica Bronze Share Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$338.08
$383.72
$432.07
$603.81
$917.55
$596.71
$642.35
$690.70
$862.44
$855.34
$900.98
$949.33
$1,121.07
$1,113.97
$1,159.61
$1,207.96
$1,379.70
$258.63
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$676.16
$767.44
$864.14
$1,207.62
$1,835.10
$934.79
$1,026.07
$1,122.77
$1,466.25
$1,193.42
$1,284.70
$1,381.40
$1,724.88
$1,452.05
$1,543.33
$1,640.03
$1,983.51
$258.63
Toc - Plan #24 Medica
Expanded Bronze

(EPO) Elevate by Medica Bronze Copay $0 PCP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$341.80
$387.94
$436.82
$610.45
$927.63
$603.27
$649.41
$698.29
$871.92
$864.74
$910.88
$959.76
$1,133.39
$1,126.21
$1,172.35
$1,221.23
$1,394.86
$261.47
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$683.60
$775.88
$873.64
$1,220.90
$1,855.26
$945.07
$1,037.35
$1,135.11
$1,482.37
$1,206.54
$1,298.82
$1,396.58
$1,743.84
$1,468.01
$1,560.29
$1,658.05
$2,005.31
$261.47
Toc - Plan #25 Medica
Gold

(EPO) Elevate by Medica Gold Copay $0 PCP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$484.52
$549.93
$619.21
$865.35
$1,314.98
$855.17
$920.58
$989.86
$1,236.00
$1,225.82
$1,291.23
$1,360.51
$1,606.65
$1,596.47
$1,661.88
$1,731.16
$1,977.30
$370.65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$969.04
$1,099.86
$1,238.42
$1,730.70
$2,629.96
$1,339.69
$1,470.51
$1,609.07
$2,101.35
$1,710.34
$1,841.16
$1,979.72
$2,472.00
$2,080.99
$2,211.81
$2,350.37
$2,842.65
$370.65
Toc - Plan #26 Medica
Silver

(EPO) Elevate by Medica Silver Copay $0 PCP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$460.04
$522.15
$587.93
$821.63
$1,248.55
$811.97
$874.08
$939.86
$1,173.56
$1,163.90
$1,226.01
$1,291.79
$1,525.49
$1,515.83
$1,577.94
$1,643.72
$1,877.42
$351.93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$920.08
$1,044.30
$1,175.86
$1,643.26
$2,497.10
$1,272.01
$1,396.23
$1,527.79
$1,995.19
$1,623.94
$1,748.16
$1,879.72
$2,347.12
$1,975.87
$2,100.09
$2,231.65
$2,699.05
$351.93
Toc - Plan #27 Medica
Silver

(EPO) Elevate by Medica Silver Enhanced

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$482.99
$548.19
$617.25
$862.61
$1,310.82
$852.47
$917.67
$986.73
$1,232.09
$1,221.95
$1,287.15
$1,356.21
$1,601.57
$1,591.43
$1,656.63
$1,725.69
$1,971.05
$369.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$965.98
$1,096.38
$1,234.50
$1,725.22
$2,621.64
$1,335.46
$1,465.86
$1,603.98
$2,094.70
$1,704.94
$1,835.34
$1,973.46
$2,464.18
$2,074.42
$2,204.82
$2,342.94
$2,833.66
$369.48
Toc - Plan #28 Medica
Gold

(EPO) Elevate by Medica Gold Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$498.13
$565.38
$636.62
$889.67
$1,351.94
$879.20
$946.45
$1,017.69
$1,270.74
$1,260.27
$1,327.52
$1,398.76
$1,651.81
$1,641.34
$1,708.59
$1,779.83
$2,032.88
$381.07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$996.26
$1,130.76
$1,273.24
$1,779.34
$2,703.88
$1,377.33
$1,511.83
$1,654.31
$2,160.41
$1,758.40
$1,892.90
$2,035.38
$2,541.48
$2,139.47
$2,273.97
$2,416.45
$2,922.55
$381.07
Toc - Plan #29 Medica
Silver

