Ohio Obamacare

2017 Obamacare Rates for Erie County

Ohio 2017 Obamacare Rates for Erie County

 
Sandusky, OH

Providers for Zip Code 44870

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Obamacare Providers, Plans and 2017 Rates for Erie County

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

2017 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

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

Currently, there are 27 plans offered in Erie County.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

 

The table below shows premiums for the following scenarios:

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

Each scenario is covered for age

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

 

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

 

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

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

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

Community Insurance Company(Anthem BCBS)

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

Plan: (PPO) Anthem Bronze Pathway X PPO 5150

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $5,150 : Family: $10,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $288.59
$327.55
$368.82
$515.42
$783.23		 $577.18
$655.10
$737.64
$1030.84
$1566.46		 $760.43
$838.35
$920.89
$1214.09		 $943.68
$1021.60
$1104.14
$1397.34		 $1126.93
$1204.85
$1287.39
$1580.59		 $471.84
$510.80
$552.07
$698.67		 $655.09
$694.05
$735.32
$881.92		 $838.34
$877.30
$918.57
$1065.17		 $183.25

Plan: (PPO) Anthem Catastrophic Pathway X PPO 7150

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $231.87
$263.17
$296.33
$414.12
$629.30		 $463.74
$526.34
$592.66
$828.24
$1258.60		 $610.98
$673.58
$739.90
$975.48		 $758.22
$820.82
$887.14
$1122.72		 $905.46
$968.06
$1034.38
$1269.96		 $379.11
$410.41
$443.57
$561.36		 $526.35
$557.65
$590.81
$708.60		 $673.59
$704.89
$738.05
$855.84		 $147.24

Plan: (PPO) Anthem Bronze Pathway X PPO 0 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $288.99
$328.00
$369.33
$516.14
$784.32		 $577.98
$656.00
$738.66
$1032.28
$1568.64		 $761.49
$839.51
$922.17
$1215.79		 $945.00
$1023.02
$1105.68
$1399.30		 $1128.51
$1206.53
$1289.19
$1582.81		 $472.50
$511.51
$552.84
$699.65		 $656.01
$695.02
$736.35
$883.16		 $839.52
$878.53
$919.86
$1066.67		 $183.51

Plan: (PPO) Anthem Bronze Pathway X PPO 6800

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $6,800 : Family: $13,600
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $291.60
$330.97
$372.66
$520.80
$791.40		 $583.20
$661.94
$745.32
$1041.60
$1582.80		 $768.37
$847.11
$930.49
$1226.77		 $953.54
$1032.28
$1115.66
$1411.94		 $1138.71
$1217.45
$1300.83
$1597.11		 $476.77
$516.14
$557.83
$705.97		 $661.94
$701.31
$743.00
$891.14		 $847.11
$886.48
$928.17
$1076.31		 $185.17

Plan: (PPO) Anthem Silver Pathway X PPO 3000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $343.40
$389.76
$438.87
$613.31
$931.99		 $686.80
$779.52
$877.74
$1226.62
$1863.98		 $904.86
$997.58
$1095.80
$1444.68		 $1122.92
$1215.64
$1313.86
$1662.74		 $1340.98
$1433.70
$1531.92
$1880.80		 $561.46
$607.82
$656.93
$831.37		 $779.52
$825.88
$874.99
$1049.43		 $997.58
$1043.94
$1093.05
$1267.49		 $218.06

Plan: (PPO) Anthem Silver Pathway X PPO 10 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $347.19
$394.06
$443.71
$620.08
$942.27		 $694.38
$788.12
$887.42
$1240.16
$1884.54		 $914.85
$1008.59
$1107.89
$1460.63		 $1135.32
$1229.06
$1328.36
$1681.10		 $1355.79
$1449.53
$1548.83
$1901.57		 $567.66
$614.53
$664.18
$840.55		 $788.13
$835.00
$884.65
$1061.02		 $1008.60
$1055.47
$1105.12
$1281.49		 $220.47

