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Obamacare 2019 Rates for Missoula County


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 HealthCare.gov, the marketplace for Missoula County, Montana.

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

Obamacare Providers, Plans and 2019 Rates for Missoula County, Montana

Below, you’ll find a summary of the 25 plans for Missoula County and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

For detailed information on available subsidies to make your coverage affordable, you must 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 Missoula, MT area accept this insurance coverage as within the plan's network.

2019 Obamacare Rates, Providers, and Plans for Missoula County

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PacificSource Health Plans

Local: 1-406-442-6589 | Toll Free: 1-877-590-1596 | TTY: 1-800-253-4091

Bronze

Plan: (PPO) SmartHealth Bronze HSA 6650

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (PacificSource Health Plans)
Customer Service Phone: 1-877-590-1596

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

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 		$314.00
$357.00
$402.00
$562.00
$853.00 		$628.00
$714.00
$804.00
$1,124.00
$1,706.00 		$869.00
$955.00
$1,045.00
$1,365.00 		$1,110.00
$1,196.00
$1,286.00
$1,606.00 		$1,351.00
$1,437.00
$1,527.00
$1,847.00 		$555.00
$598.00
$643.00
$803.00 		$796.00
$839.00
$884.00
$1,044.00 		$1,037.00
$1,080.00
$1,125.00
$1,285.00 		$287.00

Silver

Plan: (PPO) SmartHealth Silver HSA 3000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (PacificSource Health Plans)
Customer Service Phone: 1-877-590-1596

Deductible: Individual: $3,000 | Family: $6,000
Out of Pocket Maximum per year: Individual: $6,650 | Family: $13,300

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 		$437.00
$496.00
$559.00
$781.00
$1,186.00 		$874.00
$992.00
$1,118.00
$1,562.00
$2,372.00 		$1,208.00
$1,326.00
$1,452.00
$1,896.00 		$1,542.00
$1,660.00
$1,786.00
$2,230.00 		$1,876.00
$1,994.00
$2,120.00
$2,564.00 		$771.00
$830.00
$893.00
$1,115.00 		$1,105.00
$1,164.00
$1,227.00
$1,449.00 		$1,439.00
$1,498.00
$1,561.00
$1,783.00 		$399.00

Gold

Plan: (PPO) SmartHealth Gold 1500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (PacificSource Health Plans)
Customer Service Phone: 1-877-590-1596

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

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 		$481.00
$546.00
$614.00
$858.00
$1,304.00 		$962.00
$1,092.00
$1,228.00
$1,716.00
$2,608.00 		$1,330.00
$1,460.00
$1,596.00
$2,084.00 		$1,698.00
$1,828.00
$1,964.00
$2,452.00 		$2,066.00
$2,196.00
$2,332.00
$2,820.00 		$849.00
$914.00
$982.00
$1,226.00 		$1,217.00
$1,282.00
$1,350.00
$1,594.00 		$1,585.00
$1,650.00
$1,718.00
$1,962.00 		$439.00

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Blue Cross and Blue Shield of Montana

Local: 1-855-258-8471 | Toll Free: 1-855-258-8471 | TTY: 1-406-444-4212

Gold

Plan: (PPO) Blue Preferred Gold PPO? 204 - Two $10 PCP Visits

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $450 | Family: $900
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$577.13
$655.04
$737.57
$1,030.75
$1,566.33 		$1,154.26
$1,310.08
$1,475.14
$2,061.50
$3,132.66 		$1,595.76
$1,751.58
$1,916.64
$2,503.00 		$2,037.26
$2,193.08
$2,358.14
$2,944.50 		$2,478.76
$2,634.58
$2,799.64
$3,386.00 		$1,018.63
$1,096.54
$1,179.07
$1,472.25 		$1,460.13
$1,538.04
$1,620.57
$1,913.75 		$1,901.63
$1,979.54
$2,062.07
$2,355.25 		$526.92

Silver

Plan: (PPO) Blue Preferred Silver PPO? 203

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $650 | Family: $1,300
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$568.23
$644.94
$726.19
$1,014.85
$1,542.16 		$1,136.46
$1,289.88
$1,452.38
$2,029.70
$3,084.32 		$1,571.15
$1,724.57
$1,887.07
$2,464.39 		$2,005.84
$2,159.26
$2,321.76
$2,899.08 		$2,440.53
$2,593.95
$2,756.45
$3,333.77 		$1,002.92
$1,079.63
$1,160.88
$1,449.54 		$1,437.61
$1,514.32
$1,595.57
$1,884.23 		$1,872.30
$1,949.01
$2,030.26
$2,318.92 		$518.79

