Georgetown County, South Carolina Obamacare 2024 Rates
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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 Georgetown County, SC.
The health insurance rates listed below are for calendar year 2024.
For information on subsidies to make your coverage affordable, you must take one of the following actions:
- Contact a licensed health insurance agent
- Complete an application at Healthcare.gov
- Contact the provider directly
Obamacare Providers, 77 Plans and 2024 Rates for Georgetown County, South Carolina
Below, you’ll find a summary of the 77 plans for Georgetown County, South Carolina and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
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BlueCross BlueShield of South CarolinaLocal: 1-855-404-6752 | Toll Free: 1-855-404-6752 | TTY: 1-855-889-4325 |
Toc - Plan #1 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$416.23 $472.42 $531.94 $743.39 $1,129.65 |
$734.65 $790.84 $850.36 $1,061.81 |
$1,053.07 $1,109.26 $1,168.78 $1,380.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$832.46 $944.84 $1,063.88 $1,486.78 $2,259.30 |
$1,150.88 $1,263.26 $1,382.30 $1,805.20 |
$1,469.30 $1,581.68 $1,700.72 $2,123.62 |
Toc - Plan #2 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials HD Gold 3 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$412.43 $468.11 $527.09 $736.60 $1,119.34 |
$727.94 $783.62 $842.60 $1,052.11 |
$1,043.45 $1,099.13 $1,158.11 $1,367.62 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$824.86 $936.22 $1,054.18 $1,473.20 $2,238.68 |
$1,140.37 $1,251.73 $1,369.69 $1,788.71 |
$1,455.88 $1,567.24 $1,685.20 $2,104.22 |
Toc - Plan #3 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials HD Bronze 3 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$275.84 $313.08 $352.52 $492.65 $748.63 |
$486.86 $524.10 $563.54 $703.67 |
$697.88 $735.12 $774.56 $914.69 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$551.68 $626.16 $705.04 $985.30 $1,497.26 |
$762.70 $837.18 $916.06 $1,196.32 |
$973.72 $1,048.20 $1,127.08 $1,407.34 |
Toc - Plan #4 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Bronze 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265.75 $301.63 $339.63 $474.64 $721.26 |
$469.05 $504.93 $542.93 $677.94 |
$672.35 $708.23 $746.23 $881.24 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$531.50 $603.26 $679.26 $949.28 $1,442.52 |
$734.80 $806.56 $882.56 $1,152.58 |
$938.10 $1,009.86 $1,085.86 $1,355.88 |
Toc - Plan #5 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials HD Bronze 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$272.96 $309.81 $348.84 $487.51 $740.81 |
$481.77 $518.62 $557.65 $696.32 |
$690.58 $727.43 $766.46 $905.13 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$545.92 $619.62 $697.68 $975.02 $1,481.62 |
$754.73 $828.43 $906.49 $1,183.83 |
$963.54 $1,037.24 $1,115.30 $1,392.64 |
Toc - Plan #6 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 7 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$403.52 $458.00 $515.70 $720.69 $1,095.16 |
$712.21 $766.69 $824.39 $1,029.38 |
$1,020.90 $1,075.38 $1,133.08 $1,338.07 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$807.04 $916.00 $1,031.40 $1,441.38 $2,190.32 |
$1,115.73 $1,224.69 $1,340.09 $1,750.07 |
$1,424.42 $1,533.38 $1,648.78 $2,058.76 |
Toc - Plan #7 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 4 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$399.09 $452.96 $510.03 $712.77 $1,083.12 |
$704.39 $758.26 $815.33 $1,018.07 |
$1,009.69 $1,063.56 $1,120.63 $1,323.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$798.18 $905.92 $1,020.06 $1,425.54 $2,166.24 |
$1,103.48 $1,211.22 $1,325.36 $1,730.84 |
$1,408.78 $1,516.52 $1,630.66 $2,036.14 |
Toc - Plan #8 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 14 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$391.34 $444.17 $500.14 $698.94 $1,062.11 |
$690.72 $743.55 $799.52 $998.32 |
