New Jersey Obamacare

2017 Obamacare Rates for Sussex County

New Jersey 2017 Obamacare Rates for Sussex County

 
Newton, NJ

Providers for Zip Code 07860

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Obamacare Providers, Plans and 2017 Rates for Sussex County

The health insurance rates listed below are for calendar year 2017.

2017 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Sussex County, New Jersey.

Currently, there are 21 plans offered in Sussex County.

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 complete an application at HealthCare.gov or contact the provider directly.

 

The table below shows premiums for the following scenarios:

  • 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)

 

Note: If you are over 65, you qualify for Medicare. Click here to see listings of 2017 Medicare Advantage plans for Sussex County

 

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 Newton, NJ area accept this insurance coverage as within the plan's "network".

‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Sussex County here.

AmeriHealth HMO, Inc.

Local: 1-844-937-2448 | Toll Free: 1-844-937-2448

TTY: 1-888-857-4816

Plan: (HMO) IHC Gold HMO Regional Preferred $15/$30

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $4,650 : Family: $9,300

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
any age
Gold 21
30
40
50
60		 $595.97
$676.43
$761.65
$1064.40
$1617.46		 $1191.94
$1352.86
$1523.30
$2128.80
$3234.92		 $1570.38
$1731.30
$1901.74
$2507.24		 $1948.82
$2109.74
$2280.18
$2885.68		 $2327.26
$2488.18
$2658.62
$3264.12		 $974.41
$1054.87
$1140.09
$1442.84		 $1352.85
$1433.31
$1518.53
$1821.28		 $1731.29
$1811.75
$1896.97
$2199.72		 $378.44

Plan: (HMO) IHC Silver HMO Local Value $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

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
any age
Silver 21
30
40
50
60		 $280.07
$317.88
$357.93
$500.20
$760.11		 $560.14
$635.76
$715.86
$1000.40
$1520.22		 $737.98
$813.60
$893.70
$1178.24		 $915.82
$991.44
$1071.54
$1356.08		 $1093.66
$1169.28
$1249.38
$1533.92		 $457.91
$495.72
$535.77
$678.04		 $635.75
$673.56
$713.61
$855.88		 $813.59
$851.40
$891.45
$1033.72		 $177.84

Plan: (HMO) IHC Gold HMO Local Value $15/$30

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $4,650 : Family: $9,300

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
any age
Gold 21
30
40
50
60		 $526.44
$597.51
$672.79
$940.22
$1428.76		 $1052.88
$1195.02
$1345.58
$1880.44
$2857.52		 $1387.17
$1529.31
$1679.87
$2214.73		 $1721.46
$1863.60
$2014.16
$2549.02		 $2055.75
$2197.89
$2348.45
$2883.31		 $860.73
$931.80
$1007.08
$1274.51		 $1195.02
$1266.09
$1341.37
$1608.80		 $1529.31
$1600.38
$1675.66
$1943.09		 $334.29

Plan: (HMO) IHC Silver HMO Regional Preferred $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth HMO, Inc.)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

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
any age
Silver 21
30
40
50
60		 $349.63
$396.83
$446.83
$624.44
$948.90		 $699.26
$793.66
$893.66
$1248.88
$1897.80		 $921.28
$1015.68
$1115.68
$1470.90		 $1143.30
$1237.70
$1337.70
$1692.92		 $1365.32
$1459.72
$1559.72
$1914.94		 $571.65
$618.85
$668.85
$846.46		 $793.67
$840.87
$890.87
$1068.48		 $1015.69
$1062.89
$1112.89
$1290.50		 $222.02

Horizon Healthcare Services, Inc.

Local: 1-866-260-3852 | Toll Free: 1-866-260-3852

TTY: 1-800-852-7899

Plan: (EPO) Horizon Advantage EPO Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700

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
any age
Silver 21
30
40
50
60		 $371.90
$422.11
$475.29
$664.22
$1009.34		 $743.80
$844.22
$950.58
$1328.44
$2018.68		 $979.96
$1080.38
$1186.74
$1564.60		 $1216.12
$1316.54
$1422.90
$1800.76		 $1452.28
$1552.70
$1659.06
$2036.92		 $608.06
$658.27
$711.45
$900.38		 $844.22
$894.43
$947.61
$1136.54		 $1080.38
$1130.59
$1183.77
$1372.70		 $236.16

Plan: (EPO) Horizon Advantage EPO Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Bronze 21
30
40
50
60		 $330.83
$375.49
$422.80
$590.86
$897.86		 $661.66
$750.98
$845.60
$1181.72
$1795.72		 $871.73
$961.05
$1055.67
$1391.79		 $1081.80
$1171.12
$1265.74
$1601.86		 $1291.87
$1381.19
$1475.81
$1811.93		 $540.90
$585.56
$632.87
$800.93		 $750.97
$795.63
$842.94
$1011.00		 $961.04
$1005.70
$1053.01
$1221.07		 $210.07

