Obamacare 2022 Rates and Health Insurance Providers for Muskegon County , Michigan
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Obamacare 2022 Rates and Health Insurance Providers for Muskegon County , Michigan

Obamacare > Rates > Michigan > Muskegon County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |

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 Muskegon County, MI.

The health insurance rates listed below are for calendar year 2022.

For detailed information on available 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

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Muskegon, MI area accept this insurance coverage as within the plan's network.

Obamacare Providers, Plans and 2022 Rates for Muskegon County, Michigan

Below, you’ll find a summary of the 68 plans for Muskegon 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

You may also be interested in:

How To Sign Up for Obamacare in Michigan

For 2022 health plans, Michigan open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)

To get covered, you can go directly to the online health insurance marketplace for Michigan. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.

Where's the Michigan Health Care Exchange?

You can find the health insurance exchange for Michigan at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.

more...  

Michigan Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?

The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Michigan in 2021, that’s $17,609. For a family of four, it’s $36,156.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.

Michigan Has Expanded Medicaid

Because Michigan did decide to expand its Medicaid program, residents can qualify for Medicaid more easily today than in years past.

more...  

Get Help Finding a Health Insurance Plan in Michigan

Get Help From Michigan's Health Insurance Exchange

The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Michigan.

Help by phone: 800-318-2596 (TTY: 855-889-4325)

In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.

Get Help From a Licensed Insurance Broker

To directly connect with a Michigan insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)

More Information

For more detailed information, see How Do I Sign Up for Obamacare in Michigan?

  • Muskegon County, MI Obamacare Rates
  • General Info
  • Rates
Muskegon County, MI Obamacare Guide
Obamacare Basics for Michigan - (Basics)
Obamacare Rates for Muskegon County - (Rates)
Obamacare Enrollment - (How to Enroll)
Obamacare Financial Assistance - (Financial Help)
Obamacare for Different Life Situations - (Life Situations)
Using Your Obamacare Health Insurance Plan - (Using Your Plan)
Obamacare News - (News)

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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

Annual Out of Pocket Expenses
Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$269,67
$306,08
$344,64
$481,63
$731,88 		$475,97
$512,38
$550,94
$687,93 		$682,27
$718,68
$757,24
$894,23 		$888,57
$924,98
$963,54
$1 100,53 		$206,30
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$539,34
$612,16
$689,28
$963,26
$1 463,76 		$745,64
$818,46
$895,58
$1 169,56 		$951,94
$1 024,76
$1 101,88
$1 375,86 		$1 158,24
$1 231,06
$1 308,18
$1 582,16 		$206,30
Toc - Plan #2 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze

(PPO) Blue Cross Premier PPO Bronze HSA

Annual Out of Pocket Expenses
Individual Family
$6,950 $13,900 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$365,74
$415,11
$467,42
$653,21
$992,62 		$645,53
$694,90
$747,21
$933,00 		$925,32
$974,69
$1 027,00
$1 212,79 		$1 205,11
$1 254,48
$1 306,79
$1 492,58 		$279,79
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$731,48
$830,22
$934,84
$1 306,42
$1 985,24 		$1 011,27
$1 110,01
$1 214,63
$1 586,21 		$1 291,06
$1 389,80
$1 494,42
$1 866,00 		$1 570,85
$1 669,59
$1 774,21
$2 145,79 		$279,79
Toc - Plan #3 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross Premier PPO Silver

Annual Out of Pocket Expenses
Individual Family
$2,500 $5,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$494,32
$561,05
$631,74
$882,86
$1 341,58 		$872,47
$939,20
$1 009,89
$1 261,01 		$1 250,62
$1 317,35
$1 388,04
$1 639,16 		$1 628,77
$1 695,50
$1 766,19
$2 017,31 		$378,15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$988,64
$1 122,10
$1 263,48
$1 765,72
$2 683,16 		$1 366,79
$1 500,25
$1 641,63
$2 143,87 		$1 744,94
$1 878,40
$2 019,78
$2 522,02 		$2 123,09
$2 256,55
$2 397,93
$2 900,17 		$378,15
Toc - Plan #4 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Gold

(PPO) Blue Cross Premier PPO Gold

Annual Out of Pocket Expenses
Individual Family
$750 $1,500 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$617,83
$701,24
$789,59
$1 103,44
$1 676,79 		$1 090,47
$1 173,88
$1 262,23
$1 576,08 		$1 563,11
$1 646,52
$1 734,87
$2 048,72 		$2 035,75
$2 119,16
$2 207,51
$2 521,36 		$472,64
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 235,66
$1 402,48
$1 579,18
$2 206,88
$3 353,58 		$1 708,30
$1 875,12
$2 051,82
$2 679,52 		$2 180,94
$2 347,76
$2 524,46
$3 152,16 		$2 653,58
$2 820,40
$2 997,10
$3 624,80 		$472,64
Toc - Plan #5 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Bronze

(PPO) Blue Cross Premier PPO Bronze Saver

Annual Out of Pocket Expenses
Individual Family
$8,500 $17,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$339,52
$385,36
$433,91
$606,38
$921,46 		$599,25
$645,09
$693,64
$866,11 		$858,98
$904,82
$953,37
$1 125,84 		$1 118,71
$1 164,55
$1 213,10
$1 385,57 		$259,73
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$679,04
$770,72
$867,82
$1 212,76
$1 842,92 		$938,77
$1 030,45
$1 127,55
$1 472,49 		$1 198,50
$1 290,18
$1 387,28
$1 732,22 		$1 458,23
$1 549,91
$1 647,01
$1 991,95 		$259,73
Toc - Plan #6 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross Premier PPO Silver Saver HSA

Annual Out of Pocket Expenses
Individual Family
$3,500 $7,000 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$473,64
$537,58
$605,31
$845,92
$1 285,46 		$835,97
$899,91
$967,64
$1 208,25 		$1 198,30
$1 262,24
$1 329,97
$1 570,58 		$1 560,63
$1 624,57
$1 692,30
$1 932,91 		$362,33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$947,28
$1 075,16
$1 210,62
$1 691,84
$2 570,92 		$1 309,61
$1 437,49
$1 572,95
$2 054,17 		$1 671,94
$1 799,82
$1 935,28
$2 416,50 		$2 034,27
$2 162,15
$2 297,61
$2 778,83 		$362,33
Toc - Plan #7 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze

(PPO) Blue Cross Premier PPO Bronze Extra

Annual Out of Pocket Expenses
Individual Family
$8,000 $16,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$374,66
$425,24
$478,82
$669,14
$1 016,83 		$661,27
$711,85
$765,43
$955,75 		$947,88
$998,46
$1 052,04
$1 242,36 		$1 234,49
$1 285,07
$1 338,65
$1 528,97 		$286,61
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$749,32
$850,48
$957,64
$1 338,28
$2 033,66 		$1 035,93
$1 137,09
$1 244,25
$1 624,89 		$1 322,54
$1 423,70
$1 530,86
$1 911,50 		$1 609,15
$1 710,31
$1 817,47
$2 198,11 		$286,61
Toc - Plan #8 Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver

(PPO) Blue Cross Premier PPO Silver Extra

Annual Out of Pocket Expenses
Individual Family
$4,800 $9,600 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$540,83
$613,84
$691,18
$965,92
$1 467,81 		$954,56
$1 027,57
$1 104,91
$1 379,65 		$1 368,29
$1 441,30
$1 518,64
$1 793,38 		$1 782,02
$1 855,03
$1 932,37
$2 207,11 		$413,73
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 081,66
$1 227,68
$1 382,36
$1 931,84
$2 935,62 		$1 495,39
$1 641,41
$1 796,09
$2 345,57 		$1 909,12
$2 055,14
$2 209,82
$2 759,30 		$2 322,85
$2 468,87
$2 623,55
$3 173,03 		$413,73

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Priority Health

Local: 1-855-682-5217 | Toll Free: 1-855-682-5217 | TTY: 1-888-551-6761
Toc - Plan #9 Priority Health
Gold

(HMO) MyPriority HMO Gold 1100

Annual Out of Pocket Expenses
Individual Family
$1,100 $2,200 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$451,57
$512,53
$577,11
$806,50
$1 225,56 		$797,02
$857,98
$922,56
$1 151,95 		$1 142,47
$1 203,43
$1 268,01
$1 497,40 		$1 487,92
$1 548,88
$1 613,46
$1 842,85 		$345,45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$903,14
$1 025,06
$1 154,22
$1 613,00
$2 451,12 		$1 248,59
$1 370,51
$1 499,67
$1 958,45 		$1 594,04
$1 715,96
$1 845,12
$2 303,90 		$1 939,49
$2 061,41
$2 190,57
$2 649,35 		$345,45
Toc - Plan #10 Priority Health
Expanded Bronze

(HMO) MyPriority HMO HSA Bronze 7000

Annual Out of Pocket Expenses
Individual Family
$7,000 $14,000 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$254,89
$289,30
$325,75
$455,23
$691,77 		$449,88
$484,29
$520,74
$650,22 		$644,87
$679,28
$715,73
$845,21 		$839,86
$874,27
$910,72
$1 040,20 		$194,99
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$509,78
$578,60
$651,50
$910,46
$1 383,54 		$704,77
$773,59
$846,49
$1 105,45 		$899,76
$968,58
$1 041,48
$1 300,44 		$1 094,75
$1 163,57
$1 236,47
$1 495,43 		$194,99
Toc - Plan #11 Priority Health
Expanded Bronze

(HMO) MyPriority HMO Bronze 8550

Annual Out of Pocket Expenses
Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$245,26
$278,37
$313,44
$438,03
$665,64 		$432,88
$465,99
$501,06
$625,65 		$620,50
$653,61
$688,68
$813,27 		$808,12
$841,23
$876,30
$1 000,89 		$187,62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$490,52
$556,74
$626,88
$876,06
$1 331,28 		$678,14
$744,36
$814,50
$1 063,68 		$865,76
$931,98
$1 002,12
$1 251,30 		$1 053,38
$1 119,60
$1 189,74
$1 438,92 		$187,62
Toc - Plan #12 Priority Health
Expanded Bronze

(HMO) MyPriority HMO Bronze 8550 - Telehealth PCP

Annual Out of Pocket Expenses
Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$230,53
$261,65
$294,62
$411,73
$625,66 		$406,89
$438,01
$470,98
$588,09 		$583,25
$614,37
$647,34
$764,45 		$759,61
$790,73
$823,70
$940,81 		$176,36
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$461,06
$523,30
$589,24
$823,46
$1 251,32 		$637,42
$699,66
$765,60
$999,82 		$813,78
$876,02
$941,96
$1 176,18 		$990,14
$1 052,38
$1 118,32
$1 352,54 		$176,36
Toc - Plan #13 Priority Health
Silver

(HMO) MyPriority HMO Silver 3400

Annual Out of Pocket Expenses
Individual Family
$3,400 $6,800 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$339,78
$385,65
$434,24
$606,85
$922,16 		$599,71
$645,58
$694,17
$866,78 		$859,64
$905,51
$954,10
$1 126,71 		$1 119,57
$1 165,44
$1 214,03
$1 386,64 		$259,93
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$679,56
$771,30
$868,48
$1 213,70
$1 844,32 		$939,49
$1 031,23
$1 128,41
$1 473,63 		$1 199,42
$1 291,16
$1 388,34
$1 733,56 		$1 459,35
$1 551,09
$1 648,27
$1 993,49 		$259,93
Toc - Plan #14 Priority Health
Silver

(HMO) MyPriority HMO Silver 2400 50+

Annual Out of Pocket Expenses
Individual Family
$2,400 $4,800 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$354,98
$402,90
$453,66
$633,99
$963,42 		$626,54
$674,46
$725,22
$905,55 		$898,10
$946,02
$996,78
$1 177,11 		$1 169,66
$1 217,58
$1 268,34
$1 448,67 		$271,56
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$709,96
$805,80
$907,32
$1 267,98
$1 926,84 		$981,52
$1 077,36
$1 178,88
$1 539,54 		$1 253,08
$1 348,92
$1 450,44
$1 811,10 		$1 524,64
$1 620,48
$1 722,00
$2 082,66 		$271,56
Toc - Plan #15 Priority Health
Silver