$990.10 $1,042.93 $1,098.90 $1,297.70 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$782.68 $888.34 $1,000.28 $1,397.88 $2,124.22 |
$1,082.06 $1,187.72 $1,299.66 $1,697.26 |
$1,381.44 $1,487.10 $1,599.04 $1,996.64 |
Toc - Plan #9 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Bronze 6 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$313.94 $356.33 $401.22 $560.70 $852.04 |
$554.11 $596.50 $641.39 $800.87 |
$794.28 $836.67 $881.56 $1,041.04 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$627.88 $712.66 $802.44 $1,121.40 $1,704.08 |
$868.05 $952.83 $1,042.61 $1,361.57 |
$1,108.22 $1,193.00 $1,282.78 $1,601.74 |
Toc - Plan #10 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Gold 5 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$389.90 $442.54 $498.29 $696.36 $1,058.19 |
$688.17 $740.81 $796.56 $994.63 |
$986.44 $1,039.08 $1,094.83 $1,292.90 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$779.80 $885.08 $996.58 $1,392.72 $2,116.38 |
$1,078.07 $1,183.35 $1,294.85 $1,690.99 |
$1,376.34 $1,481.62 $1,593.12 $1,989.26 |
Toc - Plan #11 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 38 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$390.96 $443.74 $499.65 $698.26 $1,061.07 |
$690.05 $742.83 $798.74 $997.35 |
$989.14 $1,041.92 $1,097.83 $1,296.44 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$781.92 $887.48 $999.30 $1,396.52 $2,122.14 |
$1,081.01 $1,186.57 $1,298.39 $1,695.61 |
$1,380.10 $1,485.66 $1,597.48 $1,994.70 |
Toc - Plan #12 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Silver 39 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$391.88 $444.78 $500.82 $699.90 $1,063.56 |
$691.67 $744.57 $800.61 $999.69 |
$991.46 $1,044.36 $1,100.40 $1,299.48 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$783.76 $889.56 $1,001.64 $1,399.80 $2,127.12 |
$1,083.55 $1,189.35 $1,301.43 $1,699.59 |
$1,383.34 $1,489.14 $1,601.22 $1,999.38 |
Toc - Plan #13 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Catastrophic
(EPO) BlueEssentials Catastrophic 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$174.23 $197.75 $222.66 $311.17 $472.86 |
$307.51 $331.03 $355.94 $444.45 |
$440.79 $464.31 $489.22 $577.73 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$348.46 $395.50 $445.32 $622.34 $945.72 |
$481.74 $528.78 $578.60 $755.62 |
$615.02 $662.06 $711.88 $888.90 |
Toc - Plan #14 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) Blue VirtuConnect Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$412.55 $468.25 $527.24 $736.82 $1,119.67 |
$728.15 $783.85 $842.84 $1,052.42 |
$1,043.75 $1,099.45 $1,158.44 $1,368.02 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$825.10 $936.50 $1,054.48 $1,473.64 $2,239.34 |
$1,140.70 $1,252.10 $1,370.08 $1,789.24 |
$1,456.30 $1,567.70 $1,685.68 $2,104.84 |
Toc - Plan #15 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) Blue VirtuConnect Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$394.21 $447.42 $503.80 $704.05 $1,069.88 |
$695.78 $748.99 $805.37 $1,005.62 |
$997.35 $1,050.56 $1,106.94 $1,307.19 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$788.42 $894.84 $1,007.60 $1,408.10 $2,139.76 |
$1,089.99 $1,196.41 $1,309.17 $1,709.67 |
$1,391.56 $1,497.98 $1,610.74 $2,011.24 |
Toc - Plan #16 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) Blue VirtuConnect Bronze 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$263.92 $299.55 $337.29 $471.36 $716.28 |
$465.82 $501.45 $539.19 $673.26 |
$667.72 $703.35 $741.09 $875.16 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$527.84 $599.10 $674.58 $942.72 $1,432.56 |
$729.74 $801.00 $876.48 $1,144.62 |
$931.64 $1,002.90 $1,078.38 $1,346.52 |
Toc - Plan #17 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(EPO) BlueEssentials Standard Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$416.10 $472.27 $531.78 $743.15 $1,129.29 |
$734.42 $790.59 $850.10 $1,061.47 |
$1,052.74 $1,108.91 $1,168.42 $1,379.79 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$832.20 $944.54 $1,063.56 $1,486.30 $2,258.58 |
