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Obamacare 2021 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 |

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 2021.

Obamacare Providers, Plans and 2021 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.

  • 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

  • Priority Health

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

  • Molina Healthcare

    Local: 1-888-560-4087 | Toll Free: 1-888-560-4087 | TTY: 1-888-665-4629

  • Ambetter from Meridian

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

  • Oscar Insurance Company

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

  • Blue Care Network of Michigan

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

    • For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

    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.

    2021 Obamacare Rates, Providers, and Plans for Muskegon County

    ADVERTISEMENT

    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

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #2

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #3

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #4

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$1 235,66
    $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     		$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
    Toc - Plan #5

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #6

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #7

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #8

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    ADVERTISEMENT

    Priority Health

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

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #10

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #11

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #12

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #13

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #14

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #15

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #16

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    ADVERTISEMENT

    Molina Healthcare

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

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #18

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #19

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #20

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #21

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #22

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #23

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #24

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #25

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #26

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #27

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    ADVERTISEMENT

    Ambetter from Meridian

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

    Toc - Plan #28

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #29

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #30

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #31

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #32

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #33

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #34

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #35

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #36

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #37

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #38

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #39

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #40

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #41

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #42

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #43

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    ADVERTISEMENT

    Oscar Insurance Company

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

    Toc - Plan #44

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #45

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #46

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #47

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #48

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #49

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #50

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #51

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #52

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #53

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #54

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #55

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #56

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    ADVERTISEMENT

    Blue Care Network of Michigan

    Local: 1-888-227-2345 | Toll Free: 1-888-227-2345 | TTY: 1-800-257-9980
    Toc - Plan #57

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #58

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #59

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #60

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #61

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #62

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #63

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #64

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #65

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #66

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #67

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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
    Toc - Plan #68

    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
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 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     		$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     		$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

    ‡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.

    Obamacare Rates and Providers for Other Years

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