Ingham County, Michigan 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 Ingham County, MI.

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, 82 Plans and 2024 Rates for Ingham County, Michigan

Below, you’ll find a summary of the 82 plans for Ingham County, Michigan 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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Blue Cross Blue Shield of Michigan Mutual Insurance Company

Local: 1-888-288-2738 | Toll Free: 1-888-288-2738 | TTY: 1-800-481-8704

Toc - Plan #1 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Catastrophic

(PPO) Blue Cross® Premier PPO Value

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$252.95
$287.10
$323.27
$451.77
$686.51
$446.46
$480.61
$516.78
$645.28
$639.97
$674.12
$710.29
$838.79
$833.48
$867.63
$903.80
$1,032.30
$193.51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$505.90
$574.20
$646.54
$903.54
$1,373.02
$699.41
$767.71
$840.05
$1,097.05
$892.92
$961.22
$1,033.56
$1,290.56
$1,086.43
$1,154.73
$1,227.07
$1,484.07
$193.51
Toc - Plan #2 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze

(PPO) Blue Cross® Premier PPO Bronze HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$341.14
$387.19
$435.98
$609.28
$925.85
$602.11
$648.16
$696.95
$870.25
$863.08
$909.13
$957.92
$1,131.22
$1,124.05
$1,170.10
$1,218.89
$1,392.19
$260.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$682.28
$774.38
$871.96
$1,218.56
$1,851.70
$943.25
$1,035.35
$1,132.93
$1,479.53
$1,204.22
$1,296.32
$1,393.90
$1,740.50
$1,465.19
$1,557.29
$1,654.87
$2,001.47
$260.97
Toc - Plan #3 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross® Premier PPO Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

Annual Out of Pocket Expenses:

Individual Family
$3,150 $6,300 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
$461.86
$524.21
$590.26
$824.88
$1,253.49
$815.18
$877.53
$943.58
$1,178.20
$1,168.50
$1,230.85
$1,296.90
$1,531.52
$1,521.82
$1,584.17
$1,650.22
$1,884.84
$353.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$923.72
$1,048.42
$1,180.52
$1,649.76
$2,506.98
$1,277.04
$1,401.74
$1,533.84
$2,003.08
$1,630.36
$1,755.06
$1,887.16
$2,356.40
$1,983.68
$2,108.38
$2,240.48
$2,709.72
$353.32
Toc - Plan #4 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Gold

(PPO) Blue Cross® Premier PPO Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

Annual Out of Pocket Expenses:

Individual Family
$1,200 $2,400 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
$532.00
$603.82
$679.90
$950.15
$1,443.85
$938.98
$1,010.80
$1,086.88
$1,357.13
$1,345.96
$1,417.78
$1,493.86
$1,764.11
$1,752.94
$1,824.76
$1,900.84
$2,171.09
$406.98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,064.00
$1,207.64
$1,359.80
$1,900.30
$2,887.70
$1,470.98
$1,614.62
$1,766.78
$2,307.28
$1,877.96
$2,021.60
$2,173.76
$2,714.26
$2,284.94
$2,428.58
$2,580.74
$3,121.24
$406.98
Toc - Plan #5 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Bronze

(PPO) Blue Cross® Premier PPO Bronze Secure

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$316.52
$359.25
$404.51
$565.30
$859.04
$558.66
$601.39
$646.65
$807.44
$800.80
$843.53
$888.79
$1,049.58
$1,042.94
$1,085.67
$1,130.93
$1,291.72
$242.14
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$633.04
$718.50
$809.02
$1,130.60
$1,718.08
$875.18
$960.64
$1,051.16
$1,372.74
$1,117.32
$1,202.78
$1,293.30
$1,614.88
$1,359.46
$1,444.92
$1,535.44
$1,857.02
$242.14
Toc - Plan #6 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross® Premier PPO Silver Saver HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

Annual Out of Pocket Expenses:

Individual Family
$3,650 $7,300 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
$461.58
$523.89
$589.90
$824.38
$1,252.73
$814.69
$877.00
$943.01
$1,177.49
$1,167.80
$1,230.11
$1,296.12
$1,530.60
$1,520.91
$1,583.22
$1,649.23
$1,883.71
$353.11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$923.16
$1,047.78
$1,179.80
$1,648.76
$2,505.46
$1,276.27
$1,400.89
$1,532.91
$2,001.87
$1,629.38
$1,754.00
$1,886.02
$2,354.98
$1,982.49
$2,107.11
$2,239.13
$2,708.09
$353.11
Toc - Plan #7 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze

(PPO) Blue Cross® Premier PPO Bronze Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$359.70
$408.26
$459.70
$642.42
$976.23
$634.87
$683.43
$734.87
$917.59
$910.04
$958.60
$1,010.04
$1,192.76
$1,185.21
$1,233.77
$1,285.21
$1,467.93
$275.17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$719.40
$816.52
$919.40
$1,284.84
$1,952.46
$994.57
$1,091.69
$1,194.57
$1,560.01
$1,269.74
$1,366.86
$1,469.74
$1,835.18
$1,544.91
$1,642.03
$1,744.91
$2,110.35
$275.17
Toc - Plan #8 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross® Premier PPO Silver Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$492.63
$559.14
$629.58
$879.84
$1,337.00
$869.49
$936.00
$1,006.44
$1,256.70
$1,246.35
$1,312.86
$1,383.30
$1,633.56
$1,623.21
$1,689.72
$1,760.16
$2,010.42
$376.86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$985.26
$1,118.28
$1,259.16
$1,759.68
$2,674.00
$1,362.12
$1,495.14
$1,636.02
$2,136.54
$1,738.98
$1,872.00
$2,012.88
$2,513.40
$2,115.84
$2,248.86
$2,389.74
$2,890.26
$376.86
Toc - Plan #9 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Gold

(PPO) Blue Cross® Premier PPO Gold Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-288-2738

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
$600.20
$681.23
$767.06
$1,071.96
$1,628.94
$1,059.35
$1,140.38
$1,226.21
$1,531.11
$1,518.50
$1,599.53
$1,685.36
$1,990.26
$1,977.65
$2,058.68
$2,144.51
$2,449.41
$459.15
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,200.40
$1,362.46
$1,534.12
$2,143.92
$3,257.88
$1,659.55
$1,821.61
$1,993.27
$2,603.07
$2,118.70
$2,280.76
$2,452.42
$3,062.22
$2,577.85
$2,739.91
$2,911.57
$3,521.37
$459.15

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Priority Health

Local: 1-855-682-5217 | Toll Free: 1-855-682-5217 | TTY: 1-888-551-6761

Toc - Plan #10 Priority Health
Expanded Bronze

(HMO) MyPriority Value Bronze HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 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
$324.00
$367.74
$414.07
$578.66
$879.34
$571.86
$615.60
$661.93
$826.52
$819.72
$863.46
$909.79
$1,074.38
$1,067.58
$1,111.32
$1,157.65
$1,322.24
$247.86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$648.00
$735.48
$828.14
$1,157.32
$1,758.68
$895.86
$983.34
$1,076.00
$1,405.18
$1,143.72
$1,231.20
$1,323.86
$1,653.04
$1,391.58
$1,479.06
$1,571.72
$1,900.90
$247.86
Toc - Plan #11 Priority Health
Expanded Bronze