$1,150.52 $1,262.86 $1,381.88 $1,804.62 |
$1,468.84 $1,581.18 $1,700.20 $2,122.94 |
Toc - Plan #18 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(EPO) BlueEssentials Standard Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$396.84 $450.41 $507.16 $708.75 $1,077.01 |
$700.42 $753.99 $810.74 $1,012.33 |
$1,004.00 $1,057.57 $1,114.32 $1,315.91 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$793.68 $900.82 $1,014.32 $1,417.50 $2,154.02 |
$1,097.26 $1,204.40 $1,317.90 $1,721.08 |
$1,400.84 $1,507.98 $1,621.48 $2,024.66 |
Toc - Plan #19 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(EPO) BlueEssentials Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$265.52 $301.37 $339.34 $474.22 $720.62 |
$468.64 $504.49 $542.46 $677.34 |
$671.76 $707.61 $745.58 $880.46 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$531.04 $602.74 $678.68 $948.44 $1,441.24 |
$734.16 $805.86 $881.80 $1,151.56 |
$937.28 $1,008.98 $1,084.92 $1,354.68 |
Toc - Plan #20 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(HMO) Blue Pee Dee Gold 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$362.22 $411.12 $462.92 $646.92 $983.06 |
$639.32 $688.22 $740.02 $924.02 |
$916.42 $965.32 $1,017.12 $1,201.12 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$724.44 $822.24 $925.84 $1,293.84 $1,966.12 |
$1,001.54 $1,099.34 $1,202.94 $1,570.94 |
$1,278.64 $1,376.44 $1,480.04 $1,848.04 |
Toc - Plan #21 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(HMO) Blue Pee Dee Silver 1 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$360.71 $409.40 $460.98 $644.22 $978.95 |
$636.65 $685.34 $736.92 $920.16 |
$912.59 $961.28 $1,012.86 $1,196.10 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$721.42 $818.80 $921.96 $1,288.44 $1,957.90 |
$997.36 $1,094.74 $1,197.90 $1,564.38 |
$1,273.30 $1,370.68 $1,473.84 $1,840.32 |
Toc - Plan #22 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(HMO) Blue Pee Dee Silver 2 |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.68 $408.23 $459.67 $642.38 $976.16 |
$634.83 $683.38 $734.82 $917.53 |
$909.98 $958.53 $1,009.97 $1,192.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.36 $816.46 $919.34 $1,284.76 $1,952.32 |
$994.51 $1,091.61 $1,194.49 $1,559.91 |
$1,269.66 $1,366.76 $1,469.64 $1,835.06 |
Toc - Plan #23 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Pee Dee Bronze 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$247.44 $280.85 $316.23 $441.93 $671.56 |
$436.73 $470.14 $505.52 $631.22 |
$626.02 $659.43 $694.81 $820.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$494.88 $561.70 $632.46 $883.86 $1,343.12 |
$684.17 $750.99 $821.75 $1,073.15 |
$873.46 $940.28 $1,011.04 $1,262.44 |
Toc - Plan #24 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Gold
(HMO) Blue Pee Dee Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.49 $434.13 $488.83 $683.13 $1,038.09 |
$675.10 $726.74 $781.44 $975.74 |
$967.71 $1,019.35 $1,074.05 $1,268.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$764.98 $868.26 $977.66 $1,366.26 $2,076.18 |
$1,057.59 $1,160.87 $1,270.27 $1,658.87 |
$1,350.20 $1,453.48 $1,562.88 $1,951.48 |
Toc - Plan #25 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(HMO) Blue Pee Dee Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.89 $414.15 $466.33 $651.70 $990.32 |
$644.03 $693.29 $745.47 $930.84 |
$923.17 $972.43 $1,024.61 $1,209.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.78 $828.30 $932.66 $1,303.40 $1,980.64 |
$1,008.92 $1,107.44 $1,211.80 $1,582.54 |
$1,288.06 $1,386.58 $1,490.94 $1,861.68 |
Toc - Plan #26 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Expanded Bronze
(HMO) Blue Pee Dee Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$244.86 $277.92 $312.94 $437.33 $664.56 |
$432.18 $465.24 $500.26 $624.65 |
$619.50 $652.56 $687.58 $811.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$489.72 $555.84 $625.88 $874.66 $1,329.12 |
$677.04 $743.16 $813.20 $1,061.98 |
