Obamacare 2020 Rates and Health Insurance Providers for Carroll County , Ohio


Obamacare > Rates > Ohio > Carroll 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 , the marketplace for Carroll County, Ohio.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Carroll County, Ohio

Below, you’ll find a summary of the 63 plans for Carroll County, Ohio 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
  • 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 Carrollton, OH area accept this insurance coverage as within the plan's network.

2020 Obamacare Rates, Providers, and Plans for Carroll County

ADVERTISEMENT

AultCare Insurance Company

Local: 1-330-363-6360 | Toll Free: 1-800-344-8858 | TTY: 1-330-363-2393

 

Expanded Bronze

(PPO) AultCare Bronze 5000 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,550 $13,100
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
$426.10
$483.62
$544.55
$761.01
$1,156.43
$852.20
$967.24
$1,089.10
$1,522.02
$2,312.86
$1,178.16
$1,293.20
$1,415.06
$1,847.98
$1,504.12
$1,619.16
$1,741.02
$2,173.94
$1,830.08
$1,945.12
$2,066.98
$2,499.90
$752.06
$809.58
$870.51
$1,086.97
$1,078.02
$1,135.54
$1,196.47
$1,412.93
$1,403.98
$1,461.50
$1,522.43
$1,738.89
$325.96
 

Silver

(PPO) AultCare Silver 5000 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,000 $12,000
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
$541.31
$614.39
$691.79
$966.78
$1,469.11
$1,082.62
$1,228.78
$1,383.58
$1,933.56
$2,938.22
$1,496.72
$1,642.88
$1,797.68
$2,347.66
$1,910.82
$2,056.98
$2,211.78
$2,761.76
$2,324.92
$2,471.08
$2,625.88
$3,175.86
$955.41
$1,028.49
$1,105.89
$1,380.88
$1,369.51
$1,442.59
$1,519.99
$1,794.98
$1,783.61
$1,856.69
$1,934.09
$2,209.08
$414.10
 

Gold

(PPO) AultCare Gold 1200 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,200 $2,400
Maximum Out of Pocket Per Year $6,100 $12,200
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
$645.67
$732.83
$825.16
$1,153.15
$1,752.33
$1,291.34
$1,465.66
$1,650.32
$2,306.30
$3,504.66
$1,785.27
$1,959.59
$2,144.25
$2,800.23
$2,279.20
$2,453.52
$2,638.18
$3,294.16
$2,773.13
$2,947.45
$3,132.11
$3,788.09
$1,139.60
$1,226.76
$1,319.09
$1,647.08
$1,633.53
$1,720.69
$1,813.02
$2,141.01
$2,127.46
$2,214.62
$2,306.95
$2,634.94
$493.93
 

Gold

(PPO) AultCare Gold 750 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $750 $1,500
Maximum Out of Pocket Per Year $6,100 $12,200
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
$649.15
$736.78
$829.61
$1,159.37
$1,761.77
$1,298.30
$1,473.56
$1,659.22
$2,318.74
$3,523.54
$1,794.89
$1,970.15
$2,155.81
$2,815.33
$2,291.48
$2,466.74
$2,652.40
$3,311.92
$2,788.07
$2,963.33
$3,148.99
$3,808.51
$1,145.74
$1,233.37
$1,326.20
$1,655.96
$1,642.33
$1,729.96
$1,822.79
$2,152.55
$2,138.92
$2,226.55
$2,319.38
$2,649.14
$496.59
 

Gold

(PPO) AultCare Gold 350 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $350 $700
Maximum Out of Pocket Per Year $6,450 $12,900
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
$661.82
$751.16
$845.80
$1,182.00
$1,796.16
$1,323.64
$1,502.32
$1,691.60
$2,364.00
$3,592.32
$1,829.93
$2,008.61
$2,197.89
$2,870.29
$2,336.22
$2,514.90
$2,704.18
$3,376.58
$2,842.51
$3,021.19
$3,210.47
$3,882.87
$1,168.11
$1,257.45
$1,352.09
$1,688.29
$1,674.40
$1,763.74
$1,858.38
$2,194.58
$2,180.69
$2,270.03
$2,364.67
$2,700.87
$506.29
 

Catastrophic

(PPO) AultCare Catastrophic Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$206.41
$234.27
$263.78
$368.63
$560.17
$412.82
$468.54
$527.56
$737.26
$1,120.34
$570.72
$626.44
$685.46
$895.16
$728.62
$784.34
$843.36
$1,053.06
$886.52
$942.24
$1,001.26
$1,210.96
$364.31
$392.17
$421.68
$526.53
$522.21
$550.07
$579.58
$684.43
$680.11
$707.97
$737.48
$842.33
$157.90
 

Expanded Bronze

(PPO) AultCare Bronze 5000 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,550 $13,100
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
$336.53
$381.96
$430.08
$601.04
$913.33
$673.06
$763.92
$860.16
$1,202.08
$1,826.66
$930.50
$1,021.36
$1,117.60
$1,459.52
$1,187.94
$1,278.80
$1,375.04
$1,716.96
$1,445.38
$1,536.24
$1,632.48
$1,974.40
$593.97
$639.40
$687.52
$858.48
$851.41
$896.84
$944.96
$1,115.92
$1,108.85
$1,154.28
$1,202.40
$1,373.36
$257.44
 

