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Obamacare 2021 Rates and Health Insurance Providers for Darlington County , South Carolina

Obamacare > Rates > South Carolina > Darlington 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 Darlington County, South Carolina.

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

Obamacare Providers, Plans and 2021 Rates for Darlington County, South Carolina

Below, you’ll find a summary of the 52 plans for Darlington County, South Carolina and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • BlueCross BlueShield of South Carolina

    Local: 1-855-404-6752 | Toll Free: 1-855-404-6752 | TTY: 1-855-889-4325

  • Molina Healthcare

    Local: 1-855-885-3176 | Toll Free: 1-800-659-8331 | TTY: 1-800-659-8331

  • Ambetter from Absolute Total Care

    Local: 1-833-270-5443 | Toll Free: 1-833-270-5443
  • 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 Hartsville, SC area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Darlington County

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    BlueCross BlueShield of South Carolina

    Local: 1-855-404-6752 | Toll Free: 1-855-404-6752 | TTY: 1-855-889-4325

    Toc - Plan #1

    Gold

    (EPO) BlueEssentials Gold 1

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $4,500 $9,000 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
    $432,72
    $491,14
    $553,02
    $772,85
    $1 174,41
    $865,44
    $982,28
    $1 106,04
    $1 545,70
    $2 348,82
    $1 196,47
    $1 313,31
    $1 437,07
    $1 876,73
    $1 527,50
    $1 644,34
    $1 768,10
    $2 207,76
    $1 858,53
    $1 975,37
    $2 099,13
    $2 538,79
    $763,75
    $822,17
    $884,05
    $1 103,88
    $1 094,78
    $1 153,20
    $1 215,08
    $1 434,91
    $1 425,81
    $1 484,23
    $1 546,11
    $1 765,94
    $331,03
    Toc - Plan #2

    Silver

    (EPO) BlueEssentials Silver 1

    Annual Out of Pocket Expenses
    Individual Family
    $1,200 $2,400 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
    $451,22
    $512,14
    $576,66
    $805,88
    $1 224,61
    $902,44
    $1 024,28
    $1 153,32
    $1 611,76
    $2 449,22
    $1 247,62
    $1 369,46
    $1 498,50
    $1 956,94
    $1 592,80
    $1 714,64
    $1 843,68
    $2 302,12
    $1 937,98
    $2 059,82
    $2 188,86
    $2 647,30
    $796,40
    $857,32
    $921,84
    $1 151,06
    $1 141,58
    $1 202,50
    $1 267,02
    $1 496,24
    $1 486,76
    $1 547,68
    $1 612,20
    $1 841,42
    $345,18
    Toc - Plan #3

    Silver

    (EPO) BlueEssentials Silver 2

    Annual Out of Pocket Expenses
    Individual Family
    $3,400 $6,800 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
    $429,89
    $487,93
    $549,40
    $767,79
    $1 166,73
    $859,78
    $975,86
    $1 098,80
    $1 535,58
    $2 333,46
    $1 188,65
    $1 304,73
    $1 427,67
    $1 864,45
    $1 517,52
    $1 633,60
    $1 756,54
    $2 193,32
    $1 846,39
    $1 962,47
    $2 085,41
    $2 522,19
    $758,76
    $816,80
    $878,27
    $1 096,66
    $1 087,63
    $1 145,67
    $1 207,14
    $1 425,53
    $1 416,50
    $1 474,54
    $1 536,01
    $1 754,40
    $328,87
    Toc - Plan #4

    Expanded Bronze

    (EPO) BlueEssentials Bronze 1

    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
    $271,61
    $308,27
    $347,11
    $485,09
    $737,14
    $543,22
    $616,54
    $694,22
    $970,18
    $1 474,28
    $751,00
    $824,32
    $902,00
    $1 177,96
    $958,78
    $1 032,10
    $1 109,78
    $1 385,74
    $1 166,56
    $1 239,88
    $1 317,56
    $1 593,52
    $479,39
    $516,05
    $554,89
    $692,87
    $687,17
    $723,83
    $762,67
    $900,65
    $894,95
    $931,61
    $970,45
    $1 108,43
    $207,78
    Toc - Plan #5

    Bronze

    (EPO) BlueEssentials Bronze 2

    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
    $271,03
    $307,62
    $346,38
    $484,06
    $735,58
    $542,06
    $615,24
    $692,76
    $968,12
    $1 471,16
    $749,40
    $822,58
    $900,10
    $1 175,46
    $956,74
    $1 029,92
    $1 107,44
    $1 382,80
    $1 164,08
    $1 237,26
    $1 314,78
    $1 590,14
    $478,37
    $514,96
    $553,72
    $691,40
    $685,71
    $722,30
    $761,06
    $898,74
    $893,05
    $929,64
    $968,40
    $1 106,08
    $207,34
    Toc - Plan #6