Plan: (PPO) Anthem Silver Pathway X PPO 4050

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $4,050 : Family: $8,100
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $346.19
$392.93
$442.43
$618.30
$939.56		 $692.38
$785.86
$884.86
$1236.60
$1879.12		 $912.21
$1005.69
$1104.69
$1456.43		 $1132.04
$1225.52
$1324.52
$1676.26		 $1351.87
$1445.35
$1544.35
$1896.09		 $566.02
$612.76
$662.26
$838.13		 $785.85
$832.59
$882.09
$1057.96		 $1005.68
$1052.42
$1101.92
$1277.79		 $219.83

Plan: (PPO) Anthem Silver Pathway X PPO 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $355.93
$403.98
$454.88
$635.69
$965.99		 $711.86
$807.96
$909.76
$1271.38
$1931.98		 $937.88
$1033.98
$1135.78
$1497.40		 $1163.90
$1260.00
$1361.80
$1723.42		 $1389.92
$1486.02
$1587.82
$1949.44		 $581.95
$630.00
$680.90
$861.71		 $807.97
$856.02
$906.92
$1087.73		 $1033.99
$1082.04
$1132.94
$1313.75		 $226.02

Plan: (PPO) Anthem Silver Pathway X PPO 2500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $353.80
$401.56
$452.16
$631.89
$960.21		 $707.60
$803.12
$904.32
$1263.78
$1920.42		 $932.26
$1027.78
$1128.98
$1488.44		 $1156.92
$1252.44
$1353.64
$1713.10		 $1381.58
$1477.10
$1578.30
$1937.76		 $578.46
$626.22
$676.82
$856.55		 $803.12
$850.88
$901.48
$1081.21		 $1027.78
$1075.54
$1126.14
$1305.87		 $224.66

Plan: (PPO) Anthem Silver Pathway X PPO 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $5,700 : Family: $11,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $345.18
$391.78
$441.14
$616.49
$936.82		 $690.36
$783.56
$882.28
$1232.98
$1873.64		 $909.55
$1002.75
$1101.47
$1452.17		 $1128.74
$1221.94
$1320.66
$1671.36		 $1347.93
$1441.13
$1539.85
$1890.55		 $564.37
$610.97
$660.33
$835.68		 $783.56
$830.16
$879.52
$1054.87		 $1002.75
$1049.35
$1098.71
$1274.06		 $219.19

Plan: (PPO) Anthem Bronze Pathway X PPO 5850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $5,850 : Family: $11,700
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $281.91
$319.97
$360.28
$503.49
$765.10		 $563.82
$639.94
$720.56
$1006.98
$1530.20		 $742.83
$818.95
$899.57
$1185.99		 $921.84
$997.96
$1078.58
$1365.00		 $1100.85
$1176.97
$1257.59
$1544.01		 $460.92
$498.98
$539.29
$682.50		 $639.93
$677.99
$718.30
$861.51		 $818.94
$857.00
$897.31
$1040.52		 $179.01

Plan: (HMO) Anthem Bronze Pathway X HMO 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $274.70
$311.78
$351.07
$490.61
$745.54		 $549.40
$623.56
$702.14
$981.22
$1491.08		 $723.83
$797.99
$876.57
$1155.65		 $898.26
$972.42
$1051.00
$1330.08		 $1072.69
$1146.85
$1225.43
$1504.51		 $449.13
$486.21
$525.50
$665.04		 $623.56
$660.64
$699.93
$839.47		 $797.99
$835.07
$874.36
$1013.90		 $174.43

Plan: (HMO) Anthem Bronze Pathway X HMO 5200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $5,200 : Family: $10,400
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $278.28
$315.85
$355.64
$497.01
$755.25		 $556.56
$631.70
$711.28
$994.02
$1510.50		 $733.27
$808.41
$887.99
$1170.73		 $909.98
$985.12
$1064.70
$1347.44		 $1086.69
$1161.83
$1241.41
$1524.15		 $454.99
$492.56
$532.35
$673.72		 $631.70
$669.27
$709.06
$850.43		 $808.41
$845.98
$885.77
$1027.14		 $176.71

