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

Obamacare > Rates > Ohio > Stark County

Obamacare Rates and Providers for Other Years

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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 Stark County, Ohio.

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

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

Below, you’ll find a summary of the 124 plans for Stark County, Ohio and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • AultCare Insurance Company

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

  • 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

  • Oscar Insurance Corporation of Ohio

    Local: 1-855-672-2755 | Toll Free: 1-855-672-2755
  • SummaCare

    Local: 1-330-996-8675 | Toll Free: 1-888-996-8675 | TTY: 1-800-750-0750

  • Molina Healthcare

    Local: 1-888-296-7677 | Toll Free: 1-888-296-7677
  • 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 Massillon, OH area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Stark County

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    AultCare Insurance Company

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

    Toc - Plan #1

    Expanded Bronze

    (PPO) AultCare Bronze 5750 No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $384,18
    $436,04
    $490,97
    $686,13
    $1 042,65
    $768,36
    $872,08
    $981,94
    $1 372,26
    $2 085,30
    $1 062,25
    $1 165,97
    $1 275,83
    $1 666,15
    $1 356,14
    $1 459,86
    $1 569,72
    $1 960,04
    $1 650,03
    $1 753,75
    $1 863,61
    $2 253,93
    $678,07
    $729,93
    $784,86
    $980,02
    $971,96
    $1 023,82
    $1 078,75
    $1 273,91
    $1 265,85
    $1 317,71
    $1 372,64
    $1 567,80
    $293,89
    Toc - Plan #2

    Silver

    (PPO) AultCare Silver 5000 No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $6,000 $12,000 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
    $509,81
    $578,63
    $651,53
    $910,51
    $1 383,61
    $1 019,62
    $1 157,26
    $1 303,06
    $1 821,02
    $2 767,22
    $1 409,62
    $1 547,26
    $1 693,06
    $2 211,02
    $1 799,62
    $1 937,26
    $2 083,06
    $2 601,02
    $2 189,62
    $2 327,26
    $2 473,06
    $2 991,02
    $899,81
    $968,63
    $1 041,53
    $1 300,51
    $1 289,81
    $1 358,63
    $1 431,53
    $1 690,51
    $1 679,81
    $1 748,63
    $1 821,53
    $2 080,51
    $390,00
    Toc - Plan #3

    Gold

    (PPO) AultCare Gold 1000 No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,600 $13,200 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
    $620,67
    $704,45
    $793,21
    $1 108,50
    $1 684,48
    $1 241,34
    $1 408,90
    $1 586,42
    $2 217,00
    $3 368,96
    $1 716,15
    $1 883,71
    $2 061,23
    $2 691,81
    $2 190,96
    $2 358,52
    $2 536,04
    $3 166,62
    $2 665,77
    $2 833,33
    $3 010,85
    $3 641,43
    $1 095,48
    $1 179,26
    $1 268,02
    $1 583,31
    $1 570,29
    $1 654,07
    $1 742,83
    $2 058,12
    $2 045,10
    $2 128,88
    $2 217,64
    $2 532,93
    $474,81
    Toc - Plan #4

    Catastrophic

    (PPO) AultCare Catastrophic Select

    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
    $195,18
    $221,52
    $249,43
    $348,57
    $529,69
    $390,36
    $443,04
    $498,86
    $697,14
    $1 059,38
    $539,67
    $592,35
    $648,17
    $846,45
    $688,98
    $741,66
    $797,48
    $995,76
    $838,29
    $890,97
    $946,79
    $1 145,07
    $344,49
    $370,83
    $398,74
    $497,88
    $493,80
    $520,14
    $548,05
    $647,19
    $643,11
    $669,45
    $697,36
    $796,50
    $149,31
    Toc - Plan #5

    Expanded Bronze

    (PPO) AultCare Bronze 5750 Select

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $303,45
    $344,41
    $387,80
    $541,95
    $823,55
    $606,90
    $688,82
    $775,60
    $1 083,90
    $1 647,10
    $839,03
    $920,95
    $1 007,73
    $1 316,03
    $1 071,16
    $1 153,08
    $1 239,86
    $1 548,16
    $1 303,29
    $1 385,21
    $1 471,99
    $1 780,29
    $535,58
    $576,54
    $619,93
    $774,08
    $767,71
    $808,67
    $852,06
    $1 006,21
    $999,84
    $1 040,80
    $1 084,19
    $1 238,34
    $232,13
    Toc - Plan #6

    Silver

    (PPO) AultCare Silver 5000 Select

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $6,000 $12,000 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
    $401,73
    $455,96
    $513,40
    $717,48
    $1 090,28
    $803,46
    $911,92
    $1 026,80
    $1 434,96
    $2 180,56
    $1 110,78
    $1 219,24
    $1 334,12
    $1 742,28
    $1 418,10
    $1 526,56
    $1 641,44
    $2 049,60
    $1 725,42
    $1 833,88
    $1 948,76
    $2 356,92
    $709,05
    $763,28
    $820,72
    $1 024,80
    $1 016,37
    $1 070,60
    $1 128,04
    $1 332,12
    $1 323,69
    $1 377,92
    $1 435,36
    $1 639,44
    $307,32
    Toc - Plan #7

    Gold

    (PPO) AultCare Gold 1000 Select

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,600 $13,200 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
    $489,96
    $556,10
    $626,16
    $875,06
    $1 329,74
    $979,92
    $1 112,20
    $1 252,32
    $1 750,12
    $2 659,48
    $1 354,74
    $1 487,02
    $1 627,14
    $2 124,94
    $1 729,56
    $1 861,84
    $2 001,96
    $2 499,76
    $2 104,38
    $2 236,66
    $2 376,78
    $2 874,58
    $864,78
    $930,92
    $1 000,98
    $1 249,88
    $1 239,60
    $1 305,74
    $1 375,80
    $1 624,70
    $1 614,42
    $1 680,56
    $1 750,62
    $1 999,52
    $374,82
    Toc - Plan #8

    Catastrophic

    (PPO) AultCare Catastrophic

    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
    $249,82
    $283,54
    $319,27
    $446,18
    $678,01
    $499,64
    $567,08
    $638,54
    $892,36
    $1 356,02
    $690,75
    $758,19
    $829,65
    $1 083,47
    $881,86
    $949,30
    $1 020,76
    $1 274,58
    $1 072,97
    $1 140,41
    $1 211,87
    $1 465,69
    $440,93
    $474,65
    $510,38
    $637,29
    $632,04
    $665,76
    $701,49
    $828,40
    $823,15
    $856,87
    $892,60
    $1 019,51
    $191,11
    Toc - Plan #9

    Expanded Bronze

    (PPO) AultCare Bronze 5750

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $388,41
    $440,84
    $496,39
    $693,70
    $1 054,14
    $776,82
    $881,68
    $992,78
    $1 387,40
    $2 108,28
    $1 073,95
    $1 178,81
    $1 289,91
    $1 684,53
    $1 371,08
    $1 475,94
    $1 587,04
    $1 981,66
    $1 668,21
    $1 773,07
    $1 884,17
    $2 278,79
    $685,54
    $737,97
    $793,52
    $990,83
    $982,67
    $1 035,10
    $1 090,65
    $1 287,96
    $1 279,80
    $1 332,23
    $1 387,78
    $1 585,09
    $297,13
    Toc - Plan #10

    Silver

    (PPO) AultCare Silver 5000

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $6,000 $12,000 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
    $514,21
    $583,62
    $657,16
    $918,37
    $1 395,56
    $1 028,42
    $1 167,24
    $1 314,32
    $1 836,74
    $2 791,12
    $1 421,79
    $1 560,61
    $1 707,69
    $2 230,11
    $1 815,16
    $1 953,98
    $2 101,06
    $2 623,48
    $2 208,53
    $2 347,35
    $2 494,43
    $3 016,85
    $907,58
    $976,99
    $1 050,53
    $1 311,74
    $1 300,95
    $1 370,36
    $1 443,90
    $1 705,11
    $1 694,32
    $1 763,73
    $1 837,27
    $2 098,48
    $393,37
    Toc - Plan #11

    Gold

    (PPO) AultCare Gold 1000

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,600 $13,200 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
    $627,15
    $711,81
    $801,49
    $1 120,08
    $1 702,07
    $1 254,30
    $1 423,62
    $1 602,98
    $2 240,16
    $3 404,14
    $1 734,07
    $1 903,39
    $2 082,75
    $2 719,93
    $2 213,84
    $2 383,16
    $2 562,52
    $3 199,70
    $2 693,61
    $2 862,93
    $3 042,29
    $3 679,47
    $1 106,92
    $1 191,58
    $1 281,26
    $1 599,85
    $1 586,69
    $1 671,35
    $1 761,03
    $2 079,62
    $2 066,46
    $2 151,12
    $2 240,80
    $2 559,39
    $479,77
    Toc - Plan #12

    Catastrophic

    (PPO) AultCare Catastrophic No Pediatric Dental

    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
    $247,16
    $280,52
    $315,86
    $441,42
    $670,78
    $494,32
    $561,04
    $631,72
    $882,84
    $1 341,56
    $683,39
    $750,11
    $820,79
    $1 071,91
    $872,46
    $939,18
    $1 009,86
    $1 260,98
    $1 061,53
    $1 128,25
    $1 198,93
    $1 450,05
    $436,23
    $469,59
    $504,93
    $630,49
    $625,30
    $658,66
    $694,00
    $819,56
    $814,37
    $847,73
    $883,07
    $1 008,63
    $189,07
    Toc - Plan #13

    Gold

    (PPO) AultCare Gold 1000 Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,600 $13,200 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
    $484,90
    $550,35
    $619,69
    $866,02
    $1 316,00
    $969,80
    $1 100,70
    $1 239,38
    $1 732,04
    $2 632,00
    $1 340,74
    $1 471,64
    $1 610,32
    $2 102,98
    $1 711,68
    $1 842,58
    $1 981,26
    $2 473,92
    $2 082,62
    $2 213,52
    $2 352,20
    $2 844,86
    $855,84
    $921,29
    $990,63
    $1 236,96
    $1 226,78
    $1 292,23
    $1 361,57
    $1 607,90
    $1 597,72
    $1 663,17
    $1 732,51
    $1 978,84
    $370,94
    Toc - Plan #14

    Silver

    (PPO) AultCare Silver 5000 Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $6,000 $12,000 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
    $398,29
    $452,05
    $509,01
    $711,34
    $1 080,95
    $796,58
    $904,10
    $1 018,02
    $1 422,68
    $2 161,90
    $1 101,27
    $1 208,79
    $1 322,71
    $1 727,37
    $1 405,96
    $1 513,48
    $1 627,40
    $2 032,06
    $1 710,65
    $1 818,17
    $1 932,09
    $2 336,75
    $702,98
    $756,74
    $813,70
    $1 016,03
    $1 007,67
    $1 061,43
    $1 118,39
    $1 320,72
    $1 312,36
    $1 366,12
    $1 423,08
    $1 625,41
    $304,69
    Toc - Plan #15