(HMO) MyPriority Value Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

Annual Out of Pocket Expenses:

Individual Family
$9,400 $18,800 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
$288.93
$327.94
$369.25
$516.03
$784.16
$509.96
$548.97
$590.28
$737.06
$730.99
$770.00
$811.31
$958.09
$952.02
$991.03
$1,032.34
$1,179.12
$221.03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$577.86
$655.88
$738.50
$1,032.06
$1,568.32
$798.89
$876.91
$959.53
$1,253.09
$1,019.92
$1,097.94
$1,180.56
$1,474.12
$1,240.95
$1,318.97
$1,401.59
$1,695.15
$221.03
Toc - Plan #12 Priority Health
Silver

(HMO) MyPriority Balanced Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

Annual Out of Pocket Expenses:

Individual Family
$3,600 $7,200 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
$384.76
$436.70
$491.72
$687.18
$1,044.24
$679.10
$731.04
$786.06
$981.52
$973.44
$1,025.38
$1,080.40
$1,275.86
$1,267.78
$1,319.72
$1,374.74
$1,570.20
$294.34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$769.52
$873.40
$983.44
$1,374.36
$2,088.48
$1,063.86
$1,167.74
$1,277.78
$1,668.70
$1,358.20
$1,462.08
$1,572.12
$1,963.04
$1,652.54
$1,756.42
$1,866.46
$2,257.38
$294.34
Toc - Plan #13 Priority Health
Silver

(HMO) MyPriority Premier Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

Annual Out of Pocket Expenses:

Individual Family
$5,500 $11,000 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
$370.47
$420.48
$473.46
$661.66
$1,005.46
$653.88
$703.89
$756.87
$945.07
$937.29
$987.30
$1,040.28
$1,228.48
$1,220.70
$1,270.71
$1,323.69
$1,511.89
$283.41
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$740.94
$840.96
$946.92
$1,323.32
$2,010.92
$1,024.35
$1,124.37
$1,230.33
$1,606.73
$1,307.76
$1,407.78
$1,513.74
$1,890.14
$1,591.17
$1,691.19
$1,797.15
$2,173.55
$283.41
Toc - Plan #14 Priority Health
Expanded Bronze

(HMO) MyPriority Standard Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

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
$293.31
$332.91
$374.85
$523.85
$796.04
$517.69
$557.29
$599.23
$748.23
$742.07
$781.67
$823.61
$972.61
$966.45
$1,006.05
$1,047.99
$1,196.99
$224.38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$586.62
$665.82
$749.70
$1,047.70
$1,592.08
$811.00
$890.20
$974.08
$1,272.08
$1,035.38
$1,114.58
$1,198.46
$1,496.46
$1,259.76
$1,338.96
$1,422.84
$1,720.84
$224.38
Toc - Plan #15 Priority Health
Expanded Bronze

(HMO) MyPriority Standard Bronze - Travel

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

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
$337.31
$382.85
$431.08
$602.44
$915.46
$595.35
$640.89
$689.12
$860.48
$853.39
$898.93
$947.16
$1,118.52
$1,111.43
$1,156.97
$1,205.20
$1,376.56
$258.04
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$674.62
$765.70
$862.16
$1,204.88
$1,830.92
$932.66
$1,023.74
$1,120.20
$1,462.92
$1,190.70
$1,281.78
$1,378.24
$1,720.96
$1,448.74
$1,539.82
$1,636.28
$1,979.00
$258.04
Toc - Plan #16 Priority Health
Silver

(HMO) MyPriority Standard Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

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
$395.27
$448.63
$505.16
$705.95
$1,072.76
$697.65
$751.01
$807.54
$1,008.33
$1,000.03
$1,053.39
$1,109.92
$1,310.71
$1,302.41
$1,355.77
$1,412.30
$1,613.09
$302.38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$790.54
$897.26
$1,010.32
$1,411.90
$2,145.52
$1,092.92
$1,199.64
$1,312.70
$1,714.28
$1,395.30
$1,502.02
$1,615.08
$2,016.66
$1,697.68
$1,804.40
$1,917.46
$2,319.04
$302.38
Toc - Plan #17 Priority Health
Silver

(HMO) MyPriority Standard Silver - Travel

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

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
$474.32
$538.35
$606.18
$847.14
$1,287.30
$837.17
$901.20
$969.03
$1,209.99
$1,200.02
$1,264.05
$1,331.88
$1,572.84
$1,562.87
$1,626.90
$1,694.73
$1,935.69
$362.85
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$948.64
$1,076.70
$1,212.36
$1,694.28
$2,574.60
$1,311.49
$1,439.55
$1,575.21
$2,057.13
$1,674.34
$1,802.40
$1,938.06
$2,419.98
$2,037.19
$2,165.25
$2,300.91
$2,782.83
$362.85
Toc - Plan #18 Priority Health
Gold

(HMO) MyPriority Standard Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-682-5217

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
$510.87
$579.84
$652.89
$912.41
$1,386.50
$901.69
$970.66
$1,043.71
$1,303.23
$1,292.51
$1,361.48
$1,434.53
$1,694.05
$1,683.33
$1,752.30
$1,825.35
$2,084.87
$390.82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,021.74
$1,159.68
$1,305.78
$1,824.82
$2,773.00
$1,412.56
$1,550.50
$1,696.60
$2,215.64
$1,803.38
$1,941.32
$2,087.42
$2,606.46
$2,194.20
$2,332.14
$2,478.24
$2,997.28
$390.82

ADVERTISEMENT

Ambetter from Meridian

Local: 1-833-993-2426 | Toll Free: 1-833-993-2426 | TTY: 1-833-993-2426

Toc - Plan #19 Ambetter from Meridian
Expanded Bronze

(HMO) Choice Bronze HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$7,250 $14,500 Annual Deductible
$7,250 $14,500 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
$270.83
$307.39
$346.11
$483.69
$735.02
$478.01
$514.57
$553.29
$690.87
$685.19
$721.75
$760.47
$898.05
$892.37
$928.93
$967.65
$1,105.23
$207.18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$541.66
$614.78
$692.22
$967.38
$1,470.04
$748.84
$821.96
$899.40
$1,174.56
$956.02
$1,029.14
$1,106.58
$1,381.74
$1,163.20
$1,236.32
$1,313.76
$1,588.92
$207.18
Toc - Plan #20 Ambetter from Meridian
Silver

(HMO) Complete Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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
$329.84
$374.36
$421.53
$589.08
$895.17
$582.16
$626.68
$673.85
$841.40
$834.48
$879.00
$926.17
$1,093.72
$1,086.80
$1,131.32
$1,178.49
$1,346.04
$252.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$659.68
$748.72
$843.06
$1,178.16
$1,790.34
$912.00
$1,001.04
$1,095.38
$1,430.48
$1,164.32
$1,253.36
$1,347.70
$1,682.80
$1,416.64
$1,505.68
$1,600.02
$1,935.12
$252.32
Toc - Plan #21 Ambetter from Meridian
Gold