Bronze

Plan: (PPO) Blue Preferred Bronze PPO? 201 - Two $25 PCP Visits

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $2,850 | Family: $5,700
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$418.34
$474.81
$534.63
$747.15
$1,135.36 		$836.68
$949.62
$1,069.26
$1,494.30
$2,270.72 		$1,156.71
$1,269.65
$1,389.29
$1,814.33 		$1,476.74
$1,589.68
$1,709.32
$2,134.36 		$1,796.77
$1,909.71
$2,029.35
$2,454.39 		$738.37
$794.84
$854.66
$1,067.18 		$1,058.40
$1,114.87
$1,174.69
$1,387.21 		$1,378.43
$1,434.90
$1,494.72
$1,707.24 		$381.94

Bronze

Plan: (PPO) Blue Preferred Bronze PPO? 202

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $2,900 | Family: $5,800
Out of Pocket Maximum per year: Individual: $6,650 | Family: $13,300

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 		$446.89
$507.23
$571.13
$798.15
$1,212.87 		$893.78
$1,014.46
$1,142.26
$1,596.30
$2,425.74 		$1,235.65
$1,356.33
$1,484.13
$1,938.17 		$1,577.52
$1,698.20
$1,826.00
$2,280.04 		$1,919.39
$2,040.07
$2,167.87
$2,621.91 		$788.76
$849.10
$913.00
$1,140.02 		$1,130.63
$1,190.97
$1,254.87
$1,481.89 		$1,472.50
$1,532.84
$1,596.74
$1,823.76 		$408.01

Catastrophic

Plan: (PPO) Blue Preferred Security PPO? 200

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

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

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 		$360.20
$408.83
$460.33
$643.32
$977.58 		$720.40
$817.66
$920.66
$1,286.64
$1,955.16 		$995.95
$1,093.21
$1,196.21
$1,562.19 		$1,271.50
$1,368.76
$1,471.76
$1,837.74 		$1,547.05
$1,644.31
$1,747.31
$2,113.29 		$635.75
$684.38
$735.88
$918.87 		$911.30
$959.93
$1,011.43
$1,194.42 		$1,186.85
$1,235.48
$1,286.98
$1,469.97 		$328.86

Silver

Plan: (PPO) Blue Preferred Silver PPO? 308

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

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

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 		$513.16
$582.44
$655.82
$916.51
$1,392.72 		$1,026.32
$1,164.88
$1,311.64
$1,833.02
$2,785.44 		$1,418.89
$1,557.45
$1,704.21
$2,225.59 		$1,811.46
$1,950.02
$2,096.78
$2,618.16 		$2,204.03
$2,342.59
$2,489.35
$3,010.73 		$905.73
$975.01
$1,048.39
$1,309.08 		$1,298.30
$1,367.58
$1,440.96
$1,701.65 		$1,690.87
$1,760.15
$1,833.53
$2,094.22 		$468.52

Bronze

Plan: (PPO) Blue Preferred Bronze PPO? 301

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

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

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 		$392.76
$445.78
$501.95
$701.47
$1,065.95 		$785.52
$891.56
$1,003.90
$1,402.94
$2,131.90 		$1,085.98
$1,192.02
$1,304.36
$1,703.40 		$1,386.44
$1,492.48
$1,604.82
$2,003.86 		$1,686.90
$1,792.94
$1,905.28
$2,304.32 		$693.22
$746.24
$802.41
$1,001.93 		$993.68
$1,046.70
$1,102.87
$1,302.39 		$1,294.14
$1,347.16
$1,403.33
$1,602.85 		$358.59

Gold

Plan: (HMO) Blue Focus Gold POS? 207

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $0 | Family: $0
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$447.52
$507.94
$571.93
$799.27
$1,214.57 		$895.04
$1,015.88
$1,143.86
$1,598.54
$2,429.14 		$1,237.39
$1,358.23
$1,486.21
$1,940.89 		$1,579.74
$1,700.58
$1,828.56
$2,283.24 		$1,922.09
$2,042.93
$2,170.91
$2,625.59 		$789.87
$850.29
$914.28
$1,141.62 		$1,132.22
$1,192.64
$1,256.63
$1,483.97 		$1,474.57
$1,534.99
$1,598.98
$1,826.32 		$408.59

Silver

Plan: (HMO) Blue Focus Silver POS? 206 - Two $25 PCP Visits

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

Deductible: Individual: $4,000 | Family: $8,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$391.66
$444.53
$500.54
$699.50
$1,062.96 		$783.32
$889.06
$1,001.08
$1,399.00
$2,125.92 		$1,082.94
$1,188.68
$1,300.70
$1,698.62 		$1,382.56
$1,488.30
$1,600.32
$1,998.24 		$1,682.18
$1,787.92
$1,899.94
$2,297.86 		$691.28
$744.15
$800.16
$999.12 		$990.90
$1,043.77
$1,099.78
$1,298.74 		$1,290.52
$1,343.39
$1,399.40
$1,598.36 		$357.58

