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You are viewing information for Gray County, KS

Obamacare 2023 Rates for Gray County

Obamacare > Rates > Kansas > Gray County

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 Gray County, KS.

The health insurance rates listed below are for calendar year 2023.

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, 26 Plans and 2023 Rates for Gray County, Kansas

Below, you’ll find a summary of the 26 plans for Gray County, Kansas and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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Blue Cross and Blue Shield of Kansas, Inc.

Local: 1-785-291-4186 | Toll Free: 1-800-392-7366 | TTY: 1-800-430-1270
Toc - Plan #1 Blue Cross and Blue Shield of Kansas, Inc.
Gold

(EPO) BlueCare EPO Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$4,950 $9,900 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 		$494.37
$561.11
$631.81
$882.95
$1,341.73 		$872.57
$939.31
$1,010.01
$1,261.15 		$1,250.77
$1,317.51
$1,388.21
$1,639.35 		$1,628.97
$1,695.71
$1,766.41
$2,017.55 		$378.20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$988.74
$1,122.22
$1,263.62
$1,765.90
$2,683.46 		$1,366.94
$1,500.42
$1,641.82
$2,144.10 		$1,745.14
$1,878.62
$2,020.02
$2,522.30 		$2,123.34
$2,256.82
$2,398.22
$2,900.50 		$378.20
Toc - Plan #2 Blue Cross and Blue Shield of Kansas, Inc.
Gold