    Expanded Bronze

    (PPO) AultCare Bronze 5750 Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $300,14
    $340,65
    $383,57
    $536,04
    $814,57
    $600,28
    $681,30
    $767,14
    $1 072,08
    $1 629,14
    $829,88
    $910,90
    $996,74
    $1 301,68
    $1 059,48
    $1 140,50
    $1 226,34
    $1 531,28
    $1 289,08
    $1 370,10
    $1 455,94
    $1 760,88
    $529,74
    $570,25
    $613,17
    $765,64
    $759,34
    $799,85
    $842,77
    $995,24
    $988,94
    $1 029,45
    $1 072,37
    $1 224,84
    $229,60
    Toc - Plan #16

    Catastrophic

    (PPO) AultCare Catastrophic Select No Pediatric Dental

    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
    $193,09
    $219,16
    $246,77
    $344,86
    $524,04
    $386,18
    $438,32
    $493,54
    $689,72
    $1 048,08
    $533,89
    $586,03
    $641,25
    $837,43
    $681,60
    $733,74
    $788,96
    $985,14
    $829,31
    $881,45
    $936,67
    $1 132,85
    $340,80
    $366,87
    $394,48
    $492,57
    $488,51
    $514,58
    $542,19
    $640,28
    $636,22
    $662,29
    $689,90
    $787,99
    $147,71
    Toc - Plan #17

    Silver

    (PPO) AultCare Silver 6850

    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
    $443,58
    $503,45
    $566,89
    $792,22
    $1 203,85
    $887,16
    $1 006,90
    $1 133,78
    $1 584,44
    $2 407,70
    $1 226,49
    $1 346,23
    $1 473,11
    $1 923,77
    $1 565,82
    $1 685,56
    $1 812,44
    $2 263,10
    $1 905,15
    $2 024,89
    $2 151,77
    $2 602,43
    $782,91
    $842,78
    $906,22
    $1 131,55
    $1 122,24
    $1 182,11
    $1 245,55
    $1 470,88
    $1 461,57
    $1 521,44
    $1 584,88
    $1 810,21
    $339,33
    Toc - Plan #18

    Silver

    (PPO) AultCare Silver 6850 Select

    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
    $346,55
    $393,32
    $442,88
    $618,92
    $940,51
    $693,10
    $786,64
    $885,76
    $1 237,84
    $1 881,02
    $958,20
    $1 051,74
    $1 150,86
    $1 502,94
    $1 223,30
    $1 316,84
    $1 415,96
    $1 768,04
    $1 488,40
    $1 581,94
    $1 681,06
    $2 033,14
    $611,65
    $658,42
    $707,98
    $884,02
    $876,75
    $923,52
    $973,08
    $1 149,12
    $1 141,85
    $1 188,62
    $1 238,18
    $1 414,22
    $265,10
    Toc - Plan #19

    Silver

    (PPO) AultCare Silver 6850 No Pediatric Dental

    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
    $438,86
    $498,10
    $560,86
    $783,80
    $1 191,06
    $877,72
    $996,20
    $1 121,72
    $1 567,60
    $2 382,12
    $1 213,45
    $1 331,93
    $1 457,45
    $1 903,33
    $1 549,18
    $1 667,66
    $1 793,18
    $2 239,06
    $1 884,91
    $2 003,39
    $2 128,91
    $2 574,79
    $774,59
    $833,83
    $896,59
    $1 119,53
    $1 110,32
    $1 169,56
    $1 232,32
    $1 455,26
    $1 446,05
    $1 505,29
    $1 568,05
    $1 790,99
    $335,73
    Toc - Plan #20

    Silver

    (PPO) AultCare Silver 6850 Select No Pediatric Dental

    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
    $342,86
    $389,14
    $438,17
    $612,34
    $930,52
    $685,72
    $778,28
    $876,34
    $1 224,68
    $1 861,04
    $948,01
    $1 040,57
    $1 138,63
    $1 486,97
    $1 210,30
    $1 302,86
    $1 400,92
    $1 749,26
    $1 472,59
    $1 565,15
    $1 663,21
    $2 011,55
    $605,15
    $651,43
    $700,46
    $874,63
    $867,44
    $913,72
    $962,75
    $1 136,92
    $1 129,73
    $1 176,01
    $1 225,04
    $1 399,21
    $262,29
    Toc - Plan #21

    Expanded Bronze

    (PPO) AultCare Bronze 6850

    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
    $389,95
    $442,58
    $498,34
    $696,43
    $1 058,30
    $779,90
    $885,16
    $996,68
    $1 392,86
    $2 116,60
    $1 078,21
    $1 183,47
    $1 294,99
    $1 691,17
    $1 376,52
    $1 481,78
    $1 593,30
    $1 989,48
    $1 674,83
    $1 780,09
    $1 891,61
    $2 287,79
    $688,26
    $740,89
    $796,65
    $994,74
    $986,57
    $1 039,20
    $1 094,96
    $1 293,05
    $1 284,88
    $1 337,51
    $1 393,27
    $1 591,36
    $298,31
    Toc - Plan #22

    Expanded Bronze

    (PPO) AultCare Bronze 6850 Select

    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
    $304,65
    $345,77
    $389,33
    $544,09
    $826,80
    $609,30
    $691,54
    $778,66
    $1 088,18
    $1 653,60
    $842,35
    $924,59
    $1 011,71
    $1 321,23
    $1 075,40
    $1 157,64
    $1 244,76
    $1 554,28
    $1 308,45
    $1 390,69
    $1 477,81
    $1 787,33
    $537,70
    $578,82
    $622,38
    $777,14
    $770,75
    $811,87
    $855,43
    $1 010,19
    $1 003,80
    $1 044,92
    $1 088,48
    $1 243,24
    $233,05
    Toc - Plan #23

    Expanded Bronze

    (PPO) AultCare Bronze 6850 No Pediatric Dental

    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
    $385,73
    $437,79
    $492,95
    $688,90
    $1 046,84
    $771,46
    $875,58
    $985,90
    $1 377,80
    $2 093,68
    $1 066,54
    $1 170,66
    $1 280,98
    $1 672,88
    $1 361,62
    $1 465,74
    $1 576,06
    $1 967,96
    $1 656,70
    $1 760,82
    $1 871,14
    $2 263,04
    $680,81
    $732,87
    $788,03
    $983,98
    $975,89
    $1 027,95
    $1 083,11
    $1 279,06
    $1 270,97
    $1 323,03
    $1 378,19
    $1 574,14
    $295,08
    Toc - Plan #24

    Expanded Bronze

    (PPO) AultCare Bronze 6850 Select No Pediatric Dental

    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
    $301,35
    $342,03
    $385,12
    $538,20
    $817,85
    $602,70
    $684,06
    $770,24
    $1 076,40
    $1 635,70
    $833,23
    $914,59
    $1 000,77
    $1 306,93
    $1 063,76
    $1 145,12
    $1 231,30
    $1 537,46
    $1 294,29
    $1 375,65
    $1 461,83
    $1 767,99
    $531,88
    $572,56
    $615,65
    $768,73
    $762,41
    $803,09
    $846,18
    $999,26
    $992,94
    $1 033,62
    $1 076,71
    $1 229,79
    $230,53
    Toc - Plan #25

    Expanded Bronze

    (PPO) AultCare Bronze Standard Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,650 $13,300 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
    $290,60
    $329,83
    $371,38
    $519,01
    $788,68
    $581,20
    $659,66
    $742,76
    $1 038,02
    $1 577,36
    $803,51
    $881,97
    $965,07
    $1 260,33
    $1 025,82
    $1 104,28
    $1 187,38
    $1 482,64
    $1 248,13
    $1 326,59
    $1 409,69
    $1 704,95
    $512,91
    $552,14
    $593,69
    $741,32
    $735,22
    $774,45
    $816,00
    $963,63
    $957,53
    $996,76
    $1 038,31
    $1 185,94
    $222,31
    Toc - Plan #26

    Bronze

    (PPO) AultCare Bronze 8250

    Annual Out of Pocket Expenses
    Individual Family
    $8,250 $16,500 Annual Deductible
    $8,250 $16,500 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
    $323,19
    $366,81
    $413,03
    $577,20
    $877,12
    $646,38
    $733,62
    $826,06
    $1 154,40
    $1 754,24
    $893,61
    $980,85
    $1 073,29
    $1 401,63
    $1 140,84
    $1 228,08
    $1 320,52
    $1 648,86
    $1 388,07
    $1 475,31
    $1 567,75
    $1 896,09
    $570,42
    $614,04
    $660,26
    $824,43
    $817,65
    $861,27
    $907,49
    $1 071,66
    $1 064,88
    $1 108,50
    $1 154,72
    $1 318,89
    $247,23
    Toc - Plan #27

    Bronze

    (PPO) AultCare Bronze 8250 Select

    Annual Out of Pocket Expenses
    Individual Family
    $8,250 $16,500 Annual Deductible
    $8,250 $16,500 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
    $252,49
    $286,57
    $322,68
    $450,94
    $685,25
    $504,98
    $573,14
    $645,36
    $901,88
    $1 370,50
    $698,13
    $766,29
    $838,51
    $1 095,03
    $891,28
    $959,44
    $1 031,66
    $1 288,18
    $1 084,43
    $1 152,59
    $1 224,81
    $1 481,33
    $445,64
    $479,72
    $515,83
    $644,09
    $638,79
    $672,87
    $708,98
    $837,24
    $831,94
    $866,02
    $902,13
    $1 030,39
    $193,15
    Toc - Plan #28

    Bronze

    (PPO) AultCare Bronze 8250 No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,250 $16,500 Annual Deductible
    $8,250 $16,500 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
    $319,57
    $362,71
    $408,41
    $570,75
    $867,30
    $639,14
    $725,42
    $816,82
    $1 141,50
    $1 734,60
    $883,61
    $969,89
    $1 061,29
    $1 385,97
    $1 128,08
    $1 214,36
    $1 305,76
    $1 630,44
    $1 372,55
    $1 458,83
    $1 550,23
    $1 874,91
    $564,04
    $607,18
    $652,88
    $815,22
    $808,51
    $851,65
    $897,35
    $1 059,69
    $1 052,98
    $1 096,12
    $1 141,82
    $1 304,16
    $244,47
    Toc - Plan #29

