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Obamacare 2020 Rates and Health Insurance Providers for Williamsburg County , South Carolina


Obamacare > Rates > South Carolina > Williamsburg County

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 Williamsburg County, South Carolina.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Williamsburg County, South Carolina

Below, you’ll find a summary of the 32 plans for Williamsburg County, South Carolina and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

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

  • Contact a licensed health insurance agent
  • Complete an application at
  • Contact the provider directly

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 Kingstree, SC area accept this insurance coverage as within the plan's network.

2020 Obamacare Rates, Providers, and Plans for Williamsburg County

ADVERTISEMENT

Blue Cross and Blue Shield of South Carolina

Local: 1-855-404-6752 | Toll Free: 1-855-404-6752 | TTY: 1-800-735-8583
 

Gold

(EPO) BlueEssentials Gold 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $4,500 $9,000
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 		$448.45
$508.99
$573.12
$800.93
$1,217.09 		$896.90
$1,017.98
$1,146.24
$1,601.86
$2,434.18 		$1,239.96
$1,361.04
$1,489.30
$1,944.92 		$1,583.02
$1,704.10
$1,832.36
$2,287.98 		$1,926.08
$2,047.16
$2,175.42
$2,631.04 		$791.51
$852.05
$916.18
$1,143.99 		$1,134.57
$1,195.11
$1,259.24
$1,487.05 		$1,477.63
$1,538.17
$1,602.30
$1,830.11 		$343.06
 

Silver

(EPO) BlueEssentials Silver 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,200 $2,400
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$455.47
$516.96
$582.10
$813.48
$1,236.16 		$910.94
$1,033.92
$1,164.20
$1,626.96
$2,472.32 		$1,259.38
$1,382.36
$1,512.64
$1,975.40 		$1,607.82
$1,730.80
$1,861.08
$2,323.84 		$1,956.26
$2,079.24
$2,209.52
$2,672.28 		$803.91
$865.40
$930.54
$1,161.92 		$1,152.35
$1,213.84
$1,278.98
$1,510.36 		$1,500.79
$1,562.28
$1,627.42
$1,858.80 		$348.44
 

Silver

(EPO) BlueEssentials Silver 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $6,600 $13,200
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 		$438.02
$497.15
$559.78
$782.30
$1,188.77 		$876.04
$994.30
$1,119.56
$1,564.60
$2,377.54 		$1,211.12
$1,329.38
$1,454.64
$1,899.68 		$1,546.20
$1,664.46
$1,789.72
$2,234.76 		$1,881.28
$1,999.54
$2,124.80
$2,569.84 		$773.10
$832.23
$894.86
$1,117.38 		$1,108.18
$1,167.31
$1,229.94
$1,452.46 		$1,443.26
$1,502.39
$1,565.02
$1,787.54 		$335.08
 

Silver

(EPO) BlueEssentials Silver 3

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,950 $7,900
Maximum Out of Pocket Per Year $7,950 $15,900
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 		$447.53
$507.94
$571.94
$799.28
$1,214.58 		$895.06
$1,015.88
$1,143.88
$1,598.56
$2,429.16 		$1,237.42
$1,358.24
$1,486.24
$1,940.92 		$1,579.78
$1,700.60
$1,828.60
$2,283.28 		$1,922.14
$2,042.96
$2,170.96
$2,625.64 		$789.89
$850.30
$914.30
$1,141.64 		$1,132.25
$1,192.66
$1,256.66
$1,484.00 		$1,474.61
$1,535.02
$1,599.02
$1,826.36 		$342.36
 

Bronze

(EPO) BlueEssentials Bronze 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,000 $14,000
Maximum Out of Pocket Per Year $7,900 $15,800
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 		$285.23
$323.73
$364.52
$509.42
$774.11 		$570.46
$647.46
$729.04
$1,018.84
$1,548.22 		$788.66
$865.66
$947.24
$1,237.04 		$1,006.86
$1,083.86
$1,165.44
$1,455.24 		$1,225.06
$1,302.06
$1,383.64
$1,673.44 		$503.43
$541.93
$582.72
$727.62 		$721.63
$760.13
$800.92
$945.82 		$939.83
$978.33
$1,019.12
$1,164.02 		$218.20
 