(HMO) MyPriority HMO Silver 5500

Annual Out of Pocket Expenses
Individual Family
$5,500 $11,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$323,79
$367,50
$413,80
$578,29
$878,77 		$571,49
$615,20
$661,50
$825,99 		$819,19
$862,90
$909,20
$1 073,69 		$1 066,89
$1 110,60
$1 156,90
$1 321,39 		$247,70
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$647,58
$735,00
$827,60
$1 156,58
$1 757,54 		$895,28
$982,70
$1 075,30
$1 404,28 		$1 142,98
$1 230,40
$1 323,00
$1 651,98 		$1 390,68
$1 478,10
$1 570,70
$1 899,68 		$247,70
Toc - Plan #16 Priority Health
Silver

(HMO) MyPriority HMO Silver 5500 - Telehealth PCP

Annual Out of Pocket Expenses
Individual Family
$5,500 $11,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$304,36
$345,45
$388,97
$543,59
$826,03 		$537,20
$578,29
$621,81
$776,43 		$770,04
$811,13
$854,65
$1 009,27 		$1 002,88
$1 043,97
$1 087,49
$1 242,11 		$232,84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$608,72
$690,90
$777,94
$1 087,18
$1 652,06 		$841,56
$923,74
$1 010,78
$1 320,02 		$1 074,40
$1 156,58
$1 243,62
$1 552,86 		$1 307,24
$1 389,42
$1 476,46
$1 785,70 		$232,84

ADVERTISEMENT

Molina Healthcare

Local: 1-888-560-4087 | Toll Free: 1-888-560-4087 | TTY: 1-888-665-4629
Toc - Plan #17 Molina Healthcare
Gold

(HMO) Confident Care Gold 1

Annual Out of Pocket Expenses
Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$296,55
$336,59
$379,00
$529,65
$804,85 		$523,41
$563,45
$605,86
$756,51 		$750,27
$790,31
$832,72
$983,37 		$977,13
$1 017,17
$1 059,58
$1 210,23 		$226,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$593,10
$673,18
$758,00
$1 059,30
$1 609,70 		$819,96
$900,04
$984,86
$1 286,16 		$1 046,82
$1 126,90
$1 211,72
$1 513,02 		$1 273,68
$1 353,76
$1 438,58
$1 739,88 		$226,86
Toc - Plan #18 Molina Healthcare
Silver

(HMO) Constant Care Silver 1

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$265,21
$301,02
$338,94
$473,67
$719,79 		$468,10
$503,91
$541,83
$676,56 		$670,99
$706,80
$744,72
$879,45 		$873,88
$909,69
$947,61
$1 082,34 		$202,89
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$530,42
$602,04
$677,88
$947,34
$1 439,58 		$733,31
$804,93
$880,77
$1 150,23 		$936,20
$1 007,82
$1 083,66
$1 353,12 		$1 139,09
$1 210,71
$1 286,55
$1 556,01 		$202,89
Toc - Plan #19 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1

Annual Out of Pocket Expenses
Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$220,37
$250,13
$281,64
$393,59
$598,10 		$388,96
$418,72
$450,23
$562,18 		$557,55
$587,31
$618,82
$730,77 		$726,14
$755,90
$787,41
$899,36 		$168,59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$440,74
$500,26
$563,28
$787,18
$1 196,20 		$609,33
$668,85
$731,87
$955,77 		$777,92
$837,44
$900,46
$1 124,36 		$946,51
$1 006,03
$1 069,05
$1 292,95 		$168,59
Toc - Plan #20 Molina Healthcare
Silver

(HMO) Constant Care Silver 4

Annual Out of Pocket Expenses
Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$262,54
$297,98
$335,52
$468,89
$712,53 		$463,38
$498,82
$536,36
$669,73 		$664,22
$699,66
$737,20
$870,57 		$865,06
$900,50
$938,04
$1 071,41 		$200,84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$525,08
$595,96
$671,04
$937,78
$1 425,06 		$725,92
$796,80
$871,88
$1 138,62 		$926,76
$997,64
$1 072,72
$1 339,46 		$1 127,60
$1 198,48
$1 273,56
$1 540,30 		$200,84
Toc - Plan #21 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 4

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$230,68
$261,82
$294,81
$412,00
$626,07 		$407,15
$438,29
$471,28
$588,47 		$583,62
$614,76
$647,75
$764,94 		$760,09
$791,23
$824,22
$941,41 		$176,47
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$461,36
$523,64
$589,62
$824,00
$1 252,14 		$637,83
$700,11
$766,09
$1 000,47 		$814,30
$876,58
$942,56
$1 176,94 		$990,77
$1 053,05
$1 119,03
$1 353,41 		$176,47
Toc - Plan #22 Molina Healthcare
Expanded Bronze

(HMO) Core Care Bronze 5

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$224,38
$254,67
$286,76
$400,75
$608,97 		$396,03
$426,32
$458,41
$572,40 		$567,68
$597,97
$630,06
$744,05 		$739,33
$769,62
$801,71
$915,70 		$171,65
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$448,76
$509,34
$573,52
$801,50
$1 217,94 		$620,41
$680,99
$745,17
$973,15 		$792,06
$852,64
$916,82
$1 144,80 		$963,71
$1 024,29
$1 088,47
$1 316,45 		$171,65
Toc - Plan #23 Molina Healthcare
Gold

(HMO) Confident Care Gold 1 + Vision

Annual Out of Pocket Expenses
Individual Family
$2,925 $5,850 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$300,16
$340,68
$383,61
$536,09
$814,64 		$529,78
$570,30
$613,23
$765,71 		$759,40
$799,92
$842,85
$995,33 		$989,02
$1 029,54
$1 072,47
$1 224,95 		$229,62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$600,32
$681,36
$767,22
$1 072,18
$1 629,28 		$829,94
$910,98
$996,84
$1 301,80 		$1 059,56
$1 140,60
$1 226,46
$1 531,42 		$1 289,18
$1 370,22
$1 456,08
$1 761,04 		$229,62
Toc - Plan #24 Molina Healthcare
Silver