    Bronze

    (PPO) AultCare Bronze 8250 Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,250 $16,500 Annual Deductible
    $8,250 $16,500 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
    $249,67
    $283,37
    $319,07
    $445,90
    $677,58
    $499,34
    $566,74
    $638,14
    $891,80
    $1 355,16
    $690,33
    $757,73
    $829,13
    $1 082,79
    $881,32
    $948,72
    $1 020,12
    $1 273,78
    $1 072,31
    $1 139,71
    $1 211,11
    $1 464,77
    $440,66
    $474,36
    $510,06
    $636,89
    $631,65
    $665,35
    $701,05
    $827,88
    $822,64
    $856,34
    $892,04
    $1 018,87
    $190,99
    Toc - Plan #30

    Bronze

    (PPO) AultCare Bronze 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
    $314,57
    $357,04
    $402,02
    $561,82
    $853,74
    $629,14
    $714,08
    $804,04
    $1 123,64
    $1 707,48
    $869,79
    $954,73
    $1 044,69
    $1 364,29
    $1 110,44
    $1 195,38
    $1 285,34
    $1 604,94
    $1 351,09
    $1 436,03
    $1 525,99
    $1 845,59
    $555,22
    $597,69
    $642,67
    $802,47
    $795,87
    $838,34
    $883,32
    $1 043,12
    $1 036,52
    $1 078,99
    $1 123,97
    $1 283,77
    $240,65
    Toc - Plan #31

    Bronze

    (PPO) AultCare Bronze 8550 Select

    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
    $245,76
    $278,93
    $314,08
    $438,92
    $666,98
    $491,52
    $557,86
    $628,16
    $877,84
    $1 333,96
    $679,52
    $745,86
    $816,16
    $1 065,84
    $867,52
    $933,86
    $1 004,16
    $1 253,84
    $1 055,52
    $1 121,86
    $1 192,16
    $1 441,84
    $433,76
    $466,93
    $502,08
    $626,92
    $621,76
    $654,93
    $690,08
    $814,92
    $809,76
    $842,93
    $878,08
    $1 002,92
    $188,00
    Toc - Plan #32

    Bronze

    (PPO) AultCare Bronze 8550 No Pediatric Dental

    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
    $311,11
    $353,11
    $397,60
    $555,64
    $844,35
    $622,22
    $706,22
    $795,20
    $1 111,28
    $1 688,70
    $860,22
    $944,22
    $1 033,20
    $1 349,28
    $1 098,22
    $1 182,22
    $1 271,20
    $1 587,28
    $1 336,22
    $1 420,22
    $1 509,20
    $1 825,28
    $549,11
    $591,11
    $635,60
    $793,64
    $787,11
    $829,11
    $873,60
    $1 031,64
    $1 025,11
    $1 067,11
    $1 111,60
    $1 269,64
    $238,00
    Toc - Plan #33

    Bronze

    (PPO) AultCare Bronze 8550 Select No Pediatric Dental

    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
    $243,06
    $275,87
    $310,62
    $434,09
    $659,65
    $486,12
    $551,74
    $621,24
    $868,18
    $1 319,30
    $672,06
    $737,68
    $807,18
    $1 054,12
    $858,00
    $923,62
    $993,12
    $1 240,06
    $1 043,94
    $1 109,56
    $1 179,06
    $1 426,00
    $429,00
    $461,81
    $496,56
    $620,03
    $614,94
    $647,75
    $682,50
    $805,97
    $800,88
    $833,69
    $868,44
    $991,91
    $185,94
    Toc - Plan #34

    Expanded Bronze

    (PPO) AultCare Bronze 7000

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 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
    $327,31
    $371,49
    $418,30
    $584,57
    $888,31
    $654,62
    $742,98
    $836,60
    $1 169,14
    $1 776,62
    $905,01
    $993,37
    $1 086,99
    $1 419,53
    $1 155,40
    $1 243,76
    $1 337,38
    $1 669,92
    $1 405,79
    $1 494,15
    $1 587,77
    $1 920,31
    $577,70
    $621,88
    $668,69
    $834,96
    $828,09
    $872,27
    $919,08
    $1 085,35
    $1 078,48
    $1 122,66
    $1 169,47
    $1 335,74
    $250,39
    Toc - Plan #35

    Expanded Bronze

    (PPO) AultCare Bronze 7000 Select

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 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
    $255,71
    $290,23
    $326,79
    $456,69
    $693,99
    $511,42
    $580,46
    $653,58
    $913,38
    $1 387,98
    $707,04
    $776,08
    $849,20
    $1 109,00
    $902,66
    $971,70
    $1 044,82
    $1 304,62
    $1 098,28
    $1 167,32
    $1 240,44
    $1 500,24
    $451,33
    $485,85
    $522,41
    $652,31
    $646,95
    $681,47
    $718,03
    $847,93
    $842,57
    $877,09
    $913,65
    $1 043,55
    $195,62
    Toc - Plan #36

    Expanded Bronze

    (PPO) AultCare Bronze 7000 No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 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
    $324,02
    $367,75
    $414,09
    $578,69
    $879,37
    $648,04
    $735,50
    $828,18
    $1 157,38
    $1 758,74
    $895,91
    $983,37
    $1 076,05
    $1 405,25
    $1 143,78
    $1 231,24
    $1 323,92
    $1 653,12
    $1 391,65
    $1 479,11
    $1 571,79
    $1 900,99
    $571,89
    $615,62
    $661,96
    $826,56
    $819,76
    $863,49
    $909,83
    $1 074,43
    $1 067,63
    $1 111,36
    $1 157,70
    $1 322,30
    $247,87
    Toc - Plan #37

    Expanded Bronze

    (PPO) AultCare Bronze 7000 Select No Pediatric Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 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
    $253,14
    $287,31
    $323,51
    $452,10
    $687,01
    $506,28
    $574,62
    $647,02
    $904,20
    $1 374,02
    $699,93
    $768,27
    $840,67
    $1 097,85
    $893,58
    $961,92
    $1 034,32
    $1 291,50
    $1 087,23
    $1 155,57
    $1 227,97
    $1 485,15
    $446,79
    $480,96
    $517,16
    $645,75
    $640,44
    $674,61
    $710,81
    $839,40
    $834,09
    $868,26
    $904,46
    $1 033,05
    $193,65
    ADVERTISEMENT

    Anthem Blue Cross and Blue Shield

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

    Toc - Plan #38

    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
    $254,86
    $289,27
    $325,71
    $455,18
    $691,69
    $509,72
    $578,54
    $651,42
    $910,36
    $1 383,38
    $704,69
    $773,51
    $846,39
    $1 105,33
    $899,66
    $968,48
    $1 041,36
    $1 300,30
    $1 094,63
    $1 163,45
    $1 236,33
    $1 495,27
    $449,83
    $484,24
    $520,68
    $650,15
    $644,80
    $679,21
    $715,65
    $845,12
    $839,77
    $874,18
    $910,62
    $1 040,09
    $194,97
    Toc - Plan #39

    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
    $241,56
    $274,17
    $308,71
    $431,43
    $655,59
    $483,12
    $548,34
    $617,42
    $862,86
    $1 311,18
    $667,91
    $733,13
    $802,21
    $1 047,65
    $852,70
    $917,92
    $987,00
    $1 232,44
    $1 037,49
    $1 102,71
    $1 171,79
    $1 417,23
    $426,35
    $458,96
    $493,50
    $616,22
    $611,14
    $643,75
    $678,29
    $801,01
    $795,93
    $828,54
    $863,08
    $985,80
    $184,79
    Toc - Plan #40

    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
    $338,63
    $384,35
    $432,77
    $604,79
    $919,04
    $677,26
    $768,70
    $865,54
    $1 209,58
    $1 838,08
    $936,31
    $1 027,75
    $1 124,59
    $1 468,63
    $1 195,36
    $1 286,80
    $1 383,64
    $1 727,68
    $1 454,41
    $1 545,85
    $1 642,69
    $1 986,73
    $597,68
    $643,40
    $691,82
    $863,84
    $856,73
    $902,45
    $950,87
    $1 122,89
    $1 115,78
    $1 161,50
    $1 209,92
    $1 381,94
    $259,05
    Toc - Plan #41

    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
    $371,69
    $421,87
    $475,02
    $663,84
    $1 008,77
    $743,38
    $843,74
    $950,04
    $1 327,68
    $2 017,54
    $1 027,72
    $1 128,08
    $1 234,38
    $1 612,02
    $1 312,06
    $1 412,42
    $1 518,72
    $1 896,36
    $1 596,40
    $1 696,76
    $1 803,06
    $2 180,70
    $656,03
    $706,21
    $759,36
    $948,18
    $940,37
    $990,55
    $1 043,70
    $1 232,52
    $1 224,71
    $1 274,89
    $1 328,04
    $1 516,86
    $284,34
    Toc - Plan #42

    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
    $258,82
    $293,76
    $330,77
    $462,25
    $702,44
    $517,64
    $587,52
    $661,54
    $924,50
    $1 404,88
    $715,64
    $785,52
    $859,54
    $1 122,50
    $913,64
    $983,52
    $1 057,54
    $1 320,50
    $1 111,64
    $1 181,52
    $1 255,54
    $1 518,50
    $456,82
    $491,76
    $528,77
    $660,25
    $654,82
    $689,76
    $726,77
    $858,25
    $852,82
    $887,76
    $924,77
    $1 056,25
    $198,00
    Toc - Plan #43

    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
    $340,98
    $387,01
    $435,77
    $608,99
    $925,42
    $681,96
    $774,02
    $871,54
    $1 217,98
    $1 850,84
    $942,81
    $1 034,87
    $1 132,39
    $1 478,83
    $1 203,66
    $1 295,72
    $1 393,24
    $1 739,68
    $1 464,51
    $1 556,57
    $1 654,09
    $2 000,53
    $601,83
    $647,86
    $696,62
    $869,84
    $862,68
    $908,71
    $957,47
    $1 130,69
    $1 123,53
    $1 169,56
    $1 218,32
    $1 391,54
    $260,85
    Toc - Plan #44

    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
    $348,21
    $395,22
    $445,01
    $621,90
    $945,04
    $696,42
    $790,44
    $890,02
    $1 243,80
    $1 890,08
    $962,80
    $1 056,82
    $1 156,40
    $1 510,18
    $1 229,18
    $1 323,20
    $1 422,78
    $1 776,56
    $1 495,56
    $1 589,58
    $1 689,16
    $2 042,94
    $614,59
    $661,60
    $711,39
    $888,28
    $880,97
    $927,98
    $977,77
    $1 154,66
    $1 147,35
    $1 194,36
    $1 244,15
    $1 421,04
    $266,38
    Toc - Plan #45