Expanded Bronze

(EPO) BlueEssentials HD Bronze 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,300 $12,600
Maximum Out of Pocket Per Year $6,750 $13,500
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
$332.99
$374.94
$523.98
$796.24 		$586.76
$665.98
$749.88
$1,047.96
$1,592.48 		$811.20
$890.42
$974.32
$1,272.40 		$1,035.64
$1,114.86
$1,198.76
$1,496.84 		$1,260.08
$1,339.30
$1,423.20
$1,721.28 		$517.82
$557.43
$599.38
$748.42 		$742.26
$781.87
$823.82
$972.86 		$966.70
$1,006.31
$1,048.26
$1,197.30 		$224.44
 

Gold

(EPO) BlueEssentials Gold 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $5,000 $10,000
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 		$445.80
$505.98
$569.73
$796.20
$1,209.90 		$891.60
$1,011.96
$1,139.46
$1,592.40
$2,419.80 		$1,232.64
$1,353.00
$1,480.50
$1,933.44 		$1,573.68
$1,694.04
$1,821.54
$2,274.48 		$1,914.72
$2,035.08
$2,162.58
$2,615.52 		$786.84
$847.02
$910.77
$1,137.24 		$1,127.88
$1,188.06
$1,251.81
$1,478.28 		$1,468.92
$1,529.10
$1,592.85
$1,819.32 		$341.04
 

Gold

(EPO) BlueEssentials HD Gold 3

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $3,000 $6,000
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 		$444.45
$504.46
$568.01
$793.80
$1,206.25 		$888.90
$1,008.92
$1,136.02
$1,587.60
$2,412.50 		$1,228.91
$1,348.93
$1,476.03
$1,927.61 		$1,568.92
$1,688.94
$1,816.04
$2,267.62 		$1,908.93
$2,028.95
$2,156.05
$2,607.63 		$784.46
$844.47
$908.02
$1,133.81 		$1,124.47
$1,184.48
$1,248.03
$1,473.82 		$1,464.48
$1,524.49
$1,588.04
$1,813.83 		$340.01
 

Silver

(EPO) BlueEssentials Silver 4

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,100 $6,200
Maximum Out of Pocket Per Year $7,900 $15,800
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 		$447.11
$507.48
$571.41
$798.55
$1,213.47 		$894.22
$1,014.96
$1,142.82
$1,597.10
$2,426.94 		$1,236.26
$1,357.00
$1,484.86
$1,939.14 		$1,578.30
$1,699.04
$1,826.90
$2,281.18 		$1,920.34
$2,041.08
$2,168.94
$2,623.22 		$789.15
$849.52
$913.45
$1,140.59 		$1,131.19
$1,191.56
$1,255.49
$1,482.63 		$1,473.23
$1,533.60
$1,597.53
$1,824.67 		$342.04
 

Silver

(EPO) BlueEssentials HD Silver 5

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,300 $6,600
Maximum Out of Pocket Per Year $5,000 $10,000
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 		$453.70
$514.95
$579.83
$810.30
$1,231.34 		$907.40
$1,029.90
$1,159.66
$1,620.60
$2,462.68 		$1,254.48
$1,376.98
$1,506.74
$1,967.68 		$1,601.56
$1,724.06
$1,853.82
$2,314.76 		$1,948.64
$2,071.14
$2,200.90
$2,661.84 		$800.78
$862.03
$926.91
$1,157.38 		$1,147.86
$1,209.11
$1,273.99
$1,504.46 		$1,494.94
$1,556.19
$1,621.07
$1,851.54 		$347.08
 