(HMO) Complete Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 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
$368.71
$418.47
$471.20
$658.49
$1,000.65
$650.76
$700.52
$753.25
$940.54
$932.81
$982.57
$1,035.30
$1,222.59
$1,214.86
$1,264.62
$1,317.35
$1,504.64
$282.05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$737.42
$836.94
$942.40
$1,316.98
$2,001.30
$1,019.47
$1,118.99
$1,224.45
$1,599.03
$1,301.52
$1,401.04
$1,506.50
$1,881.08
$1,583.57
$1,683.09
$1,788.55
$2,163.13
$282.05
Toc - Plan #22 Ambetter from Meridian
Expanded Bronze

(HMO) Everyday Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$8,450 $16,900 Annual Deductible
$9,250 $18,500 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
$265.66
$301.51
$339.50
$474.45
$720.97
$468.88
$504.73
$542.72
$677.67
$672.10
$707.95
$745.94
$880.89
$875.32
$911.17
$949.16
$1,084.11
$203.22
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$531.32
$603.02
$679.00
$948.90
$1,441.94
$734.54
$806.24
$882.22
$1,152.12
$937.76
$1,009.46
$1,085.44
$1,355.34
$1,140.98
$1,212.68
$1,288.66
$1,558.56
$203.22
Toc - Plan #23 Ambetter from Meridian
Expanded Bronze

(HMO) Elite Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,250 $18,500 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
$310.14
$352.00
$396.35
$553.90
$841.70
$547.39
$589.25
$633.60
$791.15
$784.64
$826.50
$870.85
$1,028.40
$1,021.89
$1,063.75
$1,108.10
$1,265.65
$237.25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$620.28
$704.00
$792.70
$1,107.80
$1,683.40
$857.53
$941.25
$1,029.95
$1,345.05
$1,094.78
$1,178.50
$1,267.20
$1,582.30
$1,332.03
$1,415.75
$1,504.45
$1,819.55
$237.25
Toc - Plan #24 Ambetter from Meridian
Silver

(HMO) Clear Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$5,400 $10,800 Annual Deductible
$5,400 $10,800 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
$312.60
$354.79
$399.50
$558.29
$848.38
$551.73
$593.92
$638.63
$797.42
$790.86
$833.05
$877.76
$1,036.55
$1,029.99
$1,072.18
$1,116.89
$1,275.68
$239.13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$625.20
$709.58
$799.00
$1,116.58
$1,696.76
$864.33
$948.71
$1,038.13
$1,355.71
$1,103.46
$1,187.84
$1,277.26
$1,594.84
$1,342.59
$1,426.97
$1,516.39
$1,833.97
$239.13
Toc - Plan #25 Ambetter from Meridian
Silver

(HMO) Focused Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$6,300 $12,600 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
$321.48
$364.86
$410.83
$574.14
$872.46
$567.40
$610.78
$656.75
$820.06
$813.32
$856.70
$902.67
$1,065.98
$1,059.24
$1,102.62
$1,148.59
$1,311.90
$245.92
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$642.96
$729.72
$821.66
$1,148.28
$1,744.92
$888.88
$975.64
$1,067.58
$1,394.20
$1,134.80
$1,221.56
$1,313.50
$1,640.12
$1,380.72
$1,467.48
$1,559.42
$1,886.04
$245.92
Toc - Plan #26 Ambetter from Meridian
Gold

(HMO) Everyday Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 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
$351.31
$398.73
$448.96
$627.42
$953.43
$620.06
$667.48
$717.71
$896.17
$888.81
$936.23
$986.46
$1,164.92
$1,157.56
$1,204.98
$1,255.21
$1,433.67
$268.75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$702.62
$797.46
$897.92
$1,254.84
$1,906.86
$971.37
$1,066.21
$1,166.67
$1,523.59
$1,240.12
$1,334.96
$1,435.42
$1,792.34
$1,508.87
$1,603.71
$1,704.17
$2,061.09
$268.75
Toc - Plan #27 Ambetter from Meridian
Gold

(HMO) Elite Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$0 $0 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
$407.98
$463.05
$521.39
$728.64
$1,107.24
$720.08
$775.15
$833.49
$1,040.74
$1,032.18
$1,087.25
$1,145.59
$1,352.84
$1,344.28
$1,399.35
$1,457.69
$1,664.94
$312.10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$815.96
$926.10
$1,042.78
$1,457.28
$2,214.48
$1,128.06
$1,238.20
$1,354.88
$1,769.38
$1,440.16
$1,550.30
$1,666.98
$2,081.48
$1,752.26
$1,862.40
$1,979.08
$2,393.58
$312.10
Toc - Plan #28 Ambetter from Meridian
Expanded Bronze

(HMO) Standard Expanded Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$259.44
$294.45
$331.55
$463.34
$704.09
$457.90
$492.91
$530.01
$661.80
$656.36
$691.37
$728.47
$860.26
$854.82
$889.83
$926.93
$1,058.72
$198.46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$518.88
$588.90
$663.10
$926.68
$1,408.18
$717.34
$787.36
$861.56
$1,125.14
$915.80
$985.82
$1,060.02
$1,323.60
$1,114.26
$1,184.28
$1,258.48
$1,522.06
$198.46
Toc - Plan #29 Ambetter from Meridian
Silver

(HMO) Standard Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$315.73
$358.34
$403.49
$563.88
$856.86
$557.26
$599.87
$645.02
$805.41
$798.79
$841.40
$886.55
$1,046.94
$1,040.32
$1,082.93
$1,128.08
$1,288.47
$241.53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$631.46
$716.68
$806.98
$1,127.76
$1,713.72
$872.99
$958.21
$1,048.51
$1,369.29
$1,114.52
$1,199.74
$1,290.04
$1,610.82
$1,356.05
$1,441.27
$1,531.57
$1,852.35
$241.53
Toc - Plan #30 Ambetter from Meridian
Gold

(HMO) Standard Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$350.36
$397.65
$447.75
$625.73
$950.86
$618.38
$665.67
$715.77
$893.75
$886.40
$933.69
$983.79
$1,161.77
$1,154.42
$1,201.71
$1,251.81
$1,429.79
$268.02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$700.72
$795.30
$895.50
$1,251.46
$1,901.72
$968.74
$1,063.32
$1,163.52
$1,519.48
$1,236.76
$1,331.34
$1,431.54
$1,787.50
$1,504.78
$1,599.36
$1,699.56
$2,055.52
$268.02
Toc - Plan #31 Ambetter from Meridian
Expanded Bronze