    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
    $258,07
    $292,91
    $329,81
    $460,91
    $700,40
    $516,14
    $585,82
    $659,62
    $921,82
    $1 400,80
    $713,56
    $783,24
    $857,04
    $1 119,24
    $910,98
    $980,66
    $1 054,46
    $1 316,66
    $1 108,40
    $1 178,08
    $1 251,88
    $1 514,08
    $455,49
    $490,33
    $527,23
    $658,33
    $652,91
    $687,75
    $724,65
    $855,75
    $850,33
    $885,17
    $922,07
    $1 053,17
    $197,42
    Toc - Plan #46

    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
    $316,00
    $358,66
    $403,85
    $564,38
    $857,62
    $632,00
    $717,32
    $807,70
    $1 128,76
    $1 715,24
    $873,74
    $959,06
    $1 049,44
    $1 370,50
    $1 115,48
    $1 200,80
    $1 291,18
    $1 612,24
    $1 357,22
    $1 442,54
    $1 532,92
    $1 853,98
    $557,74
    $600,40
    $645,59
    $806,12
    $799,48
    $842,14
    $887,33
    $1 047,86
    $1 041,22
    $1 083,88
    $1 129,07
    $1 289,60
    $241,74
    Toc - Plan #47

    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
    $337,68
    $383,27
    $431,56
    $603,10
    $916,46
    $675,36
    $766,54
    $863,12
    $1 206,20
    $1 832,92
    $933,69
    $1 024,87
    $1 121,45
    $1 464,53
    $1 192,02
    $1 283,20
    $1 379,78
    $1 722,86
    $1 450,35
    $1 541,53
    $1 638,11
    $1 981,19
    $596,01
    $641,60
    $689,89
    $861,43
    $854,34
    $899,93
    $948,22
    $1 119,76
    $1 112,67
    $1 158,26
    $1 206,55
    $1 378,09
    $258,33
    Toc - Plan #48

    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
    $350,87
    $398,24
    $448,41
    $626,65
    $952,26
    $701,74
    $796,48
    $896,82
    $1 253,30
    $1 904,52
    $970,16
    $1 064,90
    $1 165,24
    $1 521,72
    $1 238,58
    $1 333,32
    $1 433,66
    $1 790,14
    $1 507,00
    $1 601,74
    $1 702,08
    $2 058,56
    $619,29
    $666,66
    $716,83
    $895,07
    $887,71
    $935,08
    $985,25
    $1 163,49
    $1 156,13
    $1 203,50
    $1 253,67
    $1 431,91
    $268,42
    Toc - Plan #49

    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
    $322,12
    $365,61
    $411,67
    $575,31
    $874,23
    $644,24
    $731,22
    $823,34
    $1 150,62
    $1 748,46
    $890,66
    $977,64
    $1 069,76
    $1 397,04
    $1 137,08
    $1 224,06
    $1 316,18
    $1 643,46
    $1 383,50
    $1 470,48
    $1 562,60
    $1 889,88
    $568,54
    $612,03
    $658,09
    $821,73
    $814,96
    $858,45
    $904,51
    $1 068,15
    $1 061,38
    $1 104,87
    $1 150,93
    $1 314,57
    $246,42
    Toc - Plan #50

    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
    $193,54
    $219,67
    $247,34
    $345,66
    $525,27
    $387,08
    $439,34
    $494,68
    $691,32
    $1 050,54
    $535,14
    $587,40
    $642,74
    $839,38
    $683,20
    $735,46
    $790,80
    $987,44
    $831,26
    $883,52
    $938,86
    $1 135,50
    $341,60
    $367,73
    $395,40
    $493,72
    $489,66
    $515,79
    $543,46
    $641,78
    $637,72
    $663,85
    $691,52
    $789,84
    $148,06
    Toc - Plan #51

    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
    $359,59
    $408,13
    $459,56
    $642,23
    $975,93
    $719,18
    $816,26
    $919,12
    $1 284,46
    $1 951,86
    $994,27
    $1 091,35
    $1 194,21
    $1 559,55
    $1 269,36
    $1 366,44
    $1 469,30
    $1 834,64
    $1 544,45
    $1 641,53
    $1 744,39
    $2 109,73
    $634,68
    $683,22
    $734,65
    $917,32
    $909,77
    $958,31
    $1 009,74
    $1 192,41
    $1 184,86
    $1 233,40
    $1 284,83
    $1 467,50
    $275,09
    Toc - Plan #52

    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
    $313,90
    $356,28
    $401,16
    $560,63
    $851,92
    $627,80
    $712,56
    $802,32
    $1 121,26
    $1 703,84
    $867,93
    $952,69
    $1 042,45
    $1 361,39
    $1 108,06
    $1 192,82
    $1 282,58
    $1 601,52
    $1 348,19
    $1 432,95
    $1 522,71
    $1 841,65
    $554,03
    $596,41
    $641,29
    $800,76
    $794,16
    $836,54
    $881,42
    $1 040,89
    $1 034,29
    $1 076,67
    $1 121,55
    $1 281,02
    $240,13
    Toc - Plan #53

    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
    $263,00
    $298,51
    $336,11
    $469,72
    $713,78
    $526,00
    $597,02
    $672,22
    $939,44
    $1 427,56
    $727,20
    $798,22
    $873,42
    $1 140,64
    $928,40
    $999,42
    $1 074,62
    $1 341,84
    $1 129,60
    $1 200,62
    $1 275,82
    $1 543,04
    $464,20
    $499,71
    $537,31
    $670,92
    $665,40
    $700,91
    $738,51
    $872,12
    $866,60
    $902,11
    $939,71
    $1 073,32
    $201,20
    Toc - Plan #54

    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
    $249,51
    $283,19
    $318,87
    $445,62
    $677,17
    $499,02
    $566,38
    $637,74
    $891,24
    $1 354,34
    $689,90
    $757,26
    $828,62
    $1 082,12
    $880,78
    $948,14
    $1 019,50
    $1 273,00
    $1 071,66
    $1 139,02
    $1 210,38
    $1 463,88
    $440,39
    $474,07
    $509,75
    $636,50
    $631,27
    $664,95
    $700,63
    $827,38
    $822,15
    $855,83
    $891,51
    $1 018,26
    $190,88
    ADVERTISEMENT

    Ambetter from Buckeye Health

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

    Toc - Plan #55

    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
    $274,84
    $311,93
    $351,24
    $490,85
    $745,90
    $549,68
    $623,86
    $702,48
    $981,70
    $1 491,80
    $759,93
    $834,11
    $912,73
    $1 191,95
    $970,18
    $1 044,36
    $1 122,98
    $1 402,20
    $1 180,43
    $1 254,61
    $1 333,23
    $1 612,45
    $485,09
    $522,18
    $561,49
    $701,10
    $695,34
    $732,43
    $771,74
    $911,35
    $905,59
    $942,68
    $981,99
    $1 121,60
    $210,25
    Toc - Plan #56

    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
    $269,84
    $306,26
    $344,84
    $481,92
    $732,32
    $539,68
    $612,52
    $689,68
    $963,84
    $1 464,64
    $746,10
    $818,94
    $896,10
    $1 170,26
    $952,52
    $1 025,36
    $1 102,52
    $1 376,68
    $1 158,94
    $1 231,78
    $1 308,94
    $1 583,10
    $476,26
    $512,68
    $551,26
    $688,34
    $682,68
    $719,10
    $757,68
    $894,76
    $889,10
    $925,52
    $964,10
    $1 101,18
    $206,42
    Toc - Plan #57

    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
    $316,75
    $359,50
    $404,80
    $565,71
    $859,64
    $633,50
    $719,00
    $809,60
    $1 131,42
    $1 719,28
    $875,81
    $961,31
    $1 051,91
    $1 373,73
    $1 118,12
    $1 203,62
    $1 294,22
    $1 616,04
    $1 360,43
    $1 445,93
    $1 536,53
    $1 858,35
    $559,06
    $601,81
    $647,11
    $808,02
    $801,37
    $844,12
    $889,42
    $1 050,33
    $1 043,68
    $1 086,43
    $1 131,73
    $1 292,64
    $242,31
    Toc - Plan #58

    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
    $208,14
    $236,23
    $265,99
    $371,72
    $564,87
    $416,28
    $472,46
    $531,98
    $743,44
    $1 129,74
    $575,50
    $631,68
    $691,20
    $902,66
    $734,72
    $790,90
    $850,42
    $1 061,88
    $893,94
    $950,12
    $1 009,64
    $1 221,10
    $367,36
    $395,45
    $425,21
    $530,94
    $526,58
    $554,67
    $584,43
    $690,16
    $685,80
    $713,89
    $743,65
    $849,38
    $159,22
    Toc - Plan #59

    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
    $225,29
    $255,69
    $287,91
    $402,35
    $611,41
    $450,58
    $511,38
    $575,82
    $804,70
    $1 222,82
    $622,92
    $683,72
    $748,16
    $977,04
    $795,26
    $856,06
    $920,50
    $1 149,38
    $967,60
    $1 028,40
    $1 092,84
    $1 321,72
    $397,63
    $428,03
    $460,25
    $574,69
    $569,97
    $600,37
    $632,59
    $747,03
    $742,31
    $772,71
    $804,93
    $919,37
    $172,34
    Toc - Plan #60

    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
    $214,24
    $243,15
    $273,79
    $382,62
    $581,43
    $428,48
    $486,30
    $547,58
    $765,24
    $1 162,86
    $592,37
    $650,19
    $711,47
    $929,13
    $756,26
    $814,08
    $875,36
    $1 093,02
    $920,15
    $977,97
    $1 039,25
    $1 256,91
    $378,13
    $407,04
    $437,68
    $546,51
    $542,02
    $570,93
    $601,57
    $710,40
    $705,91
    $734,82
    $765,46
    $874,29
    $163,89
    Toc - Plan #61

    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
    $279,35
    $317,05
    $357,00
    $498,90
    $758,13
    $558,70
    $634,10
    $714,00
    $997,80
    $1 516,26
    $772,39
    $847,79
    $927,69
    $1 211,49
    $986,08
    $1 061,48
    $1 141,38
    $1 425,18
    $1 199,77
    $1 275,17
    $1 355,07
    $1 638,87
    $493,04
    $530,74
    $570,69
    $712,59
    $706,73
    $744,43
    $784,38
    $926,28
    $920,42
    $958,12
    $998,07
    $1 139,97
    $213,69
    Toc - Plan #62

