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Obamacare 2019 Rates for Kennebec County, Maine


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

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

Obamacare Providers, Plans and 2019 Rates for Kennebec County

Kennebec County is in “Rating Area 2” of Maine.

Currently, there are 28 plans offered in Rating Area 2.

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 Waterville, ME area accept this insurance coverage as within the plan's "network".

2019 Obamacare Rates Providers, Plans for Kennebec County

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Maine Community Health Options

Local: 1-855-624-6463 | Toll Free: 1-855-624-6463

Catastrophic

Plan: (PPO) Community Safe Harbor PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Catastrophic 21
30
40
50
60
$203.52
$231.00
$260.10
$363.49
$552.36
$407.04
$462.00
$520.20
$726.98
$1,104.72
$562.73
$617.69
$675.89
$882.67
$718.42
$773.38
$831.58
$1,038.36
$874.11
$929.07
$987.27
$1,194.05
$359.21
$386.69
$415.79
$519.18
$514.90
$542.38
$571.48
$674.87
$670.59
$698.07
$727.17
$830.56
$185.81

Bronze

Plan: (PPO) Community Focus PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $5,500 : Family: $11,000
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
Bronze 21
30
40
50
60
$295.69
$335.61
$377.89
$528.10
$802.51
$591.38
$671.22
$755.78
$1,056.20
$1,605.02
$817.58
$897.42
$981.98
$1,282.40
$1,043.78
$1,123.62
$1,208.18
$1,508.60
$1,269.98
$1,349.82
$1,434.38
$1,734.80
$521.89
$561.81
$604.09
$754.30
$748.09
$788.01
$830.29
$980.50
$974.29
$1,014.21
$1,056.49
$1,206.70
$269.97

Silver

Plan: (PPO) Community Choice PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
$466.67
$529.67
$596.40
$833.47
$1,266.53
$933.34
$1,059.34
$1,192.80
$1,666.94
$2,533.06
$1,290.34
$1,416.34
$1,549.80
$2,023.94
$1,647.34
$1,773.34
$1,906.80
$2,380.94
$2,004.34
$2,130.34
$2,263.80
$2,737.94
$823.67
$886.67
$953.40
$1,190.47
$1,180.67
$1,243.67
$1,310.40
$1,547.47
$1,537.67
$1,600.67
$1,667.40
$1,904.47
$426.07

Gold

Plan: (PPO) Community Edge PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

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
$497.62
$564.79
$635.95
$888.74
$1,350.53
$995.24
$1,129.58
$1,271.90
$1,777.48
$2,701.06
$1,375.92
$1,510.26
$1,652.58
$2,158.16
$1,756.60
$1,890.94
$2,033.26
$2,538.84
$2,137.28
$2,271.62
$2,413.94
$2,919.52
$878.30
$945.47
$1,016.63
$1,269.42
$1,258.98
$1,326.15
$1,397.31
$1,650.10
$1,639.66
$1,706.83
$1,777.99
$2,030.78
$454.32

Bronze

Plan: (PPO) Community Reliant HSA PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

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
$294.72
$334.50
$376.65
$526.36
$799.86
$589.44
$669.00
$753.30
$1,052.72
$1,599.72
$814.90
$894.46
$978.76
$1,278.18
$1,040.36
$1,119.92
$1,204.22
$1,503.64
$1,265.82
$1,345.38
$1,429.68
$1,729.10
$520.18
$559.96
$602.11
$751.82
$745.64
$785.42
$827.57
$977.28
$971.10
$1,010.88
$1,053.03
$1,202.74
$269.08

Bronze

Plan: (PPO) Community Align PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $5,500 : Family: $11,000
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
Bronze 21
30
40
50
60
$325.84
$369.83
$416.42
$581.95
$884.33
$651.68
$739.66
$832.84
$1,163.90
$1,768.66
$900.95
$988.93
$1,082.11
$1,413.17
$1,150.22
$1,238.20
$1,331.38
$1,662.44
$1,399.49
$1,487.47
$1,580.65
$1,911.71
$575.11
$619.10
$665.69
$831.22
$824.38
$868.37
$914.96
$1,080.49
$1,073.65
$1,117.64
$1,164.23
$1,329.76
$297.49

Silver

Plan: (PPO) Community Advance PPO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
$509.40
$578.17
$651.01
$909.79
$1,382.51
$1,018.80
$1,156.34
$1,302.02
$1,819.58
$2,765.02
$1,408.49
$1,546.03
$1,691.71
$2,209.27
$1,798.18
$1,935.72
$2,081.40
$2,598.96
$2,187.87
$2,325.41
$2,471.09
$2,988.65
$899.09
$967.86
$1,040.70
$1,299.48
$1,288.78
$1,357.55
$1,430.39
$1,689.17
$1,678.47
$1,747.24
$1,820.08
$2,078.86
$465.08