    Gold

    (EPO) BlueEssentials Gold 2

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 Annual Deductible
    $5,600 $11,200 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
    $422,49
    $479,53
    $539,95
    $754,57
    $1 146,65
    $844,98
    $959,06
    $1 079,90
    $1 509,14
    $2 293,30
    $1 168,19
    $1 282,27
    $1 403,11
    $1 832,35
    $1 491,40
    $1 605,48
    $1 726,32
    $2 155,56
    $1 814,61
    $1 928,69
    $2 049,53
    $2 478,77
    $745,70
    $802,74
    $863,16
    $1 077,78
    $1 068,91
    $1 125,95
    $1 186,37
    $1 400,99
    $1 392,12
    $1 449,16
    $1 509,58
    $1 724,20
    $323,21
    Toc - Plan #7

    Gold

    (EPO) BlueEssentials HD Gold 3

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $3,000 $6,000 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
    $430,68
    $488,82
    $550,41
    $769,19
    $1 168,86
    $861,36
    $977,64
    $1 100,82
    $1 538,38
    $2 337,72
    $1 190,83
    $1 307,11
    $1 430,29
    $1 867,85
    $1 520,30
    $1 636,58
    $1 759,76
    $2 197,32
    $1 849,77
    $1 966,05
    $2 089,23
    $2 526,79
    $760,15
    $818,29
    $879,88
    $1 098,66
    $1 089,62
    $1 147,76
    $1 209,35
    $1 428,13
    $1 419,09
    $1 477,23
    $1 538,82
    $1 757,60
    $329,47
    Toc - Plan #8

    Silver

    (EPO) BlueEssentials HD Silver 6

    Annual Out of Pocket Expenses
    Individual Family
    $4,300 $8,600 Annual Deductible
    $4,300 $8,600 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
    $454,34
    $515,67
    $580,64
    $811,44
    $1 233,07
    $908,68
    $1 031,34
    $1 161,28
    $1 622,88
    $2 466,14
    $1 256,25
    $1 378,91
    $1 508,85
    $1 970,45
    $1 603,82
    $1 726,48
    $1 856,42
    $2 318,02
    $1 951,39
    $2 074,05
    $2 203,99
    $2 665,59
    $801,91
    $863,24
    $928,21
    $1 159,01
    $1 149,48
    $1 210,81
    $1 275,78
    $1 506,58
    $1 497,05
    $1 558,38
    $1 623,35
    $1 854,15
    $347,57
    Toc - Plan #9

    Expanded Bronze

    (EPO) BlueEssentials HD Bronze 3

    Annual Out of Pocket Expenses
    Individual Family
    $6,300 $12,600 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
    $283,36
    $321,61
    $362,13
    $506,08
    $769,04
    $566,72
    $643,22
    $724,26
    $1 012,16
    $1 538,08
    $783,49
    $859,99
    $941,03
    $1 228,93
    $1 000,26
    $1 076,76
    $1 157,80
    $1 445,70
    $1 217,03
    $1 293,53
    $1 374,57
    $1 662,47
    $500,13
    $538,38
    $578,90
    $722,85
    $716,90
    $755,15
    $795,67
    $939,62
    $933,67
    $971,92
    $1 012,44
    $1 156,39
    $216,77
    Toc - Plan #10

    Expanded Bronze

    (EPO) BlueEssentials Bronze 4

    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
    $273,72
    $310,67
    $349,82
    $488,87
    $742,88
    $547,44
    $621,34
    $699,64
    $977,74
    $1 485,76
    $756,84
    $830,74
    $909,04
    $1 187,14
    $966,24
    $1 040,14
    $1 118,44
    $1 396,54
    $1 175,64
    $1 249,54
    $1 327,84
    $1 605,94
    $483,12
    $520,07
    $559,22
    $698,27
    $692,52
    $729,47
    $768,62
    $907,67
    $901,92
    $938,87
    $978,02
    $1 117,07
    $209,40
    Toc - Plan #11

    Expanded Bronze

    (EPO) BlueEssentials HD Bronze 5

    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
    $283,49
    $321,76
    $362,30
    $506,31
    $769,39
    $566,98
    $643,52
    $724,60
    $1 012,62
    $1 538,78
    $783,85
    $860,39
    $941,47
    $1 229,49
    $1 000,72
    $1 077,26
    $1 158,34
    $1 446,36
    $1 217,59
    $1 294,13
    $1 375,21
    $1 663,23
    $500,36
    $538,63
    $579,17
    $723,18
    $717,23
    $755,50
    $796,04
    $940,05
    $934,10
    $972,37
    $1 012,91
    $1 156,92
    $216,87
    Toc - Plan #12