$864.36 $930.48 $1,000.52 $1,249.30 |
Toc - Plan #27 BlueCross BlueShield of South Carolina | ||||||||||||||||||||
Silver
(HMO) Blue Pee Dee HD Silver 3 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-404-6752
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.02 $435.86 $490.77 $685.85 $1,042.22 |
$677.79 $729.63 $784.54 $979.62 |
$971.56 $1,023.40 $1,078.31 $1,273.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.04 $871.72 $981.54 $1,371.70 $2,084.44 |
$1,061.81 $1,165.49 $1,275.31 $1,665.47 |
$1,355.58 $1,459.26 $1,569.08 $1,959.24 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-866-569-2094 | Toll Free: 1-866-569-2094 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.49 $530.59 $597.44 $834.92 $1,268.75 |
$825.12 $888.22 $955.07 $1,192.55 |
$1,182.75 $1,245.85 $1,312.70 $1,550.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$934.98 $1,061.18 $1,194.88 $1,669.84 $2,537.50 |
$1,292.61 $1,418.81 $1,552.51 $2,027.47 |
$1,650.24 $1,776.44 $1,910.14 $2,385.10 |
Toc - Plan #29 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$453.99 $515.28 $580.20 $810.83 $1,232.13 |
$801.30 $862.59 $927.51 $1,158.14 |
$1,148.61 $1,209.90 $1,274.82 $1,505.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$907.98 $1,030.56 $1,160.40 $1,621.66 $2,464.26 |
$1,255.29 $1,377.87 $1,507.71 $1,968.97 |
$1,602.60 $1,725.18 $1,855.02 $2,316.28 |
Toc - Plan #30 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.49 $515.84 $580.83 $811.71 $1,233.47 |
$802.17 $863.52 $928.51 $1,159.39 |
$1,149.85 $1,211.20 $1,276.19 $1,507.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$908.98 $1,031.68 $1,161.66 $1,623.42 $2,466.94 |
$1,256.66 $1,379.36 $1,509.34 $1,971.10 |
$1,604.34 $1,727.04 $1,857.02 $2,318.78 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.11 $501.79 $565.01 $789.60 $1,199.87 |
$780.32 $840.00 $903.22 $1,127.81 |
$1,118.53 $1,178.21 $1,241.43 $1,466.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$884.22 $1,003.58 $1,130.02 $1,579.20 $2,399.74 |
$1,222.43 $1,341.79 $1,468.23 $1,917.41 |
$1,560.64 $1,680.00 $1,806.44 $2,255.62 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.97 $501.63 $564.83 $789.35 $1,199.49 |
$780.08 $839.74 $902.94 $1,127.46 |
$1,118.19 $1,177.85 $1,241.05 $1,465.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.94 $1,003.26 $1,129.66 $1,578.70 $2,398.98 |
$1,222.05 $1,341.37 $1,467.77 $1,916.81 |
$1,560.16 $1,679.48 $1,805.88 $2,254.92 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.62 $503.50 $566.94 $792.29 $1,203.96 |
$782.99 $842.87 $906.31 $1,131.66 |
$1,122.36 $1,182.24 $1,245.68 $1,471.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$887.24 $1,007.00 $1,133.88 $1,584.58 $2,407.92 |
$1,226.61 $1,346.37 $1,473.25 $1,923.95 |
$1,565.98 $1,685.74 $1,812.62 $2,263.32 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.59 $501.21 $564.36 $788.68 $1,198.48 |
$779.41 $839.03 $902.18 $1,126.50 |
$1,117.23 $1,176.85 $1,240.00 $1,464.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.18 $1,002.42 $1,128.72 $1,577.36 $2,396.96 |
$1,221.00 $1,340.24 $1,466.54 $1,915.18 |
$1,558.82 $1,678.06 $1,804.36 $2,253.00 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.79 $352.75 $397.19 $555.07 $843.49 |
$548.55 $590.51 $634.95 $792.83 |
$786.31 $828.27 $872.71 $1,030.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$621.58 $705.50 $794.38 $1,110.14 $1,686.98 |
$859.34 $943.26 $1,032.14 $1,347.90 |
$1,097.10 $1,181.02 $1,269.90 $1,585.66 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$309.91 $351.74 $396.06 $553.49 $841.08 |
$546.99 $588.82 $633.14 $790.57 |
$784.07 $825.90 $870.22 $1,027.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$619.82 $703.48 $792.12 $1,106.98 $1,682.16 |
$856.90 $940.56 $1,029.20 $1,344.06 |
$1,093.98 $1,177.64 $1,266.28 $1,581.14 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.43 $384.11 $432.51 $604.43 $918.48 |
$597.33 $643.01 $691.41 $863.33 |
$856.23 $901.91 $950.31 $1,122.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.86 $768.22 $865.02 $1,208.86 $1,836.96 |