Silver

Plan: (HMO) Community Value HMO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $3,350 : Family: $6,700
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
$447.10
$507.46
$571.39
$798.52
$1,213.42
$894.20
$1,014.92
$1,142.78
$1,597.04
$2,426.84
$1,236.23
$1,356.95
$1,484.81
$1,939.07
$1,578.26
$1,698.98
$1,826.84
$2,281.10
$1,920.29
$2,041.01
$2,168.87
$2,623.13
$789.13
$849.49
$913.42
$1,140.55
$1,131.16
$1,191.52
$1,255.45
$1,482.58
$1,473.19
$1,533.55
$1,597.48
$1,824.61
$408.20

Silver

Plan: (HMO) Community Foundation HMO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $7,450 : Family: $14,900

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
$436.49
$495.42
$557.84
$779.57
$1,184.64
$872.98
$990.84
$1,115.68
$1,559.14
$2,369.28
$1,206.90
$1,324.76
$1,449.60
$1,893.06
$1,540.82
$1,658.68
$1,783.52
$2,226.98
$1,874.74
$1,992.60
$2,117.44
$2,560.90
$770.41
$829.34
$891.76
$1,113.49
$1,104.33
$1,163.26
$1,225.68
$1,447.41
$1,438.25
$1,497.18
$1,559.60
$1,781.33
$398.52

Silver

Plan: (HMO) Community Vital HMO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $2,250 : Family: $4,500
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
$495.73
$562.66
$633.55
$885.38
$1,345.42
$991.46
$1,125.32
$1,267.10
$1,770.76
$2,690.84
$1,370.70
$1,504.56
$1,646.34
$2,150.00
$1,749.94
$1,883.80
$2,025.58
$2,529.24
$2,129.18
$2,263.04
$2,404.82
$2,908.48
$874.97
$941.90
$1,012.79
$1,264.62
$1,254.21
$1,321.14
$1,392.03
$1,643.86
$1,633.45
$1,700.38
$1,771.27
$2,023.10
$452.60

Silver

Plan: (HMO) Community Complete HMO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $3,350 : Family: $6,700
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
$488.30
$554.23
$624.05
$872.11
$1,325.26
$976.60
$1,108.46
$1,248.10
$1,744.22
$2,650.52
$1,350.15
$1,482.01
$1,621.65
$2,117.77
$1,723.70
$1,855.56
$1,995.20
$2,491.32
$2,097.25
$2,229.11
$2,368.75
$2,864.87
$861.85
$927.78
$997.60
$1,245.66
$1,235.40
$1,301.33
$1,371.15
$1,619.21
$1,608.95
$1,674.88
$1,744.70
$1,992.76
$445.82

Expanded Bronze

Plan: (HMO) Community Best HMO

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Maine Community Health Options)
Customer Service Phone: 1-855-624-6463

Deductible: Individual: $4,200 : Family: $8,400
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$324.97
$368.84
$415.31
$580.40
$881.97
$649.94
$737.68
$830.62
$1,160.80
$1,763.94
$898.54
$986.28
$1,079.22
$1,409.40
$1,147.14
$1,234.88
$1,327.82
$1,658.00
$1,395.74
$1,483.48
$1,576.42
$1,906.60
$573.57
$617.44
$663.91
$829.00
$822.17
$866.04
$912.51
$1,077.60
$1,070.77
$1,114.64
$1,161.11
$1,326.20
$296.70

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Anthem Health Plans of ME(Anthem BCBS)

Local: 1-855-738-6674 | Toll Free: 1-855-738-6674

Catastrophic

Plan: (HMO) Anthem Catastrophic X HMO 7900

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
Catastrophic 21
30
40
50
60
$178.99
$203.15
$228.75
$319.68
$485.78
$357.98
$406.30
$457.50
$639.36
$971.56
$494.91
$543.23
$594.43
$776.29
$631.84
$680.16
$731.36
$913.22
$768.77
$817.09
$868.29
$1,050.15
$315.92
$340.08
$365.68
$456.61
$452.85
$477.01
$502.61
$593.54
$589.78
$613.94
$639.54
$730.47
$163.42

Expanded Bronze

Plan: (HMO) Anthem Bronze X HMO 6350

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $6,350 : Family: $12,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$275.19
$312.34
$351.69
$491.49
$746.87
$550.38
$624.68
$703.38
$982.98
$1,493.74
$760.90
$835.20
$913.90
$1,193.50
$971.42
$1,045.72
$1,124.42
$1,404.02
$1,181.94
$1,256.24
$1,334.94
$1,614.54
$485.71
$522.86
$562.21
$702.01
$696.23
$733.38
$772.73
$912.53
$906.75
$943.90
$983.25
$1,123.05
$251.25