    Silver

    (EPO) BlueEssentials Silver 7

    Annual Out of Pocket Expenses
    Individual Family
    $7,400 $14,800 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
    $416,14
    $472,32
    $531,83
    $743,23
    $1 129,41
    $832,28
    $944,64
    $1 063,66
    $1 486,46
    $2 258,82
    $1 150,63
    $1 262,99
    $1 382,01
    $1 804,81
    $1 468,98
    $1 581,34
    $1 700,36
    $2 123,16
    $1 787,33
    $1 899,69
    $2 018,71
    $2 441,51
    $734,49
    $790,67
    $850,18
    $1 061,58
    $1 052,84
    $1 109,02
    $1 168,53
    $1 379,93
    $1 371,19
    $1 427,37
    $1 486,88
    $1 698,28
    $318,35
    Toc - Plan #13

    Silver

    (EPO) BlueEssentials Silver 8

    Annual Out of Pocket Expenses
    Individual Family
    $5,250 $10,500 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
    $438,83
    $498,08
    $560,83
    $783,76
    $1 190,99
    $877,66
    $996,16
    $1 121,66
    $1 567,52
    $2 381,98
    $1 213,37
    $1 331,87
    $1 457,37
    $1 903,23
    $1 549,08
    $1 667,58
    $1 793,08
    $2 238,94
    $1 884,79
    $2 003,29
    $2 128,79
    $2 574,65
    $774,54
    $833,79
    $896,54
    $1 119,47
    $1 110,25
    $1 169,50
    $1 232,25
    $1 455,18
    $1 445,96
    $1 505,21
    $1 567,96
    $1 790,89
    $335,71
    Toc - Plan #14

    Silver

    (EPO) BlueEssentials Silver 9

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $7,850 $15,700 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
    $435,34
    $494,11
    $556,36
    $777,51
    $1 181,50
    $870,68
    $988,22
    $1 112,72
    $1 555,02
    $2 363,00
    $1 203,71
    $1 321,25
    $1 445,75
    $1 888,05
    $1 536,74
    $1 654,28
    $1 778,78
    $2 221,08
    $1 869,77
    $1 987,31
    $2 111,81
    $2 554,11
    $768,37
    $827,14
    $889,39
    $1 110,54
    $1 101,40
    $1 160,17
    $1 222,42
    $1 443,57
    $1 434,43
    $1 493,20
    $1 555,45
    $1 776,60
    $333,03
    Toc - Plan #15

    Silver

    (EPO) BlueEssentials Silver 11

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 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
    $436,98
    $495,97
    $558,46
    $780,44
    $1 185,96
    $873,96
    $991,94
    $1 116,92
    $1 560,88
    $2 371,92
    $1 208,25
    $1 326,23
    $1 451,21
    $1 895,17
    $1 542,54
    $1 660,52
    $1 785,50
    $2 229,46
    $1 876,83
    $1 994,81
    $2 119,79
    $2 563,75
    $771,27
    $830,26
    $892,75
    $1 114,73
    $1 105,56
    $1 164,55
    $1 227,04
    $1 449,02
    $1 439,85
    $1 498,84
    $1 561,33
    $1 783,31
    $334,29
    Toc - Plan #16

    Silver

    (EPO) BlueEssentials Silver 12

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $7,350 $14,700 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
    $443,78
    $503,69
    $567,15
    $792,59
    $1 204,42
    $887,56
    $1 007,38
    $1 134,30
    $1 585,18
    $2 408,84
    $1 227,05
    $1 346,87
    $1 473,79
    $1 924,67
    $1 566,54
    $1 686,36
    $1 813,28
    $2 264,16
    $1 906,03
    $2 025,85
    $2 152,77
    $2 603,65
    $783,27
    $843,18
    $906,64
    $1 132,08
    $1 122,76
    $1 182,67
    $1 246,13
    $1 471,57
    $1 462,25
    $1 522,16
    $1 585,62
    $1 811,06
    $339,49
    Toc - Plan #17

    Gold

    (EPO) BlueEssentials Gold 4

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $5,500 $11,000 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
    $422,56
    $479,61
    $540,04
    $754,70
    $1 146,84
    $845,12
    $959,22
    $1 080,08
    $1 509,40
    $2 293,68
    $1 168,38
    $1 282,48
    $1 403,34
    $1 832,66
    $1 491,64
    $1 605,74
    $1 726,60
    $2 155,92
    $1 814,90
    $1 929,00
    $2 049,86
    $2 479,18
    $745,82
    $802,87
    $863,30
    $1 077,96
    $1 069,08
    $1 126,13
    $1 186,56
    $1 401,22
    $1 392,34
    $1 449,39
    $1 509,82
    $1 724,48
    $323,26
    Toc - Plan #18