$935.76 $1,027.12 $1,123.92 $1,467.76 |
$1,194.66 $1,286.02 $1,382.82 $1,726.66 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$308.08 $349.67 $393.73 $550.23 $836.13 |
$543.76 $585.35 $629.41 $785.91 |
$779.44 $821.03 $865.09 $1,021.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$616.16 $699.34 $787.46 $1,100.46 $1,672.26 |
$851.84 $935.02 $1,023.14 $1,336.14 |
$1,087.52 $1,170.70 $1,258.82 $1,571.82 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.57 $364.99 $410.97 $574.33 $872.75 |
$567.58 $611.00 $656.98 $820.34 |
$813.59 $857.01 $902.99 $1,066.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.14 $729.98 $821.94 $1,148.66 $1,745.50 |
$889.15 $975.99 $1,067.95 $1,394.67 |
$1,135.16 $1,222.00 $1,313.96 $1,640.68 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-569-2094
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.73 $549.03 $618.20 $863.93 $1,312.82 |
$853.78 $919.08 $988.25 $1,233.98 |
$1,223.83 $1,289.13 $1,358.30 $1,604.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.46 $1,098.06 $1,236.40 $1,727.86 $2,625.64 |
$1,337.51 $1,468.11 $1,606.45 $2,097.91 |
$1,707.56 $1,838.16 $1,976.50 $2,467.96 |
ADVERTISEMENT
Molina HealthcareLocal: 1-855-885-3176 | Toll Free: 1-855-885-3176 | TTY: 1-855-885-3176 |
Toc - Plan #41 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$363.50 $412.57 $464.55 $649.21 $986.53 |
$641.58 $690.65 $742.63 $927.29 |
$919.66 $968.73 $1,020.71 $1,205.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$727.00 $825.14 $929.10 $1,298.42 $1,973.06 |
$1,005.08 $1,103.22 $1,207.18 $1,576.50 |
$1,283.16 $1,381.30 $1,485.26 $1,854.58 |
Toc - Plan #42 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 1 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.36 $404.47 $455.43 $636.46 $967.17 |
$628.98 $677.09 $728.05 $909.08 |
$901.60 $949.71 $1,000.67 $1,181.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.72 $808.94 $910.86 $1,272.92 $1,934.34 |
$985.34 $1,081.56 $1,183.48 $1,545.54 |
$1,257.96 $1,354.18 $1,456.10 $1,818.16 |
Toc - Plan #43 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.99 $429.02 $483.07 $675.09 $1,025.87 |
$667.15 $718.18 $772.23 $964.25 |
$956.31 $1,007.34 $1,061.39 $1,253.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$755.98 $858.04 $966.14 $1,350.18 $2,051.74 |
$1,045.14 $1,147.20 $1,255.30 $1,639.34 |
$1,334.30 $1,436.36 $1,544.46 $1,928.50 |
Toc - Plan #44 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 8 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.43 $414.76 $467.02 $652.66 $991.78 |
$644.98 $694.31 $746.57 $932.21 |
$924.53 $973.86 $1,026.12 $1,211.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.86 $829.52 $934.04 $1,305.32 $1,983.56 |
$1,010.41 $1,109.07 $1,213.59 $1,584.87 |
$1,289.96 $1,388.62 $1,493.14 $1,864.42 |
Toc - Plan #45 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 12 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.10 $393.95 $443.59 $619.91 $942.02 |
$612.63 $659.48 $709.12 $885.44 |
$878.16 $925.01 $974.65 $1,150.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$694.20 $787.90 $887.18 $1,239.82 $1,884.04 |
$959.73 $1,053.43 $1,152.71 $1,505.35 |
$1,225.26 $1,318.96 $1,418.24 $1,770.88 |
Toc - Plan #46 Molina Healthcare | ||||||||||||||||||||
Gold
(HMO) Gold 1 with Adult Vision Services |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.98 $415.39 $467.72 $653.64 $993.27 |
$645.95 $695.36 $747.69 $933.61 |
$925.92 $975.33 $1,027.66 $1,213.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.96 $830.78 $935.44 $1,307.28 $1,986.54 |
$1,011.93 $1,110.75 $1,215.41 $1,587.25 |
$1,291.90 $1,390.72 $1,495.38 $1,867.22 |
Toc - Plan #47 Molina Healthcare | ||||||||||||||||||||
Silver
(HMO) Silver 1 with Adult Vision Services |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-885-3176
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.07 $407.55 $458.90 $641.30 $974.52 |
$633.76 $682.24 $733.59 $915.99 |