    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
    $267,50
    $303,61
    $341,86
    $477,74
    $725,98
    $535,00
    $607,22
    $683,72
    $955,48
    $1 451,96
    $739,63
    $811,85
    $888,35
    $1 160,11
    $944,26
    $1 016,48
    $1 092,98
    $1 364,74
    $1 148,89
    $1 221,11
    $1 297,61
    $1 569,37
    $472,13
    $508,24
    $546,49
    $682,37
    $676,76
    $712,87
    $751,12
    $887,00
    $881,39
    $917,50
    $955,75
    $1 091,63
    $204,63
    Toc - Plan #63

    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
    $281,96
    $320,01
    $360,33
    $503,56
    $765,21
    $563,92
    $640,02
    $720,66
    $1 007,12
    $1 530,42
    $779,61
    $855,71
    $936,35
    $1 222,81
    $995,30
    $1 071,40
    $1 152,04
    $1 438,50
    $1 210,99
    $1 287,09
    $1 367,73
    $1 654,19
    $497,65
    $535,70
    $576,02
    $719,25
    $713,34
    $751,39
    $791,71
    $934,94
    $929,03
    $967,08
    $1 007,40
    $1 150,63
    $215,69
    Toc - Plan #64

    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
    $292,21
    $331,65
    $373,43
    $521,87
    $793,04
    $584,42
    $663,30
    $746,86
    $1 043,74
    $1 586,08
    $807,95
    $886,83
    $970,39
    $1 267,27
    $1 031,48
    $1 110,36
    $1 193,92
    $1 490,80
    $1 255,01
    $1 333,89
    $1 417,45
    $1 714,33
    $515,74
    $555,18
    $596,96
    $745,40
    $739,27
    $778,71
    $820,49
    $968,93
    $962,80
    $1 002,24
    $1 044,02
    $1 192,46
    $223,53
    Toc - Plan #65

    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
    $282,86
    $321,04
    $361,49
    $505,18
    $767,67
    $565,72
    $642,08
    $722,98
    $1 010,36
    $1 535,34
    $782,10
    $858,46
    $939,36
    $1 226,74
    $998,48
    $1 074,84
    $1 155,74
    $1 443,12
    $1 214,86
    $1 291,22
    $1 372,12
    $1 659,50
    $499,24
    $537,42
    $577,87
    $721,56
    $715,62
    $753,80
    $794,25
    $937,94
    $932,00
    $970,18
    $1 010,63
    $1 154,32
    $216,38
    Toc - Plan #66

    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
    $288,11
    $326,99
    $368,19
    $514,54
    $781,90
    $576,22
    $653,98
    $736,38
    $1 029,08
    $1 563,80
    $796,61
    $874,37
    $956,77
    $1 249,47
    $1 017,00
    $1 094,76
    $1 177,16
    $1 469,86
    $1 237,39
    $1 315,15
    $1 397,55
    $1 690,25
    $508,50
    $547,38
    $588,58
    $734,93
    $728,89
    $767,77
    $808,97
    $955,32
    $949,28
    $988,16
    $1 029,36
    $1 175,71
    $220,39
    Toc - Plan #67

    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
    $332,04
    $376,86
    $424,34
    $593,01
    $901,14
    $664,08
    $753,72
    $848,68
    $1 186,02
    $1 802,28
    $918,09
    $1 007,73
    $1 102,69
    $1 440,03
    $1 172,10
    $1 261,74
    $1 356,70
    $1 694,04
    $1 426,11
    $1 515,75
    $1 610,71
    $1 948,05
    $586,05
    $630,87
    $678,35
    $847,02
    $840,06
    $884,88
    $932,36
    $1 101,03
    $1 094,07
    $1 138,89
    $1 186,37
    $1 355,04
    $254,01
    Toc - Plan #68

    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
    $218,19
    $247,63
    $278,83
    $389,66
    $592,13
    $436,38
    $495,26
    $557,66
    $779,32
    $1 184,26
    $603,29
    $662,17
    $724,57
    $946,23
    $770,20
    $829,08
    $891,48
    $1 113,14
    $937,11
    $995,99
    $1 058,39
    $1 280,05
    $385,10
    $414,54
    $445,74
    $556,57
    $552,01
    $581,45
    $612,65
    $723,48
    $718,92
    $748,36
    $779,56
    $890,39
    $166,91
    Toc - Plan #69

    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
    $236,16
    $268,03
    $301,80
    $421,77
    $640,92
    $472,32
    $536,06
    $603,60
    $843,54
    $1 281,84
    $652,98
    $716,72
    $784,26
    $1 024,20
    $833,64
    $897,38
    $964,92
    $1 204,86
    $1 014,30
    $1 078,04
    $1 145,58
    $1 385,52
    $416,82
    $448,69
    $482,46
    $602,43
    $597,48
    $629,35
    $663,12
    $783,09
    $778,14
    $810,01
    $843,78
    $963,75
    $180,66
    Toc - Plan #70

    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
    $224,58
    $254,89
    $287,00
    $401,09
    $609,49
    $449,16
    $509,78
    $574,00
    $802,18
    $1 218,98
    $620,96
    $681,58
    $745,80
    $973,98
    $792,76
    $853,38
    $917,60
    $1 145,78
    $964,56
    $1 025,18
    $1 089,40
    $1 317,58
    $396,38
    $426,69
    $458,80
    $572,89
    $568,18
    $598,49
    $630,60
    $744,69
    $739,98
    $770,29
    $802,40
    $916,49
    $171,80
    Toc - Plan #71

    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
    $292,83
    $332,35
    $374,23
    $522,98
    $794,72
    $585,66
    $664,70
    $748,46
    $1 045,96
    $1 589,44
    $809,67
    $888,71
    $972,47
    $1 269,97
    $1 033,68
    $1 112,72
    $1 196,48
    $1 493,98
    $1 257,69
    $1 336,73
    $1 420,49
    $1 717,99
    $516,84
    $556,36
    $598,24
    $746,99
    $740,85
    $780,37
    $822,25
    $971,00
    $964,86
    $1 004,38
    $1 046,26
    $1 195,01
    $224,01
    Toc - Plan #72

    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
    $295,57
    $335,46
    $377,73
    $527,87
    $802,15
    $591,14
    $670,92
    $755,46
    $1 055,74
    $1 604,30
    $817,24
    $897,02
    $981,56
    $1 281,84
    $1 043,34
    $1 123,12
    $1 207,66
    $1 507,94
    $1 269,44
    $1 349,22
    $1 433,76
    $1 734,04
    $521,67
    $561,56
    $603,83
    $753,97
    $747,77
    $787,66
    $829,93
    $980,07
    $973,87
    $1 013,76
    $1 056,03
    $1 206,17
    $226,10
    Toc - Plan #73

    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
    $306,32
    $347,66
    $391,46
    $547,06
    $831,31
    $612,64
    $695,32
    $782,92
    $1 094,12
    $1 662,62
    $846,96
    $929,64
    $1 017,24
    $1 328,44
    $1 081,28
    $1 163,96
    $1 251,56
    $1 562,76
    $1 315,60
    $1 398,28
    $1 485,88
    $1 797,08
    $540,64
    $581,98
    $625,78
    $781,38
    $774,96
    $816,30
    $860,10
    $1 015,70
    $1 009,28
    $1 050,62
    $1 094,42
    $1 250,02
    $234,32
    ADVERTISEMENT

    Oscar Insurance Corporation of Ohio

    Local: 1-855-672-2755 | Toll Free: 1-855-672-2755

    Toc - Plan #74

    Expanded Bronze

    (HMO) Oscar Bronze Simple

    Annual Out of Pocket Expenses
    Individual Family
    $7,300 $14,600 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
    $319,95
    $363,13
    $408,88
    $571,41
    $868,32
    $639,90
    $726,26
    $817,76
    $1 142,82
    $1 736,64
    $884,65
    $971,01
    $1 062,51
    $1 387,57
    $1 129,40
    $1 215,76
    $1 307,26
    $1 632,32
    $1 374,15
    $1 460,51
    $1 552,01
    $1 877,07
    $564,70
    $607,88
    $653,63
    $816,16
    $809,45
    $852,63
    $898,38
    $1 060,91
    $1 054,20
    $1 097,38
    $1 143,13
    $1 305,66
    $244,75
    Toc - Plan #75

    Expanded Bronze

    (HMO) Oscar Bronze Classic PCP Copay

    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
    $329,05
    $373,46
    $420,51
    $587,66
    $893,00
    $658,10
    $746,92
    $841,02
    $1 175,32
    $1 786,00
    $909,81
    $998,63
    $1 092,73
    $1 427,03
    $1 161,52
    $1 250,34
    $1 344,44
    $1 678,74
    $1 413,23
    $1 502,05
    $1 596,15
    $1 930,45
    $580,76
    $625,17
    $672,22
    $839,37
    $832,47
    $876,88
    $923,93
    $1 091,08
    $1 084,18
    $1 128,59
    $1 175,64
    $1 342,79
    $251,71
    Toc - Plan #76

    Expanded Bronze

    (HMO) Oscar Bronze Classic

    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
    $321,98
    $365,43
    $411,47
    $575,03
    $873,82
    $643,96
    $730,86
    $822,94
    $1 150,06
    $1 747,64
    $890,26
    $977,16
    $1 069,24
    $1 396,36
    $1 136,56
    $1 223,46
    $1 315,54
    $1 642,66
    $1 382,86
    $1 469,76
    $1 561,84
    $1 888,96
    $568,28
    $611,73
    $657,77
    $821,33
    $814,58
    $858,03
    $904,07
    $1 067,63
    $1 060,88
    $1 104,33
    $1 150,37
    $1 313,93
    $246,30
    Toc - Plan #77

    Expanded Bronze

    (HMO) Oscar Bronze Classic Next

    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
    $383,24
    $434,97
    $489,77
    $684,45
    $1 040,09
    $766,48
    $869,94
    $979,54
    $1 368,90
    $2 080,18
    $1 059,65
    $1 163,11
    $1 272,71
    $1 662,07
    $1 352,82
    $1 456,28
    $1 565,88
    $1 955,24
    $1 645,99
    $1 749,45
    $1 859,05
    $2 248,41
    $676,41
    $728,14
    $782,94
    $977,62
    $969,58
    $1 021,31
    $1 076,11
    $1 270,79
    $1 262,75
    $1 314,48
    $1 369,28
    $1 563,96
    $293,17
    Toc - Plan #78

    Silver

    (HMO) Oscar Silver Classic

    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
    $382,82
    $434,49
    $489,23
    $683,70
    $1 038,95
    $765,64
    $868,98
    $978,46
    $1 367,40
    $2 077,90
    $1 058,49
    $1 161,83
    $1 271,31
    $1 660,25
    $1 351,34
    $1 454,68
    $1 564,16
    $1 953,10
    $1 644,19
    $1 747,53
    $1 857,01
    $2 245,95
    $675,67
    $727,34
    $782,08
    $976,55
    $968,52
    $1 020,19
    $1 074,93
    $1 269,40
    $1 261,37
    $1 313,04
    $1 367,78
    $1 562,25
    $292,85
    Toc - Plan #79