    Silver

    (EPO) BlueEssentials HD Silver 13

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 Annual Deductible
    $5,750 $11,500 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
    $428,49
    $486,34
    $547,61
    $765,28
    $1 162,92
    $856,98
    $972,68
    $1 095,22
    $1 530,56
    $2 325,84
    $1 184,78
    $1 300,48
    $1 423,02
    $1 858,36
    $1 512,58
    $1 628,28
    $1 750,82
    $2 186,16
    $1 840,38
    $1 956,08
    $2 078,62
    $2 513,96
    $756,29
    $814,14
    $875,41
    $1 093,08
    $1 084,09
    $1 141,94
    $1 203,21
    $1 420,88
    $1 411,89
    $1 469,74
    $1 531,01
    $1 748,68
    $327,80
    Toc - Plan #19

    Silver

    (EPO) BlueEssentials Silver 14

    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
    $414,38
    $470,32
    $529,58
    $740,08
    $1 124,62
    $828,76
    $940,64
    $1 059,16
    $1 480,16
    $2 249,24
    $1 145,76
    $1 257,64
    $1 376,16
    $1 797,16
    $1 462,76
    $1 574,64
    $1 693,16
    $2 114,16
    $1 779,76
    $1 891,64
    $2 010,16
    $2 431,16
    $731,38
    $787,32
    $846,58
    $1 057,08
    $1 048,38
    $1 104,32
    $1 163,58
    $1 374,08
    $1 365,38
    $1 421,32
    $1 480,58
    $1 691,08
    $317,00
    Toc - Plan #20

    Catastrophic

    (EPO) BlueEssentials Catastrophic 1

    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
    $180,08
    $204,39
    $230,14
    $321,62
    $488,73
    $360,16
    $408,78
    $460,28
    $643,24
    $977,46
    $497,92
    $546,54
    $598,04
    $781,00
    $635,68
    $684,30
    $735,80
    $918,76
    $773,44
    $822,06
    $873,56
    $1 056,52
    $317,84
    $342,15
    $367,90
    $459,38
    $455,60
    $479,91
    $505,66
    $597,14
    $593,36
    $617,67
    $643,42
    $734,90
    $137,76
    ADVERTISEMENT

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    Local: 1-855-885-3176 | Toll Free: 1-800-659-8331 | TTY: 1-800-659-8331

    Toc - Plan #21

    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
    $430,07
    $488,13
    $549,63
    $768,11
    $1 167,22
    $860,14
    $976,26
    $1 099,26
    $1 536,22
    $2 334,44
    $1 189,15
    $1 305,27
    $1 428,27
    $1 865,23
    $1 518,16
    $1 634,28
    $1 757,28
    $2 194,24
    $1 847,17
    $1 963,29
    $2 086,29
    $2 523,25
    $759,08
    $817,14
    $878,64
    $1 097,12
    $1 088,09
    $1 146,15
    $1 207,65
    $1 426,13
    $1 417,10
    $1 475,16
    $1 536,66
    $1 755,14
    $329,01
    Toc - Plan #22

    Silver

    (HMO) Constant Care Silver 1

    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
    $388,20
    $440,61
    $496,12
    $693,33
    $1 053,58
    $776,40
    $881,22
    $992,24
    $1 386,66
    $2 107,16
    $1 073,37
    $1 178,19
    $1 289,21
    $1 683,63
    $1 370,34
    $1 475,16
    $1 586,18
    $1 980,60
    $1 667,31
    $1 772,13
    $1 883,15
    $2 277,57
    $685,17
    $737,58
    $793,09
    $990,30
    $982,14
    $1 034,55
    $1 090,06
    $1 287,27
    $1 279,11
    $1 331,52
    $1 387,03
    $1 584,24
    $296,97
    Toc - Plan #23

    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
    $280,61
    $318,49
    $358,62
    $501,17
    $761,57
    $561,22
    $636,98
    $717,24
    $1 002,34
    $1 523,14
    $775,89
    $851,65
    $931,91
    $1 217,01
    $990,56
    $1 066,32
    $1 146,58
    $1 431,68
    $1 205,23
    $1 280,99
    $1 361,25
    $1 646,35
    $495,28
    $533,16
    $573,29
    $715,84
    $709,95
    $747,83
    $787,96
    $930,51
    $924,62
    $962,50
    $1 002,63
    $1 145,18
    $214,67
    Toc - Plan #24

    Silver

    (HMO) Constant Care Silver 4

    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
    $383,79
    $435,60
    $490,48
    $685,45
    $1 041,61
    $767,58
    $871,20
    $980,96
    $1 370,90
    $2 083,22
    $1 061,18
    $1 164,80
    $1 274,56
    $1 664,50
    $1 354,78
    $1 458,40
    $1 568,16
    $1 958,10
    $1 648,38
    $1 752,00
    $1 861,76
    $2 251,70
    $677,39
    $729,20
    $784,08
    $979,05
    $970,99
    $1 022,80
    $1 077,68
    $1 272,65
    $1 264,59
    $1 316,40
    $1 371,28
    $1 566,25
    $293,60
    Toc - Plan #25