(EPO) BlueCare EPO Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$1,500 $3,000 Annual Deductible
$4,950 $9,900 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 		$494.37
$561.11
$631.81
$882.95
$1,341.73 		$872.57
$939.31
$1,010.01
$1,261.15 		$1,250.77
$1,317.51
$1,388.21
$1,639.35 		$1,628.97
$1,695.71
$1,766.41
$2,017.55 		$378.20
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$988.74
$1,122.22
$1,263.62
$1,765.90
$2,683.46 		$1,366.94
$1,500.42
$1,641.82
$2,144.10 		$1,745.14
$1,878.62
$2,020.02
$2,522.30 		$2,123.34
$2,256.82
$2,398.22
$2,900.50 		$378.20
Toc - Plan #3 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 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 		$517.68
$587.57
$661.60
$924.58
$1,404.99 		$913.71
$983.60
$1,057.63
$1,320.61 		$1,309.74
$1,379.63
$1,453.66
$1,716.64 		$1,705.77
$1,775.66
$1,849.69
$2,112.67 		$396.03
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,035.36
$1,175.14
$1,323.20
$1,849.16
$2,809.98 		$1,431.39
$1,571.17
$1,719.23
$2,245.19 		$1,827.42
$1,967.20
$2,115.26
$2,641.22 		$2,223.45
$2,363.23
$2,511.29
$3,037.25 		$396.03
Toc - Plan #4 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$4,500 $9,000 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 		$517.68
$587.57
$661.60
$924.58
$1,404.99 		$913.71
$983.60
$1,057.63
$1,320.61 		$1,309.74
$1,379.63
$1,453.66
$1,716.64 		$1,705.77
$1,775.66
$1,849.69
$2,112.67 		$396.03
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,035.36
$1,175.14
$1,323.20
$1,849.16
$2,809.98 		$1,431.39
$1,571.17
$1,719.23
$2,245.19 		$1,827.42
$1,967.20
$2,115.26
$2,641.22 		$2,223.45
$2,363.23
$2,511.29
$3,037.25 		$396.03
Toc - Plan #5 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Simple Silver HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$4,900 $9,800 Annual Deductible
$4,900 $9,800 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 		$524.27
$595.04
$670.01
$936.34
$1,422.86 		$925.34
$996.11
$1,071.08
$1,337.41 		$1,326.41
$1,397.18
$1,472.15
$1,738.48 		$1,727.48
$1,798.25
$1,873.22
$2,139.55 		$401.07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,048.54
$1,190.08
$1,340.02
$1,872.68
$2,845.72 		$1,449.61
$1,591.15
$1,741.09
$2,273.75 		$1,850.68
$1,992.22
$2,142.16
$2,674.82 		$2,251.75
$2,393.29
$2,543.23
$3,075.89 		$401.07
Toc - Plan #6 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Simple Silver HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$4,900 $9,800 Annual Deductible
$4,900 $9,800 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 		$524.27
$595.04
$670.01
$936.34
$1,422.86 		$925.34
$996.11
$1,071.08
$1,337.41 		$1,326.41
$1,397.18
$1,472.15
$1,738.48 		$1,727.48
$1,798.25
$1,873.22
$2,139.55 		$401.07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,048.54
$1,190.08
$1,340.02
$1,872.68
$2,845.72 		$1,449.61
$1,591.15
$1,741.09
$2,273.75 		$1,850.68
$1,992.22
$2,142.16
$2,674.82 		$2,251.75
$2,393.29
$2,543.23
$3,075.89 		$401.07
Toc - Plan #7 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$8,000 $16,000 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 		$392.75
$445.77
$501.93
$701.45
$1,065.92 		$693.20
$746.22
$802.38
$1,001.90 		$993.65
$1,046.67
$1,102.83
$1,302.35 		$1,294.10
$1,347.12
$1,403.28
$1,602.80 		$300.45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$785.50
$891.54
$1,003.86
$1,402.90
$2,131.84 		$1,085.95
$1,191.99
$1,304.31
$1,703.35 		$1,386.40
$1,492.44
$1,604.76
$2,003.80 		$1,686.85
$1,792.89
$1,905.21
$2,304.25 		$300.45
Toc - Plan #8 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$8,000 $16,000 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 		$392.75
$445.77
$501.93
$701.45
$1,065.92 		$693.20
$746.22
$802.38
$1,001.90 		$993.65
$1,046.67
$1,102.83
$1,302.35 		$1,294.10
$1,347.12
$1,403.28
$1,602.80 		$300.45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$785.50
$891.54
$1,003.86
$1,402.90
$2,131.84 		$1,085.95
$1,191.99
$1,304.31
$1,703.35 		$1,386.40
$1,492.44
$1,604.76
$2,003.80 		$1,686.85
$1,792.89
$1,905.21
$2,304.25 		$300.45
Toc - Plan #9 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Simple Bronze HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$392.75
$445.77
$501.93
$701.45
$1,065.92 		$693.20
$746.22
$802.38
$1,001.90 		$993.65
$1,046.67
$1,102.83
$1,302.35 		$1,294.10
$1,347.12
$1,403.28
$1,602.80 		$300.45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$785.50
$891.54
$1,003.86
$1,402.90
$2,131.84 		$1,085.95
$1,191.99
$1,304.31
$1,703.35 		$1,386.40
$1,492.44
$1,604.76
$2,003.80 		$1,686.85
$1,792.89
$1,905.21
$2,304.25 		$300.45
Toc - Plan #10 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Simple Bronze HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$392.75
$445.77
$501.93
$701.45
$1,065.92 		$693.20
$746.22
$802.38
$1,001.90 		$993.65
$1,046.67
$1,102.83
$1,302.35 		$1,294.10
$1,347.12
$1,403.28
$1,602.80 		$300.45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$785.50
$891.54
$1,003.86
$1,402.90
$2,131.84 		$1,085.95
$1,191.99
$1,304.31
$1,703.35 		$1,386.40
$1,492.44
$1,604.76
$2,003.80 		$1,686.85
$1,792.89
$1,905.21
$2,304.25 		$300.45
Toc - Plan #11 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Silver Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$7,350 $14,700 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 		$498.56
$565.86
$637.16
$890.42
$1,353.09 		$879.96
$947.26
$1,018.56
$1,271.82 		$1,261.36
$1,328.66
$1,399.96
$1,653.22 		$1,642.76
$1,710.06
$1,781.36
$2,034.62 		$381.40
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$997.12
$1,131.72
$1,274.32
$1,780.84
$2,706.18 		$1,378.52
$1,513.12
$1,655.72
$2,162.24 		$1,759.92
$1,894.52
$2,037.12
$2,543.64 		$2,141.32
$2,275.92
$2,418.52
$2,925.04 		$381.40
Toc - Plan #12 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Silver Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 Annual Deductible
$7,350 $14,700 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 		$498.56
$565.86
$637.16
$890.42
$1,353.09 		$879.96
$947.26
$1,018.56
$1,271.82 		$1,261.36
$1,328.66
$1,399.96
$1,653.22 		$1,642.76
$1,710.06
$1,781.36
$2,034.62 		$381.40
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$997.12
$1,131.72
$1,274.32
$1,780.84
$2,706.18 		$1,378.52
$1,513.12
$1,655.72
$2,162.24 		$1,759.92
$1,894.52
$2,037.12
$2,543.64 		$2,141.32
$2,275.92
$2,418.52
$2,925.04 		$381.40
Toc - Plan #13 Blue Cross and Blue Shield of Kansas, Inc.
Bronze