    Silver

    (HMO) Oscar Silver Saver 2

    Annual Out of Pocket Expenses
    Individual Family
    $6,200 $12,400 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
    $375,46
    $426,13
    $479,82
    $670,55
    $1 018,96
    $750,92
    $852,26
    $959,64
    $1 341,10
    $2 037,92
    $1 038,14
    $1 139,48
    $1 246,86
    $1 628,32
    $1 325,36
    $1 426,70
    $1 534,08
    $1 915,54
    $1 612,58
    $1 713,92
    $1 821,30
    $2 202,76
    $662,68
    $713,35
    $767,04
    $957,77
    $949,90
    $1 000,57
    $1 054,26
    $1 244,99
    $1 237,12
    $1 287,79
    $1 341,48
    $1 532,21
    $287,22
    Toc - Plan #80

    Silver

    (HMO) Oscar Silver Classic Next

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,000 $16,000 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
    $388,68
    $441,15
    $496,73
    $694,17
    $1 054,86
    $777,36
    $882,30
    $993,46
    $1 388,34
    $2 109,72
    $1 074,70
    $1 179,64
    $1 290,80
    $1 685,68
    $1 372,04
    $1 476,98
    $1 588,14
    $1 983,02
    $1 669,38
    $1 774,32
    $1 885,48
    $2 280,36
    $686,02
    $738,49
    $794,07
    $991,51
    $983,36
    $1 035,83
    $1 091,41
    $1 288,85
    $1 280,70
    $1 333,17
    $1 388,75
    $1 586,19
    $297,34
    Toc - Plan #81

    Catastrophic

    (HMO) Oscar Secure

    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
    $224,67
    $254,99
    $287,12
    $401,25
    $609,73
    $449,34
    $509,98
    $574,24
    $802,50
    $1 219,46
    $621,21
    $681,85
    $746,11
    $974,37
    $793,08
    $853,72
    $917,98
    $1 146,24
    $964,95
    $1 025,59
    $1 089,85
    $1 318,11
    $396,54
    $426,86
    $458,99
    $573,12
    $568,41
    $598,73
    $630,86
    $744,99
    $740,28
    $770,60
    $802,73
    $916,86
    $171,87
    Toc - Plan #82

    Gold

    (HMO) Oscar Gold Classic

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $6,000 $12,000 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
    $445,13
    $505,21
    $568,87
    $794,99
    $1 208,06
    $890,26
    $1 010,42
    $1 137,74
    $1 589,98
    $2 416,12
    $1 230,78
    $1 350,94
    $1 478,26
    $1 930,50
    $1 571,30
    $1 691,46
    $1 818,78
    $2 271,02
    $1 911,82
    $2 031,98
    $2 159,30
    $2 611,54
    $785,65
    $845,73
    $909,39
    $1 135,51
    $1 126,17
    $1 186,25
    $1 249,91
    $1 476,03
    $1 466,69
    $1 526,77
    $1 590,43
    $1 816,55
    $340,52
    Toc - Plan #83

    Expanded Bronze

    (HMO) Oscar Bronze HDHP

    Annual Out of Pocket Expenses
    Individual Family
    $5,200 $10,400 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
    $344,52
    $391,01
    $440,28
    $615,29
    $934,99
    $689,04
    $782,02
    $880,56
    $1 230,58
    $1 869,98
    $952,59
    $1 045,57
    $1 144,11
    $1 494,13
    $1 216,14
    $1 309,12
    $1 407,66
    $1 757,68
    $1 479,69
    $1 572,67
    $1 671,21
    $2 021,23
    $608,07
    $654,56
    $703,83
    $878,84
    $871,62
    $918,11
    $967,38
    $1 142,39
    $1 135,17
    $1 181,66
    $1 230,93
    $1 405,94
    $263,55
    Toc - Plan #84

    Silver

    (HMO) Oscar Silver Classic Copay

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 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
    $392,23
    $445,17
    $501,25
    $700,50
    $1 064,48
    $784,46
    $890,34
    $1 002,50
    $1 401,00
    $2 128,96
    $1 084,51
    $1 190,39
    $1 302,55
    $1 701,05
    $1 384,56
    $1 490,44
    $1 602,60
    $2 001,10
    $1 684,61
    $1 790,49
    $1 902,65
    $2 301,15
    $692,28
    $745,22
    $801,30
    $1 000,55
    $992,33
    $1 045,27
    $1 101,35
    $1 300,60
    $1 292,38
    $1 345,32
    $1 401,40
    $1 600,65
    $300,05
    Toc - Plan #85

    Silver

    (HMO) Oscar Silver Classic $0 Ded

    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
    $419,44
    $476,05
    $536,03
    $749,10
    $1 138,32
    $838,88
    $952,10
    $1 072,06
    $1 498,20
    $2 276,64
    $1 159,74
    $1 272,96
    $1 392,92
    $1 819,06
    $1 480,60
    $1 593,82
    $1 713,78
    $2 139,92
    $1 801,46
    $1 914,68
    $2 034,64
    $2 460,78
    $740,30
    $796,91
    $856,89
    $1 069,96
    $1 061,16
    $1 117,77
    $1 177,75
    $1 390,82
    $1 382,02
    $1 438,63
    $1 498,61
    $1 711,68
    $320,86
    ADVERTISEMENT

    SummaCare

    Local: 1-330-996-8675 | Toll Free: 1-888-996-8675 | TTY: 1-800-750-0750

    Toc - Plan #86

    Catastrophic

    (HMO) SummaCare Value with SCConnect Network and 3 Free PCP Visits

    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
    $230,82
    $261,97
    $294,98
    $412,23
    $626,43
    $461,64
    $523,94
    $589,96
    $824,46
    $1 252,86
    $638,21
    $700,51
    $766,53
    $1 001,03
    $814,78
    $877,08
    $943,10
    $1 177,60
    $991,35
    $1 053,65
    $1 119,67
    $1 354,17
    $407,39
    $438,54
    $471,55
    $588,80
    $583,96
    $615,11
    $648,12
    $765,37
    $760,53
    $791,68
    $824,69
    $941,94
    $176,57
    Toc - Plan #87

    Expanded Bronze

    (HMO) SummaCare Bronze 8550 with SCConnect Network and 3 Free PCP Visits

    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
    $294,79
    $334,58
    $376,73
    $526,48
    $800,04
    $589,58
    $669,16
    $753,46
    $1 052,96
    $1 600,08
    $815,09
    $894,67
    $978,97
    $1 278,47
    $1 040,60
    $1 120,18
    $1 204,48
    $1 503,98
    $1 266,11
    $1 345,69
    $1 429,99
    $1 729,49
    $520,30
    $560,09
    $602,24
    $751,99
    $745,81
    $785,60
    $827,75
    $977,50
    $971,32
    $1 011,11
    $1 053,26
    $1 203,01
    $225,51
    Toc - Plan #88

    Silver

    (HMO) SummaCare Silver 3500 with SCConnect Network and 3 Free PCP Visits

    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
    $417,72
    $474,10
    $533,83
    $746,02
    $1 133,65
    $835,44
    $948,20
    $1 067,66
    $1 492,04
    $2 267,30
    $1 154,99
    $1 267,75
    $1 387,21
    $1 811,59
    $1 474,54
    $1 587,30
    $1 706,76
    $2 131,14
    $1 794,09
    $1 906,85
    $2 026,31
    $2 450,69
    $737,27
    $793,65
    $853,38
    $1 065,57
    $1 056,82
    $1 113,20
    $1 172,93
    $1 385,12
    $1 376,37
    $1 432,75
    $1 492,48
    $1 704,67
    $319,55
    Toc - Plan #89

    Silver

    (HMO) SummaCare Silver 5000 with SCConnect Network and 3 Free PCP Visits

    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
    $413,59
    $469,41
    $528,55
    $738,65
    $1 122,45
    $827,18
    $938,82
    $1 057,10
    $1 477,30
    $2 244,90
    $1 143,57
    $1 255,21
    $1 373,49
    $1 793,69
    $1 459,96
    $1 571,60
    $1 689,88
    $2 110,08
    $1 776,35
    $1 887,99
    $2 006,27
    $2 426,47
    $729,98
    $785,80
    $844,94
    $1 055,04
    $1 046,37
    $1 102,19
    $1 161,33
    $1 371,43
    $1 362,76
    $1 418,58
    $1 477,72
    $1 687,82
    $316,39
    Toc - Plan #90

    Silver

    (HMO) SummaCare Silver 5000 40 with SCConnect Network

    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
    $369,37
    $419,23
    $472,04
    $659,68
    $1 002,45
    $738,74
    $838,46
    $944,08
    $1 319,36
    $2 004,90
    $1 021,30
    $1 121,02
    $1 226,64
    $1 601,92
    $1 303,86
    $1 403,58
    $1 509,20
    $1 884,48
    $1 586,42
    $1 686,14
    $1 791,76
    $2 167,04
    $651,93
    $701,79
    $754,60
    $942,24
    $934,49
    $984,35
    $1 037,16
    $1 224,80
    $1 217,05
    $1 266,91
    $1 319,72
    $1 507,36
    $282,56
    Toc - Plan #91

    Gold

    (HMO) SummaCare Gold 1800 with SCConnect Network and 3 Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $1,800 $3,600 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
    $435,70
    $494,51
    $556,81
    $778,14
    $1 182,46
    $871,40
    $989,02
    $1 113,62
    $1 556,28
    $2 364,92
    $1 204,70
    $1 322,32
    $1 446,92
    $1 889,58
    $1 538,00
    $1 655,62
    $1 780,22
    $2 222,88
    $1 871,30
    $1 988,92
    $2 113,52
    $2 556,18
    $769,00
    $827,81
    $890,11
    $1 111,44
    $1 102,30
    $1 161,11
    $1 223,41
    $1 444,74
    $1 435,60
    $1 494,41
    $1 556,71
    $1 778,04
    $333,30
    Toc - Plan #92

    Expanded Bronze

    (HMO) SummaCare Bronze 6850 HSA with SCConnect Network

    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
    $329,58
    $374,06
    $421,19
    $588,61
    $894,44
    $659,16
    $748,12
    $842,38
    $1 177,22
    $1 788,88
    $911,28
    $1 000,24
    $1 094,50
    $1 429,34
    $1 163,40
    $1 252,36
    $1 346,62
    $1 681,46
    $1 415,52
    $1 504,48
    $1 598,74
    $1 933,58
    $581,70
    $626,18
    $673,31
    $840,73
    $833,82
    $878,30
    $925,43
    $1 092,85
    $1 085,94
    $1 130,42
    $1 177,55
    $1 344,97
    $252,12
    Toc - Plan #93