Silver

(EPO) BlueEssentials HD Silver 6

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,300 $8,600
Maximum Out of Pocket Per Year $4,300 $8,600
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 		$457.47
$519.22
$584.64
$817.04
$1,241.57 		$914.94
$1,038.44
$1,169.28
$1,634.08
$2,483.14 		$1,264.90
$1,388.40
$1,519.24
$1,984.04 		$1,614.86
$1,738.36
$1,869.20
$2,334.00 		$1,964.82
$2,088.32
$2,219.16
$2,683.96 		$807.43
$869.18
$934.60
$1,167.00 		$1,157.39
$1,219.14
$1,284.56
$1,516.96 		$1,507.35
$1,569.10
$1,634.52
$1,866.92 		$349.96
 

Expanded Bronze

(EPO) BlueEssentials HD Bronze 3

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,500 $11,000
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$294.88
$334.69
$376.86
$526.66
$800.31 		$589.76
$669.38
$753.72
$1,053.32
$1,600.62 		$815.35
$894.97
$979.31
$1,278.91 		$1,040.94
$1,120.56
$1,204.90
$1,504.50 		$1,266.53
$1,346.15
$1,430.49
$1,730.09 		$520.47
$560.28
$602.45
$752.25 		$746.06
$785.87
$828.04
$977.84 		$971.65
$1,011.46
$1,053.63
$1,203.43 		$225.59
 

Expanded Bronze

(EPO) BlueEssentials Bronze 4

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,400 $12,800
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$286.89
$325.62
$366.65
$512.39
$778.63 		$573.78
$651.24
$733.30
$1,024.78
$1,557.26 		$793.25
$870.71
$952.77
$1,244.25 		$1,012.72
$1,090.18
$1,172.24
$1,463.72 		$1,232.19
$1,309.65
$1,391.71
$1,683.19 		$506.36
$545.09
$586.12
$731.86 		$725.83
$764.56
$805.59
$951.33 		$945.30
$984.03
$1,025.06
$1,170.80 		$219.47
 

Expanded Bronze

(EPO) BlueEssentials HD Bronze 5

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $13,500
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 		$293.28
$332.87
$374.81
$523.80
$795.96 		$586.56
$665.74
$749.62
$1,047.60
$1,591.92 		$810.92
$890.10
$973.98
$1,271.96 		$1,035.28
$1,114.46
$1,198.34
$1,496.32 		$1,259.64
$1,338.82
$1,422.70
$1,720.68 		$517.64
$557.23
$599.17
$748.16 		$742.00
$781.59
$823.53
$972.52 		$966.36
$1,005.95
$1,047.89
$1,196.88 		$224.36
 

Silver

(EPO) BlueEssentials Silver 7

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,400 $12,800
Maximum Out of Pocket Per Year $7,500 $15,000
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 		$432.80
$491.23
$553.12
$772.98
$1,174.61 		$865.60
$982.46
$1,106.24
$1,545.96
$2,349.22 		$1,196.69
$1,313.55
$1,437.33
$1,877.05 		$1,527.78
$1,644.64
$1,768.42
$2,208.14 		$1,858.87
$1,975.73
$2,099.51
$2,539.23 		$763.89
$822.32
$884.21
$1,104.07 		$1,094.98
$1,153.41
$1,215.30
$1,435.16 		$1,426.07
$1,484.50
$1,546.39
$1,766.25 		$331.09
 

Silver

(EPO) BlueEssentials Silver 8

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,250 $10,500
Maximum Out of Pocket Per Year $7,900 $15,800
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 		$444.60
$504.62
$568.20
$794.05
$1,206.64 		$889.20
$1,009.24
$1,136.40
$1,588.10
$2,413.28 		$1,229.32
$1,349.36
$1,476.52
$1,928.22 		$1,569.44
$1,689.48
$1,816.64
$2,268.34 		$1,909.56
$2,029.60
$2,156.76
$2,608.46 		$784.72
$844.74
$908.32
$1,134.17 		$1,124.84
$1,184.86
$1,248.44
$1,474.29 		$1,464.96
$1,524.98
$1,588.56
$1,814.41 		$340.12
 