Plan: (EPO) Horizon Advantage EPO Essentials

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $7,150 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Catastrophic 21
30
40
50
60		 $214.63
$243.61
$274.30
$383.33
$582.51		 $429.26
$487.22
$548.60
$766.66
$1165.02		 $565.55
$623.51
$684.89
$902.95		 $701.84
$759.80
$821.18
$1039.24		 $838.13
$896.09
$957.47
$1175.53		 $350.92
$379.90
$410.59
$519.62		 $487.21
$516.19
$546.88
$655.91		 $623.50
$652.48
$683.17
$792.20		 $136.29

Plan: (EPO) OMNIA Bronze

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Bronze 21
30
40
50
60		 $240.23
$272.66
$307.01
$429.04
$651.97		 $480.46
$545.32
$614.02
$858.08
$1303.94		 $633.00
$697.86
$766.56
$1010.62		 $785.54
$850.40
$919.10
$1163.16		 $938.08
$1002.94
$1071.64
$1315.70		 $392.77
$425.20
$459.55
$581.58		 $545.31
$577.74
$612.09
$734.12		 $697.85
$730.28
$764.63
$886.66		 $152.54

Plan: (EPO) OMNIA Silver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $900 : Family: $1,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Silver 21
30
40
50
60		 $310.65
$352.59
$397.01
$554.82
$843.11		 $621.30
$705.18
$794.02
$1109.64
$1686.22		 $818.56
$902.44
$991.28
$1306.90		 $1015.82
$1099.70
$1188.54
$1504.16		 $1213.08
$1296.96
$1385.80
$1701.42		 $507.91
$549.85
$594.27
$752.08		 $705.17
$747.11
$791.53
$949.34		 $902.43
$944.37
$988.79
$1146.60		 $197.26

Plan: (EPO) OMNIA Silver HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $3,600 : Family: $7,200

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
any age
Silver 21
30
40
50
60		 $275.98
$313.24
$352.70
$492.90
$749.01		 $551.96
$626.48
$705.40
$985.80
$1498.02		 $727.21
$801.73
$880.65
$1161.05		 $902.46
$976.98
$1055.90
$1336.30		 $1077.71
$1152.23
$1231.15
$1511.55		 $451.23
$488.49
$527.95
$668.15		 $626.48
$663.74
$703.20
$843.40		 $801.73
$838.99
$878.45
$1018.65		 $175.25

Plan: (EPO) OMNIA Gold

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-260-3852 - Provider Directory for This Plan: (Horizon Healthcare Services, Inc.)

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000

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
any age
Gold 21
30
40
50
60		 $473.97
$537.96
$605.73
$846.51
$1286.35		 $947.94
$1075.92
$1211.46
$1693.02
$2572.70		 $1248.91
$1376.89
$1512.43
$1993.99		 $1549.88
$1677.86
$1813.40
$2294.96		 $1850.85
$1978.83
$2114.37
$2595.93		 $774.94
$838.93
$906.70
$1147.48		 $1075.91
$1139.90
$1207.67
$1448.45		 $1376.88
$1440.87
$1508.64
$1749.42		 $300.97

AmeriHealth Ins Company of New Jersey

Local: 1-844-937-2448 | Toll Free: 1-844-937-2448

TTY: 1-888-857-4816

Plan: (EPO) IHC Bronze EPO H.S.A Local Value $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $3,000 : Family: $6,000
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
any age
Bronze 21
30
40
50
60		 $274.94
$312.06
$351.38
$491.05
$746.20		 $549.88
$624.12
$702.76
$982.10
$1492.40		 $724.47
$798.71
$877.35
$1156.69		 $899.06
$973.30
$1051.94
$1331.28		 $1073.65
$1147.89
$1226.53
$1505.87		 $449.53
$486.65
$525.97
$665.64		 $624.12
$661.24
$700.56
$840.23		 $798.71
$835.83
$875.15
$1014.82		 $174.59

Plan: (EPO) IHC Bronze EPO H.S.A Regional Preferred $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $3,000 : Family: $6,000
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
any age
Bronze 21
30
40
50
60		 $305.47
$346.71
$390.40
$545.58
$829.06		 $610.94
$693.42
$780.80
$1091.16
$1658.12		 $804.92
$887.40
$974.78
$1285.14		 $998.90
$1081.38
$1168.76
$1479.12		 $1192.88
$1275.36
$1362.74
$1673.10		 $499.45
$540.69
$584.38
$739.56		 $693.43
$734.67
$778.36
$933.54		 $887.41
$928.65
$972.34
$1127.52		 $193.98

Plan: (EPO) IHC Bronze EPO Tier 1 Advantage $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Bronze 21
30
40
50
60		 $237.38
$269.42
$303.37
$423.96
$644.24		 $474.76
$538.84
$606.74
$847.92
$1288.48		 $625.49
$689.57
$757.47
$998.65		 $776.22
$840.30
$908.20
$1149.38		 $926.95
$991.03
$1058.93
$1300.11		 $388.11
$420.15
$454.10
$574.69		 $538.84
$570.88
$604.83
$725.42		 $689.57
$721.61
$755.56
$876.15		 $150.73