(HMO) Constant Care Silver 1 + Vision

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$268,82
$305,11
$343,56
$480,12
$729,58 		$474,47
$510,76
$549,21
$685,77 		$680,12
$716,41
$754,86
$891,42 		$885,77
$922,06
$960,51
$1 097,07 		$205,65
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$537,64
$610,22
$687,12
$960,24
$1 459,16 		$743,29
$815,87
$892,77
$1 165,89 		$948,94
$1 021,52
$1 098,42
$1 371,54 		$1 154,59
$1 227,17
$1 304,07
$1 577,19 		$205,65
Toc - Plan #25 Molina Healthcare
Bronze

(HMO) Core Care Bronze 1 + Vision

Annual Out of Pocket Expenses
Individual Family
$6,100 $12,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$223,98
$254,22
$286,25
$400,03
$607,89 		$395,33
$425,57
$457,60
$571,38 		$566,68
$596,92
$628,95
$742,73 		$738,03
$768,27
$800,30
$914,08 		$171,35
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$447,96
$508,44
$572,50
$800,06
$1 215,78 		$619,31
$679,79
$743,85
$971,41 		$790,66
$851,14
$915,20
$1 142,76 		$962,01
$1 022,49
$1 086,55
$1 314,11 		$171,35
Toc - Plan #26 Molina Healthcare
Silver

(HMO) Constant Care Silver 2

Annual Out of Pocket Expenses
Individual Family
$5,200 $10,400 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$264,97
$300,74
$338,64
$473,24
$719,14 		$467,67
$503,44
$541,34
$675,94 		$670,37
$706,14
$744,04
$878,64 		$873,07
$908,84
$946,74
$1 081,34 		$202,70
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$529,94
$601,48
$677,28
$946,48
$1 438,28 		$732,64
$804,18
$879,98
$1 149,18 		$935,34
$1 006,88
$1 082,68
$1 351,88 		$1 138,04
$1 209,58
$1 285,38
$1 554,58 		$202,70
Toc - Plan #27 Molina Healthcare
Bronze

(HMO) Core Care Bronze 2

Annual Out of Pocket Expenses
Individual Family
$8,000 $16,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$218,46
$247,95
$279,19
$390,16
$592,89 		$385,58
$415,07
$446,31
$557,28 		$552,70
$582,19
$613,43
$724,40 		$719,82
$749,31
$780,55
$891,52 		$167,12
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$436,92
$495,90
$558,38
$780,32
$1 185,78 		$604,04
$663,02
$725,50
$947,44 		$771,16
$830,14
$892,62
$1 114,56 		$938,28
$997,26
$1 059,74
$1 281,68 		$167,12

ADVERTISEMENT

Ambetter from Meridian

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

Toc - Plan #28 Ambetter from Meridian
Bronze

(HMO) Ambetter Essential Care 1 (2021)

Annual Out of Pocket Expenses
Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$195,00
$221,31
$249,19
$348,25
$529,19 		$344,17
$370,48
$398,36
$497,42 		$493,34
$519,65
$547,53
$646,59 		$642,51
$668,82
$696,70
$795,76 		$149,17
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$390,00
$442,62
$498,38
$696,50
$1 058,38 		$539,17
$591,79
$647,55
$845,67 		$688,34
$740,96
$796,72
$994,84 		$837,51
$890,13
$945,89
$1 144,01 		$149,17
Toc - Plan #29 Ambetter from Meridian
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2021)

Annual Out of Pocket Expenses
Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$210,37
$238,75
$268,84
$375,70
$570,91 		$371,29
$399,67
$429,76
$536,62 		$532,21
$560,59
$590,68
$697,54 		$693,13
$721,51
$751,60
$858,46 		$160,92
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$420,74
$477,50
$537,68
$751,40
$1 141,82 		$581,66
$638,42
$698,60
$912,32 		$742,58
$799,34
$859,52
$1 073,24 		$903,50
$960,26
$1 020,44
$1 234,16 		$160,92
Toc - Plan #30 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 25 HSA (2021)

Annual Out of Pocket Expenses
Individual Family
$4,800 $9,600 Annual Deductible
$4,800 $9,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$268,48
$304,71
$343,11
$479,49
$728,63 		$473,86
$510,09
$548,49
$684,87 		$679,24
$715,47
$753,87
$890,25 		$884,62
$920,85
$959,25
$1 095,63 		$205,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$536,96
$609,42
$686,22
$958,98
$1 457,26 		$742,34
$814,80
$891,60
$1 164,36 		$947,72
$1 020,18
$1 096,98
$1 369,74 		$1 153,10
$1 225,56
$1 302,36
$1 575,12 		$205,38
Toc - Plan #31 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 11 (2021)

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:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$259,67
$294,72
$331,85
$463,75
$704,72 		$458,31
$493,36
$530,49
$662,39 		$656,95
$692,00
$729,13
$861,03 		$855,59
$890,64
$927,77
$1 059,67 		$198,64
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$519,34
$589,44
$663,70
$927,50
$1 409,44 		$717,98
$788,08
$862,34
$1 126,14 		$916,62
$986,72
$1 060,98
$1 324,78 		$1 115,26
$1 185,36
$1 259,62
$1 523,42 		$198,64
Toc - Plan #32 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 12 (2021)

Annual Out of Pocket Expenses
Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$255,26
$289,70
$326,20
$455,87
$692,74 		$450,52
$484,96
$521,46
$651,13 		$645,78
$680,22
$716,72
$846,39 		$841,04
$875,48
$911,98
$1 041,65 		$195,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$510,52
$579,40
$652,40
$911,74
$1 385,48 		$705,78
$774,66
$847,66
$1 107,00 		$901,04
$969,92
$1 042,92
$1 302,26 		$1 096,30
$1 165,18
$1 238,18
$1 497,52 		$195,26
Toc - Plan #33 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 21 (2021)