(EPO) BlueCare EPO Standardized Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 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 		$362.86
$411.84
$463.73
$648.06
$984.79 		$640.45
$689.43
$741.32
$925.65 		$918.04
$967.02
$1,018.91
$1,203.24 		$1,195.63
$1,244.61
$1,296.50
$1,480.83 		$277.59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$725.72
$823.68
$927.46
$1,296.12
$1,969.58 		$1,003.31
$1,101.27
$1,205.05
$1,573.71 		$1,280.90
$1,378.86
$1,482.64
$1,851.30 		$1,558.49
$1,656.45
$1,760.23
$2,128.89 		$277.59
Toc - Plan #14 Blue Cross and Blue Shield of Kansas, Inc.
Bronze

(EPO) BlueCare EPO Standardized Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 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 		$362.86
$411.84
$463.73
$648.06
$984.79 		$640.45
$689.43
$741.32
$925.65 		$918.04
$967.02
$1,018.91
$1,203.24 		$1,195.63
$1,244.61
$1,296.50
$1,480.83 		$277.59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$725.72
$823.68
$927.46
$1,296.12
$1,969.58 		$1,003.31
$1,101.27
$1,205.05
$1,573.71 		$1,280.90
$1,378.86
$1,482.64
$1,851.30 		$1,558.49
$1,656.45
$1,760.23
$2,128.89 		$277.59
Toc - Plan #15 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Standardized Expanded Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 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 		$386.77
$438.99
$494.30
$690.78
$1,049.70 		$682.65
$734.87
$790.18
$986.66 		$978.53
$1,030.75
$1,086.06
$1,282.54 		$1,274.41
$1,326.63
$1,381.94
$1,578.42 		$295.88
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$773.54
$877.98
$988.60
$1,381.56
$2,099.40 		$1,069.42
$1,173.86
$1,284.48
$1,677.44 		$1,365.30
$1,469.74
$1,580.36
$1,973.32 		$1,661.18
$1,765.62
$1,876.24
$2,269.20 		$295.88
Toc - Plan #16 Blue Cross and Blue Shield of Kansas, Inc.
Expanded Bronze

(EPO) BlueCare EPO Standardized Expanded Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$7,500 $15,000 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 		$386.77
$438.99
$494.30
$690.78
$1,049.70 		$682.65
$734.87
$790.18
$986.66 		$978.53
$1,030.75
$1,086.06
$1,282.54 		$1,274.41
$1,326.63
$1,381.94
$1,578.42 		$295.88
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$773.54
$877.98
$988.60
$1,381.56
$2,099.40 		$1,069.42
$1,173.86
$1,284.48
$1,677.44 		$1,365.30
$1,469.74
$1,580.36
$1,973.32 		$1,661.18
$1,765.62
$1,876.24
$2,269.20 		$295.88
Toc - Plan #17 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Standardized Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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 		$504.53
$572.65
$644.80
$901.10
$1,369.31 		$890.50
$958.62
$1,030.77
$1,287.07 		$1,276.47
$1,344.59
$1,416.74
$1,673.04 		$1,662.44
$1,730.56
$1,802.71
$2,059.01 		$385.97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,009.06
$1,145.30
$1,289.60
$1,802.20
$2,738.62 		$1,395.03
$1,531.27
$1,675.57
$2,188.17 		$1,781.00
$1,917.24
$2,061.54
$2,574.14 		$2,166.97
$2,303.21
$2,447.51
$2,960.11 		$385.97
Toc - Plan #18 Blue Cross and Blue Shield of Kansas, Inc.
Silver