Bronze

Plan: (HMO) Blue Focus Bronze POS? 205 - Two $40 PCP Visits

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Blue Cross and Blue Shield of Montana)
Customer Service Phone: 1-855-258-8471

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

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 		$287.64
$326.47
$367.61
$513.73
$780.66 		$575.28
$652.94
$735.22
$1,027.46
$1,561.32 		$795.33
$872.99
$955.27
$1,247.51 		$1,015.38
$1,093.04
$1,175.32
$1,467.56 		$1,235.43
$1,313.09
$1,395.37
$1,687.61 		$507.69
$546.52
$587.66
$733.78 		$727.74
$766.57
$807.71
$953.83 		$947.79
$986.62
$1,027.76
$1,173.88 		$262.62

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Montana Health Cooperative

Local: 1-406-447-9510 | Toll Free: 1-855-447-2900 | TTY: 1-855-447-2900

Gold

Plan: (PPO) Access Care Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $800 | Family: $1,600
Out of Pocket Maximum per year: Individual: $5,750 | Family: $11,500

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 		$506.79
$575.20
$647.67
$905.12
$1,375.42 		$1,013.58
$1,150.40
$1,295.34
$1,810.24
$2,750.84 		$1,401.27
$1,538.09
$1,683.03
$2,197.93 		$1,788.96
$1,925.78
$2,070.72
$2,585.62 		$2,176.65
$2,313.47
$2,458.41
$2,973.31 		$894.48
$962.89
$1,035.36
$1,292.81 		$1,282.17
$1,350.58
$1,423.05
$1,680.50 		$1,669.86
$1,738.27
$1,810.74
$2,068.19 		$462.70

Silver

Plan: (PPO) Access Care Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $3,300 | Family: $6,600
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$484.08
$549.44
$618.66
$864.57
$1,313.80 		$968.16
$1,098.88
$1,237.32
$1,729.14
$2,627.60 		$1,338.48
$1,469.20
$1,607.64
$2,099.46 		$1,708.80
$1,839.52
$1,977.96
$2,469.78 		$2,079.12
$2,209.84
$2,348.28
$2,840.10 		$854.40
$919.76
$988.98
$1,234.89 		$1,224.72
$1,290.08
$1,359.30
$1,605.21 		$1,595.04
$1,660.40
$1,729.62
$1,975.53 		$441.97

Bronze

Plan: (PPO) Access Care Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $7,200 | Family: $14,400
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$329.05
$373.48
$420.53
$587.69
$893.05 		$658.10
$746.96
$841.06
$1,175.38
$1,786.10 		$909.83
$998.69
$1,092.79
$1,427.11 		$1,161.56
$1,250.42
$1,344.52
$1,678.84 		$1,413.29
$1,502.15
$1,596.25
$1,930.57 		$580.78
$625.21
$672.26
$839.42 		$832.51
$876.94
$923.99
$1,091.15 		$1,084.24
$1,128.67
$1,175.72
$1,342.88 		$300.43

Bronze

Plan: (PPO) Access Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $6,750 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 | Family: $13,500

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 		$349.41
$396.59
$446.55
$624.05
$948.31 		$698.82
$793.18
$893.10
$1,248.10
$1,896.62 		$966.12
$1,060.48
$1,160.40
$1,515.40 		$1,233.42
$1,327.78
$1,427.70
$1,782.70 		$1,500.72
$1,595.08
$1,695.00
$2,050.00 		$616.71
$663.89
$713.85
$891.35 		$884.01
$931.19
$981.15
$1,158.65 		$1,151.31
$1,198.49
$1,248.45
$1,425.95 		$319.02

Expanded Bronze

Plan: (PPO) Access Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

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

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 		$341.42
$387.51
$436.33
$609.77
$926.61 		$682.84
$775.02
$872.66
$1,219.54
$1,853.22 		$944.02
$1,036.20
$1,133.84
$1,480.72 		$1,205.20
$1,297.38
$1,395.02
$1,741.90 		$1,466.38
$1,558.56
$1,656.20
$2,003.08 		$602.60
$648.69
$697.51
$870.95 		$863.78
$909.87
$958.69
$1,132.13 		$1,124.96
$1,171.05
$1,219.87
$1,393.31 		$311.71

Gold

Plan: (PPO) Connected Care Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $750 | Family: $1,500
Out of Pocket Maximum per year: Individual: $5,750 | Family: $11,500