Annual Out of Pocket Expenses
Individual Family
$6,400 $12,800 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$258,34
$293,20
$330,14
$461,37
$701,10 		$455,96
$490,82
$527,76
$658,99 		$653,58
$688,44
$725,38
$856,61 		$851,20
$886,06
$923,00
$1 054,23 		$197,62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$516,68
$586,40
$660,28
$922,74
$1 402,20 		$714,30
$784,02
$857,90
$1 120,36 		$911,92
$981,64
$1 055,52
$1 317,98 		$1 109,54
$1 179,26
$1 253,14
$1 515,60 		$197,62
Toc - Plan #34 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 22 (2021)

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$261,23
$296,48
$333,83
$466,53
$708,94 		$461,06
$496,31
$533,66
$666,36 		$660,89
$696,14
$733,49
$866,19 		$860,72
$895,97
$933,32
$1 066,02 		$199,83
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$522,46
$592,96
$667,66
$933,06
$1 417,88 		$722,29
$792,79
$867,49
$1 132,89 		$922,12
$992,62
$1 067,32
$1 332,72 		$1 121,95
$1 192,45
$1 267,15
$1 532,55 		$199,83
Toc - Plan #35 Ambetter from Meridian
Gold

(HMO) Ambetter Secure Care 5 (2021)

Annual Out of Pocket Expenses
Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$268,30
$304,51
$342,87
$479,16
$728,13 		$473,54
$509,75
$548,11
$684,40 		$678,78
$714,99
$753,35
$889,64 		$884,02
$920,23
$958,59
$1 094,88 		$205,24
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$536,60
$609,02
$685,74
$958,32
$1 456,26 		$741,84
$814,26
$890,98
$1 163,56 		$947,08
$1 019,50
$1 096,22
$1 368,80 		$1 152,32
$1 224,74
$1 301,46
$1 574,04 		$205,24
Toc - Plan #36 Ambetter from Meridian
Gold

(HMO) Ambetter Base Gold (2021)

Annual Out of Pocket Expenses
Individual Family
$3,500 $7,000 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$262,09
$297,46
$334,93
$468,07
$711,27 		$462,58
$497,95
$535,42
$668,56 		$663,07
$698,44
$735,91
$869,05 		$863,56
$898,93
$936,40
$1 069,54 		$200,49
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$524,18
$594,92
$669,86
$936,14
$1 422,54 		$724,67
$795,41
$870,35
$1 136,63 		$925,16
$995,90
$1 070,84
$1 337,12 		$1 125,65
$1 196,39
$1 271,33
$1 537,61 		$200,49
Toc - Plan #37 Ambetter from Meridian
Bronze

(HMO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$222,89
$252,96
$284,83
$398,06
$604,88 		$393,39
$423,46
$455,33
$568,56 		$563,89
$593,96
$625,83
$739,06 		$734,39
$764,46
$796,33
$909,56 		$170,50
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$445,78
$505,92
$569,66
$796,12
$1 209,76 		$616,28
$676,42
$740,16
$966,62 		$786,78
$846,92
$910,66
$1 137,12 		$957,28
$1 017,42
$1 081,16
$1 307,62 		$170,50
Toc - Plan #38 Ambetter from Meridian
Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$238,26
$270,42
$304,49
$425,52
$646,62 		$420,52
$452,68
$486,75
$607,78 		$602,78
$634,94
$669,01
$790,04 		$785,04
$817,20
$851,27
$972,30 		$182,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$476,52
$540,84
$608,98
$851,04
$1 293,24 		$658,78
$723,10
$791,24
$1 033,30 		$841,04
$905,36
$973,50
$1 215,56 		$1 023,30
$1 087,62
$1 155,76
$1 397,82 		$182,26
Toc - Plan #39 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$4,800 $9,600 Annual Deductible
$4,800 $9,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$294,30
$334,02
$376,11
$525,61
$798,71 		$519,43
$559,15
$601,24
$750,74 		$744,56
$784,28
$826,37
$975,87 		$969,69
$1 009,41
$1 051,50
$1 201,00 		$225,13
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$588,60
$668,04
$752,22
$1 051,22
$1 597,42 		$813,73
$893,17
$977,35
$1 276,35 		$1 038,86
$1 118,30
$1 202,48
$1 501,48 		$1 263,99
$1 343,43
$1 427,61
$1 726,61 		$225,13
Toc - Plan #40 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

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:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$285,50
$324,03
$364,86
$509,89
$774,82 		$503,90
$542,43
$583,26
$728,29 		$722,30
$760,83
$801,66
$946,69 		$940,70
$979,23
$1 020,06
$1 165,09 		$218,40
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$571,00
$648,06
$729,72
$1 019,78
$1 549,64 		$789,40
$866,46
$948,12
$1 238,18 		$1 007,80
$1 084,86
$1 166,52
$1 456,58 		$1 226,20
$1 303,26
$1 384,92
$1 674,98 		$218,40
Toc - Plan #41 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 21 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,400 $12,800 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$284,17
$322,52
$363,15
$507,51
$771,21 		$501,55
$539,90
$580,53
$724,89 		$718,93
$757,28
$797,91
$942,27 		$936,31
$974,66
$1 015,29
$1 159,65 		$217,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$568,34
$645,04
$726,30
$1 015,02
$1 542,42 		$785,72
$862,42
$943,68
$1 232,40 		$1 003,10
$1 079,80
$1 161,06
$1 449,78 		$1 220,48
$1 297,18
$1 378,44
$1 667,16 		$217,38
Toc - Plan #42 Ambetter from Meridian
Silver

(HMO) Ambetter Balanced Care 22 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$287,05
$325,79
$366,83
$512,65
$779,02 		$506,63
$545,37
$586,41
$732,23 		$726,21
$764,95
$805,99
$951,81 		$945,79
$984,53
$1 025,57
$1 171,39 		$219,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$574,10
$651,58
$733,66
$1 025,30
$1 558,04 		$793,68
$871,16
$953,24
$1 244,88 		$1 013,26
$1 090,74
$1 172,82
$1 464,46 		$1 232,84
$1 310,32
$1 392,40
$1 684,04 		$219,58
Toc - Plan #43 Ambetter from Meridian
Gold

(HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$294,13
$333,82
$375,88
$525,29
$798,24 		$519,13
$558,82
$600,88
$750,29 		$744,13
$783,82
$825,88
$975,29 		$969,13
$1 008,82
$1 050,88
$1 200,29 		$225,00
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$588,26
$667,64
$751,76
$1 050,58
$1 596,48 		$813,26
$892,64
$976,76
$1 275,58 		$1 038,26
$1 117,64
$1 201,76
$1 500,58 		$1 263,26
$1 342,64
$1 426,76
$1 725,58 		$225,00

ADVERTISEMENT

Oscar Insurance Company

Local: 1-855-672-2755 | Toll Free: 1-855-672-2755

Toc - Plan #44 Oscar Insurance Company
Expanded Bronze

(EPO) Oscar Bronze Classic PCP Copay

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$211,51
$240,07
$270,31
$377,76
$574,04 		$373,32
$401,88
$432,12
$539,57 		$535,13
$563,69
$593,93
$701,38 		$696,94
$725,50
$755,74
$863,19 		$161,81
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$423,02
$480,14
$540,62
$755,52
$1 148,08 		$584,83
$641,95
$702,43
$917,33 		$746,64
$803,76
$864,24
$1 079,14 		$908,45
$965,57
$1 026,05
$1 240,95 		$161,81
Toc - Plan #45 Oscar Insurance Company
Expanded Bronze

(EPO) Oscar Bronze Classic

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$205,62
$233,38
$262,79
$367,25
$558,07 		$362,92
$390,68
$420,09
$524,55 		$520,22
$547,98
$577,39
$681,85 		$677,52
$705,28
$734,69
$839,15 		$157,30
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$411,24
$466,76
$525,58
$734,50
$1 116,14 		$568,54
$624,06
$682,88
$891,80 		$725,84
$781,36
$840,18
$1 049,10 		$883,14
$938,66
$997,48
$1 206,40 		$157,30
Toc - Plan #46 Oscar Insurance Company
Expanded Bronze

(EPO) Oscar Bronze Classic Next

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$237,61
$269,69
$303,66
$424,37
$644,87 		$419,38
$451,46
$485,43
$606,14 		$601,15
$633,23
$667,20
$787,91 		$782,92
$815,00
$848,97
$969,68 		$181,77
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$475,22
$539,38
$607,32
$848,74
$1 289,74 		$656,99
$721,15
$789,09
$1 030,51 		$838,76
$902,92
$970,86
$1 212,28 		$1 020,53
$1 084,69
$1 152,63
$1 394,05 		$181,77
Toc - Plan #47 Oscar Insurance Company
Silver

(EPO) Oscar Silver Classic

Annual Out of Pocket Expenses
Individual Family
$5,000 $10,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$279,15
$316,84
$356,75
$498,56
$757,61 		$492,70
$530,39
$570,30
$712,11 		$706,25
$743,94
$783,85
$925,66 		$919,80
$957,49
$997,40
$1 139,21 		$213,55
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$558,30
$633,68
$713,50
$997,12
$1 515,22 		$771,85
$847,23
$927,05
$1 210,67 		$985,40
$1 060,78
$1 140,60
$1 424,22 		$1 198,95
$1 274,33
$1 354,15
$1 637,77 		$213,55
Toc - Plan #48 Oscar Insurance Company
Silver

(EPO) Oscar Silver Saver

Annual Out of Pocket Expenses
Individual Family
$4,200 $8,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$272,56
$309,35
$348,33
$486,79
$739,72 		$481,07
$517,86
$556,84
$695,30 		$689,58
$726,37
$765,35
$903,81 		$898,09
$934,88
$973,86
$1 112,32 		$208,51
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$545,12
$618,70
$696,66
$973,58
$1 479,44 		$753,63
$827,21
$905,17
$1 182,09 		$962,14
$1 035,72
$1 113,68
$1 390,60 		$1 170,65
$1 244,23
$1 322,19
$1 599,11 		$208,51
Toc - Plan #49 Oscar Insurance Company
Silver

(EPO) Oscar Silver Classic Next

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$278,38
$315,96
$355,77
$497,19
$755,53 		$491,34
$528,92
$568,73
$710,15 		$704,30
$741,88
$781,69
$923,11 		$917,26
$954,84
$994,65
$1 136,07 		$212,96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$556,76
$631,92
$711,54
$994,38
$1 511,06 		$769,72
$844,88
$924,50
$1 207,34 		$982,68
$1 057,84
$1 137,46
$1 420,30 		$1 195,64
$1 270,80
$1 350,42
$1 633,26 		$212,96
Toc - Plan #50 Oscar Insurance Company
Catastrophic

(EPO) Oscar Secure

Annual Out of Pocket Expenses
Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$183,44
$208,20
$234,43
$327,62
$497,85 		$323,77
$348,53
$374,76
$467,95 		$464,10
$488,86
$515,09
$608,28 		$604,43
$629,19
$655,42
$748,61 		$140,33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$366,88
$416,40
$468,86
$655,24
$995,70 		$507,21
$556,73
$609,19
$795,57 		$647,54
$697,06
$749,52
$935,90 		$787,87
$837,39
$889,85
$1 076,23 		$140,33
Toc - Plan #51 Oscar Insurance Company
Expanded Bronze

(EPO) Oscar Bronze Classic Next 2

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$237,36
$269,40
$303,35
$423,93
$644,20 		$418,94
$450,98
$484,93
$605,51 		$600,52
$632,56
$666,51
$787,09 		$782,10
$814,14
$848,09
$968,67 		$181,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$474,72
$538,80
$606,70
$847,86
$1 288,40 		$656,30
$720,38
$788,28
$1 029,44 		$837,88
$901,96
$969,86
$1 211,02 		$1 019,46
$1 083,54
$1 151,44
$1 392,60 		$181,58
Toc - Plan #52 Oscar Insurance Company
Gold