$908.45 $956.93 $1,008.28 $1,190.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$718.14 $815.10 $917.80 $1,282.60 $1,949.04 |
$992.83 $1,089.79 $1,192.49 $1,557.29 |
$1,267.52 $1,364.48 $1,467.18 $1,831.98 |
ADVERTISEMENT
First Choice NextLocal: 1-833-983-7272 | Toll Free: 1-833-983-7272 |
Toc - Plan #48 First Choice Next | ||||||||||||||||||||
Bronze
(HMO) First Choice Next Bronze Classic 9450 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.78 $268.74 $302.60 $422.88 $642.60 |
$417.92 $449.88 $483.74 $604.02 |
$599.06 $631.02 $664.88 $785.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$473.56 $537.48 $605.20 $845.76 $1,285.20 |
$654.70 $718.62 $786.34 $1,026.90 |
$835.84 $899.76 $967.48 $1,208.04 |
Toc - Plan #49 First Choice Next | ||||||||||||||||||||
Expanded Bronze
(HMO) First Choice Next Expanded Bronze Classic 7500 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$266.28 $302.23 $340.31 $475.58 $722.68 |
$469.99 $505.94 $544.02 $679.29 |
$673.70 $709.65 $747.73 $883.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$532.56 $604.46 $680.62 $951.16 $1,445.36 |
$736.27 $808.17 $884.33 $1,154.87 |
$939.98 $1,011.88 $1,088.04 $1,358.58 |
Toc - Plan #50 First Choice Next | ||||||||||||||||||||
Silver
(HMO) First Choice Next Silver Classic 5900 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.49 $405.75 $456.87 $638.48 $970.23 |
$630.97 $679.23 $730.35 $911.96 |
$904.45 $952.71 $1,003.83 $1,185.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.98 $811.50 $913.74 $1,276.96 $1,940.46 |
$988.46 $1,084.98 $1,187.22 $1,550.44 |
$1,261.94 $1,358.46 $1,460.70 $1,823.92 |
Toc - Plan #51 First Choice Next | ||||||||||||||||||||
Gold
(HMO) First Choice Next Gold Classic 1500 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.00 $414.28 $466.47 $651.89 $990.60 |
$644.23 $693.51 $745.70 $931.12 |
$923.46 $972.74 $1,024.93 $1,210.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$730.00 $828.56 $932.94 $1,303.78 $1,981.20 |
$1,009.23 $1,107.79 $1,212.17 $1,583.01 |
$1,288.46 $1,387.02 $1,491.40 $1,862.24 |
Toc - Plan #52 First Choice Next | ||||||||||||||||||||
Expanded Bronze
(HMO) First Choice Next Expanded Bronze Premier 3500 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.31 $309.07 $348.01 $486.34 $739.04 |
$480.63 $517.39 $556.33 $694.66 |
$688.95 $725.71 $764.65 $902.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.62 $618.14 $696.02 $972.68 $1,478.08 |
$752.94 $826.46 $904.34 $1,181.00 |
$961.26 $1,034.78 $1,112.66 $1,389.32 |
Toc - Plan #53 First Choice Next | ||||||||||||||||||||
Silver
(HMO) First Choice Next Silver Premier 0 + No-Referrals |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-983-7272
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.98 $410.85 $462.61 $646.50 $982.41 |
$638.90 $687.77 $739.53 $923.42 |
$915.82 $964.69 $1,016.45 $1,200.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.96 $821.70 $925.22 $1,293.00 $1,964.82 |
$1,000.88 $1,098.62 $1,202.14 $1,569.92 |
$1,277.80 $1,375.54 $1,479.06 $1,846.84 |
ADVERTISEMENT
Ambetter from Absolute Total CareLocal: 1-833-270-5443 | Toll Free: 1-833-270-5443 |
Toc - Plan #54 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$369.28 $419.12 $471.92 $659.51 $1,002.19 |
$651.77 $701.61 $754.41 $942.00 |
$934.26 $984.10 $1,036.90 $1,224.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$738.56 $838.24 $943.84 $1,319.02 $2,004.38 |
$1,021.05 $1,120.73 $1,226.33 $1,601.51 |
$1,303.54 $1,403.22 $1,508.82 $1,884.00 |
Toc - Plan #55 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$348.26 $395.27 $445.07 $621.98 $945.16 |
$614.67 $661.68 $711.48 $888.39 |
$881.08 $928.09 $977.89 $1,154.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$696.52 $790.54 $890.14 $1,243.96 $1,890.32 |
$962.93 $1,056.95 $1,156.55 $1,510.37 |
$1,229.34 $1,323.36 $1,422.96 $1,776.78 |
Toc - Plan #56 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$275.24 $312.39 $351.75 $491.57 $746.98 |
$485.79 $522.94 $562.30 $702.12 |