    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
    $293,38
    $332,98
    $374,94
    $523,97
    $796,23
    $586,76
    $665,96
    $749,88
    $1 047,94
    $1 592,46
    $811,19
    $890,39
    $974,31
    $1 272,37
    $1 035,62
    $1 114,82
    $1 198,74
    $1 496,80
    $1 260,05
    $1 339,25
    $1 423,17
    $1 721,23
    $517,81
    $557,41
    $599,37
    $748,40
    $742,24
    $781,84
    $823,80
    $972,83
    $966,67
    $1 006,27
    $1 048,23
    $1 197,26
    $224,43
    Toc - Plan #26

    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
    $285,40
    $323,93
    $364,74
    $509,73
    $774,58
    $570,80
    $647,86
    $729,48
    $1 019,46
    $1 549,16
    $789,13
    $866,19
    $947,81
    $1 237,79
    $1 007,46
    $1 084,52
    $1 166,14
    $1 456,12
    $1 225,79
    $1 302,85
    $1 384,47
    $1 674,45
    $503,73
    $542,26
    $583,07
    $728,06
    $722,06
    $760,59
    $801,40
    $946,39
    $940,39
    $978,92
    $1 019,73
    $1 164,72
    $218,33
    Toc - Plan #27

    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
    $433,70
    $492,25
    $554,26
    $774,58
    $1 177,05
    $867,40
    $984,50
    $1 108,52
    $1 549,16
    $2 354,10
    $1 199,18
    $1 316,28
    $1 440,30
    $1 880,94
    $1 530,96
    $1 648,06
    $1 772,08
    $2 212,72
    $1 862,74
    $1 979,84
    $2 103,86
    $2 544,50
    $765,48
    $824,03
    $886,04
    $1 106,36
    $1 097,26
    $1 155,81
    $1 217,82
    $1 438,14
    $1 429,04
    $1 487,59
    $1 549,60
    $1 769,92
    $331,78
    Toc - Plan #28

    Silver

    (HMO) Constant Care Silver 1 + 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
    $391,86
    $444,76
    $500,79
    $699,86
    $1 063,50
    $783,72
    $889,52
    $1 001,58
    $1 399,72
    $2 127,00
    $1 083,49
    $1 189,29
    $1 301,35
    $1 699,49
    $1 383,26
    $1 489,06
    $1 601,12
    $1 999,26
    $1 683,03
    $1 788,83
    $1 900,89
    $2 299,03
    $691,63
    $744,53
    $800,56
    $999,63
    $991,40
    $1 044,30
    $1 100,33
    $1 299,40
    $1 291,17
    $1 344,07
    $1 400,10
    $1 599,17
    $299,77
    Toc - Plan #29

    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
    $284,00
    $322,34
    $362,95
    $507,22
    $770,77
    $568,00
    $644,68
    $725,90
    $1 014,44
    $1 541,54
    $785,26
    $861,94
    $943,16
    $1 231,70
    $1 002,52
    $1 079,20
    $1 160,42
    $1 448,96
    $1 219,78
    $1 296,46
    $1 377,68
    $1 666,22
    $501,26
    $539,60
    $580,21
    $724,48
    $718,52
    $756,86
    $797,47
    $941,74
    $935,78
    $974,12
    $1 014,73
    $1 159,00
    $217,26
    Toc - Plan #30

    Silver

    (HMO) Constant Care Silver 2

    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
    $387,97
    $440,34
    $495,82
    $692,91
    $1 052,95
    $775,94
    $880,68
    $991,64
    $1 385,82
    $2 105,90
    $1 072,74
    $1 177,48
    $1 288,44
    $1 682,62
    $1 369,54
    $1 474,28
    $1 585,24
    $1 979,42
    $1 666,34
    $1 771,08
    $1 882,04
    $2 276,22
    $684,77
    $737,14
    $792,62
    $989,71
    $981,57
    $1 033,94
    $1 089,42
    $1 286,51
    $1 278,37
    $1 330,74
    $1 386,22
    $1 583,31
    $296,80
    Toc - Plan #31

    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
    $277,90
    $315,42
    $355,16
    $496,33
    $754,22
    $555,80
    $630,84
    $710,32
    $992,66
    $1 508,44
    $768,39
    $843,43
    $922,91
    $1 205,25
    $980,98
    $1 056,02
    $1 135,50
    $1 417,84
    $1 193,57
    $1 268,61
    $1 348,09
    $1 630,43
    $490,49
    $528,01
    $567,75
    $708,92
    $703,08
    $740,60
    $780,34
    $921,51
    $915,67
    $953,19
    $992,93
    $1 134,10
    $212,59
    ADVERTISEMENT

