Montana

Obamacare 2018 Rates

Montana Obamacare 2018 Rates

 
Missoula, MT

Obamacare 2018 Rates and Health Insurance Providers for Missoula County,Missoula,MT


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

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.

Obamacare Providers, Plans and 2018 Rates for Missoula County

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

Currently, there are 23 plans offered in Rating Area 3.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Missoula, MT area accept this insurance coverage as within the plan's "network".

2018 Obamacare Rates Providers, Plans for Missoula County

Montana Health Cooperative

Local: 1-406-447-9510 | Toll Free: 1-855-488-0622

TTY: 1-855-488-0622

Bronze

Plan: (PPO) Access Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $310.04
$351.89
$396.23
$553.73
$841.44		 $620.08
$703.78
$792.46
$1,107.46
$1,682.88		 $857.26
$940.96
$1,029.64
$1,344.64		 $1,094.44
$1,178.14
$1,266.82
$1,581.82		 $1,331.62
$1,415.32
$1,504.00
$1,819.00		 $547.22
$589.07
$633.41
$790.91		 $784.40
$826.25
$870.59
$1,028.09		 $1,021.58
$1,063.43
$1,107.77
$1,265.27		 $237.18

Expanded Bronze

Plan: (PPO) Access Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,800 : Family: $13,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $314.29
$356.72
$401.66
$561.32
$852.97		 $628.58
$713.44
$803.32
$1,122.64
$1,705.94		 $869.01
$953.87
$1,043.75
$1,363.07		 $1,109.44
$1,194.30
$1,284.18
$1,603.50		 $1,349.87
$1,434.73
$1,524.61
$1,843.93		 $554.72
$597.15
$642.09
$801.75		 $795.15
$837.58
$882.52
$1,042.18		 $1,035.58
$1,078.01
$1,122.95
$1,282.61		 $240.43

Gold

Plan: (PPO) Connected Care Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $750 : Family: $1,500
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $438.59
$497.80
$560.52
$783.33
$1,190.35		 $877.18
$995.60
$1,121.04
$1,566.66
$2,380.70		 $1,212.70
$1,331.12
$1,456.56
$1,902.18		 $1,548.22
$1,666.64
$1,792.08
$2,237.70		 $1,883.74
$2,002.16
$2,127.60
$2,573.22		 $774.11
$833.32
$896.04
$1,118.85		 $1,109.63
$1,168.84
$1,231.56
$1,454.37		 $1,445.15
$1,504.36
$1,567.08
$1,789.89		 $335.52

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 6550

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

Deductible: Individual: $6,550 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $292.00
$332.00
$374.00
$522.00
$793.00		 $584.00
$664.00
$748.00
$1,044.00
$1,586.00		 $808.00
$888.00
$972.00
$1,268.00		 $1,032.00
$1,112.00
$1,196.00
$1,492.00		 $1,256.00
$1,336.00
$1,420.00
$1,716.00		 $516.00
$556.00
$598.00
$746.00		 $740.00
$780.00
$822.00
$970.00		 $964.00
$1,004.00
$1,046.00
$1,194.00		 $224.00

Silver

Plan: (PPO) SmartHealth Silver HSA 3000

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

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $395.00
$449.00
$505.00
$706.00
$1,073.00		 $790.00
$898.00
$1,010.00
$1,412.00
$2,146.00		 $1,092.00
$1,200.00
$1,312.00
$1,714.00		 $1,394.00
$1,502.00
$1,614.00
$2,016.00		 $1,696.00
$1,804.00
$1,916.00
$2,318.00		 $697.00
$751.00
$807.00
$1,008.00		 $999.00
$1,053.00
$1,109.00
$1,310.00		 $1,301.00
$1,355.00
$1,411.00
$1,612.00		 $302.00

Gold

Plan: (PPO) SmartHealth Gold 1500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (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:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $446.00
$506.00
$570.00
$797.00
$1,211.00		 $892.00
$1,012.00
$1,140.00
$1,594.00
$2,422.00		 $1,233.00
$1,353.00
$1,481.00
$1,935.00		 $1,574.00
$1,694.00
$1,822.00
$2,276.00		 $1,915.00
$2,035.00
$2,163.00
$2,617.00		 $787.00
$847.00
$911.00
$1,138.00		 $1,128.00
$1,188.00
$1,252.00
$1,479.00		 $1,469.00
$1,529.00
$1,593.00
$1,820.00		 $341.00

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 This Plan: (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: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $578.06
$656.10
$738.76
$1,032.41
$1,568.85		 $1,156.12
$1,312.20
$1,477.52
$2,064.82
$3,137.70		 $1,598.33
$1,754.41
$1,919.73
$2,507.03		 $2,040.54
$2,196.62
$2,361.94
$2,949.24		 $2,482.75
$2,638.83
$2,804.15
$3,391.45		 $1,020.27
$1,098.31
$1,180.97
$1,474.62		 $1,462.48
$1,540.52
$1,623.18
$1,916.83		 $1,904.69
$1,982.73
$2,065.39
$2,359.04		 $442.21

