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|
HMO Louisiana, Inc.
Local: 1-800-392-4087 | Toll Free: 1-800-392-4087
TTY: 1-800-392-4087
|
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$1,000
: Family:
$3,000
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 |
Gold |
21
30
40
50
60 |
$477.56
$542.03
$610.32
$852.92
$1,296.10 |
$955.12
$1,084.06
$1,220.64
$1,705.84
$2,592.20 |
$1,320.45
$1,449.39
$1,585.97
$2,071.17 |
$1,685.78
$1,814.72
$1,951.30
$2,436.50 |
$2,051.11
$2,180.05
$2,316.63
$2,801.83 |
$842.89
$907.36
$975.65
$1,218.25 |
$1,208.22
$1,272.69
$1,340.98
$1,583.58 |
$1,573.55
$1,638.02
$1,706.31
$1,948.91 |
$365.33 |
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|
Vantage Health Plan, Inc.
Local: 1-318-361-0900 | Toll Free: 1-888-823-1910
TTY: 1-866-524-5144
|
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$5,000
: Family:
$10,000
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 |
$342.84
$389.13
$438.15
$612.32
$930.48 |
$685.68
$778.26
$876.30
$1,224.64
$1,860.96 |
$947.96
$1,040.54
$1,138.58
$1,486.92 |
$1,210.24
$1,302.82
$1,400.86
$1,749.20 |
$1,472.52
$1,565.10
$1,663.14
$2,011.48 |
$605.12
$651.41
$700.43
$874.60 |
$867.40
$913.69
$962.71
$1,136.88 |
$1,129.68
$1,175.97
$1,224.99
$1,399.16 |
$262.28 |
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|
HMO Louisiana, Inc.
Local: 1-800-392-4087 | Toll Free: 1-800-392-4087
TTY: 1-800-392-4087
|
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$3,300
: Family:
$9,900
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 |
$456.17
$517.75
$582.99
$814.72
$1,238.05 |
$912.34
$1,035.50
$1,165.98
$1,629.44
$2,476.10 |
$1,261.31
$1,384.47
$1,514.95
$1,978.41 |
$1,610.28
$1,733.44
$1,863.92
$2,327.38 |
$1,959.25
$2,082.41
$2,212.89
$2,676.35 |
$805.14
$866.72
$931.96
$1,163.69 |
$1,154.11
$1,215.69
$1,280.93
$1,512.66 |
$1,503.08
$1,564.66
$1,629.90
$1,861.63 |
$348.97 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$3,500
: Family:
$10,500
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 |
Silver |
21
30
40
50
60 |
$426.09
$483.61
$544.54
$761.00
$1,156.41 |
$852.18
$967.22
$1,089.08
$1,522.00
$2,312.82 |
$1,178.14
$1,293.18
$1,415.04
$1,847.96 |
$1,504.10
$1,619.14
$1,741.00
$2,173.92 |
$1,830.06
$1,945.10
$2,066.96
$2,499.88 |
$752.05
$809.57
$870.50
$1,086.96 |
$1,078.01
$1,135.53
$1,196.46
$1,412.92 |
$1,403.97
$1,461.49
$1,522.42
$1,738.88 |
$325.96 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$6,500
: 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 |
Bronze |
21
30
40
50
60 |
$309.54
$351.33
$395.59
$552.84
$840.09 |
$619.08
$702.66
$791.18
$1,105.68
$1,680.18 |
$855.88
$939.46
$1,027.98
$1,342.48 |
$1,092.68
$1,176.26
$1,264.78
$1,579.28 |
$1,329.48
$1,413.06
$1,501.58
$1,816.08 |
$546.34
$588.13
$632.39
$789.64 |
$783.14
$824.93
$869.19
$1,026.44 |
$1,019.94
$1,061.73
$1,105.99
$1,263.24 |
$236.80 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$4,500
: Family:
$13,500
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 |
$326.15
$370.18
$416.82
$582.50
$885.17 |
$652.30
$740.36
$833.64
$1,165.00
$1,770.34 |
$901.80
$989.86
$1,083.14
$1,414.50 |
$1,151.30
$1,239.36
$1,332.64
$1,664.00 |
$1,400.80
$1,488.86
$1,582.14
$1,913.50 |
$575.65
$619.68
$666.32
$832.00 |
$825.15
$869.18
$915.82
$1,081.50 |
$1,074.65
$1,118.68
$1,165.32
$1,331.00 |
$249.50 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (HMO Louisiana, Inc.)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$3,200
: Family:
$9,600
Out of Pocket Maximum per year: Individual:
$6,600
: Family:
$13,200
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 |
$387.25
$439.53
$494.91
$691.63
$1,051.00 |
$774.50
$879.06
$989.82
$1,383.26
$2,102.00 |
$1,070.75
$1,175.31
$1,286.07
$1,679.51 |
$1,367.00
$1,471.56
$1,582.32
$1,975.76 |
$1,663.25
$1,767.81
$1,878.57
$2,272.01 |
$683.50
$735.78
$791.16
$987.88 |
$979.75
$1,032.03
$1,087.41
$1,284.13 |
$1,276.00
$1,328.28
$1,383.66
$1,580.38 |
$296.25 |
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|
Vantage Health Plan, Inc.