(EPO) Elevate by Medica Silver Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$441.01
$500.54
$563.61
$787.64
$1,196.89
$778.38
$837.91
$900.98
$1,125.01
$1,115.75
$1,175.28
$1,238.35
$1,462.38
$1,453.12
$1,512.65
$1,575.72
$1,799.75
$337.37
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$882.02
$1,001.08
$1,127.22
$1,575.28
$2,393.78
$1,219.39
$1,338.45
$1,464.59
$1,912.65
$1,556.76
$1,675.82
$1,801.96
$2,250.02
$1,894.13
$2,013.19
$2,139.33
$2,587.39
$337.37
Toc - Plan #30 Medica
Expanded Bronze

(EPO) Elevate by Medica Expanded Bronze Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$324.19
$367.96
$414.32
$579.01
$879.86
$572.20
$615.97
$662.33
$827.02
$820.21
$863.98
$910.34
$1,075.03
$1,068.22
$1,111.99
$1,158.35
$1,323.04
$248.01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$648.38
$735.92
$828.64
$1,158.02
$1,759.72
$896.39
$983.93
$1,076.65
$1,406.03
$1,144.40
$1,231.94
$1,324.66
$1,654.04
$1,392.41
$1,479.95
$1,572.67
$1,902.05
$248.01
Toc - Plan #31 Medica
Silver

(EPO) Medica Insure Silver Enhanced

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$580.80
$659.21
$742.27
$1,037.32
$1,576.30
$1,025.12
$1,103.53
$1,186.59
$1,481.64
$1,469.44
$1,547.85
$1,630.91
$1,925.96
$1,913.76
$1,992.17
$2,075.23
$2,370.28
$444.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,161.60
$1,318.42
$1,484.54
$2,074.64
$3,152.60
$1,605.92
$1,762.74
$1,928.86
$2,518.96
$2,050.24
$2,207.06
$2,373.18
$2,963.28
$2,494.56
$2,651.38
$2,817.50
$3,407.60
$444.32
Toc - Plan #32 Medica
Gold

(EPO) Medica Insure Gold Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$599.02
$679.89
$765.55
$1,069.86
$1,625.75
$1,057.27
$1,138.14
$1,223.80
$1,528.11
$1,515.52
$1,596.39
$1,682.05
$1,986.36
$1,973.77
$2,054.64
$2,140.30
$2,444.61
$458.25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,198.04
$1,359.78
$1,531.10
$2,139.72
$3,251.50
$1,656.29
$1,818.03
$1,989.35
$2,597.97
$2,114.54
$2,276.28
$2,447.60
$3,056.22
$2,572.79
$2,734.53
$2,905.85
$3,514.47
$458.25
Toc - Plan #33 Medica
Silver

(EPO) Medica Insure Silver Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$530.32
$601.92
$677.75
$947.16
$1,439.30
$936.02
$1,007.62
$1,083.45
$1,352.86
$1,341.72
$1,413.32
$1,489.15
$1,758.56
$1,747.42
$1,819.02
$1,894.85
$2,164.26
$405.70
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,060.64
$1,203.84
$1,355.50
$1,894.32
$2,878.60
$1,466.34
$1,609.54
$1,761.20
$2,300.02
$1,872.04
$2,015.24
$2,166.90
$2,705.72
$2,277.74
$2,420.94
$2,572.60
$3,111.42
$405.70
Toc - Plan #34 Medica
Expanded Bronze

(EPO) Medica Insure Expanded Bronze Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$389.85
$442.48
$498.23
$696.28
$1,058.07
$688.09
$740.72
$796.47
$994.52
$986.33
$1,038.96
$1,094.71
$1,292.76
$1,284.57
$1,337.20
$1,392.95
$1,591.00
$298.24
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$779.70
$884.96
$996.46
$1,392.56
$2,116.14
$1,077.94
$1,183.20
$1,294.70
$1,690.80
$1,376.18
$1,481.44
$1,592.94
$1,989.04
$1,674.42
$1,779.68
$1,891.18
$2,287.28
$298.24
Toc - Plan #35 Medica
Expanded Bronze

(EPO) Medica with CHI Health Bronze Share Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$337.72
$383.32
$431.61
$603.18
$916.58
$596.08
$641.68
$689.97
$861.54
$854.44
$900.04
$948.33
$1,119.90
$1,112.80
$1,158.40
$1,206.69
$1,378.26
$258.36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$675.44
$766.64
$863.22
$1,206.36
$1,833.16
$933.80
$1,025.00
$1,121.58
$1,464.72
$1,192.16
$1,283.36
$1,379.94
$1,723.08
$1,450.52
$1,541.72
$1,638.30
$1,981.44
$258.36
Toc - Plan #36 Medica
Expanded Bronze