(HMO) Choice Bronze HSA + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$7,250 $14,500 Annual Deductible
$7,250 $14,500 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
$285.62
$324.17
$365.01
$510.10
$775.15
$504.11
$542.66
$583.50
$728.59
$722.60
$761.15
$801.99
$947.08
$941.09
$979.64
$1,020.48
$1,165.57
$218.49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$571.24
$648.34
$730.02
$1,020.20
$1,550.30
$789.73
$866.83
$948.51
$1,238.69
$1,008.22
$1,085.32
$1,167.00
$1,457.18
$1,226.71
$1,303.81
$1,385.49
$1,675.67
$218.49
Toc - Plan #32 Ambetter from Meridian
Silver

(HMO) Complete Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 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
$347.85
$394.80
$444.54
$621.25
$944.04
$613.95
$660.90
$710.64
$887.35
$880.05
$927.00
$976.74
$1,153.45
$1,146.15
$1,193.10
$1,242.84
$1,419.55
$266.10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$695.70
$789.60
$889.08
$1,242.50
$1,888.08
$961.80
$1,055.70
$1,155.18
$1,508.60
$1,227.90
$1,321.80
$1,421.28
$1,774.70
$1,494.00
$1,587.90
$1,687.38
$2,040.80
$266.10
Toc - Plan #33 Ambetter from Meridian
Gold

(HMO) Complete Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 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
$388.84
$441.32
$496.92
$694.45
$1,055.28
$686.29
$738.77
$794.37
$991.90
$983.74
$1,036.22
$1,091.82
$1,289.35
$1,281.19
$1,333.67
$1,389.27
$1,586.80
$297.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$777.68
$882.64
$993.84
$1,388.90
$2,110.56
$1,075.13
$1,180.09
$1,291.29
$1,686.35
$1,372.58
$1,477.54
$1,588.74
$1,983.80
$1,670.03
$1,774.99
$1,886.19
$2,281.25
$297.45
Toc - Plan #34 Ambetter from Meridian
Expanded Bronze

(HMO) Everyday Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$8,450 $16,900 Annual Deductible
$9,250 $18,500 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
$280.16
$317.97
$358.03
$500.35
$760.33
$494.48
$532.29
$572.35
$714.67
$708.80
$746.61
$786.67
$928.99
$923.12
$960.93
$1,000.99
$1,143.31
$214.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$560.32
$635.94
$716.06
$1,000.70
$1,520.66
$774.64
$850.26
$930.38
$1,215.02
$988.96
$1,064.58
$1,144.70
$1,429.34
$1,203.28
$1,278.90
$1,359.02
$1,643.66
$214.32
Toc - Plan #35 Ambetter from Meridian
Expanded Bronze

(HMO) Elite Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$9,250 $18,500 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
$327.08
$371.22
$417.99
$584.14
$887.66
$577.29
$621.43
$668.20
$834.35
$827.50
$871.64
$918.41
$1,084.56
$1,077.71
$1,121.85
$1,168.62
$1,334.77
$250.21
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$654.16
$742.44
$835.98
$1,168.28
$1,775.32
$904.37
$992.65
$1,086.19
$1,418.49
$1,154.58
$1,242.86
$1,336.40
$1,668.70
$1,404.79
$1,493.07
$1,586.61
$1,918.91
$250.21
Toc - Plan #36 Ambetter from Meridian
Silver

(HMO) Focused Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$6,300 $12,600 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
$339.03
$384.79
$433.27
$605.49
$920.10
$598.38
$644.14
$692.62
$864.84
$857.73
$903.49
$951.97
$1,124.19
$1,117.08
$1,162.84
$1,211.32
$1,383.54
$259.35
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$678.06
$769.58
$866.54
$1,210.98
$1,840.20
$937.41
$1,028.93
$1,125.89
$1,470.33
$1,196.76
$1,288.28
$1,385.24
$1,729.68
$1,456.11
$1,547.63
$1,644.59
$1,989.03
$259.35
Toc - Plan #37 Ambetter from Meridian
Gold

(HMO) Everyday Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 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
$370.49
$420.50
$473.48
$661.68
$1,005.49
$653.91
$703.92
$756.90
$945.10
$937.33
$987.34
$1,040.32
$1,228.52
$1,220.75
$1,270.76
$1,323.74
$1,511.94
$283.42
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$740.98
$841.00
$946.96
$1,323.36
$2,010.98
$1,024.40
$1,124.42
$1,230.38
$1,606.78
$1,307.82
$1,407.84
$1,513.80
$1,890.20
$1,591.24
$1,691.26
$1,797.22
$2,173.62
$283.42
Toc - Plan #38 Ambetter from Meridian
Silver

(HMO) Clear Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$5,400 $10,800 Annual Deductible
$5,400 $10,800 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
$329.67
$374.17
$421.31
$588.78
$894.70
$581.86
$626.36
$673.50
$840.97
$834.05
$878.55
$925.69
$1,093.16
$1,086.24
$1,130.74
$1,177.88
$1,345.35
$252.19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$659.34
$748.34
$842.62
$1,177.56
$1,789.40
$911.53
$1,000.53
$1,094.81
$1,429.75
$1,163.72
$1,252.72
$1,347.00
$1,681.94
$1,415.91
$1,504.91
$1,599.19
$1,934.13
$252.19
Toc - Plan #39 Ambetter from Meridian
Gold

(HMO) Elite Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$0 $0 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
$430.26
$488.33
$549.86
$768.43
$1,167.70
$759.40
$817.47
$879.00
$1,097.57
$1,088.54
$1,146.61
$1,208.14
$1,426.71
$1,417.68
$1,475.75
$1,537.28
$1,755.85
$329.14
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$860.52
$976.66
$1,099.72
$1,536.86
$2,335.40
$1,189.66
$1,305.80
$1,428.86
$1,866.00
$1,518.80
$1,634.94
$1,758.00
$2,195.14
$1,847.94
$1,964.08
$2,087.14
$2,524.28
$329.14
Toc - Plan #40 Ambetter from Meridian
Expanded Bronze

(HMO) Standard Expanded Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$273.60
$310.53
$349.65
$488.64
$742.53
$482.90
$519.83
$558.95
$697.94
$692.20
$729.13
$768.25
$907.24
$901.50
$938.43
$977.55
$1,116.54
$209.30
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$547.20
$621.06
$699.30
$977.28
$1,485.06
$756.50
$830.36
$908.60
$1,186.58
$965.80
$1,039.66
$1,117.90
$1,395.88
$1,175.10
$1,248.96
$1,327.20
$1,605.18
$209.30
Toc - Plan #41 Ambetter from Meridian
Silver

(HMO) Standard Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$332.97
$377.91
$425.52
$594.66
$903.65
$587.68
$632.62
$680.23
$849.37
$842.39
$887.33
$934.94
$1,104.08
$1,097.10
$1,142.04
$1,189.65
$1,358.79
$254.71
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$665.94
$755.82
$851.04
$1,189.32
$1,807.30
$920.65
$1,010.53
$1,105.75
$1,444.03
$1,175.36
$1,265.24
$1,360.46
$1,698.74
$1,430.07
$1,519.95
$1,615.17
$1,953.45
$254.71
Toc - Plan #42 Ambetter from Meridian
Gold