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    Toc - Plan #32

    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
    $267,76
    $303,90
    $342,19
    $478,20
    $726,68
    $535,52
    $607,80
    $684,38
    $956,40
    $1 453,36
    $740,35
    $812,63
    $889,21
    $1 161,23
    $945,18
    $1 017,46
    $1 094,04
    $1 366,06
    $1 150,01
    $1 222,29
    $1 298,87
    $1 570,89
    $472,59
    $508,73
    $547,02
    $683,03
    $677,42
    $713,56
    $751,85
    $887,86
    $882,25
    $918,39
    $956,68
    $1 092,69
    $204,83
    Toc - Plan #33

    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
    $365,14
    $414,42
    $466,64
    $652,12
    $990,97
    $730,28
    $828,84
    $933,28
    $1 304,24
    $1 981,94
    $1 009,61
    $1 108,17
    $1 212,61
    $1 583,57
    $1 288,94
    $1 387,50
    $1 491,94
    $1 862,90
    $1 568,27
    $1 666,83
    $1 771,27
    $2 142,23
    $644,47
    $693,75
    $745,97
    $931,45
    $923,80
    $973,08
    $1 025,30
    $1 210,78
    $1 203,13
    $1 252,41
    $1 304,63
    $1 490,11
    $279,33
    Toc - Plan #34

    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
    $426,81
    $484,42
    $545,45
    $762,27
    $1 158,34
    $853,62
    $968,84
    $1 090,90
    $1 524,54
    $2 316,68
    $1 180,12
    $1 295,34
    $1 417,40
    $1 851,04
    $1 506,62
    $1 621,84
    $1 743,90
    $2 177,54
    $1 833,12
    $1 948,34
    $2 070,40
    $2 504,04
    $753,31
    $810,92
    $871,95
    $1 088,77
    $1 079,81
    $1 137,42
    $1 198,45
    $1 415,27
    $1 406,31
    $1 463,92
    $1 524,95
    $1 741,77
    $326,50
    Toc - Plan #35

    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
    $288,87
    $327,85
    $369,16
    $515,90
    $783,95
    $577,74
    $655,70
    $738,32
    $1 031,80
    $1 567,90
    $798,71
    $876,67
    $959,29
    $1 252,77
    $1 019,68
    $1 097,64
    $1 180,26
    $1 473,74
    $1 240,65
    $1 318,61
    $1 401,23
    $1 694,71
    $509,84
    $548,82
    $590,13
    $736,87
    $730,81
    $769,79
    $811,10
    $957,84
    $951,78
    $990,76
    $1 032,07
    $1 178,81
    $220,97
    Toc - Plan #36

    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
    $357,84
    $406,14
    $457,31
    $639,08
    $971,15
    $715,68
    $812,28
    $914,62
    $1 278,16
    $1 942,30
    $989,42
    $1 086,02
    $1 188,36
    $1 551,90
    $1 263,16
    $1 359,76
    $1 462,10
    $1 825,64
    $1 536,90
    $1 633,50
    $1 735,84
    $2 099,38
    $631,58
    $679,88
    $731,05
    $912,82
    $905,32
    $953,62
    $1 004,79
    $1 186,56
    $1 179,06
    $1 227,36
    $1 278,53
    $1 460,30
    $273,74
    Toc - Plan #37

    Expanded Bronze

    (HMO) Ambetter Essential Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,100 $16,200 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
    $290,98
    $330,25
    $371,86
    $519,68
    $789,70
    $581,96
    $660,50
    $743,72
    $1 039,36
    $1 579,40
    $804,55
    $883,09
    $966,31
    $1 261,95
    $1 027,14
    $1 105,68
    $1 188,90
    $1 484,54
    $1 249,73
    $1 328,27
    $1 411,49
    $1 707,13
    $513,57
    $552,84
    $594,45
    $742,27
    $736,16
    $775,43
    $817,04
    $964,86
    $958,75
    $998,02
    $1 039,63
    $1 187,45
    $222,59
    Toc - Plan #38

    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
    $276,63
    $313,97
    $353,52
    $494,05
    $750,76
    $553,26
    $627,94
    $707,04
    $988,10
    $1 501,52
    $764,88
    $839,56
    $918,66
    $1 199,72
    $976,50
    $1 051,18
    $1 130,28
    $1 411,34
    $1 188,12
    $1 262,80
    $1 341,90
    $1 622,96
    $488,25
    $525,59
    $565,14
    $705,67
    $699,87
    $737,21
    $776,76
    $917,29
    $911,49
    $948,83
    $988,38
    $1 128,91
    $211,62
    Toc - Plan #39