$696.34 $733.49 $772.85 $912.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$550.48 $624.78 $703.50 $983.14 $1,493.96 |
$761.03 $835.33 $914.05 $1,193.69 |
$971.58 $1,045.88 $1,124.60 $1,404.24 |
Toc - Plan #57 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$315.10 $357.63 $402.69 $562.76 $855.16 |
$556.15 $598.68 $643.74 $803.81 |
$797.20 $839.73 $884.79 $1,044.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$630.20 $715.26 $805.38 $1,125.52 $1,710.32 |
$871.25 $956.31 $1,046.43 $1,366.57 |
$1,112.30 $1,197.36 $1,287.48 $1,607.62 |
Toc - Plan #58 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.30 $380.56 $428.51 $598.84 $909.99 |
$591.80 $637.06 $685.01 $855.34 |
$848.30 $893.56 $941.51 $1,111.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.60 $761.12 $857.02 $1,197.68 $1,819.98 |
$927.10 $1,017.62 $1,113.52 $1,454.18 |
$1,183.60 $1,274.12 $1,370.02 $1,710.68 |
Toc - Plan #59 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.98 $391.54 $440.87 $616.12 $936.25 |
$608.88 $655.44 $704.77 $880.02 |
$872.78 $919.34 $968.67 $1,143.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.96 $783.08 $881.74 $1,232.24 $1,872.50 |
$953.86 $1,046.98 $1,145.64 $1,496.14 |
$1,217.76 $1,310.88 $1,409.54 $1,760.04 |
Toc - Plan #60 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.76 $400.38 $450.82 $630.02 $957.38 |
$622.62 $670.24 $720.68 $899.88 |
$892.48 $940.10 $990.54 $1,169.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.52 $800.76 $901.64 $1,260.04 $1,914.76 |
$975.38 $1,070.62 $1,171.50 $1,529.90 |
$1,245.24 $1,340.48 $1,441.36 $1,799.76 |
Toc - Plan #61 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.16 $460.98 $519.06 $725.38 $1,102.29 |
$716.86 $771.68 $829.76 $1,036.08 |
$1,027.56 $1,082.38 $1,140.46 $1,346.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.32 $921.96 $1,038.12 $1,450.76 $2,204.58 |
$1,123.02 $1,232.66 $1,348.82 $1,761.46 |
$1,433.72 $1,543.36 $1,659.52 $2,072.16 |
Toc - Plan #62 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$269.69 $306.09 $344.66 $481.66 $731.92 |
$476.00 $512.40 $550.97 $687.97 |
$682.31 $718.71 $757.28 $894.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$539.38 $612.18 $689.32 $963.32 $1,463.84 |
$745.69 $818.49 $895.63 $1,169.63 |
$952.00 $1,024.80 $1,101.94 $1,375.94 |
Toc - Plan #63 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.38 $384.05 $432.44 $604.34 $918.35 |
$597.24 $642.91 $691.30 $863.20 |
$856.10 $901.77 $950.16 $1,122.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.76 $768.10 $864.88 $1,208.68 $1,836.70 |
$935.62 $1,026.96 $1,123.74 $1,467.54 |
$1,194.48 $1,285.82 $1,382.60 $1,726.40 |
Toc - Plan #64 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.78 $399.26 $449.57 $628.27 $954.71 |
$620.89 $668.37 $718.68 $897.38 |
$890.00 $937.48 $987.79 $1,166.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.56 $798.52 $899.14 $1,256.54 $1,909.42 |
$972.67 $1,067.63 $1,168.25 $1,525.65 |
$1,241.78 $1,336.74 $1,437.36 $1,794.76 |
Toc - Plan #65 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$382.89 $434.57 $489.32 $683.82 $1,039.13 |
$675.79 $727.47 $782.22 $976.72 |
$968.69 $1,020.37 $1,075.12 $1,269.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$765.78 $869.14 $978.64 $1,367.64 $2,078.26 |
$1,058.68 $1,162.04 $1,271.54 $1,660.54 |
$1,351.58 $1,454.94 $1,564.44 $1,953.44 |
Toc - Plan #66 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.10 $409.84 $461.47 $644.91 $980.00 |
$637.33 $686.07 $737.70 $921.14 |
$913.56 $962.30 $1,013.93 $1,197.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$722.20 $819.68 $922.94 $1,289.82 $1,960.00 |
$998.43 $1,095.91 $1,199.17 $1,566.05 |
$1,274.66 $1,372.14 $1,475.40 $1,842.28 |
Toc - Plan #67 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.39 $323.90 $364.71 $509.69 $774.52 |
$503.70 $542.21 $583.02 $728.00 |
$722.01 $760.52 $801.33 $946.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.78 $647.80 $729.42 $1,019.38 $1,549.04 |