Silver

(PPO) AultCare Silver 5000 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,000 $12,000
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
$426.54
$484.12
$545.12
$761.80
$1,157.63
$853.08
$968.24
$1,090.24
$1,523.60
$2,315.26
$1,179.38
$1,294.54
$1,416.54
$1,849.90
$1,505.68
$1,620.84
$1,742.84
$2,176.20
$1,831.98
$1,947.14
$2,069.14
$2,502.50
$752.84
$810.42
$871.42
$1,088.10
$1,079.14
$1,136.72
$1,197.72
$1,414.40
$1,405.44
$1,463.02
$1,524.02
$1,740.70
$326.30
 

Gold

(PPO) AultCare Gold 1200 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,200 $2,400
Maximum Out of Pocket Per Year $6,100 $12,200
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
$509.58
$578.36
$651.23
$910.10
$1,382.98
$1,019.16
$1,156.72
$1,302.46
$1,820.20
$2,765.96
$1,408.98
$1,546.54
$1,692.28
$2,210.02
$1,798.80
$1,936.36
$2,082.10
$2,599.84
$2,188.62
$2,326.18
$2,471.92
$2,989.66
$899.40
$968.18
$1,041.05
$1,299.92
$1,289.22
$1,358.00
$1,430.87
$1,689.74
$1,679.04
$1,747.82
$1,820.69
$2,079.56
$389.82
 

Gold

(PPO) AultCare Gold 750 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $750 $1,500
Maximum Out of Pocket Per Year $6,100 $12,200
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
$512.41
$581.58
$654.85
$915.15
$1,390.66
$1,024.82
$1,163.16
$1,309.70
$1,830.30
$2,781.32
$1,416.81
$1,555.15
$1,701.69
$2,222.29
$1,808.80
$1,947.14
$2,093.68
$2,614.28
$2,200.79
$2,339.13
$2,485.67
$3,006.27
$904.40
$973.57
$1,046.84
$1,307.14
$1,296.39
$1,365.56
$1,438.83
$1,699.13
$1,688.38
$1,757.55
$1,830.82
$2,091.12
$391.99
 

Gold

(PPO) AultCare Gold 350 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $350 $700
Maximum Out of Pocket Per Year $6,450 $12,900
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
$522.48
$593.01
$667.73
$933.14
$1,418.00
$1,044.96
$1,186.02
$1,335.46
$1,866.28
$2,836.00
$1,444.66
$1,585.72
$1,735.16
$2,265.98
$1,844.36
$1,985.42
$2,134.86
$2,665.68
$2,244.06
$2,385.12
$2,534.56
$3,065.38
$922.18
$992.71
$1,067.43
$1,332.84
$1,321.88
$1,392.41
$1,467.13
$1,732.54
$1,721.58
$1,792.11
$1,866.83
$2,132.24
$399.70
 

Catastrophic

(PPO) AultCare Catastrophic

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$264.20
$299.86
$337.64
$471.85
$717.02
$528.40
$599.72
$675.28
$943.70
$1,434.04
$730.51
$801.83
$877.39
$1,145.81
$932.62
$1,003.94
$1,079.50
$1,347.92
$1,134.73
$1,206.05
$1,281.61
$1,550.03
$466.31
$501.97
$539.75
$673.96
$668.42
$704.08
$741.86
$876.07
$870.53
$906.19
$943.97
$1,078.18
$202.11
 

Expanded Bronze

(PPO) AultCare Bronze 5000

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,550 $13,100
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
$430.76
$488.91
$550.50
$769.33
$1,169.07
$861.52
$977.82
$1,101.00
$1,538.66
$2,338.14
$1,191.05
$1,307.35
$1,430.53
$1,868.19
$1,520.58
$1,636.88
$1,760.06
$2,197.72
$1,850.11
$1,966.41
$2,089.59
$2,527.25
$760.29
$818.44
$880.03
$1,098.86
$1,089.82
$1,147.97
$1,209.56
$1,428.39
$1,419.35
$1,477.50
$1,539.09
$1,757.92
$329.53
 

Silver

(PPO) AultCare Silver 5000

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,000 $12,000
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
$545.98
$619.68
$697.75
$975.10
$1,481.76
$1,091.96
$1,239.36
$1,395.50
$1,950.20
$2,963.52
$1,509.63
$1,657.03
$1,813.17
$2,367.87
$1,927.30
$2,074.70
$2,230.84
$2,785.54
$2,344.97
$2,492.37
$2,648.51
$3,203.21
$963.65
$1,037.35
$1,115.42
$1,392.77
$1,381.32
$1,455.02
$1,533.09
$1,810.44
$1,798.99
$1,872.69
$1,950.76
$2,228.11
$417.67
 

Gold

(PPO) AultCare Gold 1200

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,200 $2,400
Maximum Out of Pocket Per Year $6,100 $12,200
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
$652.26
$740.31
$833.58
$1,164.92
$1,770.21
$1,304.52
$1,480.62
$1,667.16
$2,329.84
$3,540.42
$1,803.49
$1,979.59
$2,166.13
$2,828.81
$2,302.46
$2,478.56
$2,665.10
$3,327.78
$2,801.43
$2,977.53
$3,164.07
$3,826.75
$1,151.23
$1,239.28
$1,332.55
$1,663.89
$1,650.20
$1,738.25
$1,831.52
$2,162.86
$2,149.17
$2,237.22
$2,330.49
$2,661.83
$498.97
 

Gold

(PPO) AultCare Gold 750

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $750 $1,500
Maximum Out of Pocket Per Year $6,100 $12,200
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
$655.88
$744.42
$838.21
$1,171.39
$1,780.04
$1,311.76
$1,488.84
$1,676.42
$2,342.78
$3,560.08
$1,813.50
$1,990.58
$2,178.16
$2,844.52
$2,315.24
$2,492.32
$2,679.90
$3,346.26
$2,816.98
$2,994.06
$3,181.64
$3,848.00
$1,157.62
$1,246.16
$1,339.95
$1,673.13
$1,659.36
$1,747.90
$1,841.69
$2,174.87
$2,161.10
$2,249.64
$2,343.43
$2,676.61
$501.74
 

Gold

(PPO) AultCare Gold 350

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $350 $700
Maximum Out of Pocket Per Year $6,450 $12,900
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
$668.78
$759.06
$854.69
$1,194.42
$1,815.04
$1,337.56
$1,518.12
$1,709.38
$2,388.84
$3,630.08
$1,849.17
$2,029.73
$2,220.99
$2,900.45
$2,360.78
$2,541.34
$2,732.60
$3,412.06
$2,872.39
$3,052.95
$3,244.21
$3,923.67
$1,180.39
$1,270.67
$1,366.30
$1,706.03
$1,692.00
$1,782.28
$1,877.91
$2,217.64
$2,203.61
$2,293.89
$2,389.52
$2,729.25
$511.61
 

Catastrophic

(PPO) AultCare Catastrophic No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$261.43
$296.72
$334.11
$466.91
$709.52
$522.86
$593.44
$668.22
$933.82
$1,419.04
$722.85
$793.43
$868.21
$1,133.81
$922.84
$993.42
$1,068.20
$1,333.80
$1,122.83
$1,193.41
$1,268.19
$1,533.79
$461.42
$496.71
$534.10
$666.90
$661.41
$696.70
$734.09
$866.89
$861.40
$896.69
$934.08
$1,066.88
$199.99
 

Gold

(PPO) AultCare Gold 350 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $350 $700
Maximum Out of Pocket Per Year $6,450 $12,900
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
$517.05
$586.84
$660.78
$923.43
$1,403.25
$1,034.10
$1,173.68
$1,321.56
$1,846.86
$2,806.50
$1,429.64
$1,569.22
$1,717.10
$2,242.40
$1,825.18
$1,964.76
$2,112.64
$2,637.94
$2,220.72
$2,360.30
$2,508.18
$3,033.48
$912.59
$982.38
$1,056.32
$1,318.97
$1,308.13
$1,377.92
$1,451.86
$1,714.51
$1,703.67
$1,773.46
$1,847.40
$2,110.05
$395.54
 

Gold

(PPO) AultCare Gold 750 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $750 $1,500
Maximum Out of Pocket Per Year $6,100 $12,200
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
$507.15
$575.61
$648.13
$905.76
$1,376.39
$1,014.30
$1,151.22
$1,296.26
$1,811.52
$2,752.78
$1,402.26
$1,539.18
$1,684.22
$2,199.48
$1,790.22
$1,927.14
$2,072.18
$2,587.44
$2,178.18
$2,315.10
$2,460.14
$2,975.40
$895.11
$963.57
$1,036.09
$1,293.72
$1,283.07
$1,351.53
$1,424.05
$1,681.68
$1,671.03
$1,739.49
$1,812.01
$2,069.64
$387.96
 

Gold

(PPO) AultCare Gold 1200 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,200 $2,400
Maximum Out of Pocket Per Year $6,100 $12,200
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
$504.43
$572.52
$644.65
$900.90
$1,369.00
$1,008.86
$1,145.04
$1,289.30
$1,801.80
$2,738.00
$1,394.74
$1,530.92
$1,675.18
$2,187.68
$1,780.62
$1,916.80
$2,061.06
$2,573.56
$2,166.50
$2,302.68
$2,446.94
$2,959.44
$890.31
$958.40
$1,030.53
$1,286.78
$1,276.19
$1,344.28
$1,416.41
$1,672.66
$1,662.07
$1,730.16
$1,802.29
$2,058.54
$385.88
 

Silver

(PPO) AultCare Silver 5000 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,000 $12,000
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
$422.90
$479.99
$540.46
$755.30
$1,147.75
$845.80
$959.98
$1,080.92
$1,510.60
$2,295.50
$1,169.32
$1,283.50
$1,404.44
$1,834.12
$1,492.84
$1,607.02
$1,727.96
$2,157.64
$1,816.36
$1,930.54
$2,051.48
$2,481.16
$746.42
$803.51
$863.98
$1,078.82
$1,069.94
$1,127.03
$1,187.50
$1,402.34
$1,393.46
$1,450.55
$1,511.02
$1,725.86
$323.52
 

Expanded Bronze

(PPO) AultCare Bronze 5000 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,550 $13,100
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
$332.89
$377.83
$425.43
$594.54
$903.46
$665.78
$755.66
$850.86
$1,189.08
$1,806.92
$920.44
$1,010.32
$1,105.52
$1,443.74
$1,175.10
$1,264.98
$1,360.18
$1,698.40
$1,429.76
$1,519.64
$1,614.84
$1,953.06
$587.55
$632.49
$680.09
$849.20
$842.21
$887.15
$934.75
$1,103.86
$1,096.87
$1,141.81
$1,189.41
$1,358.52
$254.66
 

Catastrophic

(PPO) AultCare Catastrophic Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$204.25
$231.81
$261.02
$364.78
$554.31
$408.50
$463.62
$522.04
$729.56
$1,108.62
$564.75
$619.87
$678.29
$885.81
$721.00
$776.12
$834.54
$1,042.06
$877.25
$932.37
$990.79
$1,198.31
$360.50
$388.06
$417.27
$521.03
$516.75
$544.31
$573.52
$677.28
$673.00
$700.56
$729.77
$833.53
$156.25
 

Silver

(PPO) AultCare Silver 6850

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
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
$470.45
$533.95
$601.23
$840.21
$1,276.78
$940.90
$1,067.90
$1,202.46
$1,680.42
$2,553.56
$1,300.79
$1,427.79
$1,562.35
$2,040.31
$1,660.68
$1,787.68
$1,922.24
$2,400.20
$2,020.57
$2,147.57
$2,282.13
$2,760.09
$830.34
$893.84
$961.12
$1,200.10
$1,190.23
$1,253.73
$1,321.01
$1,559.99
$1,550.12
$1,613.62
$1,680.90
$1,919.88
$359.89
 

Silver

(PPO) AultCare Silver 6850 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
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
$367.54
$417.15
$469.71
$656.42
$997.49
$735.08
$834.30
$939.42
$1,312.84
$1,994.98
$1,016.24
$1,115.46
$1,220.58
$1,594.00
$1,297.40
$1,396.62
$1,501.74
$1,875.16
$1,578.56
$1,677.78
$1,782.90
$2,156.32
$648.70
$698.31
$750.87
$937.58
$929.86
$979.47
$1,032.03
$1,218.74
$1,211.02
$1,260.63
$1,313.19
$1,499.90
$281.16
 

Silver

(PPO) AultCare Silver 6850 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
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
$465.45
$528.28
$594.84
$831.29
$1,263.23
$930.90
$1,056.56
$1,189.68
$1,662.58
$2,526.46
$1,286.97
$1,412.63
$1,545.75
$2,018.65
$1,643.04
$1,768.70
$1,901.82
$2,374.72
$1,999.11
$2,124.77
$2,257.89
$2,730.79
$821.52
$884.35
$950.91
$1,187.36
$1,177.59
$1,240.42
$1,306.98
$1,543.43
$1,533.66
$1,596.49
$1,663.05
$1,899.50
$356.07
 

Silver

(PPO) AultCare Silver 6850 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,850 $13,700
Maximum Out of Pocket Per Year $6,850 $13,700
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
$363.64
$412.72
$464.72
$649.45
$986.90
$727.28
$825.44
$929.44
$1,298.90
$1,973.80
$1,005.46
$1,103.62
$1,207.62
$1,577.08
$1,283.64
$1,381.80
$1,485.80
$1,855.26
$1,561.82
$1,659.98
$1,763.98
$2,133.44
$641.82
$690.90
$742.90
$927.63
$920.00
$969.08
$1,021.08
$1,205.81
$1,198.18
$1,247.26
$1,299.26
$1,483.99
$278.18
 

Expanded Bronze

(PPO) AultCare Bronze 6550

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $6,550 $13,100
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
$408.66
$463.82
$522.25
$729.85
$1,109.08
$817.32
$927.64
$1,044.50
$1,459.70
$2,218.16
$1,129.94
$1,240.26
$1,357.12
$1,772.32
$1,442.56
$1,552.88
$1,669.74
$2,084.94
$1,755.18
$1,865.50
$1,982.36
$2,397.56
$721.28
$776.44
$834.87
$1,042.47
$1,033.90
$1,089.06
$1,147.49
$1,355.09
$1,346.52
$1,401.68
$1,460.11
$1,667.71
$312.62
 

Expanded Bronze

(PPO) AultCare Bronze 6550 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $6,550 $13,100
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
$319.26
$362.36
$408.01
$570.19
$866.47
$638.52
$724.72
$816.02
$1,140.38
$1,732.94
$882.75
$968.95
$1,060.25
$1,384.61
$1,126.98
$1,213.18
$1,304.48
$1,628.84
$1,371.21
$1,457.41
$1,548.71
$1,873.07
$563.49
$606.59
$652.24
$814.42
$807.72
$850.82
$896.47
$1,058.65
$1,051.95
$1,095.05
$1,140.70
$1,302.88
$244.23
 

Expanded Bronze

(PPO) AultCare Bronze 6550 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $6,550 $13,100
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
$404.29
$458.86
$516.68
$722.06
$1,097.23
$808.58
$917.72
$1,033.36
$1,444.12
$2,194.46
$1,117.86
$1,227.00
$1,342.64
$1,753.40
$1,427.14
$1,536.28
$1,651.92
$2,062.68
$1,736.42
$1,845.56
$1,961.20
$2,371.96
$713.57
$768.14
$825.96
$1,031.34
$1,022.85
$1,077.42
$1,135.24
$1,340.62
$1,332.13
$1,386.70
$1,444.52
$1,649.90
$309.28
 

Expanded Bronze

(PPO) AultCare Bronze 6550 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,550 $13,100
Maximum Out of Pocket Per Year $6,550 $13,100
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
$315.85
$358.49
$403.65
$564.11
$857.21
$631.70
$716.98
$807.30
$1,128.22
$1,714.42
$873.32
$958.60
$1,048.92
$1,369.84
$1,114.94
$1,200.22
$1,290.54
$1,611.46
$1,356.56
$1,441.84
$1,532.16
$1,853.08
$557.47
$600.11
$645.27
$805.73
$799.09
$841.73
$886.89
$1,047.35
$1,040.71
$1,083.35
$1,128.51
$1,288.97
$241.62
 

Expanded Bronze

(PPO) AultCare Bronze Standard Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,650 $13,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$302.22
$343.02
$386.23
$539.76
$820.22
$604.44
$686.04
$772.46
$1,079.52
$1,640.44
$835.64
$917.24
$1,003.66
$1,310.72
$1,066.84
$1,148.44
$1,234.86
$1,541.92
$1,298.04
$1,379.64
$1,466.06
$1,773.12
$533.42
$574.22
$617.43
$770.96
$764.62
$805.42
$848.63
$1,002.16
$995.82
$1,036.62
$1,079.83
$1,233.36
$231.20
 

Bronze

(PPO) AultCare Bronze 7350

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$357.86
$406.17
$457.34
$639.13
$971.23
$715.72
$812.34
$914.68
$1,278.26
$1,942.46
$989.48
$1,086.10
$1,188.44
$1,552.02
$1,263.24
$1,359.86
$1,462.20
$1,825.78
$1,537.00
$1,633.62
$1,735.96
$2,099.54
$631.62
$679.93
$731.10
$912.89
$905.38
$953.69
$1,004.86
$1,186.65
$1,179.14
$1,227.45
$1,278.62
$1,460.41
$273.76
 

Bronze

(PPO) AultCare Bronze 7350 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$279.58
$317.32
$357.30
$499.32
$758.77
$559.16
$634.64
$714.60
$998.64
$1,517.54
$773.04
$848.52
$928.48
$1,212.52
$986.92
$1,062.40
$1,142.36
$1,426.40
$1,200.80
$1,276.28
$1,356.24
$1,640.28
$493.46
$531.20
$571.18
$713.20
$707.34
$745.08
$785.06
$927.08
$921.22
$958.96
$998.94
$1,140.96
$213.88
 

Bronze

(PPO) AultCare Bronze 7350 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$353.91
$401.69
$452.30
$632.08
$960.51
$707.82
$803.38
$904.60
$1,264.16
$1,921.02
$978.56
$1,074.12
$1,175.34
$1,534.90
$1,249.30
$1,344.86
$1,446.08
$1,805.64
$1,520.04
$1,615.60
$1,716.82
$2,076.38
$624.65
$672.43
$723.04
$902.82
$895.39
$943.17
$993.78
$1,173.56
$1,166.13
$1,213.91
$1,264.52
$1,444.30
$270.74
 

Bronze

(PPO) AultCare Bronze 7350 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$276.50
$313.82
$353.36
$493.81
$750.40
$553.00
$627.64
$706.72
$987.62
$1,500.80
$764.52
$839.16
$918.24
$1,199.14
$976.04
$1,050.68
$1,129.76
$1,410.66
$1,187.56
$1,262.20
$1,341.28
$1,622.18
$488.02
$525.34
$564.88
$705.33
$699.54
$736.86
$776.40
$916.85
$911.06
$948.38
$987.92
$1,128.37
$211.52
 

Bronze

(PPO) AultCare Bronze 7900

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $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
$338.93
$384.68
$433.14
$605.31
$919.83
$677.86
$769.36
$866.28
$1,210.62
$1,839.66
$937.13
$1,028.63
$1,125.55
$1,469.89
$1,196.40
$1,287.90
$1,384.82
$1,729.16
$1,455.67
$1,547.17
$1,644.09
$1,988.43
$598.20
$643.95
$692.41
$864.58
$857.47
$903.22
$951.68
$1,123.85
$1,116.74
$1,162.49
$1,210.95
$1,383.12
$259.27
 

Bronze

(PPO) AultCare Bronze 7900 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $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
$264.79
$300.53
$338.39
$472.90
$718.62
$529.58
$601.06
$676.78
$945.80
$1,437.24
$732.14
$803.62
$879.34
$1,148.36
$934.70
$1,006.18
$1,081.90
$1,350.92
$1,137.26
$1,208.74
$1,284.46
$1,553.48
$467.35
$503.09
$540.95
$675.46
$669.91
$705.65
$743.51
$878.02
$872.47
$908.21
$946.07
$1,080.58
$202.56
 

Bronze

(PPO) AultCare Bronze 7900 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $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
$335.23
$380.48
$428.42
$598.71
$909.80
$670.46
$760.96
$856.84
$1,197.42
$1,819.60
$926.91
$1,017.41
$1,113.29
$1,453.87
$1,183.36
$1,273.86
$1,369.74
$1,710.32
$1,439.81
$1,530.31
$1,626.19
$1,966.77
$591.68
$636.93
$684.87
$855.16
$848.13
$893.38
$941.32
$1,111.61
$1,104.58
$1,149.83
$1,197.77
$1,368.06
$256.45
 

Bronze

(PPO) AultCare Bronze 7900 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $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
$261.90
$297.25
$334.70
$467.74
$710.78
$523.80
$594.50
$669.40
$935.48
$1,421.56
$724.15
$794.85
$869.75
$1,135.83
$924.50
$995.20
$1,070.10
$1,336.18
$1,124.85
$1,195.55
$1,270.45
$1,536.53
$462.25
$497.60
$535.05
$668.09
$662.60
$697.95
$735.40
$868.44
$862.95
$898.30
$935.75
$1,068.79
$200.35
 

Bronze

(PPO) AultCare Bronze 8150

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$330.77
$375.42
$422.72
$590.75
$897.70
$661.54
$750.84
$845.44
$1,181.50
$1,795.40
$914.58
$1,003.88
$1,098.48
$1,434.54
$1,167.62
$1,256.92
$1,351.52
$1,687.58
$1,420.66
$1,509.96
$1,604.56
$1,940.62
$583.81
$628.46
$675.76
$843.79
$836.85
$881.50
$928.80
$1,096.83
$1,089.89
$1,134.54
$1,181.84
$1,349.87
$253.04
 

Bronze

(PPO) AultCare Bronze 8150 Select

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$258.42
$293.30
$330.25
$461.52
$701.33
$516.84
$586.60
$660.50
$923.04
$1,402.66
$714.52
$784.28
$858.18
$1,120.72
$912.20
$981.96
$1,055.86
$1,318.40
$1,109.88
$1,179.64
$1,253.54
$1,516.08
$456.10
$490.98
$527.93
$659.20
$653.78
$688.66
$725.61
$856.88
$851.46
$886.34
$923.29
$1,054.56
$197.68
 

Bronze

(PPO) AultCare Bronze 8150 No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$327.09
$371.24
$418.02
$584.18
$887.71
$654.18
$742.48
$836.04
$1,168.36
$1,775.42
$904.40
$992.70
$1,086.26
$1,418.58
$1,154.62
$1,242.92
$1,336.48
$1,668.80
$1,404.84
$1,493.14
$1,586.70
$1,919.02
$577.31
$621.46
$668.24
$834.40
$827.53
$871.68
$918.46
$1,084.62
$1,077.75
$1,121.90
$1,168.68
$1,334.84
$250.22
 

Bronze

(PPO) AultCare Bronze 8150 Select No Pediatric Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$255.54
$290.03
$326.58
$456.39
$693.53
$511.08
$580.06
$653.16
$912.78
$1,387.06
$706.57
$775.55
$848.65
$1,108.27
$902.06
$971.04
$1,044.14
$1,303.76
$1,097.55
$1,166.53
$1,239.63
$1,499.25
$451.03
$485.52
$522.07
$651.88
$646.52
$681.01
$717.56
$847.37
$842.01
$876.50
$913.05
$1,042.86
$195.49

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Buckeye Community Health Plan

Local: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236

 

Silver

(HMO) Ambetter Balanced Care 11 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
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
$256.65
$291.28
$327.98
$458.35
$696.51
$513.30
$582.56
$655.96
$916.70
$1,393.02
$709.63
$778.89
$852.29
$1,113.03
$905.96
$975.22
$1,048.62
$1,309.36
$1,102.29
$1,171.55
$1,244.95
$1,505.69
$452.98
$487.61
$524.31
$654.68
$649.31
$683.94
$720.64
$851.01
$845.64
$880.27
$916.97
$1,047.34
$196.33
 

Silver

(HMO) Ambetter Balanced Care 12 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
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
$252.24
$286.29
$322.36
$450.49
$684.56
$504.48
$572.58
$644.72
$900.98
$1,369.12
$697.44
$765.54
$837.68
$1,093.94
$890.40
$958.50
$1,030.64
$1,286.90
$1,083.36
$1,151.46
$1,223.60
$1,479.86
$445.20
$479.25
$515.32
$643.45
$638.16
$672.21
$708.28
$836.41
$831.12
$865.17
$901.24
$1,029.37
$192.96
 

Silver

(HMO) Ambetter Balanced Care 14 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,150 $16,300
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
$281.77
$319.79
$360.08
$503.22
$764.69
$563.54
$639.58
$720.16
$1,006.44
$1,529.38
$779.08
$855.12
$935.70
$1,221.98
$994.62
$1,070.66
$1,151.24
$1,437.52
$1,210.16
$1,286.20
$1,366.78
$1,653.06
$497.31
$535.33
$575.62
$718.76
$712.85
$750.87
$791.16
$934.30
$928.39
$966.41
$1,006.70
$1,149.84
$215.54
 

Silver

(HMO) Ambetter Balanced Care 15 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
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
$280.99
$318.91
$359.09
$501.83
$762.58
$561.98
$637.82
$718.18
$1,003.66
$1,525.16
$776.93
$852.77
$933.13
$1,218.61
$991.88
$1,067.72
$1,148.08
$1,433.56
$1,206.83
$1,282.67
$1,363.03
$1,648.51
$495.94
$533.86
$574.04
$716.78
$710.89
$748.81
$788.99
$931.73
$925.84
$963.76
$1,003.94
$1,146.68
$214.95
 

Silver

(HMO) Ambetter Balanced Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
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
$276.07
$313.33
$352.80
$493.04
$749.22
$552.14
$626.66
$705.60
$986.08
$1,498.44
$763.33
$837.85
$916.79
$1,197.27
$974.52
$1,049.04
$1,127.98
$1,408.46
$1,185.71
$1,260.23
$1,339.17
$1,619.65
$487.26
$524.52
$563.99
$704.23
$698.45
$735.71
$775.18
$915.42
$909.64
$946.90
$986.37
$1,126.61
$211.19
 

Gold

(HMO) Ambetter Secure Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
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
$310.25
$352.13
$396.49
$554.09
$842.00
$620.50
$704.26
$792.98
$1,108.18
$1,684.00
$857.84
$941.60
$1,030.32
$1,345.52
$1,095.18
$1,178.94
$1,267.66
$1,582.86
$1,332.52
$1,416.28
$1,505.00
$1,820.20
$547.59
$589.47
$633.83
$791.43
$784.93
$826.81
$871.17
$1,028.77
$1,022.27
$1,064.15
$1,108.51
$1,266.11
$237.34
 

Bronze

(HMO) Ambetter Essential Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$200.19
$227.21
$255.83
$357.52
$543.29
$400.38
$454.42
$511.66
$715.04
$1,086.58
$553.52
$607.56
$664.80
$868.18
$706.66
$760.70
$817.94
$1,021.32
$859.80
$913.84
$971.08
$1,174.46
$353.33
$380.35
$408.97
$510.66
$506.47
$533.49
$562.11
$663.80
$659.61
$686.63
$715.25
$816.94
$153.14
 

Expanded Bronze

(HMO) Ambetter Essential Care 2 HSA (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $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
$213.66
$242.49
$273.04
$381.58
$579.84
$427.32
$484.98
$546.08
$763.16
$1,159.68
$590.76
$648.42
$709.52
$926.60
$754.20
$811.86
$872.96
$1,090.04
$917.64
$975.30
$1,036.40
$1,253.48
$377.10
$405.93
$436.48
$545.02
$540.54
$569.37
$599.92
$708.46
$703.98
$732.81
$763.36
$871.90
$163.44
 

Expanded Bronze

(HMO) Ambetter Essential Care 10 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,150 $16,300
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
$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
 

Silver

(HMO) Ambetter Balanced Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$258.98
$293.93
$330.96
$462.52
$702.84
$517.96
$587.86
$661.92
$925.04
$1,405.68
$716.07
$785.97
$860.03
$1,123.15
$914.18
$984.08
$1,058.14
$1,321.26
$1,112.29
$1,182.19
$1,256.25
$1,519.37
$457.09
$492.04
$529.07
$660.63
$655.20
$690.15
$727.18
$858.74
$853.31
$888.26
$925.29
$1,056.85
$198.11
 

Silver

(HMO) Ambetter Balanced Care 1 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
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
$289.48
$328.55
$369.94
$517.00
$785.63
$578.96
$657.10
$739.88
$1,034.00
$1,571.26
$800.41
$878.55
$961.33
$1,255.45
$1,021.86
$1,100.00
$1,182.78
$1,476.90
$1,243.31
$1,321.45
$1,404.23
$1,698.35
$510.93
$550.00
$591.39
$738.45
$732.38
$771.45
$812.84
$959.90
$953.83
$992.90
$1,034.29
$1,181.35
$221.45
 

Silver

(HMO) Ambetter Balanced Care 11 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
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
$269.12
$305.43
$343.92
$480.62
$730.35
$538.24
$610.86
$687.84
$961.24
$1,460.70
$744.11
$816.73
$893.71
$1,167.11
$949.98
$1,022.60
$1,099.58
$1,372.98
$1,155.85
$1,228.47
$1,305.45
$1,578.85
$474.99
$511.30
$549.79
$686.49
$680.86
$717.17
$755.66
$892.36
$886.73
$923.04
$961.53
$1,098.23
$205.87
 

Silver

(HMO) Ambetter Balanced Care 14 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,150 $16,300
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
$295.46
$335.33
$377.58
$527.67
$801.84
$590.92
$670.66
$755.16
$1,055.34
$1,603.68
$816.94
$896.68
$981.18
$1,281.36
$1,042.96
$1,122.70
$1,207.20
$1,507.38
$1,268.98
$1,348.72
$1,433.22
$1,733.40
$521.48
$561.35
$603.60
$753.69
$747.50
$787.37
$829.62
$979.71
$973.52
$1,013.39
$1,055.64
$1,205.73
$226.02
 

Silver

(HMO) Ambetter Balanced Care 15 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
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
$294.64
$334.41
$376.54
$526.21
$799.63
$589.28
$668.82
$753.08
$1,052.42
$1,599.26
$814.67
$894.21
$978.47
$1,277.81
$1,040.06
$1,119.60
$1,203.86
$1,503.20
$1,265.45
$1,344.99
$1,429.25
$1,728.59
$520.03
$559.80
$601.93
$751.60
$745.42
$785.19
$827.32
$976.99
$970.81
$1,010.58
$1,052.71
$1,202.38
$225.39
 

Silver

(HMO) Ambetter Balanced Care 5 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
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
$271.56
$308.21
$347.04
$484.99
$736.98
$543.12
$616.42
$694.08
$969.98
$1,473.96
$750.86
$824.16
$901.82
$1,177.72
$958.60
$1,031.90
$1,109.56
$1,385.46
$1,166.34
$1,239.64
$1,317.30
$1,593.20
$479.30
$515.95
$554.78
$692.73
$687.04
$723.69
$762.52
$900.47
$894.78
$931.43
$970.26
$1,108.21
$207.74
 

Gold

(HMO) Ambetter Secure Care 5 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
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
$325.33
$369.23
$415.75
$581.01
$882.91
$650.66
$738.46
$831.50
$1,162.02
$1,765.82
$899.53
$987.33
$1,080.37
$1,410.89
$1,148.40
$1,236.20
$1,329.24
$1,659.76
$1,397.27
$1,485.07
$1,578.11
$1,908.63
$574.20
$618.10
$664.62
$829.88
$823.07
$866.97
$913.49
$1,078.75
$1,071.94
$1,115.84
$1,162.36
$1,327.62
$248.87
 

Bronze

(HMO) Ambetter Essential Care 1 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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
$209.92
$238.24
$268.26
$374.89
$569.69
$419.84
$476.48
$536.52
$749.78
$1,139.38
$580.42
$637.06
$697.10
$910.36
$741.00
$797.64
$857.68
$1,070.94
$901.58
$958.22
$1,018.26
$1,231.52
$370.50
$398.82
$428.84
$535.47
$531.08
$559.40
$589.42
$696.05
$691.66
$719.98
$750.00
$856.63
$160.58
 

Expanded Bronze

(HMO) Ambetter Essential Care 10 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,200 $14,400
Maximum Out of Pocket Per Year $8,150 $16,300
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
$225.40
$255.81
$288.04
$402.54
$611.70
$450.80
$511.62
$576.08
$805.08
$1,223.40
$623.22
$684.04
$748.50
$977.50
$795.64
$856.46
$920.92
$1,149.92
$968.06
$1,028.88
$1,093.34
$1,322.34
$397.82
$428.23
$460.46
$574.96
$570.24
$600.65
$632.88
$747.38
$742.66
$773.07
$805.30
$919.80
$172.42

‡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 Carroll County here.

Carroll County is in “Rating Area 15” of Ohio.

Currently, there are 63 plans offered in Rating Area 15.

Ashtabula County Lake County Lucas County Geauga County Fulton County Ottawa County Williams County Ottawa County Ottawa County Cuyahoga County Ottawa County Wood County Erie County Trumbull County Lorain County Sandusky County Henry County Erie County Defiance County Portage County Summit County Huron County Medina County Paulding County Seneca County Putnam County Hancock County Mahoning County Ashland County Van Wert County Stark County Crawford County Richland County Wyandot County Wayne County Columbiana County Allen County Hardin County Mercer County Carroll County Morrow County Marion County Auglaize County Tuscarawas County Holmes County Jefferson County Knox County Logan County Union County Shelby County Coshocton County Delaware County Harrison County Darke County Champaign County Licking County Guernsey County Miami County Belmont County Muskingum County Franklin County Madison County Clark County Noble County Fairfield County Preble County Montgomery County Perry County Monroe County Greene County Pickaway County Morgan County Fayette County Hocking County Washington County Butler County Warren County Clinton County Athens County Ross County Vinton County Highland County Hamilton County Clermont County Brown County Jackson County Meigs County Pike County Adams County Gallia County Scioto County Lawrence County Lawrence County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019

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