(EPO) Oscar Gold Classic

Annual Out of Pocket Expenses
Individual Family
$2,500 $5,000 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$311,32
$353,35
$397,86
$556,01
$844,92 		$549,48
$591,51
$636,02
$794,17 		$787,64
$829,67
$874,18
$1 032,33 		$1 025,80
$1 067,83
$1 112,34
$1 270,49 		$238,16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$622,64
$706,70
$795,72
$1 112,02
$1 689,84 		$860,80
$944,86
$1 033,88
$1 350,18 		$1 098,96
$1 183,02
$1 272,04
$1 588,34 		$1 337,12
$1 421,18
$1 510,20
$1 826,50 		$238,16
Toc - Plan #53 Oscar Insurance Company
Expanded Bronze

(EPO) Oscar Bronze HDHP

Annual Out of Pocket Expenses
Individual Family
$5,200 $10,400 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$214,95
$243,96
$274,70
$383,89
$583,36 		$379,38
$408,39
$439,13
$548,32 		$543,81
$572,82
$603,56
$712,75 		$708,24
$737,25
$767,99
$877,18 		$164,43
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$429,90
$487,92
$549,40
$767,78
$1 166,72 		$594,33
$652,35
$713,83
$932,21 		$758,76
$816,78
$878,26
$1 096,64 		$923,19
$981,21
$1 042,69
$1 261,07 		$164,43
Toc - Plan #54 Oscar Insurance Company
Silver

(EPO) Oscar Silver Saver 2

Annual Out of Pocket Expenses
Individual Family
$6,200 $12,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$270,86
$307,43
$346,16
$483,76
$735,12 		$478,07
$514,64
$553,37
$690,97 		$685,28
$721,85
$760,58
$898,18 		$892,49
$929,06
$967,79
$1 105,39 		$207,21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$541,72
$614,86
$692,32
$967,52
$1 470,24 		$748,93
$822,07
$899,53
$1 174,73 		$956,14
$1 029,28
$1 106,74
$1 381,94 		$1 163,35
$1 236,49
$1 313,95
$1 589,15 		$207,21
Toc - Plan #55 Oscar Insurance Company
Silver

(EPO) Oscar Silver Classic Copay

Annual Out of Pocket Expenses
Individual Family
$7,000 $14,000 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$289,00
$328,01
$369,34
$516,15
$784,34 		$510,08
$549,09
$590,42
$737,23 		$731,16
$770,17
$811,50
$958,31 		$952,24
$991,25
$1 032,58
$1 179,39 		$221,08
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$578,00
$656,02
$738,68
$1 032,30
$1 568,68 		$799,08
$877,10
$959,76
$1 253,38 		$1 020,16
$1 098,18
$1 180,84
$1 474,46 		$1 241,24
$1 319,26
$1 401,92
$1 695,54 		$221,08
Toc - Plan #56 Oscar Insurance Company
Silver

(EPO) Oscar Silver Classic $0 Ded

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$291,23
$330,54
$372,19
$520,13
$790,39 		$514,02
$553,33
$594,98
$742,92 		$736,81
$776,12
$817,77
$965,71 		$959,60
$998,91
$1 040,56
$1 188,50 		$222,79
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$582,46
$661,08
$744,38
$1 040,26
$1 580,78 		$805,25
$883,87
$967,17
$1 263,05 		$1 028,04
$1 106,66
$1 189,96
$1 485,84 		$1 250,83
$1 329,45
$1 412,75
$1 708,63 		$222,79

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Blue Care Network of Michigan

Local: 1-888-227-2345 | Toll Free: 1-888-227-2345 | TTY: 1-800-257-9980
Toc - Plan #57 Blue Care Network of Michigan
Catastrophic

(HMO) Blue Cross Select HMO Value

Annual Out of Pocket Expenses
Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$180,16
$204,48
$230,24
$321,77
$488,95 		$317,98
$342,30
$368,06
$459,59 		$455,80
$480,12
$505,88
$597,41 		$593,62
$617,94
$643,70
$735,23 		$137,82
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$360,32
$408,96
$460,48
$643,54
$977,90 		$498,14
$546,78
$598,30
$781,36 		$635,96
$684,60
$736,12
$919,18 		$773,78
$822,42
$873,94
$1 057,00 		$137,82
Toc - Plan #58 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Select HMO Silver

Annual Out of Pocket Expenses
Individual Family
$3,000 $6,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$348,95
$396,06
$445,96
$623,22
$947,05 		$615,90
$663,01
$712,91
$890,17 		$882,85
$929,96
$979,86
$1 157,12 		$1 149,80
$1 196,91
$1 246,81
$1 424,07 		$266,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$697,90
$792,12
$891,92
$1 246,44
$1 894,10 		$964,85
$1 059,07
$1 158,87
$1 513,39 		$1 231,80
$1 326,02
$1 425,82
$1 780,34 		$1 498,75
$1 592,97
$1 692,77
$2 047,29 		$266,95
Toc - Plan #59 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Preferred HMO Silver

Annual Out of Pocket Expenses
Individual Family
$3,000 $6,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$379,26
$430,46
$484,69
$677,36
$1 029,31 		$669,39
$720,59
$774,82
$967,49 		$959,52
$1 010,72
$1 064,95
$1 257,62 		$1 249,65
$1 300,85
$1 355,08
$1 547,75 		$290,13
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$758,52
$860,92
$969,38
$1 354,72
$2 058,62 		$1 048,65
$1 151,05
$1 259,51
$1 644,85 		$1 338,78
$1 441,18
$1 549,64
$1 934,98 		$1 628,91
$1 731,31
$1 839,77
$2 225,11 		$290,13
Toc - Plan #60 Blue Care Network of Michigan
Gold

(HMO) Blue Cross Preferred HMO Gold

Annual Out of Pocket Expenses
Individual Family
$850 $1,700 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$410,20
$465,58
$524,24
$732,62
$1 113,28 		$724,00
$779,38
$838,04
$1 046,42 		$1 037,80
$1 093,18
$1 151,84
$1 360,22 		$1 351,60
$1 406,98
$1 465,64
$1 674,02 		$313,80
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$820,40
$931,16
$1 048,48
$1 465,24
$2 226,56 		$1 134,20
$1 244,96
$1 362,28
$1 779,04 		$1 448,00
$1 558,76
$1 676,08
$2 092,84 		$1 761,80
$1 872,56
$1 989,88
$2 406,64 		$313,80
Toc - Plan #61 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Select HMO Silver Saver