Silver

Plan: (PPO) Blue Preferred Silver PPO? 203

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

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $536.15
$608.53
$685.20
$957.56
$1,455.10		 $1,072.30
$1,217.06
$1,370.40
$1,915.12
$2,910.20		 $1,482.45
$1,627.21
$1,780.55
$2,325.27		 $1,892.60
$2,037.36
$2,190.70
$2,735.42		 $2,302.75
$2,447.51
$2,600.85
$3,145.57		 $946.30
$1,018.68
$1,095.35
$1,367.71		 $1,356.45
$1,428.83
$1,505.50
$1,777.86		 $1,766.60
$1,838.98
$1,915.65
$2,188.01		 $410.15

Bronze

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (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: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $412.29
$467.95
$526.91
$736.35
$1,118.96		 $824.58
$935.90
$1,053.82
$1,472.70
$2,237.92		 $1,139.98
$1,251.30
$1,369.22
$1,788.10		 $1,455.38
$1,566.70
$1,684.62
$2,103.50		 $1,770.78
$1,882.10
$2,000.02
$2,418.90		 $727.69
$783.35
$842.31
$1,051.75		 $1,043.09
$1,098.75
$1,157.71
$1,367.15		 $1,358.49
$1,414.15
$1,473.11
$1,682.55		 $315.40

Bronze

Plan: (PPO) Blue Preferred Bronze PPO? 202

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

Deductible: Individual: $2,700 : Family: $5,400
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $441.66
$501.29
$564.45
$788.81
$1,198.68		 $883.32
$1,002.58
$1,128.90
$1,577.62
$2,397.36		 $1,221.19
$1,340.45
$1,466.77
$1,915.49		 $1,559.06
$1,678.32
$1,804.64
$2,253.36		 $1,896.93
$2,016.19
$2,142.51
$2,591.23		 $779.53
$839.16
$902.32
$1,126.68		 $1,117.40
$1,177.03
$1,240.19
$1,464.55		 $1,455.27
$1,514.90
$1,578.06
$1,802.42		 $337.87

Catastrophic

Plan: (PPO) Blue Preferred Security PPO? 200

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

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $354.29
$402.12
$452.79
$632.77
$961.55		 $708.58
$804.24
$905.58
$1,265.54
$1,923.10		 $979.61
$1,075.27
$1,176.61
$1,536.57		 $1,250.64
$1,346.30
$1,447.64
$1,807.60		 $1,521.67
$1,617.33
$1,718.67
$2,078.63		 $625.32
$673.15
$723.82
$903.80		 $896.35
$944.18
$994.85
$1,174.83		 $1,167.38
$1,215.21
$1,265.88
$1,445.86		 $271.03

Gold

Plan: (HMO) Blue Focus Gold POS? 207

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (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: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $515.22
$584.78
$658.46
$920.19
$1,398.32		 $1,030.44
$1,169.56
$1,316.92
$1,840.38
$2,796.64		 $1,424.59
$1,563.71
$1,711.07
$2,234.53		 $1,818.74
$1,957.86
$2,105.22
$2,628.68		 $2,212.89
$2,352.01
$2,499.37
$3,022.83		 $909.37
$978.93
$1,052.61
$1,314.34		 $1,303.52
$1,373.08
$1,446.76
$1,708.49		 $1,697.67
$1,767.23
$1,840.91
$2,102.64		 $394.15

Silver

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

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

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $448.87
$509.46
$573.65
$801.67
$1,218.22		 $897.74
$1,018.92
$1,147.30
$1,603.34
$2,436.44		 $1,241.12
$1,362.30
$1,490.68
$1,946.72		 $1,584.50
$1,705.68
$1,834.06
$2,290.10		 $1,927.88
$2,049.06
$2,177.44
$2,633.48		 $792.25
$852.84
$917.03
$1,145.05		 $1,135.63
$1,196.22
$1,260.41
$1,488.43		 $1,479.01
$1,539.60
$1,603.79
$1,831.81		 $343.38

Bronze

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

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (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: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $342.25
$388.45
$437.39
$611.26
$928.86		 $684.50
$776.90
$874.78
$1,222.52
$1,857.72		 $946.32
$1,038.72
$1,136.60
$1,484.34		 $1,208.14
$1,300.54
$1,398.42
$1,746.16		 $1,469.96
$1,562.36
$1,660.24
$2,007.98		 $604.07
$650.27
$699.21
$873.08		 $865.89
$912.09
$961.03
$1,134.90		 $1,127.71
$1,173.91
$1,222.85
$1,396.72		 $261.82
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Montana Health Cooperative

Local: 1-406-447-9510 | Toll Free: 1-855-488-0622

TTY: 1-855-488-0622

Gold

Plan: (PPO) Access Care Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $481.16
$546.11
$614.92
$859.35
$1,305.86		 $962.32
$1,092.22
$1,229.84
$1,718.70
$2,611.72		 $1,330.40
$1,460.30
$1,597.92
$2,086.78		 $1,698.48
$1,828.38
$1,966.00
$2,454.86		 $2,066.56
$2,196.46
$2,334.08
$2,822.94		 $849.24
$914.19
$983.00
$1,227.43		 $1,217.32
$1,282.27
$1,351.08
$1,595.51		 $1,585.40
$1,650.35
$1,719.16
$1,963.59		 $368.08