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 		$452.52
$513.62
$578.33
$808.21
$1,228.15 		$905.04
$1,027.24
$1,156.66
$1,616.42
$2,456.30 		$1,251.22
$1,373.42
$1,502.84
$1,962.60 		$1,597.40
$1,719.60
$1,849.02
$2,308.78 		$1,943.58
$2,065.78
$2,195.20
$2,654.96 		$798.70
$859.80
$924.51
$1,154.39 		$1,144.88
$1,205.98
$1,270.69
$1,500.57 		$1,491.06
$1,552.16
$1,616.87
$1,846.75 		$413.15

Silver

Plan: (PPO) Connected Care Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $3,300 | Family: $6,600
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$427.93
$485.70
$546.89
$764.28
$1,161.40 		$855.86
$971.40
$1,093.78
$1,528.56
$2,322.80 		$1,183.23
$1,298.77
$1,421.15
$1,855.93 		$1,510.60
$1,626.14
$1,748.52
$2,183.30 		$1,837.97
$1,953.51
$2,075.89
$2,510.67 		$755.30
$813.07
$874.26
$1,091.65 		$1,082.67
$1,140.44
$1,201.63
$1,419.02 		$1,410.04
$1,467.81
$1,529.00
$1,746.39 		$390.70

Bronze

Plan: (PPO) Connected Care Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $7,200 | Family: $14,400
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$290.55
$329.78
$371.33
$518.93
$788.56 		$581.10
$659.56
$742.66
$1,037.86
$1,577.12 		$803.37
$881.83
$964.93
$1,260.13 		$1,025.64
$1,104.10
$1,187.20
$1,482.40 		$1,247.91
$1,326.37
$1,409.47
$1,704.67 		$512.82
$552.05
$593.60
$741.20 		$735.09
$774.32
$815.87
$963.47 		$957.36
$996.59
$1,038.14
$1,185.74 		$265.28

Bronze

Plan: (PPO) Connected Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $6,750 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 | Family: $13,500

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 		$309.32
$351.08
$395.31
$552.45
$839.50 		$618.64
$702.16
$790.62
$1,104.90
$1,679.00 		$855.27
$938.79
$1,027.25
$1,341.53 		$1,091.90
$1,175.42
$1,263.88
$1,578.16 		$1,328.53
$1,412.05
$1,500.51
$1,814.79 		$545.95
$587.71
$631.94
$789.08 		$782.58
$824.34
$868.57
$1,025.71 		$1,019.21
$1,060.97
$1,105.20
$1,262.34 		$282.41

Silver

Plan: (PPO) Connected Care Silver Option 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $5,700 | Family: $11,400
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$408.69
$463.87
$522.31
$729.93
$1,109.19 		$817.38
$927.74
$1,044.62
$1,459.86
$2,218.38 		$1,130.03
$1,240.39
$1,357.27
$1,772.51 		$1,442.68
$1,553.04
$1,669.92
$2,085.16 		$1,755.33
$1,865.69
$1,982.57
$2,397.81 		$721.34
$776.52
$834.96
$1,042.58 		$1,033.99
$1,089.17
$1,147.61
$1,355.23 		$1,346.64
$1,401.82
$1,460.26
$1,667.88 		$373.14

Catastrophic

Plan: (PPO) Connected Care Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

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

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 		$239.38
$271.70
$305.93
$427.53
$649.68 		$478.76
$543.40
$611.86
$855.06
$1,299.36 		$661.89
$726.53
$794.99
$1,038.19 		$845.02
$909.66
$978.12
$1,221.32 		$1,028.15
$1,092.79
$1,161.25
$1,404.45 		$422.51
$454.83
$489.06
$610.66 		$605.64
$637.96
$672.19
$793.79 		$788.77
$821.09
$855.32
$976.92 		$218.55

Expanded Bronze

Plan: (PPO) Connected Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Montana Health Cooperative)
Customer Service Phone: 1-855-447-2900

Deductible: Individual: $5,500 | Family: $11,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

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 		$305.96
$347.26
$391.01
$546.44
$830.37 		$611.92
$694.52
$782.02
$1,092.88
$1,660.74 		$845.98
$928.58
$1,016.08
$1,326.94 		$1,080.04
$1,162.64
$1,250.14
$1,561.00 		$1,314.10
$1,396.70
$1,484.20
$1,795.06 		$540.02
$581.32
$625.07
$780.50 		$774.08
$815.38
$859.13
$1,014.56 		$1,008.14
$1,049.44
$1,093.19
$1,248.62 		$279.34

‡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 Missoula County here.

Missoula County is in “Rating Area 3” of Montana.

Currently, there are 25 plans offered in Rating Area 3.

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2014 | 2015 | 2016| 2017 | 2018

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