Annual Out of Pocket Expenses
Individual Family
$4,000 $8,000 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$335,75
$381,08
$429,09
$599,65
$911,23 		$592,60
$637,93
$685,94
$856,50 		$849,45
$894,78
$942,79
$1 113,35 		$1 106,30
$1 151,63
$1 199,64
$1 370,20 		$256,85
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$671,50
$762,16
$858,18
$1 199,30
$1 822,46 		$928,35
$1 019,01
$1 115,03
$1 456,15 		$1 185,20
$1 275,86
$1 371,88
$1 713,00 		$1 442,05
$1 532,71
$1 628,73
$1 969,85 		$256,85
Toc - Plan #62 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Preferred HMO Silver Saver

Annual Out of Pocket Expenses
Individual Family
$4,000 $8,000 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$364,91
$414,17
$466,35
$651,73
$990,37 		$644,07
$693,33
$745,51
$930,89 		$923,23
$972,49
$1 024,67
$1 210,05 		$1 202,39
$1 251,65
$1 303,83
$1 489,21 		$279,16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$729,82
$828,34
$932,70
$1 303,46
$1 980,74 		$1 008,98
$1 107,50
$1 211,86
$1 582,62 		$1 288,14
$1 386,66
$1 491,02
$1 861,78 		$1 567,30
$1 665,82
$1 770,18
$2 140,94 		$279,16
Toc - Plan #63 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross Select HMO Bronze

Annual Out of Pocket Expenses
Individual Family
$8,500 $17,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$226,96
$257,60
$290,05
$405,35
$615,97 		$400,58
$431,22
$463,67
$578,97 		$574,20
$604,84
$637,29
$752,59 		$747,82
$778,46
$810,91
$926,21 		$173,62
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$453,92
$515,20
$580,10
$810,70
$1 231,94 		$627,54
$688,82
$753,72
$984,32 		$801,16
$862,44
$927,34
$1 157,94 		$974,78
$1 036,06
$1 100,96
$1 331,56 		$173,62
Toc - Plan #64 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross Select HMO Bronze Saver HSA

Annual Out of Pocket Expenses
Individual Family
$6,950 $13,900 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$237,25
$269,28
$303,21
$423,73
$643,90 		$418,75
$450,78
$484,71
$605,23 		$600,25
$632,28
$666,21
$786,73 		$781,75
$813,78
$847,71
$968,23 		$181,50
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$474,50
$538,56
$606,42
$847,46
$1 287,80 		$656,00
$720,06
$787,92
$1 028,96 		$837,50
$901,56
$969,42
$1 210,46 		$1 019,00
$1 083,06
$1 150,92
$1 391,96 		$181,50
Toc - Plan #65 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross Preferred HMO Bronze Saver HSA

Annual Out of Pocket Expenses
Individual Family
$6,950 $13,900 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$257,85
$292,66
$329,53
$460,52
$699,80 		$455,11
$489,92
$526,79
$657,78 		$652,37
$687,18
$724,05
$855,04 		$849,63
$884,44
$921,31
$1 052,30 		$197,26
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$515,70
$585,32
$659,06
$921,04
$1 399,60 		$712,96
$782,58
$856,32
$1 118,30 		$910,22
$979,84
$1 053,58
$1 315,56 		$1 107,48
$1 177,10
$1 250,84
$1 512,82 		$197,26
Toc - Plan #66 Blue Care Network of Michigan
Expanded Bronze

(HMO) Blue Cross Preferred HMO Bronze

Annual Out of Pocket Expenses
Individual Family
$8,500 $17,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$246,66
$279,96
$315,23
$440,53
$669,44 		$435,35
$468,65
$503,92
$629,22 		$624,04
$657,34
$692,61
$817,91 		$812,73
$846,03
$881,30
$1 006,60 		$188,69
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$493,32
$559,92
$630,46
$881,06
$1 338,88 		$682,01
$748,61
$819,15
$1 069,75 		$870,70
$937,30
$1 007,84
$1 258,44 		$1 059,39
$1 125,99
$1 196,53
$1 447,13 		$188,69
Toc - Plan #67 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Select HMO Silver Extra

Annual Out of Pocket Expenses
Individual Family
$4,800 $9,600 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$364,95
$414,22
$466,41
$651,80
$990,47 		$644,14
$693,41
$745,60
$930,99 		$923,33
$972,60
$1 024,79
$1 210,18 		$1 202,52
$1 251,79
$1 303,98
$1 489,37 		$279,19
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$729,90
$828,44
$932,82
$1 303,60
$1 980,94 		$1 009,09
$1 107,63
$1 212,01
$1 582,79 		$1 288,28
$1 386,82
$1 491,20
$1 861,98 		$1 567,47
$1 666,01
$1 770,39
$2 141,17 		$279,19
Toc - Plan #68 Blue Care Network of Michigan
Silver

(HMO) Blue Cross Preferred HMO Silver Extra

Annual Out of Pocket Expenses
Individual Family
$4,800 $9,600 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$396,65
$450,20
$506,92
$708,42
$1 076,51 		$700,09
$753,64
$810,36
$1 011,86 		$1 003,53
$1 057,08
$1 113,80
$1 315,30 		$1 306,97
$1 360,52
$1 417,24
$1 618,74 		$303,44
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$793,30
$900,40
$1 013,84
$1 416,84
$2 153,02 		$1 096,74
$1 203,84
$1 317,28
$1 720,28 		$1 400,18
$1 507,28
$1 620,72
$2 023,72 		$1 703,62
$1 810,72
$1 924,16
$2 327,16 		$303,44

‡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 Muskegon County here.

Muskegon County is in “Rating Area 12” of Michigan.

Currently, there are 68 plans offered in Rating Area 12.

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2022 Obamacare Rates for Muskegon County

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