(EPO) BlueCare EPO Standardized Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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 		$504.53
$572.65
$644.80
$901.10
$1,369.31 		$890.50
$958.62
$1,030.77
$1,287.07 		$1,276.47
$1,344.59
$1,416.74
$1,673.04 		$1,662.44
$1,730.56
$1,802.71
$2,059.01 		$385.97
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,009.06
$1,145.30
$1,289.60
$1,802.20
$2,738.62 		$1,395.03
$1,531.27
$1,675.57
$2,188.17 		$1,781.00
$1,917.24
$2,061.54
$2,574.14 		$2,166.97
$2,303.21
$2,447.51
$2,960.11 		$385.97
Toc - Plan #19 Blue Cross and Blue Shield of Kansas, Inc.
Gold

(EPO) BlueCare EPO Standardized Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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 		$468.66
$531.93
$598.95
$837.03
$1,271.96 		$827.19
$890.46
$957.48
$1,195.56 		$1,185.72
$1,248.99
$1,316.01
$1,554.09 		$1,544.25
$1,607.52
$1,674.54
$1,912.62 		$358.53
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$937.32
$1,063.86
$1,197.90
$1,674.06
$2,543.92 		$1,295.85
$1,422.39
$1,556.43
$2,032.59 		$1,654.38
$1,780.92
$1,914.96
$2,391.12 		$2,012.91
$2,139.45
$2,273.49
$2,749.65 		$358.53
Toc - Plan #20 Blue Cross and Blue Shield of Kansas, Inc.
Gold

(EPO) BlueCare EPO Standardized Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-392-7366

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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 		$468.66
$531.93
$598.95
$837.03
$1,271.96 		$827.19
$890.46
$957.48
$1,195.56 		$1,185.72
$1,248.99
$1,316.01
$1,554.09 		$1,544.25
$1,607.52
$1,674.54
$1,912.62 		$358.53
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$937.32
$1,063.86
$1,197.90
$1,674.06
$2,543.92 		$1,295.85
$1,422.39
$1,556.43
$2,032.59 		$1,654.38
$1,780.92
$1,914.96
$2,391.12 		$2,012.91
$2,139.45
$2,273.49
$2,749.65 		$358.53

ADVERTISEMENT

Medica

Local: 1-888-592-8211 | Toll Free: 1-888-592-8211 | TTY: 1-866-735-2957
Toc - Plan #21 Medica
Expanded Bronze

(EPO) Medica Connect Bronze Copay ($0 Virtual Care with Designated Providers)

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
$9,100 $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 		$487.08
$552.82
$622.47
$869.91
$1,321.91 		$859.69
$925.43
$995.08
$1,242.52 		$1,232.30
$1,298.04
$1,367.69
$1,615.13 		$1,604.91
$1,670.65
$1,740.30
$1,987.74 		$372.61
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$974.16
$1,105.64
$1,244.94
$1,739.82
$2,643.82 		$1,346.77
$1,478.25
$1,617.55
$2,112.43 		$1,719.38
$1,850.86
$1,990.16
$2,485.04 		$2,091.99
$2,223.47
$2,362.77
$2,857.65 		$372.61
Toc - Plan #22 Medica
Catastrophic

(EPO) Medica Connect Catastrophic ($0 Virtual Care with Designated Providers)