    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
    $354,48
    $402,32
    $453,01
    $633,08
    $962,03
    $708,96
    $804,64
    $906,02
    $1 266,16
    $1 924,06
    $980,13
    $1 075,81
    $1 177,19
    $1 537,33
    $1 251,30
    $1 346,98
    $1 448,36
    $1 808,50
    $1 522,47
    $1 618,15
    $1 719,53
    $2 079,67
    $625,65
    $673,49
    $724,18
    $904,25
    $896,82
    $944,66
    $995,35
    $1 175,42
    $1 167,99
    $1 215,83
    $1 266,52
    $1 446,59
    $271,17
    Toc - Plan #40

    Silver

    (HMO) Ambetter Balanced Care 25 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 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
    $371,39
    $421,51
    $474,62
    $663,28
    $1 007,91
    $742,78
    $843,02
    $949,24
    $1 326,56
    $2 015,82
    $1 026,88
    $1 127,12
    $1 233,34
    $1 610,66
    $1 310,98
    $1 411,22
    $1 517,44
    $1 894,76
    $1 595,08
    $1 695,32
    $1 801,54
    $2 178,86
    $655,49
    $705,61
    $758,72
    $947,38
    $939,59
    $989,71
    $1 042,82
    $1 231,48
    $1 223,69
    $1 273,81
    $1 326,92
    $1 515,58
    $284,10
    Toc - Plan #41

    Silver

    (HMO) Ambetter Balanced Care 27 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 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
    $392,20
    $445,13
    $501,22
    $700,45
    $1 064,40
    $784,40
    $890,26
    $1 002,44
    $1 400,90
    $2 128,80
    $1 084,42
    $1 190,28
    $1 302,46
    $1 700,92
    $1 384,44
    $1 490,30
    $1 602,48
    $2 000,94
    $1 684,46
    $1 790,32
    $1 902,50
    $2 300,96
    $692,22
    $745,15
    $801,24
    $1 000,47
    $992,24
    $1 045,17
    $1 101,26
    $1 300,49
    $1 292,26
    $1 345,19
    $1 401,28
    $1 600,51
    $300,02
    Toc - Plan #42

    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
    $396,07
    $449,53
    $506,16
    $707,36
    $1 074,90
    $792,14
    $899,06
    $1 012,32
    $1 414,72
    $2 149,80
    $1 095,12
    $1 202,04
    $1 315,30
    $1 717,70
    $1 398,10
    $1 505,02
    $1 618,28
    $2 020,68
    $1 701,08
    $1 808,00
    $1 921,26
    $2 323,66
    $699,05
    $752,51
    $809,14
    $1 010,34
    $1 002,03
    $1 055,49
    $1 112,12
    $1 313,32
    $1 305,01
    $1 358,47
    $1 415,10
    $1 616,30
    $302,98
    Toc - Plan #43

    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
    $445,16
    $505,25
    $568,90
    $795,04
    $1 208,14
    $890,32
    $1 010,50
    $1 137,80
    $1 590,08
    $2 416,28
    $1 230,86
    $1 351,04
    $1 478,34
    $1 930,62
    $1 571,40
    $1 691,58
    $1 818,88
    $2 271,16
    $1 911,94
    $2 032,12
    $2 159,42
    $2 611,70
    $785,70
    $845,79
    $909,44
    $1 135,58
    $1 126,24
    $1 186,33
    $1 249,98
    $1 476,12
    $1 466,78
    $1 526,87
    $1 590,52
    $1 816,66
    $340,54
    Toc - Plan #44

    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
    $279,27
    $316,96
    $356,90
    $498,76
    $757,92
    $558,54
    $633,92
    $713,80
    $997,52
    $1 515,84
    $772,18
    $847,56
    $927,44
    $1 211,16
    $985,82
    $1 061,20
    $1 141,08
    $1 424,80
    $1 199,46
    $1 274,84
    $1 354,72
    $1 638,44
    $492,91
    $530,60
    $570,54
    $712,40
    $706,55
    $744,24
    $784,18
    $926,04
    $920,19
    $957,88
    $997,82
    $1 139,68
    $213,64
    Toc - Plan #45

    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
    $380,84
    $432,24
    $486,70
    $680,16
    $1 033,57
    $761,68
    $864,48
    $973,40
    $1 360,32
    $2 067,14
    $1 053,01
    $1 155,81
    $1 264,73
    $1 651,65
    $1 344,34
    $1 447,14
    $1 556,06
    $1 942,98
    $1 635,67
    $1 738,47
    $1 847,39
    $2 234,31
    $672,17
    $723,57
    $778,03
    $971,49
    $963,50
    $1 014,90
    $1 069,36
    $1 262,82
    $1 254,83
    $1 306,23
    $1 360,69
    $1 554,15
    $291,33
    Toc - Plan #46