Silver

Plan: (PPO) Access Care Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $2,450 : Family: $4,900
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $442.27
$501.97
$565.22
$789.89
$1,200.31		 $884.54
$1,003.94
$1,130.44
$1,579.78
$2,400.62		 $1,222.87
$1,342.27
$1,468.77
$1,918.11		 $1,561.20
$1,680.60
$1,807.10
$2,256.44		 $1,899.53
$2,018.93
$2,145.43
$2,594.77		 $780.60
$840.30
$903.55
$1,128.22		 $1,118.93
$1,178.63
$1,241.88
$1,466.55		 $1,457.26
$1,516.96
$1,580.21
$1,804.88		 $338.33

Bronze

Plan: (PPO) Access Care Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $7,200 : Family: $14,400
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $295.58
$335.49
$377.76
$527.91
$802.22		 $591.16
$670.98
$755.52
$1,055.82
$1,604.44		 $817.28
$897.10
$981.64
$1,281.94		 $1,043.40
$1,123.22
$1,207.76
$1,508.06		 $1,269.52
$1,349.34
$1,433.88
$1,734.18		 $521.70
$561.61
$603.88
$754.03		 $747.82
$787.73
$830.00
$980.15		 $973.94
$1,013.85
$1,056.12
$1,206.27		 $226.12

Silver

Plan: (PPO) Connected Care Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $2,450 : Family: $4,900
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $395.80
$449.23
$505.83
$706.90
$1,074.20		 $791.60
$898.46
$1,011.66
$1,413.80
$2,148.40		 $1,094.39
$1,201.25
$1,314.45
$1,716.59		 $1,397.18
$1,504.04
$1,617.24
$2,019.38		 $1,699.97
$1,806.83
$1,920.03
$2,322.17		 $698.59
$752.02
$808.62
$1,009.69		 $1,001.38
$1,054.81
$1,111.41
$1,312.48		 $1,304.17
$1,357.60
$1,414.20
$1,615.27		 $302.79

Bronze

Plan: (PPO) Connected Care Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $7,200 : Family: $14,400
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $261.34
$296.62
$333.99
$466.75
$709.27		 $522.68
$593.24
$667.98
$933.50
$1,418.54		 $722.60
$793.16
$867.90
$1,133.42		 $922.52
$993.08
$1,067.82
$1,333.34		 $1,122.44
$1,193.00
$1,267.74
$1,533.26		 $461.26
$496.54
$533.91
$666.67		 $661.18
$696.46
$733.83
$866.59		 $861.10
$896.38
$933.75
$1,066.51		 $199.92

Bronze

Plan: (PPO) Connected Care Bronze Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $274.83
$311.93
$351.24
$490.85
$745.89		 $549.66
$623.86
$702.48
$981.70
$1,491.78		 $759.91
$834.11
$912.73
$1,191.95		 $970.16
$1,044.36
$1,122.98
$1,402.20		 $1,180.41
$1,254.61
$1,333.23
$1,612.45		 $485.08
$522.18
$561.49
$701.10		 $695.33
$732.43
$771.74
$911.35		 $905.58
$942.68
$981.99
$1,121.60		 $210.25

Silver

Plan: (PPO) Connected Care Silver Option 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $5,700 : Family: $11,400
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $372.56
$422.86
$476.14
$665.40
$1,011.14		 $745.12
$845.72
$952.28
$1,330.80
$2,022.28		 $1,030.13
$1,130.73
$1,237.29
$1,615.81		 $1,315.14
$1,415.74
$1,522.30
$1,900.82		 $1,600.15
$1,700.75
$1,807.31
$2,185.83		 $657.57
$707.87
$761.15
$950.41		 $942.58
$992.88
$1,046.16
$1,235.42		 $1,227.59
$1,277.89
$1,331.17
$1,520.43		 $285.01

Catastrophic

Plan: (PPO) Connected Care Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $195.58
$221.98
$249.95
$349.30
$530.79		 $391.16
$443.96
$499.90
$698.60
$1,061.58		 $540.78
$593.58
$649.52
$848.22		 $690.40
$743.20
$799.14
$997.84		 $840.02
$892.82
$948.76
$1,147.46		 $345.20
$371.60
$399.57
$498.92		 $494.82
$521.22
$549.19
$648.54		 $644.44
$670.84
$698.81
$798.16		 $149.62

Expanded Bronze

Plan: (PPO) Connected Care Expanded Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Montana Health Cooperative)
Customer Service Phone: 1-855-488-0622

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $7,200 : Family: $14,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $273.49
$310.41
$349.52
$488.45
$742.24		 $546.98
$620.82
$699.04
$976.90
$1,484.48		 $756.20
$830.04
$908.26
$1,186.12		 $965.42
$1,039.26
$1,117.48
$1,395.34		 $1,174.64
$1,248.48
$1,326.70
$1,604.56		 $482.71
$519.63
$558.74
$697.67		 $691.93
$728.85
$767.96
$906.89		 $901.15
$938.07
$977.18
$1,116.11		 $209.22

‡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.

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