(EPO) Medica with CHI Health Bronze Copay $0 PCP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$341.44
$387.53
$436.35
$609.80
$926.66
$602.64
$648.73
$697.55
$871.00
$863.84
$909.93
$958.75
$1,132.20
$1,125.04
$1,171.13
$1,219.95
$1,393.40
$261.20
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$682.88
$775.06
$872.70
$1,219.60
$1,853.32
$944.08
$1,036.26
$1,133.90
$1,480.80
$1,205.28
$1,297.46
$1,395.10
$1,742.00
$1,466.48
$1,558.66
$1,656.30
$2,003.20
$261.20
Toc - Plan #37 Medica
Gold

(EPO) Medica with CHI Health Gold Copay $0 PCP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$484.00
$549.35
$618.56
$864.43
$1,313.59
$854.26
$919.61
$988.82
$1,234.69
$1,224.52
$1,289.87
$1,359.08
$1,604.95
$1,594.78
$1,660.13
$1,729.34
$1,975.21
$370.26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$968.00
$1,098.70
$1,237.12
$1,728.86
$2,627.18
$1,338.26
$1,468.96
$1,607.38
$2,099.12
$1,708.52
$1,839.22
$1,977.64
$2,469.38
$2,078.78
$2,209.48
$2,347.90
$2,839.64
$370.26
Toc - Plan #38 Medica
Silver

(EPO) Medica with CHI Health Silver Enhanced

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$482.48
$547.61
$616.60
$861.70
$1,309.44
$851.57
$916.70
$985.69
$1,230.79
$1,220.66
$1,285.79
$1,354.78
$1,599.88
$1,589.75
$1,654.88
$1,723.87
$1,968.97
$369.09
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$964.96
$1,095.22
$1,233.20
$1,723.40
$2,618.88
$1,334.05
$1,464.31
$1,602.29
$2,092.49
$1,703.14
$1,833.40
$1,971.38
$2,461.58
$2,072.23
$2,202.49
$2,340.47
$2,830.67
$369.09
Toc - Plan #39 Medica
Gold

(EPO) Medica with CHI Health Gold Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$497.61
$564.79
$635.94
$888.73
$1,350.51
$878.28
$945.46
$1,016.61
$1,269.40
$1,258.95
$1,326.13
$1,397.28
$1,650.07
$1,639.62
$1,706.80
$1,777.95
$2,030.74
$380.67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$995.22
$1,129.58
$1,271.88
$1,777.46
$2,701.02
$1,375.89
$1,510.25
$1,652.55
$2,158.13
$1,756.56
$1,890.92
$2,033.22
$2,538.80
$2,137.23
$2,271.59
$2,413.89
$2,919.47
$380.67
Toc - Plan #40 Medica
Silver

(EPO) Medica with CHI Health Silver Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$440.54
$500.01
$563.01
$786.81
$1,195.63
$777.55
$837.02
$900.02
$1,123.82
$1,114.56
$1,174.03
$1,237.03
$1,460.83
$1,451.57
$1,511.04
$1,574.04
$1,797.84
$337.01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$881.08
$1,000.02
$1,126.02
$1,573.62
$2,391.26
$1,218.09
$1,337.03
$1,463.03
$1,910.63
$1,555.10
$1,674.04
$1,800.04
$2,247.64
$1,892.11
$2,011.05
$2,137.05
$2,584.65
$337.01
Toc - Plan #41 Medica
Expanded Bronze

(EPO) Medica with CHI Health Expanded Bronze Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-592-8211

Annual Out of Pocket Expenses:

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

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$323.85
$367.57
$413.88
$578.40
$878.94
$571.60
$615.32
$661.63
$826.15
$819.35
$863.07
$909.38
$1,073.90
$1,067.10
$1,110.82
$1,157.13
$1,321.65
$247.75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$647.70
$735.14
$827.76
$1,156.80
$1,757.88
$895.45
$982.89
$1,075.51
$1,404.55
$1,143.20
$1,230.64
$1,323.26
$1,652.30
$1,390.95
$1,478.39
$1,571.01
$1,900.05
$247.75

‡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 Pottawattamie County here.

Pottawattamie County is in “Rating Area 4” of Iowa.

Currently, there are 41 plans offered in Rating Area 4.

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