(HMO) Standard Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

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
$369.49
$419.36
$472.20
$659.90
$1,002.78
$652.15
$702.02
$754.86
$942.56
$934.81
$984.68
$1,037.52
$1,225.22
$1,217.47
$1,267.34
$1,320.18
$1,507.88
$282.66
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$738.98
$838.72
$944.40
$1,319.80
$2,005.56
$1,021.64
$1,121.38
$1,227.06
$1,602.46
$1,304.30
$1,404.04
$1,509.72
$1,885.12
$1,586.96
$1,686.70
$1,792.38
$2,167.78
$282.66
Toc - Plan #43 Ambetter from Meridian
Expanded Bronze

(HMO) Ambetter Virtual Access Bronze (Virtual PCP selection required)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 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
$266.35
$302.30
$340.38
$475.69
$722.85
$470.10
$506.05
$544.13
$679.44
$673.85
$709.80
$747.88
$883.19
$877.60
$913.55
$951.63
$1,086.94
$203.75
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$532.70
$604.60
$680.76
$951.38
$1,445.70
$736.45
$808.35
$884.51
$1,155.13
$940.20
$1,012.10
$1,088.26
$1,358.88
$1,143.95
$1,215.85
$1,292.01
$1,562.63
$203.75
Toc - Plan #44 Ambetter from Meridian
Silver

(HMO) Ambetter Virtual Access Silver (Virtual PCP selection required)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$5,700 $11,400 Annual Deductible
$7,400 $14,800 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
$319.17
$362.25
$407.89
$570.02
$866.20
$563.33
$606.41
$652.05
$814.18
$807.49
$850.57
$896.21
$1,058.34
$1,051.65
$1,094.73
$1,140.37
$1,302.50
$244.16
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$638.34
$724.50
$815.78
$1,140.04
$1,732.40
$882.50
$968.66
$1,059.94
$1,384.20
$1,126.66
$1,212.82
$1,304.10
$1,628.36
$1,370.82
$1,456.98
$1,548.26
$1,872.52
$244.16
Toc - Plan #45 Ambetter from Meridian
Gold

(HMO) Ambetter Virtual Access Gold (Virtual PCP selection required)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-833-993-2426

Annual Out of Pocket Expenses:

Individual Family
$950 $1,900 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
$361.57
$410.37
$462.08
$645.75
$981.28
$638.17
$686.97
$738.68
$922.35
$914.77
$963.57
$1,015.28
$1,198.95
$1,191.37
$1,240.17
$1,291.88
$1,475.55
$276.60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$723.14
$820.74
$924.16
$1,291.50
$1,962.56
$999.74
$1,097.34
$1,200.76
$1,568.10
$1,276.34
$1,373.94
$1,477.36
$1,844.70
$1,552.94
$1,650.54
$1,753.96
$2,121.30
$276.60

ADVERTISEMENT

Physicians Health Plan

Local: 1-517-364-8500 | Toll Free: 1-800-832-9186 | TTY: 1-800-649-3777

Toc - Plan #46 Physicians Health Plan
Gold

(HMO) Physicians Health Plan HMO Exclusive Gold Classic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$1,000 $2,000 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
$370.03
$419.98
$472.90
$660.87
$1,004.26
$653.10
$703.05
$755.97
$943.94
$936.17
$986.12
$1,039.04
$1,227.01
$1,219.24
$1,269.19
$1,322.11
$1,510.08
$283.07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$740.06
$839.96
$945.80
$1,321.74
$2,008.52
$1,023.13
$1,123.03
$1,228.87
$1,604.81
$1,306.20
$1,406.10
$1,511.94
$1,887.88
$1,589.27
$1,689.17
$1,795.01
$2,170.95
$283.07
Toc - Plan #47 Physicians Health Plan
Gold

(HMO) Physicians Health Plan HMO Exclusive Gold Select

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 Annual Deductible
$6,800 $13,600 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
$346.36
$393.12
$442.65
$618.60
$940.02
$611.33
$658.09
$707.62
$883.57
$876.30
$923.06
$972.59
$1,148.54
$1,141.27
$1,188.03
$1,237.56
$1,413.51
$264.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$692.72
$786.24
$885.30
$1,237.20
$1,880.04
$957.69
$1,051.21
$1,150.27
$1,502.17
$1,222.66
$1,316.18
$1,415.24
$1,767.14
$1,487.63
$1,581.15
$1,680.21
$2,032.11
$264.97
Toc - Plan #48 Physicians Health Plan
Silver

(HMO) Physicians Health Plan HMO Exclusive Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 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
$354.13
$401.94
$452.58
$632.48
$961.11
$625.04
$672.85
$723.49
$903.39
$895.95
$943.76
$994.40
$1,174.30
$1,166.86
$1,214.67
$1,265.31
$1,445.21
$270.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$708.26
$803.88
$905.16
$1,264.96
$1,922.22
$979.17
$1,074.79
$1,176.07
$1,535.87
$1,250.08
$1,345.70
$1,446.98
$1,806.78
$1,520.99
$1,616.61
$1,717.89
$2,077.69
$270.91
Toc - Plan #49 Physicians Health Plan
Silver

(HMO) Physicians Health Plan HMO Exclusive Silver Select Plus

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$8,250 $16,500 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
$349.24
$396.39
$446.33
$623.74
$947.84
$616.41
$663.56
$713.50
$890.91
$883.58
$930.73
$980.67
$1,158.08
$1,150.75
$1,197.90
$1,247.84
$1,425.25
$267.17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$698.48
$792.78
$892.66
$1,247.48
$1,895.68
$965.65
$1,059.95
$1,159.83
$1,514.65
$1,232.82
$1,327.12
$1,427.00
$1,781.82
$1,499.99
$1,594.29
$1,694.17
$2,048.99
$267.17
Toc - Plan #50 Physicians Health Plan
Catastrophic

(HMO) Physicians Health Plan HMO Catastrophic

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

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
$219.99
$249.69
$281.15
$392.90
$597.05
$388.28
$417.98
$449.44
$561.19
$556.57
$586.27
$617.73
$729.48
$724.86
$754.56
$786.02
$897.77
$168.29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$439.98
$499.38
$562.30
$785.80
$1,194.10
$608.27
$667.67
$730.59
$954.09
$776.56
$835.96
$898.88
$1,122.38
$944.85
$1,004.25
$1,067.17
$1,290.67
$168.29
Toc - Plan #51 Physicians Health Plan
Expanded Bronze

(HMO) Physicians Health Plan HMO Exclusive Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$6,500 $13,000 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
$245.82
$279.01
$314.16
$439.03
$667.16
$433.87
$467.06
$502.21
$627.08
$621.92
$655.11
$690.26
$815.13
$809.97
$843.16
$878.31
$1,003.18
$188.05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$491.64
$558.02
$628.32
$878.06
$1,334.32
$679.69
$746.07
$816.37
$1,066.11
$867.74
$934.12
$1,004.42
$1,254.16
$1,055.79
$1,122.17
$1,192.47
$1,442.21
$188.05
Toc - Plan #52 Physicians Health Plan
Gold