$789.09 $866.11 $947.73 $1,237.69 |
$1,007.40 $1,084.42 $1,166.04 $1,456.00 |
Toc - Plan #68 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.72 $370.81 $417.53 $583.50 $886.68 |
$576.65 $620.74 $667.46 $833.43 |
$826.58 $870.67 $917.39 $1,083.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.44 $741.62 $835.06 $1,167.00 $1,773.36 |
$903.37 $991.55 $1,084.99 $1,416.93 |
$1,153.30 $1,241.48 $1,334.92 $1,666.86 |
Toc - Plan #69 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.66 $394.59 $444.30 $620.91 $943.53 |
$613.61 $660.54 $710.25 $886.86 |
$879.56 $926.49 $976.20 $1,152.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.32 $789.18 $888.60 $1,241.82 $1,887.06 |
$961.27 $1,055.13 $1,154.55 $1,507.77 |
$1,227.22 $1,321.08 $1,420.50 $1,773.72 |
Toc - Plan #70 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.70 $405.98 $457.12 $638.83 $970.76 |
$631.33 $679.61 $730.75 $912.46 |
$904.96 $953.24 $1,004.38 $1,186.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.40 $811.96 $914.24 $1,277.66 $1,941.52 |
$989.03 $1,085.59 $1,187.87 $1,551.29 |
$1,262.66 $1,359.22 $1,461.50 $1,824.92 |
Toc - Plan #71 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$365.77 $415.13 $467.44 $653.24 $992.66 |
$645.57 $694.93 $747.24 $933.04 |
$925.37 $974.73 $1,027.04 $1,212.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$731.54 $830.26 $934.88 $1,306.48 $1,985.32 |
$1,011.34 $1,110.06 $1,214.68 $1,586.28 |
$1,291.14 $1,389.86 $1,494.48 $1,866.08 |
Toc - Plan #72 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$421.13 $477.97 $538.19 $752.12 $1,142.92 |
$743.29 $800.13 $860.35 $1,074.28 |
$1,065.45 $1,122.29 $1,182.51 $1,396.44 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$842.26 $955.94 $1,076.38 $1,504.24 $2,285.84 |
$1,164.42 $1,278.10 $1,398.54 $1,826.40 |
$1,486.58 $1,600.26 $1,720.70 $2,148.56 |
Toc - Plan #73 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$279.63 $317.37 $357.36 $499.41 $758.90 |
$493.54 $531.28 $571.27 $713.32 |
$707.45 $745.19 $785.18 $927.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$559.26 $634.74 $714.72 $998.82 $1,517.80 |
$773.17 $848.65 $928.63 $1,212.73 |
$987.08 $1,062.56 $1,142.54 $1,426.64 |
Toc - Plan #74 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.86 $398.21 $448.38 $626.61 $952.20 |
$619.26 $666.61 $716.78 $895.01 |
$887.66 $935.01 $985.18 $1,163.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$701.72 $796.42 $896.76 $1,253.22 $1,904.40 |
$970.12 $1,064.82 $1,165.16 $1,521.62 |
$1,238.52 $1,333.22 $1,433.56 $1,790.02 |
Toc - Plan #75 Ambetter from Absolute Total Care | ||||||||||||||||||||
Gold
(HMO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.75 $413.98 $466.14 $651.42 $989.90 |
$643.78 $693.01 $745.17 $930.45 |
$922.81 $972.04 $1,024.20 $1,209.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.50 $827.96 $932.28 $1,302.84 $1,979.80 |
$1,008.53 $1,106.99 $1,211.31 $1,581.87 |
$1,287.56 $1,386.02 $1,490.34 $1,860.90 |
Toc - Plan #76 Ambetter from Absolute Total Care | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$289.90 $329.02 $370.47 $517.73 $786.75 |
$511.66 $550.78 $592.23 $739.49 |
$733.42 $772.54 $813.99 $961.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$579.80 $658.04 $740.94 $1,035.46 $1,573.50 |
$801.56 $879.80 $962.70 $1,257.22 |
$1,023.32 $1,101.56 $1,184.46 $1,478.98 |
Toc - Plan #77 Ambetter from Absolute Total Care | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-833-270-5443
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.87 $406.18 $457.35 $639.15 $971.24 |
$631.64 $679.95 $731.12 $912.92 |
$905.41 $953.72 $1,004.89 $1,186.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$715.74 $812.36 $914.70 $1,278.30 $1,942.48 |
$989.51 $1,086.13 $1,188.47 $1,552.07 |
$1,263.28 $1,359.90 $1,462.24 $1,825.84 |
‡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 Georgetown County here.
Georgetown County is in “Rating Area 22” of South Carolina.
Currently, there are 77 plans offered in Rating Area 22.