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

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 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 		$368.89
$418.67
$471.42
$658.81
$1,001.13 		$651.08
$700.86
$753.61
$941.00 		$933.27
$983.05
$1,035.80
$1,223.19 		$1,215.46
$1,265.24
$1,317.99
$1,505.38 		$282.19
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$737.78
$837.34
$942.84
$1,317.62
$2,002.26 		$1,019.97
$1,119.53
$1,225.03
$1,599.81 		$1,302.16
$1,401.72
$1,507.22
$1,882.00 		$1,584.35
$1,683.91
$1,789.41
$2,164.19 		$282.19
Toc - Plan #23 Medica
Expanded Bronze

(EPO) Medica Connect Bronze Share Plus ($0 Virtual Care with Designated Providers)

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

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 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 		$529.76
$601.27
$677.02
$946.14
$1,437.75 		$935.02
$1,006.53
$1,082.28
$1,351.40 		$1,340.28
$1,411.79
$1,487.54
$1,756.66 		$1,745.54
$1,817.05
$1,892.80
$2,161.92 		$405.26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,059.52
$1,202.54
$1,354.04
$1,892.28
$2,875.50 		$1,464.78
$1,607.80
$1,759.30
$2,297.54 		$1,870.04
$2,013.06
$2,164.56
$2,702.80 		$2,275.30
$2,418.32
$2,569.82
$3,108.06 		$405.26
Toc - Plan #24 Medica
Gold

(EPO) Medica Connect Gold Standard ($0 Virtual Care with Designated Providers)

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

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 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 		$723.32
$820.96
$924.39
$1,291.83
$1,963.06 		$1,276.65
$1,374.29
$1,477.72
$1,845.16 		$1,829.98
$1,927.62
$2,031.05
$2,398.49 		$2,383.31
$2,480.95
$2,584.38
$2,951.82 		$553.33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,446.64
$1,641.92
$1,848.78
$2,583.66
$3,926.12 		$1,999.97
$2,195.25
$2,402.11
$3,136.99 		$2,553.30
$2,748.58
$2,955.44
$3,690.32 		$3,106.63
$3,301.91
$3,508.77
$4,243.65 		$553.33
Toc - Plan #25 Medica
Silver

(EPO) Medica Connect Silver Standard ($0 Virtual Care with Designated Providers)

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

Annual Out of Pocket Expenses:

Individual Family
$5,800 $11,600 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 		$787.75
$894.08
$1,006.73
$1,406.90
$2,137.92 		$1,390.37
$1,496.70
$1,609.35
$2,009.52 		$1,992.99
$2,099.32
$2,211.97
$2,612.14 		$2,595.61
$2,701.94
$2,814.59
$3,214.76 		$602.62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1,575.50
$1,788.16
$2,013.46
$2,813.80
$4,275.84 		$2,178.12
$2,390.78
$2,616.08
$3,416.42 		$2,780.74
$2,993.40
$3,218.70
$4,019.04 		$3,383.36
$3,596.02
$3,821.32
$4,621.66 		$602.62
Toc - Plan #26 Medica
Bronze

(EPO) Medica Connect Bronze Standard ($0 Virtual Care with Designated Providers)

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

Annual Out of Pocket Expenses:

Individual Family
$9,100 $18,200 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 		$497.28
$564.40
$635.51
$888.12
$1,349.58 		$877.69
$944.81
$1,015.92
$1,268.53 		$1,258.10
$1,325.22
$1,396.33
$1,648.94 		$1,638.51
$1,705.63
$1,776.74
$2,029.35 		$380.41
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$994.56
$1,128.80
$1,271.02
$1,776.24
$2,699.16 		$1,374.97
$1,509.21
$1,651.43
$2,156.65 		$1,755.38
$1,889.62
$2,031.84
$2,537.06 		$2,135.79
$2,270.03
$2,412.25
$2,917.47 		$380.41

‡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 Gray County here.

Gray County is in “Rating Area 5” of Kansas.

Currently, there are 26 plans offered in Rating Area 5.

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2023 Obamacare Plans for Gray County, KS

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