Bronze

Plan: (HMO) Anthem Bronze X HMO 6250 for HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $6,250 : Family: $12,500
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
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
$260.96

Expanded Bronze

Plan: (HMO) Anthem Bronze X HMO 5000 Online Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$318.60
$361.61
$407.17
$569.02
$864.68
$637.20
$723.22
$814.34
$1,138.04
$1,729.36
$880.93
$966.95
$1,058.07
$1,381.77
$1,124.66
$1,210.68
$1,301.80
$1,625.50
$1,368.39
$1,454.41
$1,545.53
$1,869.23
$562.33
$605.34
$650.90
$812.75
$806.06
$849.07
$894.63
$1,056.48
$1,049.79
$1,092.80
$1,138.36
$1,300.21
$290.88

Expanded Bronze

Plan: (HMO) Anthem Bronze X HMO 5000 for HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

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
Expanded Bronze 21
30
40
50
60
$293.88
$333.55
$375.58
$524.87
$797.59
$587.76
$667.10
$751.16
$1,049.74
$1,595.18
$812.58
$891.92
$975.98
$1,274.56
$1,037.40
$1,116.74
$1,200.80
$1,499.38
$1,262.22
$1,341.56
$1,425.62
$1,724.20
$518.70
$558.37
$600.40
$749.69
$743.52
$783.19
$825.22
$974.51
$968.34
$1,008.01
$1,050.04
$1,199.33
$268.31

Silver

Plan: (HMO) Anthem Silver X HMO 5800

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $5,800 : Family: $11,600
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$384.17
$436.03
$490.97
$686.13
$1,042.64
$768.34
$872.06
$981.94
$1,372.26
$2,085.28
$1,062.23
$1,165.95
$1,275.83
$1,666.15
$1,356.12
$1,459.84
$1,569.72
$1,960.04
$1,650.01
$1,753.73
$1,863.61
$2,253.93
$678.06
$729.92
$784.86
$980.02
$971.95
$1,023.81
$1,078.75
$1,273.91
$1,265.84
$1,317.70
$1,372.64
$1,567.80
$350.75

Silver

Plan: (HMO) Anthem Silver X HMO 4500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$398.17
$451.92
$508.86
$711.13
$1,080.63
$796.34
$903.84
$1,017.72
$1,422.26
$2,161.26
$1,100.94
$1,208.44
$1,322.32
$1,726.86
$1,405.54
$1,513.04
$1,626.92
$2,031.46
$1,710.14
$1,817.64
$1,931.52
$2,336.06
$702.77
$756.52
$813.46
$1,015.73
$1,007.37
$1,061.12
$1,118.06
$1,320.33
$1,311.97
$1,365.72
$1,422.66
$1,624.93
$363.53

Silver

Plan: (HMO) Anthem Silver X HMO 3850

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $3,850 : Family: $7,700
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$408.33
$463.45
$521.85
$729.28
$1,108.21
$816.66
$926.90
$1,043.70
$1,458.56
$2,216.42
$1,129.03
$1,239.27
$1,356.07
$1,770.93
$1,441.40
$1,551.64
$1,668.44
$2,083.30
$1,753.77
$1,864.01
$1,980.81
$2,395.67
$720.70
$775.82
$834.22
$1,041.65
$1,033.07
$1,088.19
$1,146.59
$1,354.02
$1,345.44
$1,400.56
$1,458.96
$1,666.39
$372.81

Silver

Plan: (HMO) Anthem Silver X HMO 2250

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $2,250 : Family: $4,500
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$413.10
$468.87
$527.94
$737.80
$1,121.15
$826.20
$937.74
$1,055.88
$1,475.60
$2,242.30
$1,142.22
$1,253.76
$1,371.90
$1,791.62
$1,458.24
$1,569.78
$1,687.92
$2,107.64
$1,774.26
$1,885.80
$2,003.94
$2,423.66
$729.12
$784.89
$843.96
$1,053.82
$1,045.14
$1,100.91
$1,159.98
$1,369.84
$1,361.16
$1,416.93
$1,476.00
$1,685.86
$377.16

Gold

Plan: (HMO) Anthem Gold X HMO 1350

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Anthem Health Plans of ME(Anthem BCBS))
Customer Service Phone: 1-855-738-6674

Deductible: Individual: $1,350 : Family: $4,050
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$500.65
$568.24
$639.83
$894.16
$1,358.76
$1,001.30
$1,136.48
$1,279.66
$1,788.32
$2,717.52
$1,384.30
$1,519.48
$1,662.66
$2,171.32
$1,767.30
$1,902.48
$2,045.66
$2,554.32
$2,150.30
$2,285.48
$2,428.66
$2,937.32
$883.65
$951.24
$1,022.83
$1,277.16
$1,266.65
$1,334.24
$1,405.83
$1,660.16
$1,649.65
$1,717.24
$1,788.83
$2,043.16
$457.09

ADVERTISEMENT

Harvard Pilgrim Health Care Inc.