    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
    $373,22
    $423,60
    $476,97
    $666,56
    $1 012,90
    $746,44
    $847,20
    $953,94
    $1 333,12
    $2 025,80
    $1 031,95
    $1 132,71
    $1 239,45
    $1 618,63
    $1 317,46
    $1 418,22
    $1 524,96
    $1 904,14
    $1 602,97
    $1 703,73
    $1 810,47
    $2 189,65
    $658,73
    $709,11
    $762,48
    $952,07
    $944,24
    $994,62
    $1 047,99
    $1 237,58
    $1 229,75
    $1 280,13
    $1 333,50
    $1 523,09
    $285,51
    Toc - Plan #47

    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
    $301,28
    $341,95
    $385,03
    $538,07
    $817,66
    $602,56
    $683,90
    $770,06
    $1 076,14
    $1 635,32
    $833,03
    $914,37
    $1 000,53
    $1 306,61
    $1 063,50
    $1 144,84
    $1 231,00
    $1 537,08
    $1 293,97
    $1 375,31
    $1 461,47
    $1 767,55
    $531,75
    $572,42
    $615,50
    $768,54
    $762,22
    $802,89
    $845,97
    $999,01
    $992,69
    $1 033,36
    $1 076,44
    $1 229,48
    $230,47
    Toc - Plan #48

    Expanded Bronze

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

    Annual Out of Pocket Expenses
    Individual Family
    $8,100 $16,200 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
    $303,49
    $344,45
    $387,85
    $542,02
    $823,65
    $606,98
    $688,90
    $775,70
    $1 084,04
    $1 647,30
    $839,14
    $921,06
    $1 007,86
    $1 316,20
    $1 071,30
    $1 153,22
    $1 240,02
    $1 548,36
    $1 303,46
    $1 385,38
    $1 472,18
    $1 780,52
    $535,65
    $576,61
    $620,01
    $774,18
    $767,81
    $808,77
    $852,17
    $1 006,34
    $999,97
    $1 040,93
    $1 084,33
    $1 238,50
    $232,16
    Toc - Plan #49

    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
    $288,53
    $327,47
    $368,72
    $515,29
    $783,03
    $577,06
    $654,94
    $737,44
    $1 030,58
    $1 566,06
    $797,77
    $875,65
    $958,15
    $1 251,29
    $1 018,48
    $1 096,36
    $1 178,86
    $1 472,00
    $1 239,19
    $1 317,07
    $1 399,57
    $1 692,71
    $509,24
    $548,18
    $589,43
    $736,00
    $729,95
    $768,89
    $810,14
    $956,71
    $950,66
    $989,60
    $1 030,85
    $1 177,42
    $220,71
    Toc - Plan #50

    Silver

    (HMO) Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 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
    $387,35
    $439,63
    $495,02
    $691,79
    $1 051,24
    $774,70
    $879,26
    $990,04
    $1 383,58
    $2 102,48
    $1 071,02
    $1 175,58
    $1 286,36
    $1 679,90
    $1 367,34
    $1 471,90
    $1 582,68
    $1 976,22
    $1 663,66
    $1 768,22
    $1 879,00
    $2 272,54
    $683,67
    $735,95
    $791,34
    $988,11
    $979,99
    $1 032,27
    $1 087,66
    $1 284,43
    $1 276,31
    $1 328,59
    $1 383,98
    $1 580,75
    $296,32
    Toc - Plan #51

    Silver

    (HMO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 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
    $409,06
    $464,27
    $522,76
    $730,56
    $1 110,16
    $818,12
    $928,54
    $1 045,52
    $1 461,12
    $2 220,32
    $1 131,04
    $1 241,46
    $1 358,44
    $1 774,04
    $1 443,96
    $1 554,38
    $1 671,36
    $2 086,96
    $1 756,88
    $1 867,30
    $1 984,28
    $2 399,88
    $721,98
    $777,19
    $835,68
    $1 043,48
    $1 034,90
    $1 090,11
    $1 148,60
    $1 356,40
    $1 347,82
    $1 403,03
    $1 461,52
    $1 669,32
    $312,92
    Toc - Plan #52

    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
    $413,10
    $468,85
    $527,92
    $737,77
    $1 121,11
    $826,20
    $937,70
    $1 055,84
    $1 475,54
    $2 242,22
    $1 142,21
    $1 253,71
    $1 371,85
    $1 791,55
    $1 458,22
    $1 569,72
    $1 687,86
    $2 107,56
    $1 774,23
    $1 885,73
    $2 003,87
    $2 423,57
    $729,11
    $784,86
    $843,93
    $1 053,78
    $1 045,12
    $1 100,87
    $1 159,94
    $1 369,79
    $1 361,13
    $1 416,88
    $1 475,95
    $1 685,80
    $316,01

    ‡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 Darlington County here.

    Darlington County is in “Rating Area 13” of South Carolina.

    Currently, there are 52 plans offered in Rating Area 13.

    Obamacare Rates and Providers for Other Years

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

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