Plan: (HMO) Anthem Bronze Pathway X HMO 7150

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $270.88
$307.45
$346.18
$483.79
$735.17		 $541.76
$614.90
$692.36
$967.58
$1470.34		 $713.77
$786.91
$864.37
$1139.59		 $885.78
$958.92
$1036.38
$1311.60		 $1057.79
$1130.93
$1208.39
$1483.61		 $442.89
$479.46
$518.19
$655.80		 $614.90
$651.47
$690.20
$827.81		 $786.91
$823.48
$862.21
$999.82		 $172.01

Plan: (HMO) Anthem Silver Pathway X HMO 4250

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $4,250 : Family: $8,500
Out of Pocket Maximum per year: Individual: $5,250 : Family: $10,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $325.60
$369.56
$416.12
$581.52
$883.68		 $651.20
$739.12
$832.24
$1163.04
$1767.36		 $857.96
$945.88
$1039.00
$1369.80		 $1064.72
$1152.64
$1245.76
$1576.56		 $1271.48
$1359.40
$1452.52
$1783.32		 $532.36
$576.32
$622.88
$788.28		 $739.12
$783.08
$829.64
$995.04		 $945.88
$989.84
$1036.40
$1201.80		 $206.76

Plan: (HMO) Anthem Silver Pathway X HMO 2850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $2,850 : Family: $5,700
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $325.72
$369.69
$416.27
$581.74
$884.00		 $651.44
$739.38
$832.54
$1163.48
$1768.00		 $858.27
$946.21
$1039.37
$1370.31		 $1065.10
$1153.04
$1246.20
$1577.14		 $1271.93
$1359.87
$1453.03
$1783.97		 $532.55
$576.52
$623.10
$788.57		 $739.38
$783.35
$829.93
$995.40		 $946.21
$990.18
$1036.76
$1202.23		 $206.83

Plan: (HMO) Anthem Gold Pathway X HMO 1450

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $1,450 : Family: $4,350
Out of Pocket Maximum per year: Individual: $4,200 : Family: $8,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $416.26
$472.46
$531.98
$743.44
$1129.73		 $832.52
$944.92
$1063.96
$1486.88
$2259.46		 $1096.85
$1209.25
$1328.29
$1751.21		 $1361.18
$1473.58
$1592.62
$2015.54		 $1625.51
$1737.91
$1856.95
$2279.87		 $680.59
$736.79
$796.31
$1007.77		 $944.92
$1001.12
$1060.64
$1272.10		 $1209.25
$1265.45
$1324.97
$1536.43		 $264.33

Plan: (HMO) Anthem Silver Core Pathway X HMO 5300

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $5,300 : Family: $10,600
Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $305.01
$346.19
$389.80
$544.75
$827.80		 $610.02
$692.38
$779.60
$1089.50
$1655.60		 $803.70
$886.06
$973.28
$1283.18		 $997.38
$1079.74
$1166.96
$1476.86		 $1191.06
$1273.42
$1360.64
$1670.54		 $498.69
$539.87
$583.48
$738.43		 $692.37
$733.55
$777.16
$932.11		 $886.05
$927.23
$970.84
$1125.79		 $193.68

Plan: (HMO) Anthem Bronze Pathway X HMO 0 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $280.22
$318.05
$358.12
$500.47
$760.52		 $560.44
$636.10
$716.24
$1000.94
$1521.04		 $738.38
$814.04
$894.18
$1178.88		 $916.32
$991.98
$1072.12
$1356.82		 $1094.26
$1169.92
$1250.06
$1534.76		 $458.16
$495.99
$536.06
$678.41		 $636.10
$673.93
$714.00
$856.35		 $814.04
$851.87
$891.94
$1034.29		 $177.94

Plan: (HMO) Anthem Silver Pathway X HMO 10 for HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $3,200 : Family: $6,400
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $329.58
$374.07
$421.20
$588.63
$894.48		 $659.16
$748.14
$842.40
$1177.26
$1788.96		 $868.44
$957.42
$1051.68
$1386.54		 $1077.72
$1166.70
$1260.96
$1595.82		 $1287.00
$1375.98
$1470.24
$1805.10		 $538.86
$583.35
$630.48
$797.91		 $748.14
$792.63
$839.76
$1007.19		 $957.42
$1001.91
$1049.04
$1216.47		 $209.28