(HMO) Physicians Health Plan HMO Exclusive Gold Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

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
$356.71
$404.87
$455.88
$637.08
$968.11
$629.59
$677.75
$728.76
$909.96
$902.47
$950.63
$1,001.64
$1,182.84
$1,175.35
$1,223.51
$1,274.52
$1,455.72
$272.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$713.42
$809.74
$911.76
$1,274.16
$1,936.22
$986.30
$1,082.62
$1,184.64
$1,547.04
$1,259.18
$1,355.50
$1,457.52
$1,819.92
$1,532.06
$1,628.38
$1,730.40
$2,092.80
$272.88
Toc - Plan #53 Physicians Health Plan
Silver

(HMO) Physicians Health Plan HMO Exclusive Silver Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

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
$337.70
$383.29
$431.58
$603.13
$916.52
$596.04
$641.63
$689.92
$861.47
$854.38
$899.97
$948.26
$1,119.81
$1,112.72
$1,158.31
$1,206.60
$1,378.15
$258.34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$675.40
$766.58
$863.16
$1,206.26
$1,833.04
$933.74
$1,024.92
$1,121.50
$1,464.60
$1,192.08
$1,283.26
$1,379.84
$1,722.94
$1,450.42
$1,541.60
$1,638.18
$1,981.28
$258.34
Toc - Plan #54 Physicians Health Plan
Expanded Bronze

(HMO) Physicians Health Plan HMO Exclusive Bronze Standard

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

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
$234.91
$266.62
$300.21
$419.55
$637.55
$414.62
$446.33
$479.92
$599.26
$594.33
$626.04
$659.63
$778.97
$774.04
$805.75
$839.34
$958.68
$179.71
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$469.82
$533.24
$600.42
$839.10
$1,275.10
$649.53
$712.95
$780.13
$1,018.81
$829.24
$892.66
$959.84
$1,198.52
$1,008.95
$1,072.37
$1,139.55
$1,378.23
$179.71
Toc - Plan #55 Physicians Health Plan
Expanded Bronze

(HMO) Physicians Health Plan HMO Exclusive Bronze HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-832-9186

Annual Out of Pocket Expenses:

Individual Family
$7,100 $14,200 Annual Deductible
$7,100 $14,200 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
$256.86
$291.54
$328.27
$458.75
$697.12
$453.36
$488.04
$524.77
$655.25
$649.86
$684.54
$721.27
$851.75
$846.36
$881.04
$917.77
$1,048.25
$196.50
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$513.72
$583.08
$656.54
$917.50
$1,394.24
$710.22
$779.58
$853.04
$1,114.00
$906.72
$976.08
$1,049.54
$1,310.50
$1,103.22
$1,172.58
$1,246.04
$1,507.00
$196.50

ADVERTISEMENT

McLaren Health Plan Community

Local: 1-888-327-0671 | Toll Free: 1-888-327-0671 | TTY: 1-800-356-3232

Toc - Plan #56 McLaren Health Plan Community
Catastrophic

(HMO) MHP Young Adult/Catastrophic

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

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
$236.90
$268.88
$302.75
$423.10
$642.93
$418.13
$450.11
$483.98
$604.33
$599.36
$631.34
$665.21
$785.56
$780.59
$812.57
$846.44
$966.79
$181.23
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$473.80
$537.76
$605.50
$846.20
$1,285.86
$655.03
$718.99
$786.73
$1,027.43
$836.26
$900.22
$967.96
$1,208.66
$1,017.49
$1,081.45
$1,149.19
$1,389.89
$181.23
Toc - Plan #57 McLaren Health Plan Community
Silver

(HMO) MHP Silver Exchange

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$3,800 $7,600 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
$406.39
$461.26
$519.37
$725.82
$1,102.95
$717.28
$772.15
$830.26
$1,036.71
$1,028.17
$1,083.04
$1,141.15
$1,347.60
$1,339.06
$1,393.93
$1,452.04
$1,658.49
$310.89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$812.78
$922.52
$1,038.74
$1,451.64
$2,205.90
$1,123.67
$1,233.41
$1,349.63
$1,762.53
$1,434.56
$1,544.30
$1,660.52
$2,073.42
$1,745.45
$1,855.19
$1,971.41
$2,384.31
$310.89
Toc - Plan #58 McLaren Health Plan Community
Gold

(HMO) MHP Gold

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$1,400 $2,800 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
$401.15
$455.31
$512.67
$716.45
$1,088.72
$708.03
$762.19
$819.55
$1,023.33
$1,014.91
$1,069.07
$1,126.43
$1,330.21
$1,321.79
$1,375.95
$1,433.31
$1,637.09
$306.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$802.30
$910.62
$1,025.34
$1,432.90
$2,177.44
$1,109.18
$1,217.50
$1,332.22
$1,739.78
$1,416.06
$1,524.38
$1,639.10
$2,046.66
$1,722.94
$1,831.26
$1,945.98
$2,353.54
$306.88
Toc - Plan #59 McLaren Health Plan Community
Bronze

(HMO) MHP Bronze

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 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
$267.94
$304.11
$342.43
$478.54
$727.19
$472.91
$509.08
$547.40
$683.51
$677.88
$714.05
$752.37
$888.48
$882.85
$919.02
$957.34
$1,093.45
$204.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$535.88
$608.22
$684.86
$957.08
$1,454.38
$740.85
$813.19
$889.83
$1,162.05
$945.82
$1,018.16
$1,094.80
$1,367.02
$1,150.79
$1,223.13
$1,299.77
$1,571.99
$204.97
Toc - Plan #60 McLaren Health Plan Community
Expanded Bronze

(HMO) MHP Bronze Saver

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

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
$294.12
$333.82
$375.88
$525.30
$798.24
$519.12
$558.82
$600.88
$750.30
$744.12
$783.82
$825.88
$975.30
$969.12
$1,008.82
$1,050.88
$1,200.30
$225.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$588.24
$667.64
$751.76
$1,050.60
$1,596.48
$813.24
$892.64
$976.76
$1,275.60
$1,038.24
$1,117.64
$1,201.76
$1,500.60
$1,263.24
$1,342.64
$1,426.76
$1,725.60
$225.00
Toc - Plan #61 McLaren Health Plan Community
Silver

(HMO) MHP Silver Exchange VCP

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$3,800 $7,600 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
$389.85
$442.48
$498.23
$696.27
$1,058.06
$688.09
$740.72
$796.47
$994.51
$986.33
$1,038.96
$1,094.71
$1,292.75
$1,284.57
$1,337.20
$1,392.95
$1,590.99
$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
$1,392.54
$2,116.12
$1,077.94
$1,183.20
$1,294.70
$1,690.78
$1,376.18
$1,481.44
$1,592.94
$1,989.02
$1,674.42
$1,779.68
$1,891.18
$2,287.26
$298.24
Toc - Plan #62 McLaren Health Plan Community
Bronze