Local: 1-877-907-4742 | Toll Free: 1-877-907-4742

TTY: 1-800-637-8257

Gold

Plan: (HMO) HMO Gold 1500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

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
$491.32
$557.65
$627.91
$877.51
$1,333.46
$982.64
$1,115.30
$1,255.82
$1,755.02
$2,666.92
$1,358.50
$1,491.16
$1,631.68
$2,130.88
$1,734.36
$1,867.02
$2,007.54
$2,506.74
$2,110.22
$2,242.88
$2,383.40
$2,882.60
$867.18
$933.51
$1,003.77
$1,253.37
$1,243.04
$1,309.37
$1,379.63
$1,629.23
$1,618.90
$1,685.23
$1,755.49
$2,005.09
$448.58

Expanded Bronze

Plan: (HMO) HMO Bronze 6500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$331.39
$376.13
$423.52
$591.87
$899.40
$662.78
$752.26
$847.04
$1,183.74
$1,798.80
$916.30
$1,005.78
$1,100.56
$1,437.26
$1,169.82
$1,259.30
$1,354.08
$1,690.78
$1,423.34
$1,512.82
$1,607.60
$1,944.30
$584.91
$629.65
$677.04
$845.39
$838.43
$883.17
$930.56
$1,098.91
$1,091.95
$1,136.69
$1,184.08
$1,352.43
$302.56

Silver

Plan: (HMO) HMO Silver 2500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

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
$489.35
$555.41
$625.39
$873.98
$1,328.10
$978.70
$1,110.82
$1,250.78
$1,747.96
$2,656.20
$1,353.05
$1,485.17
$1,625.13
$2,122.31
$1,727.40
$1,859.52
$1,999.48
$2,496.66
$2,101.75
$2,233.87
$2,373.83
$2,871.01
$863.70
$929.76
$999.74
$1,248.33
$1,238.05
$1,304.11
$1,374.09
$1,622.68
$1,612.40
$1,678.46
$1,748.44
$1,997.03
$446.78

Silver

Plan: (HMO) Maines Choice HMO Silver 2500 Casco

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

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
$449.20
$509.85
$574.08
$802.28
$1,219.14
$898.40
$1,019.70
$1,148.16
$1,604.56
$2,438.28
$1,242.04
$1,363.34
$1,491.80
$1,948.20
$1,585.68
$1,706.98
$1,835.44
$2,291.84
$1,929.32
$2,050.62
$2,179.08
$2,635.48
$792.84
$853.49
$917.72
$1,145.92
$1,136.48
$1,197.13
$1,261.36
$1,489.56
$1,480.12
$1,540.77
$1,605.00
$1,833.20
$410.12

Silver

Plan: (HMO) Maines Choice HMO Silver 4500 Pemaquid

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $4,500 : Family: $9,000
Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000

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
$426.17
$483.70
$544.64
$761.14
$1,156.62
$852.34
$967.40
$1,089.28
$1,522.28
$2,313.24
$1,178.36
$1,293.42
$1,415.30
$1,848.30
$1,504.38
$1,619.44
$1,741.32
$2,174.32
$1,830.40
$1,945.46
$2,067.34
$2,500.34
$752.19
$809.72
$870.66
$1,087.16
$1,078.21
$1,135.74
$1,196.68
$1,413.18
$1,404.23
$1,461.76
$1,522.70
$1,739.20
$389.09

Expanded Bronze

Plan: (HMO) Maines Choice HMO HSA Bronze 5000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Harvard Pilgrim Health Care Inc.)
Customer Service Phone: 1-877-907-4742

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

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
$328.76
$373.14
$420.16
$587.17
$892.26
$657.52
$746.28
$840.32
$1,174.34
$1,784.52
$909.02
$997.78
$1,091.82
$1,425.84
$1,160.52
$1,249.28
$1,343.32
$1,677.34
$1,412.02
$1,500.78
$1,594.82
$1,928.84
$580.26
$624.64
$671.66
$838.67
$831.76
$876.14
$923.16
$1,090.17
$1,083.26
$1,127.64
$1,174.66
$1,341.67
$300.16

‡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 Kennebec County here.

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