Plan: (HMO) Anthem Silver Pathway X HMO 3500

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $5,700 : Family: $11,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $332.96
$377.91
$425.52
$594.67
$903.65		 $665.92
$755.82
$851.04
$1189.34
$1807.30		 $877.35
$967.25
$1062.47
$1400.77		 $1088.78
$1178.68
$1273.90
$1612.20		 $1300.21
$1390.11
$1485.33
$1823.63		 $544.39
$589.34
$636.95
$806.10		 $755.82
$800.77
$848.38
$1017.53		 $967.25
$1012.20
$1059.81
$1228.96		 $211.43

Paramount Insurance Company

Local: 1-419-887-2525 | Toll Free: 1-800-462-3589

TTY: 1-888-740-5670

Plan: (HMO) Paramount Gold 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $355.97
$404.03
$454.93
$635.76
$966.10		 $711.94
$808.06
$909.86
$1271.52
$1932.20		 $937.98
$1034.10
$1135.90
$1497.56		 $1164.02
$1260.14
$1361.94
$1723.60		 $1390.06
$1486.18
$1587.98
$1949.64		 $582.01
$630.07
$680.97
$861.80		 $808.05
$856.11
$907.01
$1087.84		 $1034.09
$1082.15
$1133.05
$1313.88		 $226.04

Plan: (HMO) Paramount Silver 1

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

Deductible: Individual: $3,250 : Family: $6,500
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $303.60
$344.59
$388.00
$542.23
$823.98		 $607.20
$689.18
$776.00
$1084.46
$1647.96		 $799.99
$881.97
$968.79
$1277.25		 $992.78
$1074.76
$1161.58
$1470.04		 $1185.57
$1267.55
$1354.37
$1662.83		 $496.39
$537.38
$580.79
$735.02		 $689.18
$730.17
$773.58
$927.81		 $881.97
$922.96
$966.37
$1120.60		 $192.79

Plan: (HMO) Paramount Silver 2

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $316.70
$359.45
$404.74
$565.62
$859.51		 $633.40
$718.90
$809.48
$1131.24
$1719.02		 $834.50
$920.00
$1010.58
$1332.34		 $1035.60
$1121.10
$1211.68
$1533.44		 $1236.70
$1322.20
$1412.78
$1734.54		 $517.80
$560.55
$605.84
$766.72		 $718.90
$761.65
$806.94
$967.82		 $920.00
$962.75
$1008.04
$1168.92		 $201.10

Plan: (HMO) Paramount Bronze 1 HSA

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $253.50
$287.72
$323.97
$452.75
$688.00		 $507.00
$575.44
$647.94
$905.50
$1376.00		 $667.97
$736.41
$808.91
$1066.47		 $828.94
$897.38
$969.88
$1227.44		 $989.91
$1058.35
$1130.85
$1388.41		 $414.47
$448.69
$484.94
$613.72		 $575.44
$609.66
$645.91
$774.69		 $736.41
$770.63
$806.88
$935.66		 $160.97

Plan: (HMO) Paramount Silver Standard

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $312.22
$354.37
$399.02
$557.63
$847.38		 $624.44
$708.74
$798.04
$1115.26
$1694.76		 $822.70
$907.00
$996.30
$1313.52		 $1020.96
$1105.26
$1194.56
$1511.78		 $1219.22
$1303.52
$1392.82
$1710.04		 $510.48
$552.63
$597.28
$755.89		 $708.74
$750.89
$795.54
$954.15		 $907.00
$949.15
$993.80
$1152.41		 $198.26

Plan: (HMO) Paramount Bronze Standard

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $269.05
$305.37
$343.84
$480.52
$730.20		 $538.10
$610.74
$687.68
$961.04
$1460.40		 $708.95
$781.59
$858.53
$1131.89		 $879.80
$952.44
$1029.38
$1302.74		 $1050.65
$1123.29
$1200.23
$1473.59		 $439.90
$476.22
$514.69
$651.37		 $610.75
$647.07
$685.54
$822.22		 $781.60
$817.92
$856.39
$993.07		 $170.85