Plan: (EPO) IHC Silver EPO H.S.A Local Value $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $1,800 : Family: $3,600
Out of Pocket Maximum per year: Individual: $4,800 : Family: $9,600

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
any age
Silver 21
30
40
50
60		 $335.39
$380.67
$428.63
$599.00
$910.24		 $670.78
$761.34
$857.26
$1198.00
$1820.48		 $883.75
$974.31
$1070.23
$1410.97		 $1096.72
$1187.28
$1283.20
$1623.94		 $1309.69
$1400.25
$1496.17
$1836.91		 $548.36
$593.64
$641.60
$811.97		 $761.33
$806.61
$854.57
$1024.94		 $974.30
$1019.58
$1067.54
$1237.91		 $212.97

Plan: (EPO) IHC Silver EPO H.S.A. Tier 1 Advantage $50/$75

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

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
any age
Silver 21
30
40
50
60		 $264.88
$300.64
$338.52
$473.08
$718.89		 $529.76
$601.28
$677.04
$946.16
$1437.78		 $697.96
$769.48
$845.24
$1114.36		 $866.16
$937.68
$1013.44
$1282.56		 $1034.36
$1105.88
$1181.64
$1450.76		 $433.08
$468.84
$506.72
$641.28		 $601.28
$637.04
$674.92
$809.48		 $769.48
$805.24
$843.12
$977.68		 $168.20

Plan: (EPO) IHC Gold EPO Regional Preferred $30/$50/80% Coins

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $1,000 : Family: $2,000
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
any age
Gold 21
30
40
50
60		 $668.89
$759.19
$854.84
$1194.64
$1815.37		 $1337.78
$1518.38
$1709.68
$2389.28
$3630.74		 $1762.53
$1943.13
$2134.43
$2814.03		 $2187.28
$2367.88
$2559.18
$3238.78		 $2612.03
$2792.63
$2983.93
$3663.53		 $1093.64
$1183.94
$1279.59
$1619.39		 $1518.39
$1608.69
$1704.34
$2044.14		 $1943.14
$2033.44
$2129.09
$2468.89		 $424.75

Plan: (EPO) IHC Gold EPO H.S.A Local Value 80%/80%

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $1,300 : Family: $2,600
Out of Pocket Maximum per year: Individual: $2,600 : Family: $5,200

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
any age
Gold 21
30
40
50
60		 $598.12
$678.87
$764.40
$1068.25
$1623.31		 $1196.24
$1357.74
$1528.80
$2136.50
$3246.62		 $1576.05
$1737.55
$1908.61
$2516.31		 $1955.86
$2117.36
$2288.42
$2896.12		 $2335.67
$2497.17
$2668.23
$3275.93		 $977.93
$1058.68
$1144.21
$1448.06		 $1357.74
$1438.49
$1524.02
$1827.87		 $1737.55
$1818.30
$1903.83
$2207.68		 $379.81

Plan: (EPO) IHC Local Value Simple Saver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $7,150 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Catastrophic 21
30
40
50
60		 $245.23
$278.34
$313.41
$437.98
$665.56		 $490.46
$556.68
$626.82
$875.96
$1331.12		 $646.18
$712.40
$782.54
$1031.68		 $801.90
$868.12
$938.26
$1187.40		 $957.62
$1023.84
$1093.98
$1343.12		 $400.95
$434.06
$469.13
$593.70		 $556.67
$589.78
$624.85
$749.42		 $712.39
$745.50
$780.57
$905.14		 $155.72

Plan: (EPO) IHC Regional Preferred Simple Saver

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $7,150 : Family: $14,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Catastrophic 21
30
40
50
60		 $269.29
$305.65
$344.15
$480.95
$730.86		 $538.58
$611.30
$688.30
$961.90
$1461.72		 $709.58
$782.30
$859.30
$1132.90		 $880.58
$953.30
$1030.30
$1303.90		 $1051.58
$1124.30
$1201.30
$1474.90		 $440.29
$476.65
$515.15
$651.95		 $611.29
$647.65
$686.15
$822.95		 $782.29
$818.65
$857.15
$993.95		 $171.00

Plan: (EPO) IHC Silver EPO Regional Preferred $25/$50

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-844-937-2448 - Provider Directory for This Plan: (AmeriHealth Ins Company of New Jersey)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

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
any age
Silver 21
30
40
50
60		 $393.57
$446.70
$502.98
$702.92
$1068.15		 $787.14
$893.40
$1005.96
$1405.84
$2136.30		 $1037.06
$1143.32
$1255.88
$1655.76		 $1286.98
$1393.24
$1505.80
$1905.68		 $1536.90
$1643.16
$1755.72
$2155.60		 $643.49
$696.62
$752.90
$952.84		 $893.41
$946.54
$1002.82
$1202.76		 $1143.33
$1196.46
$1252.74
$1452.68		 $249.92