ADVERTISEMENT
|
Blue Cross and Blue Shield of Kansas, Inc.
Local: 1-785-291-4186 | Toll Free: 1-800-392-7366 | TTY: 1-800-430-1270
|
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,500 |
$3,000 |
Maximum Out of Pocket Per Year |
$3,500 |
$7,000 |
Deductible: Individual:
$1,500
| Family:
$3,000
Out of Pocket Maximum per year: Individual:
$3,500
| Family:
$7,000
Monthly Premiums:
|
21
30
40
50
60
|
$391.60
$444.46
$500.46
$699.39
$1,062.79 |
$783.20
$888.92
$1,000.92
$1,398.78
$2,125.58 |
$1,082.77
$1,188.49
$1,300.49
$1,698.35 |
$1,382.34
$1,488.06
$1,600.06
$1,997.92 |
$1,681.91
$1,787.63
$1,899.63
$2,297.49 |
$691.17
$744.03
$800.03
$998.96 |
$990.74
$1,043.60
$1,099.60
$1,298.53 |
$1,290.31
$1,343.17
$1,399.17
$1,598.10 |
$299.57 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,500 |
$7,000 |
Maximum Out of Pocket Per Year |
$8,000 |
$16,000 |
Deductible: Individual:
$3,500
| Family:
$7,000
Out of Pocket Maximum per year: Individual:
$8,000
| Family:
$16,000
Monthly Premiums:
|
21
30
40
50
60
|
$427.19
$484.86
$545.94
$762.96
$1,159.38 |
$854.38
$969.72
$1,091.88
$1,525.92
$2,318.76 |
$1,181.18
$1,296.52
$1,418.68
$1,852.72 |
$1,507.98
$1,623.32
$1,745.48
$2,179.52 |
$1,834.78
$1,950.12
$2,072.28
$2,506.32 |
$753.99
$811.66
$872.74
$1,089.76 |
$1,080.79
$1,138.46
$1,199.54
$1,416.56 |
$1,407.59
$1,465.26
$1,526.34
$1,743.36 |
$326.80 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$4,500 |
$9,000 |
Maximum Out of Pocket Per Year |
$4,500 |
$9,000 |
Deductible: Individual:
$4,500
| Family:
$9,000
Out of Pocket Maximum per year: Individual:
$4,500
| Family:
$9,000
Monthly Premiums:
|
21
30
40
50
60
|
$427.67
$485.41
$546.57
$763.83
$1,160.71 |
$855.34
$970.82
$1,093.14
$1,527.66
$2,321.42 |
$1,182.51
$1,297.99
$1,420.31
$1,854.83 |
$1,509.68
$1,625.16
$1,747.48
$2,182.00 |
$1,836.85
$1,952.33
$2,074.65
$2,509.17 |
$754.84
$812.58
$873.74
$1,091.00 |
$1,082.01
$1,139.75
$1,200.91
$1,418.17 |
$1,409.18
$1,466.92
$1,528.08
$1,745.34 |
$327.17 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$7,200 |
$14,400 |
Maximum Out of Pocket Per Year |
$7,200 |
$14,400 |
Deductible: Individual:
$7,200
| Family:
$14,400
Out of Pocket Maximum per year: Individual:
$7,200
| Family:
$14,400
Monthly Premiums:
|
21
30
40
50
60
|
$306.44
$347.81
$391.63
$547.30
$831.68 |
$612.88
$695.62
$783.26
$1,094.60
$1,663.36 |
$847.31
$930.05
$1,017.69
$1,329.03 |
$1,081.74
$1,164.48
$1,252.12
$1,563.46 |
$1,316.17
$1,398.91
$1,486.55
$1,797.89 |
$540.87
$582.24
$626.06
$781.73 |
$775.30
$816.67
$860.49
$1,016.16 |
$1,009.73
$1,051.10
$1,094.92
$1,250.59 |
$234.43 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,500 |
$13,000 |
Maximum Out of Pocket Per Year |
$6,500 |
$13,000 |
Deductible: Individual:
$6,500
| Family:
$13,000
Out of Pocket Maximum per year: Individual:
$6,500
| Family:
$13,000
Monthly Premiums:
|
21
30
40
50
60
|
$292.01
$331.44
$373.20
$521.54
$792.53 |
$584.02
$662.88
$746.40
$1,043.08
$1,585.06 |
$807.41
$886.27
$969.79
$1,266.47 |
$1,030.80
$1,109.66
$1,193.18
$1,489.86 |
$1,254.19
$1,333.05
$1,416.57
$1,713.25 |
$515.40
$554.83
$596.59
$744.93 |
$738.79
$778.22
$819.98
$968.32 |
$962.18
$1,001.61
$1,043.37
$1,191.71 |
$223.39 |
ADVERTISEMENT
|
Medica Insurance Company
Local: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-866-735-2957
|
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$850 |
$2,550 |
Maximum Out of Pocket Per Year |
$7,400 |
$14,800 |
Deductible: Individual:
$850
| Family:
$2,550
Out of Pocket Maximum per year: Individual:
$7,400
| Family:
$14,800
Monthly Premiums:
|
21
30
40
50
60
|
$539.21
$612.00
$689.10
$963.02
$1,463.40 |
$1,078.42
$1,224.00
$1,378.20
$1,926.04