(HMO) MHP Bronze VCP

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 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
$254.76
$289.15
$325.58
$454.99
$691.41
$449.65
$484.04
$520.47
$649.88
$644.54
$678.93
$715.36
$844.77
$839.43
$873.82
$910.25
$1,039.66
$194.89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$509.52
$578.30
$651.16
$909.98
$1,382.82
$704.41
$773.19
$846.05
$1,104.87
$899.30
$968.08
$1,040.94
$1,299.76
$1,094.19
$1,162.97
$1,235.83
$1,494.65
$194.89
Toc - Plan #63 McLaren Health Plan Community
Gold

(HMO) MHP Gold VCP

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$1,400 $2,800 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
$385.62
$437.68
$492.83
$688.72
$1,046.58
$680.62
$732.68
$787.83
$983.72
$975.62
$1,027.68
$1,082.83
$1,278.72
$1,270.62
$1,322.68
$1,377.83
$1,573.72
$295.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$771.24
$875.36
$985.66
$1,377.44
$2,093.16
$1,066.24
$1,170.36
$1,280.66
$1,672.44
$1,361.24
$1,465.36
$1,575.66
$1,967.44
$1,656.24
$1,760.36
$1,870.66
$2,262.44
$295.00
Toc - Plan #64 McLaren Health Plan Community
Silver

(HMO) MHP Silver Exchange Rewards

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 Annual Deductible
$8,250 $16,500 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
$388.00
$440.38
$495.87
$692.98
$1,053.04
$684.82
$737.20
$792.69
$989.80
$981.64
$1,034.02
$1,089.51
$1,286.62
$1,278.46
$1,330.84
$1,386.33
$1,583.44
$296.82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$776.00
$880.76
$991.74
$1,385.96
$2,106.08
$1,072.82
$1,177.58
$1,288.56
$1,682.78
$1,369.64
$1,474.40
$1,585.38
$1,979.60
$1,666.46
$1,771.22
$1,882.20
$2,276.42
$296.82
Toc - Plan #65 McLaren Health Plan Community
Gold

(HMO) MHP Gold Standard

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

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
$406.68
$461.58
$519.74
$726.33
$1,103.73
$717.79
$772.69
$830.85
$1,037.44
$1,028.90
$1,083.80
$1,141.96
$1,348.55
$1,340.01
$1,394.91
$1,453.07
$1,659.66
$311.11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$813.36
$923.16
$1,039.48
$1,452.66
$2,207.46
$1,124.47
$1,234.27
$1,350.59
$1,763.77
$1,435.58
$1,545.38
$1,661.70
$2,074.88
$1,746.69
$1,856.49
$1,972.81
$2,385.99
$311.11
Toc - Plan #66 McLaren Health Plan Community
Silver

(HMO) MHP Silver Standard

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

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
$420.42
$477.18
$537.30
$750.87
$1,141.02
$742.04
$798.80
$858.92
$1,072.49
$1,063.66
$1,120.42
$1,180.54
$1,394.11
$1,385.28
$1,442.04
$1,502.16
$1,715.73
$321.62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$840.84
$954.36
$1,074.60
$1,501.74
$2,282.04
$1,162.46
$1,275.98
$1,396.22
$1,823.36
$1,484.08
$1,597.60
$1,717.84
$2,144.98
$1,805.70
$1,919.22
$2,039.46
$2,466.60
$321.62
Toc - Plan #67 McLaren Health Plan Community
Expanded Bronze

(HMO) MHP Expanded Bronze Standard

Benefits & Coverage Provider Directory
Customer Service Phone: 1-888-327-0671

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
$288.38
$327.31
$368.55
$515.05
$782.67
$508.99
$547.92
$589.16
$735.66
$729.60
$768.53
$809.77
$956.27
$950.21
$989.14
$1,030.38
$1,176.88
$220.61
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$576.76
$654.62
$737.10
$1,030.10
$1,565.34
$797.37
$875.23
$957.71
$1,250.71
$1,017.98
$1,095.84
$1,178.32
$1,471.32
$1,238.59
$1,316.45
$1,398.93
$1,691.93
$220.61

ADVERTISEMENT

Blue Care Network of Michigan

Local: 1-888-227-2345 | Toll Free: 1-888-227-2345 | TTY: 1-800-257-9980

Toc - Plan #68 Blue Care Network of Michigan
Catastrophic

(HMO) Blue Cross® Select HMO Value

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$234.80
$266.50
$300.07
$419.35
$637.25
$414.42
$446.12
$479.69
$598.97
$594.04
$625.74
$659.31
$778.59
$773.66
$805.36
$838.93
$958.21
$179.62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$469.60
$533.00
$600.14
$838.70
$1,274.50
$649.22
$712.62
$779.76
$1,018.32
$828.84
$892.24
$959.38
$1,197.94
$1,008.46
$1,071.86
$1,139.00
$1,377.56
$179.62
Toc - Plan #69 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Select HMO Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 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
$397.04
$450.64
$507.42
$709.11
$1,077.57
$700.78
$754.38
$811.16
$1,012.85
$1,004.52
$1,058.12
$1,114.90
$1,316.59
$1,308.26
$1,361.86
$1,418.64
$1,620.33
$303.74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$794.08
$901.28
$1,014.84
$1,418.22
$2,155.14
$1,097.82
$1,205.02
$1,318.58
$1,721.96
$1,401.56
$1,508.76
$1,622.32
$2,025.70
$1,705.30
$1,812.50
$1,926.06
$2,329.44
$303.74
Toc - Plan #70 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Preferred HMO Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$4,800 $9,600 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
$439.74
$499.10
$561.99
$785.38
$1,193.45
$776.14
$835.50
$898.39
$1,121.78
$1,112.54
$1,171.90
$1,234.79
$1,458.18
$1,448.94
$1,508.30
$1,571.19
$1,794.58
$336.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$879.48
$998.20
$1,123.98
$1,570.76
$2,386.90
$1,215.88
$1,334.60
$1,460.38
$1,907.16
$1,552.28
$1,671.00
$1,796.78
$2,243.56
$1,888.68
$2,007.40
$2,133.18
$2,579.96
$336.40
Toc - Plan #71 Blue Care Network of Michigan
Gold