Local: 1-318-361-0900 | Toll Free: 1-888-823-1910
TTY: 1-866-524-5144
|
Platinum
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$0
: Family:
$0
Out of Pocket Maximum per year: Individual:
$1,500
: Family:
$3,000
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 |
Platinum |
21
30
40
50
60 |
$607.60
$689.63
$776.52
$1,085.18
$1,649.04 |
$1,215.20
$1,379.26
$1,553.04
$2,170.36
$3,298.08 |
$1,680.02
$1,844.08
$2,017.86
$2,635.18 |
$2,144.84
$2,308.90
$2,482.68
$3,100.00 |
$2,609.66
$2,773.72
$2,947.50
$3,564.82 |
$1,072.42
$1,154.45
$1,241.34
$1,550.00 |
$1,537.24
$1,619.27
$1,706.16
$2,014.82 |
$2,002.06
$2,084.09
$2,170.98
$2,479.64 |
$464.82 |
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$1,000
: 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 |
$504.68
$572.81
$644.98
$901.35
$1,369.69 |
$1,009.36
$1,145.62
$1,289.96
$1,802.70
$2,739.38 |
$1,395.44
$1,531.70
$1,676.04
$2,188.78 |
$1,781.52
$1,917.78
$2,062.12
$2,574.86 |
$2,167.60
$2,303.86
$2,448.20
$2,960.94 |
$890.76
$958.89
$1,031.06
$1,287.43 |
$1,276.84
$1,344.97
$1,417.14
$1,673.51 |
$1,662.92
$1,731.05
$1,803.22
$2,059.59 |
$386.08 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$2,500
: Family:
$7,500
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 |
Silver |
21
30
40
50
60 |
$509.76
$578.58
$651.48
$910.44
$1,383.50 |
$1,019.52
$1,157.16
$1,302.96
$1,820.88
$2,767.00 |
$1,409.49
$1,547.13
$1,692.93
$2,210.85 |
$1,799.46
$1,937.10
$2,082.90
$2,600.82 |
$2,189.43
$2,327.07
$2,472.87
$2,990.79 |
$899.73
$968.55
$1,041.45
$1,300.41 |
$1,289.70
$1,358.52
$1,431.42
$1,690.38 |
$1,679.67
$1,748.49
$1,821.39
$2,080.35 |
$389.97 |
Expanded Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$6,500
: Family:
$13,000
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 |
Expanded Bronze |
21
30
40
50
60 |
$352.97
$400.62
$451.09
$630.40
$957.96 |
$705.94
$801.24
$902.18
$1,260.80
$1,915.92 |
$975.96
$1,071.26
$1,172.20
$1,530.82 |
$1,245.98
$1,341.28
$1,442.22
$1,800.84 |
$1,516.00
$1,611.30
$1,712.24
$2,070.86 |
$622.99
$670.64
$721.11
$900.42 |
$893.01
$940.66
$991.13
$1,170.44 |
$1,163.03
$1,210.68
$1,261.15
$1,440.46 |
$270.02 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$3,500
: Family:
$10,500
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 |
Silver |
21
30
40
50
60 |
$489.20
$555.24
$625.20
$873.72
$1,327.69 |
$978.40
$1,110.48
$1,250.40
$1,747.44
$2,655.38 |
$1,352.64
$1,484.72
$1,624.64
$2,121.68 |
$1,726.88
$1,858.96
$1,998.88
$2,495.92 |
$2,101.12
$2,233.20
$2,373.12
$2,870.16 |
$863.44
$929.48
$999.44
$1,247.96 |
$1,237.68
$1,303.72
$1,373.68
$1,622.20 |
$1,611.92
$1,677.96
$1,747.92
$1,996.44 |
$374.24 |
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Vantage Health Plan, Inc.)