    Silver

    (HMO) SummaCare Silver 6000 with SCConnect Network

    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
    $354,63
    $402,50
    $453,21
    $633,36
    $962,45
    $709,26
    $805,00
    $906,42
    $1 266,72
    $1 924,90
    $980,55
    $1 076,29
    $1 177,71
    $1 538,01
    $1 251,84
    $1 347,58
    $1 449,00
    $1 809,30
    $1 523,13
    $1 618,87
    $1 720,29
    $2 080,59
    $625,92
    $673,79
    $724,50
    $904,65
    $897,21
    $945,08
    $995,79
    $1 175,94
    $1 168,50
    $1 216,37
    $1 267,08
    $1 447,23
    $271,29
    ADVERTISEMENT

    Molina Healthcare

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

    Toc - Plan #94

    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
    $330,42
    $375,03
    $422,28
    $590,13
    $896,76
    $660,84
    $750,06
    $844,56
    $1 180,26
    $1 793,52
    $913,61
    $1 002,83
    $1 097,33
    $1 433,03
    $1 166,38
    $1 255,60
    $1 350,10
    $1 685,80
    $1 419,15
    $1 508,37
    $1 602,87
    $1 938,57
    $583,19
    $627,80
    $675,05
    $842,90
    $835,96
    $880,57
    $927,82
    $1 095,67
    $1 088,73
    $1 133,34
    $1 180,59
    $1 348,44
    $252,77
    Toc - Plan #95

    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
    $282,44
    $320,57
    $360,96
    $504,44
    $766,54
    $564,88
    $641,14
    $721,92
    $1 008,88
    $1 533,08
    $780,95
    $857,21
    $937,99
    $1 224,95
    $997,02
    $1 073,28
    $1 154,06
    $1 441,02
    $1 213,09
    $1 289,35
    $1 370,13
    $1 657,09
    $498,51
    $536,64
    $577,03
    $720,51
    $714,58
    $752,71
    $793,10
    $936,58
    $930,65
    $968,78
    $1 009,17
    $1 152,65
    $216,07
    Toc - Plan #96

    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
    $230,19
    $261,26
    $294,18
    $411,12
    $624,73
    $460,38
    $522,52
    $588,36
    $822,24
    $1 249,46
    $636,47
    $698,61
    $764,45
    $998,33
    $812,56
    $874,70
    $940,54
    $1 174,42
    $988,65
    $1 050,79
    $1 116,63
    $1 350,51
    $406,28
    $437,35
    $470,27
    $587,21
    $582,37
    $613,44
    $646,36
    $763,30
    $758,46
    $789,53
    $822,45
    $939,39
    $176,09
    Toc - Plan #97

    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
    $279,78
    $317,56
    $357,56
    $499,70
    $759,33
    $559,56
    $635,12
    $715,12
    $999,40
    $1 518,66
    $773,60
    $849,16
    $929,16
    $1 213,44
    $987,64
    $1 063,20
    $1 143,20
    $1 427,48
    $1 201,68
    $1 277,24
    $1 357,24
    $1 641,52
    $493,82
    $531,60
    $571,60
    $713,74
    $707,86
    $745,64
    $785,64
    $927,78
    $921,90
    $959,68
    $999,68
    $1 141,82
    $214,04
    Toc - Plan #98

    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
    $241,10
    $273,64
    $308,12
    $430,60
    $654,33
    $482,20
    $547,28
    $616,24
    $861,20
    $1 308,66
    $666,64
    $731,72
    $800,68
    $1 045,64
    $851,08
    $916,16
    $985,12
    $1 230,08
    $1 035,52
    $1 100,60
    $1 169,56
    $1 414,52
    $425,54
    $458,08
    $492,56
    $615,04
    $609,98
    $642,52
    $677,00
    $799,48
    $794,42
    $826,96
    $861,44
    $983,92
    $184,44
    Toc - Plan #99

    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
    $234,43
    $266,08
    $299,60
    $418,69
    $636,24
    $468,86
    $532,16
    $599,20
    $837,38
    $1 272,48
    $648,20
    $711,50
    $778,54
    $1 016,72
    $827,54
    $890,84
    $957,88
    $1 196,06
    $1 006,88
    $1 070,18
    $1 137,22
    $1 375,40
    $413,77
    $445,42
    $478,94
    $598,03
    $593,11
    $624,76
    $658,28
    $777,37
    $772,45
    $804,10
    $837,62
    $956,71
    $179,34
    Toc - Plan #100

    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
    $333,33
    $378,33
    $425,99
    $595,32
    $904,65
    $666,66
    $756,66
    $851,98
    $1 190,64
    $1 809,30
    $921,65
    $1 011,65
    $1 106,97
    $1 445,63
    $1 176,64
    $1 266,64
    $1 361,96
    $1 700,62
    $1 431,63
    $1 521,63
    $1 616,95
    $1 955,61
    $588,32
    $633,32
    $680,98
    $850,31
    $843,31
    $888,31
    $935,97
    $1 105,30
    $1 098,30
    $1 143,30
    $1 190,96
    $1 360,29
    $254,99
    Toc - Plan #101

    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
    $285,35
    $323,87
    $364,67
    $509,63
    $774,43
    $570,70
    $647,74
    $729,34
    $1 019,26
    $1 548,86
    $788,99
    $866,03
    $947,63
    $1 237,55
    $1 007,28
    $1 084,32
    $1 165,92
    $1 455,84
    $1 225,57
    $1 302,61
    $1 384,21
    $1 674,13
    $503,64
    $542,16
    $582,96
    $727,92
    $721,93
    $760,45
    $801,25
    $946,21
    $940,22
    $978,74
    $1 019,54
    $1 164,50
    $218,29
    Toc - Plan #102

    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
    $233,09
    $264,56
    $297,89
    $416,31
    $632,62
    $466,18
    $529,12
    $595,78
    $832,62
    $1 265,24
    $644,50
    $707,44
    $774,10
    $1 010,94
    $822,82
    $885,76
    $952,42
    $1 189,26
    $1 001,14
    $1 064,08
    $1 130,74
    $1 367,58
    $411,41
    $442,88
    $476,21
    $594,63
    $589,73
    $621,20
    $654,53
    $772,95
    $768,05
    $799,52
    $832,85
    $951,27
    $178,32
    Toc - Plan #103

    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
    $281,84
    $319,88
    $360,19
    $503,36
    $764,90
    $563,68
    $639,76
    $720,38
    $1 006,72
    $1 529,80
    $779,28
    $855,36
    $935,98
    $1 222,32
    $994,88
    $1 070,96
    $1 151,58
    $1 437,92
    $1 210,48
    $1 286,56
    $1 367,18
    $1 653,52
    $497,44
    $535,48
    $575,79
    $718,96
    $713,04
    $751,08
    $791,39
    $934,56
    $928,64
    $966,68
    $1 006,99
    $1 150,16
    $215,60
    Toc - Plan #104

    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
    $228,16
    $258,96
    $291,59
    $407,49
    $619,23
    $456,32
    $517,92
    $583,18
    $814,98
    $1 238,46
    $630,86
    $692,46
    $757,72
    $989,52
    $805,40
    $867,00
    $932,26
    $1 164,06
    $979,94
    $1 041,54
    $1 106,80
    $1 338,60
    $402,70
    $433,50
    $466,13
    $582,03
    $577,24
    $608,04
    $640,67
    $756,57
    $751,78
    $782,58
    $815,21
    $931,11
    $174,54
    ADVERTISEMENT

    CareSource

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

    Toc - Plan #105

    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
    $269,46
    $305,84
    $344,37
    $481,25
    $731,31
    $538,92
    $611,68
    $688,74
    $962,50
    $1 462,62
    $745,06
    $817,82
    $894,88
    $1 168,64
    $951,20
    $1 023,96
    $1 101,02
    $1 374,78
    $1 157,34
    $1 230,10
    $1 307,16
    $1 580,92
    $475,60
    $511,98
    $550,51
    $687,39
    $681,74
    $718,12
    $756,65
    $893,53
    $887,88
    $924,26
    $962,79
    $1 099,67
    $206,14
    Toc - Plan #106

    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
    $342,63
    $388,88
    $437,88
    $611,93
    $929,89
    $685,26
    $777,76
    $875,76
    $1 223,86
    $1 859,78
    $947,37
    $1 039,87
    $1 137,87
    $1 485,97
    $1 209,48
    $1 301,98
    $1 399,98
    $1 748,08
    $1 471,59
    $1 564,09
    $1 662,09
    $2 010,19
    $604,74
    $650,99
    $699,99
    $874,04
    $866,85
    $913,10
    $962,10
    $1 136,15
    $1 128,96
    $1 175,21
    $1 224,21
    $1 398,26
    $262,11
    Toc - Plan #107

    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
    $461,95
    $524,31
    $590,37
    $825,05
    $1 253,74
    $923,90
    $1 048,62
    $1 180,74
    $1 650,10
    $2 507,48
    $1 277,29
    $1 402,01
    $1 534,13
    $2 003,49
    $1 630,68
    $1 755,40
    $1 887,52
    $2 356,88
    $1 984,07
    $2 108,79
    $2 240,91
    $2 710,27
    $815,34
    $877,70
    $943,76
    $1 178,44
    $1 168,73
    $1 231,09
    $1 297,15
    $1 531,83
    $1 522,12
    $1 584,48
    $1 650,54
    $1 885,22
    $353,39
    Toc - Plan #108

    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
    $360,59
    $409,26
    $460,83
    $644,00
    $978,63
    $721,18
    $818,52
    $921,66
    $1 288,00
    $1 957,26
    $997,03
    $1 094,37
    $1 197,51
    $1 563,85
    $1 272,88
    $1 370,22
    $1 473,36
    $1 839,70
    $1 548,73
    $1 646,07
    $1 749,21
    $2 115,55
    $636,44
    $685,11
    $736,68
    $919,85
    $912,29
    $960,96
    $1 012,53
    $1 195,70
    $1 188,14
    $1 236,81
    $1 288,38
    $1 471,55
    $275,85
    Toc - Plan #109

    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
    $242,97
    $275,77
    $310,51
    $433,94
    $659,41
    $485,94
    $551,54
    $621,02
    $867,88
    $1 318,82
    $671,81
    $737,41
    $806,89
    $1 053,75
    $857,68
    $923,28
    $992,76
    $1 239,62
    $1 043,55
    $1 109,15
    $1 178,63
    $1 425,49
    $428,84
    $461,64
    $496,38
    $619,81
    $614,71
    $647,51
    $682,25
    $805,68
    $800,58
    $833,38
    $868,12
    $991,55
    $185,87
    Toc - Plan #110