(HMO) Blue Cross® Preferred HMO Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$1,700 $3,400 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
$493.06
$559.62
$630.13
$880.61
$1,338.16
$870.25
$936.81
$1,007.32
$1,257.80
$1,247.44
$1,314.00
$1,384.51
$1,634.99
$1,624.63
$1,691.19
$1,761.70
$2,012.18
$377.19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$986.12
$1,119.24
$1,260.26
$1,761.22
$2,676.32
$1,363.31
$1,496.43
$1,637.45
$2,138.41
$1,740.50
$1,873.62
$2,014.64
$2,515.60
$2,117.69
$2,250.81
$2,391.83
$2,892.79
$377.19
Toc - Plan #72 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Select HMO Silver Saver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 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
$351.44
$398.88
$449.14
$627.67
$953.81
$620.29
$667.73
$717.99
$896.52
$889.14
$936.58
$986.84
$1,165.37
$1,157.99
$1,205.43
$1,255.69
$1,434.22
$268.85
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$702.88
$797.76
$898.28
$1,255.34
$1,907.62
$971.73
$1,066.61
$1,167.13
$1,524.19
$1,240.58
$1,335.46
$1,435.98
$1,793.04
$1,509.43
$1,604.31
$1,704.83
$2,061.89
$268.85
Toc - Plan #73 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Preferred HMO Silver Saver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$5,450 $10,900 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
$389.23
$441.78
$497.44
$695.16
$1,056.37
$686.99
$739.54
$795.20
$992.92
$984.75
$1,037.30
$1,092.96
$1,290.68
$1,282.51
$1,335.06
$1,390.72
$1,588.44
$297.76
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$778.46
$883.56
$994.88
$1,390.32
$2,112.74
$1,076.22
$1,181.32
$1,292.64
$1,688.08
$1,373.98
$1,479.08
$1,590.40
$1,985.84
$1,671.74
$1,776.84
$1,888.16
$2,283.60
$297.76
Toc - Plan #74 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross® Select HMO Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$9,150 $18,300 Annual Deductible
$9,150 $18,300 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
$301.03
$341.67
$384.72
$537.64
$817.00
$531.32
$571.96
$615.01
$767.93
$761.61
$802.25
$845.30
$998.22
$991.90
$1,032.54
$1,075.59
$1,228.51
$230.29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$602.06
$683.34
$769.44
$1,075.28
$1,634.00
$832.35
$913.63
$999.73
$1,305.57
$1,062.64
$1,143.92
$1,230.02
$1,535.86
$1,292.93
$1,374.21
$1,460.31
$1,766.15
$230.29
Toc - Plan #75 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross® Select HMO Bronze Saver HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

Annual Out of Pocket Expenses:

Individual Family
$7,950 $15,900 Annual Deductible
$7,950 $15,900 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
$290.43
$329.64
$371.17
$518.71
$788.23
$512.61
$551.82
$593.35
$740.89
$734.79
$774.00
$815.53
$963.07
$956.97
$996.18
$1,037.71
$1,185.25
$222.18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$580.86
$659.28
$742.34
$1,037.42
$1,576.46
$803.04
$881.46
$964.52
$1,259.60
$1,025.22
$1,103.64
$1,186.70
$1,481.78
$1,247.40
$1,325.82
$1,408.88
$1,703.96
$222.18
Toc - Plan #76 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross® Preferred HMO Bronze Saver HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$321.61
$365.03
$411.02
$574.40
$872.85
$567.64
$611.06
$657.05
$820.43
$813.67
$857.09
$903.08
$1,066.46
$1,059.70
$1,103.12
$1,149.11
$1,312.49
$246.03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$643.22
$730.06
$822.04
$1,148.80
$1,745.70
$889.25
$976.09
$1,068.07
$1,394.83
$1,135.28
$1,222.12
$1,314.10
$1,640.86
$1,381.31
$1,468.15
$1,560.13
$1,886.89
$246.03
Toc - Plan #77 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Select HMO Silver Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$410.05
$465.41
$524.04
$732.35
$1,112.88
$723.74
$779.10
$837.73
$1,046.04
$1,037.43
$1,092.79
$1,151.42
$1,359.73
$1,351.12
$1,406.48
$1,465.11
$1,673.42
$313.69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$820.10
$930.82
$1,048.08
$1,464.70
$2,225.76
$1,133.79
$1,244.51
$1,361.77
$1,778.39
$1,447.48
$1,558.20
$1,675.46
$2,092.08
$1,761.17
$1,871.89
$1,989.15
$2,405.77
$313.69
Toc - Plan #78 Blue Care Network of Michigan
Silver

(HMO) Blue Cross® Preferred HMO Silver Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$454.15
$515.46
$580.40
$811.11
$1,232.56
$801.57
$862.88
$927.82
$1,158.53
$1,148.99
$1,210.30
$1,275.24
$1,505.95
$1,496.41
$1,557.72
$1,622.66
$1,853.37
$347.42
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$908.30
$1,030.92
$1,160.80
$1,622.22
$2,465.12
$1,255.72
$1,378.34
$1,508.22
$1,969.64
$1,603.14
$1,725.76
$1,855.64
$2,317.06
$1,950.56
$2,073.18
$2,203.06
$2,664.48
$347.42
Toc - Plan #79 Blue Care Network of Michigan
Gold

(HMO) Blue Cross® Preferred HMO Gold Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$509.14
$577.87
$650.68
$909.32
$1,381.81
$898.63
$967.36
$1,040.17
$1,298.81
$1,288.12
$1,356.85
$1,429.66
$1,688.30
$1,677.61
$1,746.34
$1,819.15
$2,077.79
$389.49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,018.28
$1,155.74
$1,301.36
$1,818.64
$2,763.62
$1,407.77
$1,545.23
$1,690.85
$2,208.13
$1,797.26
$1,934.72
$2,080.34
$2,597.62
$2,186.75
$2,324.21
$2,469.83
$2,987.11
$389.49
Toc - Plan #80 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross® Select HMO Bronze Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$286.79
$325.51
$366.52
$512.21
$778.35
$506.18
$544.90
$585.91
$731.60
$725.57
$764.29
$805.30
$950.99
$944.96
$983.68
$1,024.69
$1,170.38
$219.39
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$573.58
$651.02
$733.04
$1,024.42
$1,556.70
$792.97
$870.41
$952.43
$1,243.81
$1,012.36
$1,089.80
$1,171.82
$1,463.20
$1,231.75
$1,309.19
$1,391.21
$1,682.59
$219.39
Toc - Plan #81 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross® Preferred HMO Bronze Extra

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$317.62
$360.50
$405.92
$567.27
$862.02
$560.60
$603.48
$648.90
$810.25
$803.58
$846.46
$891.88
$1,053.23
$1,046.56
$1,089.44
$1,134.86
$1,296.21
$242.98
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$635.24
$721.00
$811.84
$1,134.54
$1,724.04
$878.22
$963.98
$1,054.82
$1,377.52
$1,121.20
$1,206.96
$1,297.80
$1,620.50
$1,364.18
$1,449.94
$1,540.78
$1,863.48
$242.98
Toc - Plan #82 Blue Care Network of Michigan
Bronze

(HMO) Blue Cross® Select HMO Bronze Secure

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-227-2345

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
$254.93
$289.35
$325.80
$455.30
$691.88
$449.95
$484.37
$520.82
$650.32
$644.97
$679.39
$715.84
$845.34
$839.99
$874.41
$910.86
$1,040.36
$195.02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$509.86
$578.70
$651.60
$910.60
$1,383.76
$704.88
$773.72
$846.62
$1,105.62
$899.90
$968.74
$1,041.64
$1,300.64
$1,094.92
$1,163.76
$1,236.66
$1,495.66
$195.02

‡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 Ingham County here.

Ingham County is in “Rating Area 7” of Michigan.

Currently, there are 82 plans offered in Rating Area 7.

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2024 Obamacare Plans for Ingham County, MI

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