Customer Service Phone: 1-888-823-1910
Deductible: Individual:
$1,500
: Family:
$4,500
Out of Pocket Maximum per year: Individual:
$4,000
: Family:
$8,000
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 |
$517.82
$587.72
$661.77
$924.83
$1,405.36 |
$1,035.64
$1,175.44
$1,323.54
$1,849.66
$2,810.72 |
$1,431.77
$1,571.57
$1,719.67
$2,245.79 |
$1,827.90
$1,967.70
$2,115.80
$2,641.92 |
$2,224.03
$2,363.83
$2,511.93
$3,038.05 |
$913.95
$983.85
$1,057.90
$1,320.96 |
$1,310.08
$1,379.98
$1,454.03
$1,717.09 |
$1,706.21
$1,776.11
$1,850.16
$2,113.22 |
$396.13 |
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|
Louisiana Health Service & Indemnity Company
Local: 1-800-392-4087 | Toll Free: 1-800-392-4087
TTY: 1-800-392-4087
|
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$2,800
: Family:
$8,400
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 |
$742.12
$842.31
$948.43
$1,325.43
$2,014.11 |
$1,484.24
$1,684.62
$1,896.86
$2,650.86
$4,028.22 |
$2,051.96
$2,252.34
$2,464.58
$3,218.58 |
$2,619.68
$2,820.06
$3,032.30
$3,786.30 |
$3,187.40
$3,387.78
$3,600.02
$4,354.02 |
$1,309.84
$1,410.03
$1,516.15
$1,893.15 |
$1,877.56
$1,977.75
$2,083.87
$2,460.87 |
$2,445.28
$2,545.47
$2,651.59
$3,028.59 |
$567.72 |
Gold
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$1,500
: Family:
$4,500
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 |
Gold |
21
30
40
50
60 |
$773.73
$878.18
$988.83
$1,381.88
$2,099.90 |
$1,547.46
$1,756.36
$1,977.66
$2,763.76
$4,199.80 |
$2,139.36
$2,348.26
$2,569.56
$3,355.66 |
$2,731.26
$2,940.16
$3,161.46
$3,947.56 |
$3,323.16
$3,532.06
$3,753.36
$4,539.46 |
$1,365.63
$1,470.08
$1,580.73
$1,973.78 |
$1,957.53
$2,061.98
$2,172.63
$2,565.68 |
$2,549.43
$2,653.88
$2,764.53
$3,157.58 |
$591.90 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$5,000
: 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 |
Bronze |
21
30
40
50
60 |
$499.31
$566.72
$638.12
$891.77
$1,355.13 |
$998.62
$1,133.44
$1,276.24
$1,783.54
$2,710.26 |
$1,380.59
$1,515.41
$1,658.21
$2,165.51 |
$1,762.56
$1,897.38
$2,040.18
$2,547.48 |
$2,144.53
$2,279.35
$2,422.15
$2,929.45 |
$881.28
$948.69
$1,020.09
$1,273.74 |
$1,263.25
$1,330.66
$1,402.06
$1,655.71 |
$1,645.22
$1,712.63
$1,784.03
$2,037.68 |
$381.97 |
Silver
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$3,000
: Family:
$6,000
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 |
Silver |
21
30
40
50
60 |
$722.79
$820.37
$923.73
$1,290.90
$1,961.65 |
$1,445.58
$1,640.74
$1,847.46
$2,581.80
$3,923.30 |
$1,998.51
$2,193.67
$2,400.39
$3,134.73 |
$2,551.44
$2,746.60
$2,953.32
$3,687.66 |
$3,104.37
$3,299.53
$3,506.25
$4,240.59 |
$1,275.72
$1,373.30
$1,476.66
$1,843.83 |
$1,828.65
$1,926.23
$2,029.59
$2,396.76 |
$2,381.58
$2,479.16
$2,582.52
$2,949.69 |
$552.93 |
Bronze
Summary of Benefits and Coverage -
Plan Brochure
Provider Directory for This Plan: (Louisiana Health Service & Indemnity Company)
Customer Service Phone: 1-800-392-4087
Deductible: Individual:
$4,500
: Family:
$9,000
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 |
$548.53
$622.58
$701.02
$979.67
$1,488.71 |
$1,097.06
$1,245.16
$1,402.04
$1,959.34
$2,977.42 |
$1,516.69
$1,664.79
$1,821.67
$2,378.97 |
$1,936.32
$2,084.42
$2,241.30
$2,798.60 |
$2,355.95
$2,504.05
$2,660.93
$3,218.23 |
$968.16
$1,042.21
$1,120.65
$1,399.30 |
$1,387.79
$1,461.84
$1,540.28
$1,818.93 |
$1,807.42
$1,881.47
$1,959.91
$2,238.56 |
$419.63 |
Under the Affordable Care Act (ACA) in Louisiana, you may be able to reduce your health insurance through tax credits or, if your income is very low, by qualifying for Medicaid.
Many people who apply for coverage at the Louisiana exchange will be eligible for some form of financial assistance. Read on to learn more about your options.
For 2018, in most states, open enrollment for health insurance under the Affordable Care Act ended on December 15. That means it’s too late for most people to use a health insurance exchange to get coverage for 2018.
If you let the ACA deadline pass you by this year, here are some things to know.
Certain life events make you eligible to sign up for health insurance outside of open enrolllment. The circumstances under which you may qualify for special enrollment include: