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Obamacare 2021 Rates and Health Insurance Providers for Erie County , Ohio

Obamacare > Rates > Ohio > Erie County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 |

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Erie County, OH.

The health insurance rates listed below are for calendar year 2021.

Obamacare Providers, Plans and 2021 Rates for Erie County, Ohio

Below, you’ll find a summary of the 70 plans for Erie County, Ohio and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

  • Anthem Blue Cross and Blue Shield

    Local: 1-855-748-1808 | Toll Free: 1-855-748-1808

  • Ambetter from Buckeye Health

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

  • Molina Healthcare

    Local: 1-888-296-7677 | Toll Free: 1-888-296-7677

  • Paramount

    Local: 1-419-887-2525 | Toll Free: 1-800-462-3589 | TTY: 1-888-740-5670

  • CareSource

    Local: 1-800-479-9502 | Toll Free: 1-800-479-9502 | TTY: 1-800-750-0750

  • MedMutual

    Local: 1-888-308-0357 | Toll Free: 1-888-308-0357

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

    The table below shows premiums for the following profiles at various ages:

    • Individuals
    • Couples
    • Couples with 1, 2, or 3 children
    • Individuals with 1, 2, or 3 children
    • A child alone

    Each plan links to the insurance provider's website. You can find the following:

    • Summary of plan benefits and costs
    • Plan brochure
    • Provider Directory where you can find out which doctors and hospitals in the Sandusky, OH area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Erie County

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    Anthem Blue Cross and Blue Shield

    Local: 1-855-748-1808 | Toll Free: 1-855-748-1808

    Toc - Plan #1

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X HMO 5000

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$372,01
    $422,23
    $475,43
    $664,41
    $1 009,64     		$744,02
    $844,46
    $950,86
    $1 328,82
    $2 019,28     		$1 028,61
    $1 129,05
    $1 235,45
    $1 613,41     		$1 313,20
    $1 413,64
    $1 520,04
    $1 898,00     		$1 597,79
    $1 698,23
    $1 804,63
    $2 182,59     		$656,60
    $706,82
    $760,02
    $949,00     		$941,19
    $991,41
    $1 044,61
    $1 233,59     		$1 225,78
    $1 276,00
    $1 329,20
    $1 518,18     		$284,59
    Toc - Plan #2

    Bronze

    (HMO) Anthem Bronze Pathway X HMO 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$352,60
    $400,20
    $450,62
    $629,74
    $956,96     		$705,20
    $800,40
    $901,24
    $1 259,48
    $1 913,92     		$974,94
    $1 070,14
    $1 170,98
    $1 529,22     		$1 244,68
    $1 339,88
    $1 440,72
    $1 798,96     		$1 514,42
    $1 609,62
    $1 710,46
    $2 068,70     		$622,34
    $669,94
    $720,36
    $899,48     		$892,08
    $939,68
    $990,10
    $1 169,22     		$1 161,82
    $1 209,42
    $1 259,84
    $1 438,96     		$269,74
    Toc - Plan #3

    Silver

    (HMO) Anthem Silver Pathway X HMO 4000 Online Plus

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$494,28
    $561,01
    $631,69
    $882,78
    $1 341,48     		$988,56
    $1 122,02
    $1 263,38
    $1 765,56
    $2 682,96     		$1 366,68
    $1 500,14
    $1 641,50
    $2 143,68     		$1 744,80
    $1 878,26
    $2 019,62
    $2 521,80     		$2 122,92
    $2 256,38
    $2 397,74
    $2 899,92     		$872,40
    $939,13
    $1 009,81
    $1 260,90     		$1 250,52
    $1 317,25
    $1 387,93
    $1 639,02     		$1 628,64
    $1 695,37
    $1 766,05
    $2 017,14     		$378,12
    Toc - Plan #4

    Gold

    (HMO) Anthem Gold Pathway X HMO 2500

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $7,500 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$542,55
    $615,79
    $693,38
    $968,99
    $1 472,48     		$1 085,10
    $1 231,58
    $1 386,76
    $1 937,98
    $2 944,96     		$1 500,15
    $1 646,63
    $1 801,81
    $2 353,03     		$1 915,20
    $2 061,68
    $2 216,86
    $2 768,08     		$2 330,25
    $2 476,73
    $2 631,91
    $3 183,13     		$957,60
    $1 030,84
    $1 108,43
    $1 384,04     		$1 372,65
    $1 445,89
    $1 523,48
    $1 799,09     		$1 787,70
    $1 860,94
    $1 938,53
    $2 214,14     		$415,05
    Toc - Plan #5

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X HMO 6850 0 for HSA

    Annual Out of Pocket Expenses
    Individual Family
    $6,850 $13,700 Annual Deductible
    $6,850 $13,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$377,79
    $428,79
    $482,82
    $674,73
    $1 025,32     		$755,58
    $857,58
    $965,64
    $1 349,46
    $2 050,64     		$1 044,59
    $1 146,59
    $1 254,65
    $1 638,47     		$1 333,60
    $1 435,60
    $1 543,66
    $1 927,48     		$1 622,61
    $1 724,61
    $1 832,67
    $2 216,49     		$666,80
    $717,80
    $771,83
    $963,74     		$955,81
    $1 006,81
    $1 060,84
    $1 252,75     		$1 244,82
    $1 295,82
    $1 349,85
    $1 541,76     		$289,01
    Toc - Plan #6

    Silver

    (HMO) Anthem Silver Pathway X HMO 3200 10 for HSA

    Annual Out of Pocket Expenses
    Individual Family
    $3,200 $6,400 Annual Deductible
    $6,850 $13,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$497,72
    $564,91
    $636,09
    $888,93
    $1 350,81     		$995,44
    $1 129,82
    $1 272,18
    $1 777,86
    $2 701,62     		$1 376,20
    $1 510,58
    $1 652,94
    $2 158,62     		$1 756,96
    $1 891,34
    $2 033,70
    $2 539,38     		$2 137,72
    $2 272,10
    $2 414,46
    $2 920,14     		$878,48
    $945,67
    $1 016,85
    $1 269,69     		$1 259,24
    $1 326,43
    $1 397,61
    $1 650,45     		$1 640,00
    $1 707,19
    $1 778,37
    $2 031,21     		$380,76
    Toc - Plan #7

    Silver

    (HMO) Anthem Silver Pathway X HMO 3500

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$508,27
    $576,89
    $649,57
    $907,77
    $1 379,44     		$1 016,54
    $1 153,78
    $1 299,14
    $1 815,54
    $2 758,88     		$1 405,37
    $1 542,61
    $1 687,97
    $2 204,37     		$1 794,20
    $1 931,44
    $2 076,80
    $2 593,20     		$2 183,03
    $2 320,27
    $2 465,63
    $2 982,03     		$897,10
    $965,72
    $1 038,40
    $1 296,60     		$1 285,93
    $1 354,55
    $1 427,23
    $1 685,43     		$1 674,76
    $1 743,38
    $1 816,06
    $2 074,26     		$388,83
    Toc - Plan #8

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X HMO 6000 20 for HSA

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$376,70
    $427,55
    $481,42
    $672,79
    $1 022,36     		$753,40
    $855,10
    $962,84
    $1 345,58
    $2 044,72     		$1 041,58
    $1 143,28
    $1 251,02
    $1 633,76     		$1 329,76
    $1 431,46
    $1 539,20
    $1 921,94     		$1 617,94
    $1 719,64
    $1 827,38
    $2 210,12     		$664,88
    $715,73
    $769,60
    $960,97     		$953,06
    $1 003,91
    $1 057,78
    $1 249,15     		$1 241,24
    $1 292,09
    $1 345,96
    $1 537,33     		$288,18
    Toc - Plan #9

    Silver

    (HMO) Anthem Silver Pathway X HMO 6100 0 for HSA

    Annual Out of Pocket Expenses
    Individual Family
    $6,100 $12,200 Annual Deductible
    $6,100 $12,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$461,26
    $523,53
    $589,49
    $823,81
    $1 251,86     		$922,52
    $1 047,06
    $1 178,98
    $1 647,62
    $2 503,72     		$1 275,38
    $1 399,92
    $1 531,84
    $2 000,48     		$1 628,24
    $1 752,78
    $1 884,70
    $2 353,34     		$1 981,10
    $2 105,64
    $2 237,56
    $2 706,20     		$814,12
    $876,39
    $942,35
    $1 176,67     		$1 166,98
    $1 229,25
    $1 295,21
    $1 529,53     		$1 519,84
    $1 582,11
    $1 648,07
    $1 882,39     		$352,86
    Toc - Plan #10

    Silver

    (HMO) Anthem Silver Pathway X HMO 4500

    Annual Out of Pocket Expenses
    Individual Family
    $4,500 $9,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$492,91
    $559,45
    $629,94
    $880,34
    $1 337,76     		$985,82
    $1 118,90
    $1 259,88
    $1 760,68
    $2 675,52     		$1 362,90
    $1 495,98
    $1 636,96
    $2 137,76     		$1 739,98
    $1 873,06
    $2 014,04
    $2 514,84     		$2 117,06
    $2 250,14
    $2 391,12
    $2 891,92     		$869,99
    $936,53
    $1 007,02
    $1 257,42     		$1 247,07
    $1 313,61
    $1 384,10
    $1 634,50     		$1 624,15
    $1 690,69
    $1 761,18
    $2 011,58     		$377,08
    Toc - Plan #11

    Silver

    (HMO) Anthem Silver Pathway X HMO 3000

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$512,15
    $581,29
    $654,53
    $914,70
    $1 389,98     		$1 024,30
    $1 162,58
    $1 309,06
    $1 829,40
    $2 779,96     		$1 416,09
    $1 554,37
    $1 700,85
    $2 221,19     		$1 807,88
    $1 946,16
    $2 092,64
    $2 612,98     		$2 199,67
    $2 337,95
    $2 484,43
    $3 004,77     		$903,94
    $973,08
    $1 046,32
    $1 306,49     		$1 295,73
    $1 364,87
    $1 438,11
    $1 698,28     		$1 687,52
    $1 756,66
    $1 829,90
    $2 090,07     		$391,79
    Toc - Plan #12

    Silver

    (HMO) Anthem Silver Pathway X HMO 5000

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$470,19
    $533,67
    $600,90
    $839,76
    $1 276,10     		$940,38
    $1 067,34
    $1 201,80
    $1 679,52
    $2 552,20     		$1 300,08
    $1 427,04
    $1 561,50
    $2 039,22     		$1 659,78
    $1 786,74
    $1 921,20
    $2 398,92     		$2 019,48
    $2 146,44
    $2 280,90
    $2 758,62     		$829,89
    $893,37
    $960,60
    $1 199,46     		$1 189,59
    $1 253,07
    $1 320,30
    $1 559,16     		$1 549,29
    $1 612,77
    $1 680,00
    $1 918,86     		$359,70
    Toc - Plan #13

    Catastrophic

    (HMO) Anthem Catastrophic Pathway X HMO 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$282,51
    $320,65
    $361,05
    $504,56
    $766,73     		$565,02
    $641,30
    $722,10
    $1 009,12
    $1 533,46     		$781,14
    $857,42
    $938,22
    $1 225,24     		$997,26
    $1 073,54
    $1 154,34
    $1 441,36     		$1 213,38
    $1 289,66
    $1 370,46
    $1 657,48     		$498,63
    $536,77
    $577,17
    $720,68     		$714,75
    $752,89
    $793,29
    $936,80     		$930,87
    $969,01
    $1 009,41
    $1 152,92     		$216,12
    Toc - Plan #14

    Silver

    (HMO) Anthem Silver Pathway X HMO 2600

    Annual Out of Pocket Expenses
    Individual Family
    $2,600 $5,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$524,88
    $595,74
    $670,80
    $937,44
    $1 424,52     		$1 049,76
    $1 191,48
    $1 341,60
    $1 874,88
    $2 849,04     		$1 451,29
    $1 593,01
    $1 743,13
    $2 276,41     		$1 852,82
    $1 994,54
    $2 144,66
    $2 677,94     		$2 254,35
    $2 396,07
    $2 546,19
    $3 079,47     		$926,41
    $997,27
    $1 072,33
    $1 338,97     		$1 327,94
    $1 398,80
    $1 473,86
    $1 740,50     		$1 729,47
    $1 800,33
    $1 875,39
    $2 142,03     		$401,53
    Toc - Plan #15

    Silver

    (HMO) Anthem Silver Pathway X HMO 6900 25

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$458,19
    $520,05
    $585,57
    $818,33
    $1 243,53     		$916,38
    $1 040,10
    $1 171,14
    $1 636,66
    $2 487,06     		$1 266,90
    $1 390,62
    $1 521,66
    $1 987,18     		$1 617,42
    $1 741,14
    $1 872,18
    $2 337,70     		$1 967,94
    $2 091,66
    $2 222,70
    $2 688,22     		$808,71
    $870,57
    $936,09
    $1 168,85     		$1 159,23
    $1 221,09
    $1 286,61
    $1 519,37     		$1 509,75
    $1 571,61
    $1 637,13
    $1 869,89     		$350,52
    Toc - Plan #16

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X HMO 5500 Online Plus

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$383,89
    $435,72
    $490,61
    $685,63
    $1 041,88     		$767,78
    $871,44
    $981,22
    $1 371,26
    $2 083,76     		$1 061,46
    $1 165,12
    $1 274,90
    $1 664,94     		$1 355,14
    $1 458,80
    $1 568,58
    $1 958,62     		$1 648,82
    $1 752,48
    $1 862,26
    $2 252,30     		$677,57
    $729,40
    $784,29
    $979,31     		$971,25
    $1 023,08
    $1 077,97
    $1 272,99     		$1 264,93
    $1 316,76
    $1 371,65
    $1 566,67     		$293,68
    Toc - Plan #17

    Expanded Bronze

    (HMO) Anthem Bronze Pathway X HMO 6000

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$364,21
    $413,38
    $465,46
    $650,48
    $988,47     		$728,42
    $826,76
    $930,92
    $1 300,96
    $1 976,94     		$1 007,04
    $1 105,38
    $1 209,54
    $1 579,58     		$1 285,66
    $1 384,00
    $1 488,16
    $1 858,20     		$1 564,28
    $1 662,62
    $1 766,78
    $2 136,82     		$642,83
    $692,00
    $744,08
    $929,10     		$921,45
    $970,62
    $1 022,70
    $1 207,72     		$1 200,07
    $1 249,24
    $1 301,32
    $1 486,34     		$278,62
    ADVERTISEMENT

    Ambetter from Buckeye Health

    Local: 1-877-687-1189 | Toll Free: 1-877-687-1189 | TTY: 1-877-941-9236
    Toc - Plan #18

    Silver

    (HMO) Ambetter Balanced Care 11 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$249,70
    $283,40
    $319,11
    $445,95
    $677,67     		$499,40
    $566,80
    $638,22
    $891,90
    $1 355,34     		$690,42
    $757,82
    $829,24
    $1 082,92     		$881,44
    $948,84
    $1 020,26
    $1 273,94     		$1 072,46
    $1 139,86
    $1 211,28
    $1 464,96     		$440,72
    $474,42
    $510,13
    $636,97     		$631,74
    $665,44
    $701,15
    $827,99     		$822,76
    $856,46
    $892,17
    $1 019,01     		$191,02
    Toc - Plan #19

    Silver

    (HMO) Ambetter Balanced Care 12 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$245,16
    $278,24
    $313,30
    $437,84
    $665,33     		$490,32
    $556,48
    $626,60
    $875,68
    $1 330,66     		$677,86
    $744,02
    $814,14
    $1 063,22     		$865,40
    $931,56
    $1 001,68
    $1 250,76     		$1 052,94
    $1 119,10
    $1 189,22
    $1 438,30     		$432,70
    $465,78
    $500,84
    $625,38     		$620,24
    $653,32
    $688,38
    $812,92     		$807,78
    $840,86
    $875,92
    $1 000,46     		$187,54
    Toc - Plan #20

    Gold

    (HMO) Ambetter Secure Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$287,78
    $326,62
    $367,77
    $513,96
    $781,01     		$575,56
    $653,24
    $735,54
    $1 027,92
    $1 562,02     		$795,70
    $873,38
    $955,68
    $1 248,06     		$1 015,84
    $1 093,52
    $1 175,82
    $1 468,20     		$1 235,98
    $1 313,66
    $1 395,96
    $1 688,34     		$507,92
    $546,76
    $587,91
    $734,10     		$728,06
    $766,90
    $808,05
    $954,24     		$948,20
    $987,04
    $1 028,19
    $1 174,38     		$220,14
    Toc - Plan #21

    Bronze

    (HMO) Ambetter Essential Care 1 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$189,10
    $214,62
    $241,66
    $337,72
    $513,20     		$378,20
    $429,24
    $483,32
    $675,44
    $1 026,40     		$522,86
    $573,90
    $627,98
    $820,10     		$667,52
    $718,56
    $772,64
    $964,76     		$812,18
    $863,22
    $917,30
    $1 109,42     		$333,76
    $359,28
    $386,32
    $482,38     		$478,42
    $503,94
    $530,98
    $627,04     		$623,08
    $648,60
    $675,64
    $771,70     		$144,66
    Toc - Plan #22

    Expanded Bronze

    (HMO) Ambetter Essential Care 2 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$204,68
    $232,30
    $261,57
    $365,55
    $555,48     		$409,36
    $464,60
    $523,14
    $731,10
    $1 110,96     		$565,94
    $621,18
    $679,72
    $887,68     		$722,52
    $777,76
    $836,30
    $1 044,26     		$879,10
    $934,34
    $992,88
    $1 200,84     		$361,26
    $388,88
    $418,15
    $522,13     		$517,84
    $545,46
    $574,73
    $678,71     		$674,42
    $702,04
    $731,31
    $835,29     		$156,58
    Toc - Plan #23

    Expanded Bronze

    (HMO) Ambetter Essential Care 10 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$194,65
    $220,91
    $248,74
    $347,62
    $528,24     		$389,30
    $441,82
    $497,48
    $695,24
    $1 056,48     		$538,20
    $590,72
    $646,38
    $844,14     		$687,10
    $739,62
    $795,28
    $993,04     		$836,00
    $888,52
    $944,18
    $1 141,94     		$343,55
    $369,81
    $397,64
    $496,52     		$492,45
    $518,71
    $546,54
    $645,42     		$641,35
    $667,61
    $695,44
    $794,32     		$148,90
    Toc - Plan #24

    Silver

    (HMO) Ambetter Balanced Care 24 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$253,80
    $288,05
    $324,34
    $453,27
    $688,78     		$507,60
    $576,10
    $648,68
    $906,54
    $1 377,56     		$701,75
    $770,25
    $842,83
    $1 100,69     		$895,90
    $964,40
    $1 036,98
    $1 294,84     		$1 090,05
    $1 158,55
    $1 231,13
    $1 488,99     		$447,95
    $482,20
    $518,49
    $647,42     		$642,10
    $676,35
    $712,64
    $841,57     		$836,25
    $870,50
    $906,79
    $1 035,72     		$194,15
    Toc - Plan #25

    Silver

    (HMO) Ambetter Balanced Care 29 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$243,04
    $275,83
    $310,59
    $434,04
    $659,57     		$486,08
    $551,66
    $621,18
    $868,08
    $1 319,14     		$672,00
    $737,58
    $807,10
    $1 054,00     		$857,92
    $923,50
    $993,02
    $1 239,92     		$1 043,84
    $1 109,42
    $1 178,94
    $1 425,84     		$428,96
    $461,75
    $496,51
    $619,96     		$614,88
    $647,67
    $682,43
    $805,88     		$800,80
    $833,59
    $868,35
    $991,80     		$185,92
    Toc - Plan #26

    Silver

    (HMO) Ambetter Balanced Care 26 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$256,17
    $290,74
    $327,37
    $457,50
    $695,22     		$512,34
    $581,48
    $654,74
    $915,00
    $1 390,44     		$708,30
    $777,44
    $850,70
    $1 110,96     		$904,26
    $973,40
    $1 046,66
    $1 306,92     		$1 100,22
    $1 169,36
    $1 242,62
    $1 502,88     		$452,13
    $486,70
    $523,33
    $653,46     		$648,09
    $682,66
    $719,29
    $849,42     		$844,05
    $878,62
    $915,25
    $1 045,38     		$195,96
    Toc - Plan #27

    Silver

    (HMO) Ambetter Balanced Care 28 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$265,48
    $301,31
    $339,28
    $474,14
    $720,50     		$530,96
    $602,62
    $678,56
    $948,28
    $1 441,00     		$734,05
    $805,71
    $881,65
    $1 151,37     		$937,14
    $1 008,80
    $1 084,74
    $1 354,46     		$1 140,23
    $1 211,89
    $1 287,83
    $1 557,55     		$468,57
    $504,40
    $542,37
    $677,23     		$671,66
    $707,49
    $745,46
    $880,32     		$874,75
    $910,58
    $948,55
    $1 083,41     		$203,09
    Toc - Plan #28

    Silver

    (HMO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$256,99
    $291,67
    $328,42
    $458,97
    $697,45     		$513,98
    $583,34
    $656,84
    $917,94
    $1 394,90     		$710,57
    $779,93
    $853,43
    $1 114,53     		$907,16
    $976,52
    $1 050,02
    $1 311,12     		$1 103,75
    $1 173,11
    $1 246,61
    $1 507,71     		$453,58
    $488,26
    $525,01
    $655,56     		$650,17
    $684,85
    $721,60
    $852,15     		$846,76
    $881,44
    $918,19
    $1 048,74     		$196,59
    Toc - Plan #29

    Silver

    (HMO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$261,76
    $297,08
    $334,51
    $467,48
    $710,38     		$523,52
    $594,16
    $669,02
    $934,96
    $1 420,76     		$723,76
    $794,40
    $869,26
    $1 135,20     		$924,00
    $994,64
    $1 069,50
    $1 335,44     		$1 124,24
    $1 194,88
    $1 269,74
    $1 535,68     		$462,00
    $497,32
    $534,75
    $667,72     		$662,24
    $697,56
    $734,99
    $867,96     		$862,48
    $897,80
    $935,23
    $1 068,20     		$200,24
    Toc - Plan #30

    Gold

    (HMO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$301,67
    $342,39
    $385,52
    $538,77
    $818,71     		$603,34
    $684,78
    $771,04
    $1 077,54
    $1 637,42     		$834,11
    $915,55
    $1 001,81
    $1 308,31     		$1 064,88
    $1 146,32
    $1 232,58
    $1 539,08     		$1 295,65
    $1 377,09
    $1 463,35
    $1 769,85     		$532,44
    $573,16
    $616,29
    $769,54     		$763,21
    $803,93
    $847,06
    $1 000,31     		$993,98
    $1 034,70
    $1 077,83
    $1 231,08     		$230,77
    Toc - Plan #31

    Bronze

    (HMO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$198,23
    $224,98
    $253,32
    $354,02
    $537,97     		$396,46
    $449,96
    $506,64
    $708,04
    $1 075,94     		$548,10
    $601,60
    $658,28
    $859,68     		$699,74
    $753,24
    $809,92
    $1 011,32     		$851,38
    $904,88
    $961,56
    $1 162,96     		$349,87
    $376,62
    $404,96
    $505,66     		$501,51
    $528,26
    $556,60
    $657,30     		$653,15
    $679,90
    $708,24
    $808,94     		$151,64
    Toc - Plan #32

    Expanded Bronze

    (HMO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$214,56
    $243,52
    $274,20
    $383,19
    $582,30     		$429,12
    $487,04
    $548,40
    $766,38
    $1 164,60     		$593,25
    $651,17
    $712,53
    $930,51     		$757,38
    $815,30
    $876,66
    $1 094,64     		$921,51
    $979,43
    $1 040,79
    $1 258,77     		$378,69
    $407,65
    $438,33
    $547,32     		$542,82
    $571,78
    $602,46
    $711,45     		$706,95
    $735,91
    $766,59
    $875,58     		$164,13
    Toc - Plan #33

    Expanded Bronze

    (HMO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$204,04
    $231,57
    $260,75
    $364,40
    $553,74     		$408,08
    $463,14
    $521,50
    $728,80
    $1 107,48     		$564,16
    $619,22
    $677,58
    $884,88     		$720,24
    $775,30
    $833,66
    $1 040,96     		$876,32
    $931,38
    $989,74
    $1 197,04     		$360,12
    $387,65
    $416,83
    $520,48     		$516,20
    $543,73
    $572,91
    $676,56     		$672,28
    $699,81
    $728,99
    $832,64     		$156,08
    Toc - Plan #34

    Silver

    (HMO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$266,05
    $301,95
    $340,00
    $475,14
    $722,03     		$532,10
    $603,90
    $680,00
    $950,28
    $1 444,06     		$735,62
    $807,42
    $883,52
    $1 153,80     		$939,14
    $1 010,94
    $1 087,04
    $1 357,32     		$1 142,66
    $1 214,46
    $1 290,56
    $1 560,84     		$469,57
    $505,47
    $543,52
    $678,66     		$673,09
    $708,99
    $747,04
    $882,18     		$876,61
    $912,51
    $950,56
    $1 085,70     		$203,52
    Toc - Plan #35

    Silver

    (HMO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$268,53
    $304,78
    $343,17
    $479,58
    $728,77     		$537,06
    $609,56
    $686,34
    $959,16
    $1 457,54     		$742,48
    $814,98
    $891,76
    $1 164,58     		$947,90
    $1 020,40
    $1 097,18
    $1 370,00     		$1 153,32
    $1 225,82
    $1 302,60
    $1 575,42     		$473,95
    $510,20
    $548,59
    $685,00     		$679,37
    $715,62
    $754,01
    $890,42     		$884,79
    $921,04
    $959,43
    $1 095,84     		$205,42
    Toc - Plan #36

    Silver

    (HMO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$278,30
    $315,86
    $355,65
    $497,02
    $755,27     		$556,60
    $631,72
    $711,30
    $994,04
    $1 510,54     		$769,49
    $844,61
    $924,19
    $1 206,93     		$982,38
    $1 057,50
    $1 137,08
    $1 419,82     		$1 195,27
    $1 270,39
    $1 349,97
    $1 632,71     		$491,19
    $528,75
    $568,54
    $709,91     		$704,08
    $741,64
    $781,43
    $922,80     		$916,97
    $954,53
    $994,32
    $1 135,69     		$212,89
    ADVERTISEMENT

    Molina Healthcare

    Local: 1-888-296-7677 | Toll Free: 1-888-296-7677

    Toc - Plan #37

    Gold

    (HMO) Confident Care Gold 1

    Annual Out of Pocket Expenses
    Individual Family
    $2,925 $5,850 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$326,90
    $371,03
    $417,78
    $583,85
    $887,21     		$653,80
    $742,06
    $835,56
    $1 167,70
    $1 774,42     		$903,88
    $992,14
    $1 085,64
    $1 417,78     		$1 153,96
    $1 242,22
    $1 335,72
    $1 667,86     		$1 404,04
    $1 492,30
    $1 585,80
    $1 917,94     		$576,98
    $621,11
    $667,86
    $833,93     		$827,06
    $871,19
    $917,94
    $1 084,01     		$1 077,14
    $1 121,27
    $1 168,02
    $1 334,09     		$250,08
    Toc - Plan #38

    Silver

    (HMO) Constant Care Silver 1 250

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$279,43
    $317,16
    $357,12
    $499,07
    $758,38     		$558,86
    $634,32
    $714,24
    $998,14
    $1 516,76     		$772,63
    $848,09
    $928,01
    $1 211,91     		$986,40
    $1 061,86
    $1 141,78
    $1 425,68     		$1 200,17
    $1 275,63
    $1 355,55
    $1 639,45     		$493,20
    $530,93
    $570,89
    $712,84     		$706,97
    $744,70
    $784,66
    $926,61     		$920,74
    $958,47
    $998,43
    $1 140,38     		$213,77
    Toc - Plan #39

    Expanded Bronze

    (HMO) Core Care Bronze 1

    Annual Out of Pocket Expenses
    Individual Family
    $6,100 $12,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$227,74
    $258,48
    $291,05
    $406,74
    $618,08     		$455,48
    $516,96
    $582,10
    $813,48
    $1 236,16     		$629,70
    $691,18
    $756,32
    $987,70     		$803,92
    $865,40
    $930,54
    $1 161,92     		$978,14
    $1 039,62
    $1 104,76
    $1 336,14     		$401,96
    $432,70
    $465,27
    $580,96     		$576,18
    $606,92
    $639,49
    $755,18     		$750,40
    $781,14
    $813,71
    $929,40     		$174,22
    Toc - Plan #40

    Silver

    (HMO) Constant Care Silver 4 250

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$276,80
    $314,17
    $353,76
    $494,37
    $751,25     		$553,60
    $628,34
    $707,52
    $988,74
    $1 502,50     		$765,36
    $840,10
    $919,28
    $1 200,50     		$977,12
    $1 051,86
    $1 131,04
    $1 412,26     		$1 188,88
    $1 263,62
    $1 342,80
    $1 624,02     		$488,56
    $525,93
    $565,52
    $706,13     		$700,32
    $737,69
    $777,28
    $917,89     		$912,08
    $949,45
    $989,04
    $1 129,65     		$211,76
    Toc - Plan #41

    Expanded Bronze

    (HMO) Core Care Bronze 4

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$238,53
    $270,73
    $304,84
    $426,01
    $647,36     		$477,06
    $541,46
    $609,68
    $852,02
    $1 294,72     		$659,53
    $723,93
    $792,15
    $1 034,49     		$842,00
    $906,40
    $974,62
    $1 216,96     		$1 024,47
    $1 088,87
    $1 157,09
    $1 399,43     		$421,00
    $453,20
    $487,31
    $608,48     		$603,47
    $635,67
    $669,78
    $790,95     		$785,94
    $818,14
    $852,25
    $973,42     		$182,47
    Toc - Plan #42

    Expanded Bronze

    (HMO) Core Care Bronze 5

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$231,93
    $263,24
    $296,41
    $414,23
    $629,46     		$463,86
    $526,48
    $592,82
    $828,46
    $1 258,92     		$641,29
    $703,91
    $770,25
    $1 005,89     		$818,72
    $881,34
    $947,68
    $1 183,32     		$996,15
    $1 058,77
    $1 125,11
    $1 360,75     		$409,36
    $440,67
    $473,84
    $591,66     		$586,79
    $618,10
    $651,27
    $769,09     		$764,22
    $795,53
    $828,70
    $946,52     		$177,43
    Toc - Plan #43

    Gold

    (HMO) Confident Care Gold 1 +Vision

    Annual Out of Pocket Expenses
    Individual Family
    $2,925 $5,850 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$329,78
    $374,30
    $421,45
    $588,98
    $895,01     		$659,56
    $748,60
    $842,90
    $1 177,96
    $1 790,02     		$911,84
    $1 000,88
    $1 095,18
    $1 430,24     		$1 164,12
    $1 253,16
    $1 347,46
    $1 682,52     		$1 416,40
    $1 505,44
    $1 599,74
    $1 934,80     		$582,06
    $626,58
    $673,73
    $841,26     		$834,34
    $878,86
    $926,01
    $1 093,54     		$1 086,62
    $1 131,14
    $1 178,29
    $1 345,82     		$252,28
    Toc - Plan #44

    Silver

    (HMO) Constant Care Silver 1 250 +Vision

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$282,31
    $320,42
    $360,79
    $504,20
    $766,18     		$564,62
    $640,84
    $721,58
    $1 008,40
    $1 532,36     		$780,58
    $856,80
    $937,54
    $1 224,36     		$996,54
    $1 072,76
    $1 153,50
    $1 440,32     		$1 212,50
    $1 288,72
    $1 369,46
    $1 656,28     		$498,27
    $536,38
    $576,75
    $720,16     		$714,23
    $752,34
    $792,71
    $936,12     		$930,19
    $968,30
    $1 008,67
    $1 152,08     		$215,96
    Toc - Plan #45

    Expanded Bronze

    (HMO) Core Care Bronze 1 +Vision

    Annual Out of Pocket Expenses
    Individual Family
    $6,100 $12,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$230,61
    $261,74
    $294,72
    $411,87
    $625,88     		$461,22
    $523,48
    $589,44
    $823,74
    $1 251,76     		$637,64
    $699,90
    $765,86
    $1 000,16     		$814,06
    $876,32
    $942,28
    $1 176,58     		$990,48
    $1 052,74
    $1 118,70
    $1 353,00     		$407,03
    $438,16
    $471,14
    $588,29     		$583,45
    $614,58
    $647,56
    $764,71     		$759,87
    $791,00
    $823,98
    $941,13     		$176,42
    Toc - Plan #46

    Silver

    (HMO) Constant Care Silver 2 250

    Annual Out of Pocket Expenses
    Individual Family
    $5,200 $10,400 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$278,83
    $316,48
    $356,35
    $498,00
    $756,76     		$557,66
    $632,96
    $712,70
    $996,00
    $1 513,52     		$770,97
    $846,27
    $926,01
    $1 209,31     		$984,28
    $1 059,58
    $1 139,32
    $1 422,62     		$1 197,59
    $1 272,89
    $1 352,63
    $1 635,93     		$492,14
    $529,79
    $569,66
    $711,31     		$705,45
    $743,10
    $782,97
    $924,62     		$918,76
    $956,41
    $996,28
    $1 137,93     		$213,31
    Toc - Plan #47

    Bronze

    (HMO) Core Care Bronze 2

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$225,73
    $256,20
    $288,48
    $403,15
    $612,63     		$451,46
    $512,40
    $576,96
    $806,30
    $1 225,26     		$624,14
    $685,08
    $749,64
    $978,98     		$796,82
    $857,76
    $922,32
    $1 151,66     		$969,50
    $1 030,44
    $1 095,00
    $1 324,34     		$398,41
    $428,88
    $461,16
    $575,83     		$571,09
    $601,56
    $633,84
    $748,51     		$743,77
    $774,24
    $806,52
    $921,19     		$172,68
    ADVERTISEMENT

    Paramount

    Local: 1-419-887-2525 | Toll Free: 1-800-462-3589 | TTY: 1-888-740-5670
    Toc - Plan #48

    Silver

    (HMO) Paramount Silver 5

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$552,46
    $627,04
    $706,04
    $986,69
    $1 499,38     		$1 104,92
    $1 254,08
    $1 412,08
    $1 973,38
    $2 998,76     		$1 527,55
    $1 676,71
    $1 834,71
    $2 396,01     		$1 950,18
    $2 099,34
    $2 257,34
    $2 818,64     		$2 372,81
    $2 521,97
    $2 679,97
    $3 241,27     		$975,09
    $1 049,67
    $1 128,67
    $1 409,32     		$1 397,72
    $1 472,30
    $1 551,30
    $1 831,95     		$1 820,35
    $1 894,93
    $1 973,93
    $2 254,58     		$422,63
    Toc - Plan #49

    Silver

    (HMO) Paramount Silver 6

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $7,750 $15,500 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$526,30
    $597,36
    $672,62
    $939,98
    $1 428,40     		$1 052,60
    $1 194,72
    $1 345,24
    $1 879,96
    $2 856,80     		$1 455,22
    $1 597,34
    $1 747,86
    $2 282,58     		$1 857,84
    $1 999,96
    $2 150,48
    $2 685,20     		$2 260,46
    $2 402,58
    $2 553,10
    $3 087,82     		$928,92
    $999,98
    $1 075,24
    $1 342,60     		$1 331,54
    $1 402,60
    $1 477,86
    $1 745,22     		$1 734,16
    $1 805,22
    $1 880,48
    $2 147,84     		$402,62
    Toc - Plan #50

    Gold

    (HMO) Paramount Gold 3

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$585,63
    $664,69
    $748,43
    $1 045,93
    $1 589,40     		$1 171,26
    $1 329,38
    $1 496,86
    $2 091,86
    $3 178,80     		$1 619,26
    $1 777,38
    $1 944,86
    $2 539,86     		$2 067,26
    $2 225,38
    $2 392,86
    $2 987,86     		$2 515,26
    $2 673,38
    $2 840,86
    $3 435,86     		$1 033,63
    $1 112,69
    $1 196,43
    $1 493,93     		$1 481,63
    $1 560,69
    $1 644,43
    $1 941,93     		$1 929,63
    $2 008,69
    $2 092,43
    $2 389,93     		$448,00
    ADVERTISEMENT

    CareSource

    Local: 1-800-479-9502 | Toll Free: 1-800-479-9502 | TTY: 1-800-750-0750
    Toc - Plan #51

    Expanded Bronze

    (HMO) CareSource Marketplace HSA Eligible Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $5,400 $10,800 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$310,62
    $352,55
    $396,97
    $554,76
    $843,01     		$621,24
    $705,10
    $793,94
    $1 109,52
    $1 686,02     		$858,86
    $942,72
    $1 031,56
    $1 347,14     		$1 096,48
    $1 180,34
    $1 269,18
    $1 584,76     		$1 334,10
    $1 417,96
    $1 506,80
    $1 822,38     		$548,24
    $590,17
    $634,59
    $792,38     		$785,86
    $827,79
    $872,21
    $1 030,00     		$1 023,48
    $1 065,41
    $1 109,83
    $1 267,62     		$237,62
    Toc - Plan #52

    Silver

    (HMO) CareSource Marketplace Low Premium Silver

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$394,96
    $448,28
    $504,76
    $705,40
    $1 071,92     		$789,92
    $896,56
    $1 009,52
    $1 410,80
    $2 143,84     		$1 092,06
    $1 198,70
    $1 311,66
    $1 712,94     		$1 394,20
    $1 500,84
    $1 613,80
    $2 015,08     		$1 696,34
    $1 802,98
    $1 915,94
    $2 317,22     		$697,10
    $750,42
    $806,90
    $1 007,54     		$999,24
    $1 052,56
    $1 109,04
    $1 309,68     		$1 301,38
    $1 354,70
    $1 411,18
    $1 611,82     		$302,14
    Toc - Plan #53

    Gold

    (HMO) CareSource Marketplace Gold

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$532,51
    $604,40
    $680,54
    $951,06
    $1 445,23     		$1 065,02
    $1 208,80
    $1 361,08
    $1 902,12
    $2 890,46     		$1 472,39
    $1 616,17
    $1 768,45
    $2 309,49     		$1 879,76
    $2 023,54
    $2 175,82
    $2 716,86     		$2 287,13
    $2 430,91
    $2 583,19
    $3 124,23     		$939,88
    $1 011,77
    $1 087,91
    $1 358,43     		$1 347,25
    $1 419,14
    $1 495,28
    $1 765,80     		$1 754,62
    $1 826,51
    $1 902,65
    $2 173,17     		$407,37
    Toc - Plan #54

    Silver

    (HMO) CareSource Marketplace Standard Silver

    Annual Out of Pocket Expenses
    Individual Family
    $5,800 $11,600 Annual Deductible
    $7,900 $15,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$415,66
    $471,77
    $531,21
    $742,37
    $1 128,10     		$831,32
    $943,54
    $1 062,42
    $1 484,74
    $2 256,20     		$1 149,30
    $1 261,52
    $1 380,40
    $1 802,72     		$1 467,28
    $1 579,50
    $1 698,38
    $2 120,70     		$1 785,26
    $1 897,48
    $2 016,36
    $2 438,68     		$733,64
    $789,75
    $849,19
    $1 060,35     		$1 051,62
    $1 107,73
    $1 167,17
    $1 378,33     		$1 369,60
    $1 425,71
    $1 485,15
    $1 696,31     		$317,98
    Toc - Plan #55

    Expanded Bronze

    (HMO) CareSource Marketplace Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $7,700 $15,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$280,08
    $317,89
    $357,94
    $500,22
    $760,13     		$560,16
    $635,78
    $715,88
    $1 000,44
    $1 520,26     		$774,42
    $850,04
    $930,14
    $1 214,70     		$988,68
    $1 064,30
    $1 144,40
    $1 428,96     		$1 202,94
    $1 278,56
    $1 358,66
    $1 643,22     		$494,34
    $532,15
    $572,20
    $714,48     		$708,60
    $746,41
    $786,46
    $928,74     		$922,86
    $960,67
    $1 000,72
    $1 143,00     		$214,26
    Toc - Plan #56

    Silver

    (HMO) CareSource Marketplace Low Deductible Silver

    Annual Out of Pocket Expenses
    Individual Family
    $5,100 $10,200 Annual Deductible
    $7,500 $15,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$426,75
    $484,36
    $545,39
    $762,18
    $1 158,20     		$853,50
    $968,72
    $1 090,78
    $1 524,36
    $2 316,40     		$1 179,96
    $1 295,18
    $1 417,24
    $1 850,82     		$1 506,42
    $1 621,64
    $1 743,70
    $2 177,28     		$1 832,88
    $1 948,10
    $2 070,16
    $2 503,74     		$753,21
    $810,82
    $871,85
    $1 088,64     		$1 079,67
    $1 137,28
    $1 198,31
    $1 415,10     		$1 406,13
    $1 463,74
    $1 524,77
    $1 741,56     		$326,46
    Toc - Plan #57

    Silver

    (HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$411,49
    $467,04
    $525,89
    $734,92
    $1 116,79     		$822,98
    $934,08
    $1 051,78
    $1 469,84
    $2 233,58     		$1 137,77
    $1 248,87
    $1 366,57
    $1 784,63     		$1 452,56
    $1 563,66
    $1 681,36
    $2 099,42     		$1 767,35
    $1 878,45
    $1 996,15
    $2 414,21     		$726,28
    $781,83
    $840,68
    $1 049,71     		$1 041,07
    $1 096,62
    $1 155,47
    $1 364,50     		$1 355,86
    $1 411,41
    $1 470,26
    $1 679,29     		$314,79
    Toc - Plan #58

    Gold

    (HMO) CareSource Marketplace Gold Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$555,62
    $630,63
    $710,08
    $992,33
    $1 507,95     		$1 111,24
    $1 261,26
    $1 420,16
    $1 984,66
    $3 015,90     		$1 536,29
    $1 686,31
    $1 845,21
    $2 409,71     		$1 961,34
    $2 111,36
    $2 270,26
    $2 834,76     		$2 386,39
    $2 536,41
    $2 695,31
    $3 259,81     		$980,67
    $1 055,68
    $1 135,13
    $1 417,38     		$1 405,72
    $1 480,73
    $1 560,18
    $1 842,43     		$1 830,77
    $1 905,78
    $1 985,23
    $2 267,48     		$425,05
    Toc - Plan #59

    Silver

    (HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $5,800 $11,600 Annual Deductible
    $7,900 $15,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$433,49
    $492,01
    $553,99
    $774,20
    $1 176,48     		$866,98
    $984,02
    $1 107,98
    $1 548,40
    $2 352,96     		$1 198,60
    $1 315,64
    $1 439,60
    $1 880,02     		$1 530,22
    $1 647,26
    $1 771,22
    $2 211,64     		$1 861,84
    $1 978,88
    $2 102,84
    $2 543,26     		$765,11
    $823,63
    $885,61
    $1 105,82     		$1 096,73
    $1 155,25
    $1 217,23
    $1 437,44     		$1 428,35
    $1 486,87
    $1 548,85
    $1 769,06     		$331,62
    Toc - Plan #60

    Expanded Bronze

    (HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $7,700 $15,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$292,74
    $332,25
    $374,11
    $522,82
    $794,48     		$585,48
    $664,50
    $748,22
    $1 045,64
    $1 588,96     		$809,42
    $888,44
    $972,16
    $1 269,58     		$1 033,36
    $1 112,38
    $1 196,10
    $1 493,52     		$1 257,30
    $1 336,32
    $1 420,04
    $1 717,46     		$516,68
    $556,19
    $598,05
    $746,76     		$740,62
    $780,13
    $821,99
    $970,70     		$964,56
    $1 004,07
    $1 045,93
    $1 194,64     		$223,94
    Toc - Plan #61

    Silver

    (HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness

    Annual Out of Pocket Expenses
    Individual Family
    $5,100 $10,200 Annual Deductible
    $7,500 $15,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$445,83
    $506,02
    $569,77
    $796,25
    $1 209,98     		$891,66
    $1 012,04
    $1 139,54
    $1 592,50
    $2 419,96     		$1 232,72
    $1 353,10
    $1 480,60
    $1 933,56     		$1 573,78
    $1 694,16
    $1 821,66
    $2 274,62     		$1 914,84
    $2 035,22
    $2 162,72
    $2 615,68     		$786,89
    $847,08
    $910,83
    $1 137,31     		$1 127,95
    $1 188,14
    $1 251,89
    $1 478,37     		$1 469,01
    $1 529,20
    $1 592,95
    $1 819,43     		$341,06
    ADVERTISEMENT

    MedMutual

    Local: 1-888-308-0357 | Toll Free: 1-888-308-0357

    Toc - Plan #62

    Gold

    (HMO) Market HMO 2000 - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$451,57
    $512,54
    $577,11
    $806,51
    $1 225,57     		$903,14
    $1 025,08
    $1 154,22
    $1 613,02
    $2 451,14     		$1 248,59
    $1 370,53
    $1 499,67
    $1 958,47     		$1 594,04
    $1 715,98
    $1 845,12
    $2 303,92     		$1 939,49
    $2 061,43
    $2 190,57
    $2 649,37     		$797,02
    $857,99
    $922,56
    $1 151,96     		$1 142,47
    $1 203,44
    $1 268,01
    $1 497,41     		$1 487,92
    $1 548,89
    $1 613,46
    $1 842,86     		$345,45
    Toc - Plan #63

    Silver

    (HMO) Market HMO 3000 - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$345,77
    $392,45
    $441,90
    $617,55
    $938,43     		$691,54
    $784,90
    $883,80
    $1 235,10
    $1 876,86     		$956,06
    $1 049,42
    $1 148,32
    $1 499,62     		$1 220,58
    $1 313,94
    $1 412,84
    $1 764,14     		$1 485,10
    $1 578,46
    $1 677,36
    $2 028,66     		$610,29
    $656,97
    $706,42
    $882,07     		$874,81
    $921,49
    $970,94
    $1 146,59     		$1 139,33
    $1 186,01
    $1 235,46
    $1 411,11     		$264,52
    Toc - Plan #64

    Silver

    (HMO) Market HMO 4000 HSA - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$344,64
    $391,16
    $440,45
    $615,52
    $935,35     		$689,28
    $782,32
    $880,90
    $1 231,04
    $1 870,70     		$952,93
    $1 045,97
    $1 144,55
    $1 494,69     		$1 216,58
    $1 309,62
    $1 408,20
    $1 758,34     		$1 480,23
    $1 573,27
    $1 671,85
    $2 021,99     		$608,29
    $654,81
    $704,10
    $879,17     		$871,94
    $918,46
    $967,75
    $1 142,82     		$1 135,59
    $1 182,11
    $1 231,40
    $1 406,47     		$263,65
    Toc - Plan #65

    Silver

    (HMO) Market HMO 6500 - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$358,25
    $406,62
    $457,85
    $639,84
    $972,30     		$716,50
    $813,24
    $915,70
    $1 279,68
    $1 944,60     		$990,56
    $1 087,30
    $1 189,76
    $1 553,74     		$1 264,62
    $1 361,36
    $1 463,82
    $1 827,80     		$1 538,68
    $1 635,42
    $1 737,88
    $2 101,86     		$632,31
    $680,68
    $731,91
    $913,90     		$906,37
    $954,74
    $1 005,97
    $1 187,96     		$1 180,43
    $1 228,80
    $1 280,03
    $1 462,02     		$274,06
    Toc - Plan #66

    Expanded Bronze

    (HMO) Market HMO 5850 HSA - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $5,850 $11,700 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$284,50
    $322,91
    $363,60
    $508,12
    $772,14     		$569,00
    $645,82
    $727,20
    $1 016,24
    $1 544,28     		$786,65
    $863,47
    $944,85
    $1 233,89     		$1 004,30
    $1 081,12
    $1 162,50
    $1 451,54     		$1 221,95
    $1 298,77
    $1 380,15
    $1 669,19     		$502,15
    $540,56
    $581,25
    $725,77     		$719,80
    $758,21
    $798,90
    $943,42     		$937,45
    $975,86
    $1 016,55
    $1 161,07     		$217,65
    Toc - Plan #67

    Expanded Bronze

    (HMO) Market HMO 7000 HSA - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$265,78
    $301,66
    $339,67
    $474,69
    $721,33     		$531,56
    $603,32
    $679,34
    $949,38
    $1 442,66     		$734,88
    $806,64
    $882,66
    $1 152,70     		$938,20
    $1 009,96
    $1 085,98
    $1 356,02     		$1 141,52
    $1 213,28
    $1 289,30
    $1 559,34     		$469,10
    $504,98
    $542,99
    $678,01     		$672,42
    $708,30
    $746,31
    $881,33     		$875,74
    $911,62
    $949,63
    $1 084,65     		$203,32
    Toc - Plan #68

    Bronze

    (HMO) Market HMO 8500 - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $8,500 $17,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$255,57
    $290,07
    $326,62
    $456,45
    $693,62     		$511,14
    $580,14
    $653,24
    $912,90
    $1 387,24     		$706,65
    $775,65
    $848,75
    $1 108,41     		$902,16
    $971,16
    $1 044,26
    $1 303,92     		$1 097,67
    $1 166,67
    $1 239,77
    $1 499,43     		$451,08
    $485,58
    $522,13
    $651,96     		$646,59
    $681,09
    $717,64
    $847,47     		$842,10
    $876,60
    $913,15
    $1 042,98     		$195,51
    Toc - Plan #69

    Expanded Bronze

    (HMO) Market HMO $0 Deductible - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$296,42
    $336,43
    $378,82
    $529,40
    $804,48     		$592,84
    $672,86
    $757,64
    $1 058,80
    $1 608,96     		$819,60
    $899,62
    $984,40
    $1 285,56     		$1 046,36
    $1 126,38
    $1 211,16
    $1 512,32     		$1 273,12
    $1 353,14
    $1 437,92
    $1 739,08     		$523,18
    $563,19
    $605,58
    $756,16     		$749,94
    $789,95
    $832,34
    $982,92     		$976,70
    $1 016,71
    $1 059,10
    $1 209,68     		$226,76
    Toc - Plan #70

    Catastrophic

    (HMO) Market HMO Young Adult Essentials - Mercy

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$161,40
    $183,19
    $206,27
    $288,26
    $438,03     		$322,80
    $366,38
    $412,54
    $576,52
    $876,06     		$446,27
    $489,85
    $536,01
    $699,99     		$569,74
    $613,32
    $659,48
    $823,46     		$693,21
    $736,79
    $782,95
    $946,93     		$284,87
    $306,66
    $329,74
    $411,73     		$408,34
    $430,13
    $453,21
    $535,20     		$531,81
    $553,60
    $576,68
    $658,67     		$123,47

    ‡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 Erie County here.

    Erie County is in “Rating Area 6” of Ohio.

    Currently, there are 70 plans offered in Rating Area 6.

    Obamacare Rates and Providers for Other Years

    2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021

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