$2,926.80 |
$1,490.91
$1,636.49
$1,790.69
$2,338.53 |
$1,903.40
$2,048.98
$2,203.18
$2,751.02 |
$2,315.89
$2,461.47
$2,615.67
$3,163.51 |
$951.70
$1,024.49
$1,101.59
$1,375.51 |
$1,364.19
$1,436.98
$1,514.08
$1,788.00 |
$1,776.68
$1,849.47
$1,926.57
$2,200.49 |
$412.49 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$4,600 |
$13,800 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$4,600
| Family:
$13,800
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$649.14
$736.77
$829.60
$1,159.36
$1,761.76 |
$1,298.28
$1,473.54
$1,659.20
$2,318.72
$3,523.52 |
$1,794.87
$1,970.13
$2,155.79
$2,815.31 |
$2,291.46
$2,466.72
$2,652.38
$3,311.90 |
$2,788.05
$2,963.31
$3,148.97
$3,808.49 |
$1,145.73
$1,233.36
$1,326.19
$1,655.95 |
$1,642.32
$1,729.95
$1,822.78
$2,152.54 |
$2,138.91
$2,226.54
$2,319.37
$2,649.13 |
$496.59 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$7,000 |
$14,000 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$7,000
| Family:
$14,000
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$407.08
$462.04
$520.25
$727.05
$1,104.82 |
$814.16
$924.08
$1,040.50
$1,454.10
$2,209.64 |
$1,125.58
$1,235.50
$1,351.92
$1,765.52 |
$1,437.00
$1,546.92
$1,663.34
$2,076.94 |
$1,748.42
$1,858.34
$1,974.76
$2,388.36 |
$718.50
$773.46
$831.67
$1,038.47 |
$1,029.92
$1,084.88
$1,143.09
$1,349.89 |
$1,341.34
$1,396.30
$1,454.51
$1,661.31 |
$311.42 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,400 |
$12,800 |
Maximum Out of Pocket Per Year |
$6,900 |
$13,800 |
Deductible: Individual:
$6,400
| Family:
$12,800
Out of Pocket Maximum per year: Individual:
$6,900
| Family:
$13,800
Monthly Premiums:
|
21
30
40
50
60
|
$438.71
$497.94
$560.68
$783.54
$1,190.67 |
$877.42
$995.88
$1,121.36
$1,567.08
$2,381.34 |
$1,213.04
$1,331.50
$1,456.98
$1,902.70 |
$1,548.66
$1,667.12
$1,792.60
$2,238.32 |
$1,884.28
$2,002.74
$2,128.22
$2,573.94 |
$774.33
$833.56
$896.30
$1,119.16 |
$1,109.95
$1,169.18
$1,231.92
$1,454.78 |
$1,445.57
$1,504.80
$1,567.54
$1,790.40 |
$335.62 |
|
Catastrophic
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$303.06
$343.97
$387.31
$541.26
$822.50 |
$606.12
$687.94
$774.62
$1,082.52
$1,645.00 |
$837.96
$919.78
$1,006.46
$1,314.36 |
$1,069.80
$1,151.62
$1,238.30
$1,546.20 |
$1,301.64
$1,383.46
$1,470.14
$1,778.04 |
$534.90
$575.81
$619.15
$773.10 |
$766.74
$807.65
$850.99
$1,004.94 |
$998.58
$1,039.49
$1,082.83
$1,236.78 |
$231.84 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,200 |
$9,600 |
Maximum Out of Pocket Per Year |
$6,850 |
$13,700 |
Deductible: Individual:
$3,200
| Family:
$9,600
Out of Pocket Maximum per year: Individual:
$6,850
| Family:
$13,700
Monthly Premiums:
|
21
30
40
50
60
|
$456.09
$517.67
$582.89
$814.58
$1,237.84 |
$912.18
$1,035.34
$1,165.78
$1,629.16
$2,475.68 |
$1,261.09
$1,384.25
$1,514.69
$1,978.07 |
$1,610.00
$1,733.16
$1,863.60
$2,326.98 |
$1,958.91
$2,082.07
$2,212.51
$2,675.89 |
$805.00
$866.58
$931.80
$1,163.49 |
$1,153.91
$1,215.49
$1,280.71
$1,512.40 |
$1,502.82
$1,564.40
$1,629.62
$1,861.31 |
$348.91 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,600 |
$4,800 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$1,600
| Family:
$4,800
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$444.79
$504.83
$568.44
$794.39
$1,207.15 |
$889.58
$1,009.66
$1,136.88
$1,588.78
$2,414.30 |
$1,229.84
$1,349.92
$1,477.14
$1,929.04 |
$1,570.10
$1,690.18
$1,817.40
$2,269.30 |
$1,910.36
$2,030.44
$2,157.66
$2,609.56 |
$785.05
$845.09
$908.70
$1,134.65 |
$1,125.31
$1,185.35
$1,248.96
$1,474.91 |
$1,465.57
$1,525.61
$1,589.22
$1,815.17 |
$340.26 |
Cloud County is in “Rating Area 3” of Kansas.
Currently, there are 12 plans offered in Rating Area 3.