    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
    $370,21
    $420,18
    $473,12
    $661,19
    $1 004,74
    $740,42
    $840,36
    $946,24
    $1 322,38
    $2 009,48
    $1 023,63
    $1 123,57
    $1 229,45
    $1 605,59
    $1 306,84
    $1 406,78
    $1 512,66
    $1 888,80
    $1 590,05
    $1 689,99
    $1 795,87
    $2 172,01
    $653,42
    $703,39
    $756,33
    $944,40
    $936,63
    $986,60
    $1 039,54
    $1 227,61
    $1 219,84
    $1 269,81
    $1 322,75
    $1 510,82
    $283,21
    Toc - Plan #111

    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
    $356,97
    $405,16
    $456,21
    $637,55
    $968,82
    $713,94
    $810,32
    $912,42
    $1 275,10
    $1 937,64
    $987,02
    $1 083,40
    $1 185,50
    $1 548,18
    $1 260,10
    $1 356,48
    $1 458,58
    $1 821,26
    $1 533,18
    $1 629,56
    $1 731,66
    $2 094,34
    $630,05
    $678,24
    $729,29
    $910,63
    $903,13
    $951,32
    $1 002,37
    $1 183,71
    $1 176,21
    $1 224,40
    $1 275,45
    $1 456,79
    $273,08
    Toc - Plan #112

    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
    $482,00
    $547,07
    $616,00
    $860,85
    $1 308,15
    $964,00
    $1 094,14
    $1 232,00
    $1 721,70
    $2 616,30
    $1 332,73
    $1 462,87
    $1 600,73
    $2 090,43
    $1 701,46
    $1 831,60
    $1 969,46
    $2 459,16
    $2 070,19
    $2 200,33
    $2 338,19
    $2 827,89
    $850,73
    $915,80
    $984,73
    $1 229,58
    $1 219,46
    $1 284,53
    $1 353,46
    $1 598,31
    $1 588,19
    $1 653,26
    $1 722,19
    $1 967,04
    $368,73
    Toc - Plan #113

    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
    $376,05
    $426,82
    $480,59
    $671,62
    $1 020,60
    $752,10
    $853,64
    $961,18
    $1 343,24
    $2 041,20
    $1 039,78
    $1 141,32
    $1 248,86
    $1 630,92
    $1 327,46
    $1 429,00
    $1 536,54
    $1 918,60
    $1 615,14
    $1 716,68
    $1 824,22
    $2 206,28
    $663,73
    $714,50
    $768,27
    $959,30
    $951,41
    $1 002,18
    $1 055,95
    $1 246,98
    $1 239,09
    $1 289,86
    $1 343,63
    $1 534,66
    $287,68
    Toc - Plan #114

    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
    $253,95
    $288,23
    $324,54
    $453,55
    $689,21
    $507,90
    $576,46
    $649,08
    $907,10
    $1 378,42
    $702,17
    $770,73
    $843,35
    $1 101,37
    $896,44
    $965,00
    $1 037,62
    $1 295,64
    $1 090,71
    $1 159,27
    $1 231,89
    $1 489,91
    $448,22
    $482,50
    $518,81
    $647,82
    $642,49
    $676,77
    $713,08
    $842,09
    $836,76
    $871,04
    $907,35
    $1 036,36
    $194,27
    Toc - Plan #115

    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
    $386,76
    $438,97
    $494,28
    $690,75
    $1 049,66
    $773,52
    $877,94
    $988,56
    $1 381,50
    $2 099,32
    $1 069,39
    $1 173,81
    $1 284,43
    $1 677,37
    $1 365,26
    $1 469,68
    $1 580,30
    $1 973,24
    $1 661,13
    $1 765,55
    $1 876,17
    $2 269,11
    $682,63
    $734,84
    $790,15
    $986,62
    $978,50
    $1 030,71
    $1 086,02
    $1 282,49
    $1 274,37
    $1 326,58
    $1 381,89
    $1 578,36
    $295,87
    ADVERTISEMENT

    MedMutual

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

    Toc - Plan #116

    Gold

    (HMO) Market HMO 2000 - NE Ohio

    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
    $490,08
    $556,24
    $626,32
    $875,28
    $1 330,07
    $980,16
    $1 112,48
    $1 252,64
    $1 750,56
    $2 660,14
    $1 355,07
    $1 487,39
    $1 627,55
    $2 125,47
    $1 729,98
    $1 862,30
    $2 002,46
    $2 500,38
    $2 104,89
    $2 237,21
    $2 377,37
    $2 875,29
    $864,99
    $931,15
    $1 001,23
    $1 250,19
    $1 239,90
    $1 306,06
    $1 376,14
    $1 625,10
    $1 614,81
    $1 680,97
    $1 751,05
    $2 000,01
    $374,91
    Toc - Plan #117

    Silver

    (HMO) Market HMO 3000 - NE Ohio

    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
    $381,83
    $433,38
    $487,98
    $681,95
    $1 036,29
    $763,66
    $866,76
    $975,96
    $1 363,90
    $2 072,58
    $1 055,76
    $1 158,86
    $1 268,06
    $1 656,00
    $1 347,86
    $1 450,96
    $1 560,16
    $1 948,10
    $1 639,96
    $1 743,06
    $1 852,26
    $2 240,20
    $673,93
    $725,48
    $780,08
    $974,05
    $966,03
    $1 017,58
    $1 072,18
    $1 266,15
    $1 258,13
    $1 309,68
    $1 364,28
    $1 558,25
    $292,10
    Toc - Plan #118

    Silver

    (HMO) Market HMO 4000 HSA - NE Ohio

    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
    $380,35
    $431,70
    $486,09
    $679,31
    $1 032,27
    $760,70
    $863,40
    $972,18
    $1 358,62
    $2 064,54
    $1 051,67
    $1 154,37
    $1 263,15
    $1 649,59
    $1 342,64
    $1 445,34
    $1 554,12
    $1 940,56
    $1 633,61
    $1 736,31
    $1 845,09
    $2 231,53
    $671,32
    $722,67
    $777,06
    $970,28
    $962,29
    $1 013,64
    $1 068,03
    $1 261,25
    $1 253,26
    $1 304,61
    $1 359,00
    $1 552,22
    $290,97
    Toc - Plan #119

    Silver

    (HMO) Market HMO 6500 - NE Ohio

    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
    $395,43
    $448,82
    $505,37
    $706,25
    $1 073,21
    $790,86
    $897,64
    $1 010,74
    $1 412,50
    $2 146,42
    $1 093,37
    $1 200,15
    $1 313,25
    $1 715,01
    $1 395,88
    $1 502,66
    $1 615,76
    $2 017,52
    $1 698,39
    $1 805,17
    $1 918,27
    $2 320,03
    $697,94
    $751,33
    $807,88
    $1 008,76
    $1 000,45
    $1 053,84
    $1 110,39
    $1 311,27
    $1 302,96
    $1 356,35
    $1 412,90
    $1 613,78
    $302,51
    Toc - Plan #120

    Expanded Bronze

    (HMO) Market HMO 5850 HSA - NE Ohio

    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
    $314,40
    $356,84
    $401,80
    $561,51
    $853,27
    $628,80
    $713,68
    $803,60
    $1 123,02
    $1 706,54
    $869,31
    $954,19
    $1 044,11
    $1 363,53
    $1 109,82
    $1 194,70
    $1 284,62
    $1 604,04
    $1 350,33
    $1 435,21
    $1 525,13
    $1 844,55
    $554,91
    $597,35
    $642,31
    $802,02
    $795,42
    $837,86
    $882,82
    $1 042,53
    $1 035,93
    $1 078,37
    $1 123,33
    $1 283,04
    $240,51
    Toc - Plan #121

    Expanded Bronze

    (HMO) Market HMO 7000 HSA - NE Ohio

    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
    $293,40
    $333,01
    $374,96
    $524,01
    $796,28
    $586,80
    $666,02
    $749,92
    $1 048,02
    $1 592,56
    $811,25
    $890,47
    $974,37
    $1 272,47
    $1 035,70
    $1 114,92
    $1 198,82
    $1 496,92
    $1 260,15
    $1 339,37
    $1 423,27
    $1 721,37
    $517,85
    $557,46
    $599,41
    $748,46
    $742,30
    $781,91
    $823,86
    $972,91
    $966,75
    $1 006,36
    $1 048,31
    $1 197,36
    $224,45
    Toc - Plan #122

    Bronze

    (HMO) Market HMO 8500 - NE Ohio

    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
    $282,16
    $320,25
    $360,60
    $503,93
    $765,78
    $564,32
    $640,50
    $721,20
    $1 007,86
    $1 531,56
    $780,17
    $856,35
    $937,05
    $1 223,71
    $996,02
    $1 072,20
    $1 152,90
    $1 439,56
    $1 211,87
    $1 288,05
    $1 368,75
    $1 655,41
    $498,01
    $536,10
    $576,45
    $719,78
    $713,86
    $751,95
    $792,30
    $935,63
    $929,71
    $967,80
    $1 008,15
    $1 151,48
    $215,85
    Toc - Plan #123

    Expanded Bronze

    (HMO) Market HMO $0 Deductible - NE Ohio

    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
    $327,11
    $371,27
    $418,05
    $584,23
    $887,79
    $654,22
    $742,54
    $836,10
    $1 168,46
    $1 775,58
    $904,46
    $992,78
    $1 086,34
    $1 418,70
    $1 154,70
    $1 243,02
    $1 336,58
    $1 668,94
    $1 404,94
    $1 493,26
    $1 586,82
    $1 919,18
    $577,35
    $621,51
    $668,29
    $834,47
    $827,59
    $871,75
    $918,53
    $1 084,71
    $1 077,83
    $1 121,99
    $1 168,77
    $1 334,95
    $250,24
    Toc - Plan #124

    Catastrophic

    (HMO) Market HMO Young Adult Essentials - NE Ohio

    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
    $176,87
    $200,74
    $226,04
    $315,88
    $480,01
    $353,74
    $401,48
    $452,08
    $631,76
    $960,02
    $489,04
    $536,78
    $587,38
    $767,06
    $624,34
    $672,08
    $722,68
    $902,36
    $759,64
    $807,38
    $857,98
    $1 037,66
    $312,17
    $336,04
    $361,34
    $451,18
    $447,47
    $471,34
    $496,64
    $586,48
    $582,77
    $606,64
    $631,94
    $721,78
    $135,30

    ‡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 Stark County here.

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

    Currently, there are 124 plans offered in Rating Area 15.

    Obamacare Rates and Providers for Other Years

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

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