Silver

(EPO) BlueEssentials Silver 9

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $6,850 $13,700
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 		$451.50
$512.45
$577.02
$806.38
$1,225.37 		$903.00
$1,024.90
$1,154.04
$1,612.76
$2,450.74 		$1,248.40
$1,370.30
$1,499.44
$1,958.16 		$1,593.80
$1,715.70
$1,844.84
$2,303.56 		$1,939.20
$2,061.10
$2,190.24
$2,648.96 		$796.90
$857.85
$922.42
$1,151.78 		$1,142.30
$1,203.25
$1,267.82
$1,497.18 		$1,487.70
$1,548.65
$1,613.22
$1,842.58 		$345.40
 

Silver

(EPO) BlueEssentials Silver 10

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,150 $14,300
Maximum Out of Pocket Per Year $7,150 $14,300
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 		$462.47
$524.90
$591.03
$825.97
$1,255.14 		$924.94
$1,049.80
$1,182.06
$1,651.94
$2,510.28 		$1,278.73
$1,403.59
$1,535.85
$2,005.73 		$1,632.52
$1,757.38
$1,889.64
$2,359.52 		$1,986.31
$2,111.17
$2,243.43
$2,713.31 		$816.26
$878.69
$944.82
$1,179.76 		$1,170.05
$1,232.48
$1,298.61
$1,533.55 		$1,523.84
$1,586.27
$1,652.40
$1,887.34 		$353.79
 

Silver

(EPO) BlueEssentials Silver 11

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,500 $11,000
Maximum Out of Pocket Per Year $7,150 $14,300
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 		$449.36
$510.03
$574.29
$802.56
$1,219.57 		$898.72
$1,020.06
$1,148.58
$1,605.12
$2,439.14 		$1,242.48
$1,363.82
$1,492.34
$1,948.88 		$1,586.24
$1,707.58
$1,836.10
$2,292.64 		$1,930.00
$2,051.34
$2,179.86
$2,636.40 		$793.12
$853.79
$918.05
$1,146.32 		$1,136.88
$1,197.55
$1,261.81
$1,490.08 		$1,480.64
$1,541.31
$1,605.57
$1,833.84 		$343.76
 

Silver

(EPO) BlueEssentials Silver 12

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,800 $9,600
Maximum Out of Pocket Per Year $7,350 $14,700
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 		$448.14
$508.64
$572.73
$800.38
$1,216.26 		$896.28
$1,017.28
$1,145.46
$1,600.76
$2,432.52 		$1,239.11
$1,360.11
$1,488.29
$1,943.59 		$1,581.94
$1,702.94
$1,831.12
$2,286.42 		$1,924.77
$2,045.77
$2,173.95
$2,629.25 		$790.97
$851.47
$915.56
$1,143.21 		$1,133.80
$1,194.30
$1,258.39
$1,486.04 		$1,476.63
$1,537.13
$1,601.22
$1,828.87 		$342.83
 

Gold

(EPO) BlueEssentials Gold 4

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,700 $5,400
Maximum Out of Pocket Per Year $6,000 $12,000
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 		$432.87
$491.31
$553.21
$773.11
$1,174.81 		$865.74
$982.62
$1,106.42
$1,546.22
$2,349.62 		$1,196.89
$1,313.77
$1,437.57
$1,877.37 		$1,528.04
$1,644.92
$1,768.72
$2,208.52 		$1,859.19
$1,976.07
$2,099.87
$2,539.67 		$764.02
$822.46
$884.36
$1,104.26 		$1,095.17
$1,153.61
$1,215.51
$1,435.41 		$1,426.32
$1,484.76
$1,546.66
$1,766.56 		$331.15
 

Silver

(EPO) BlueEssentials HD Silver 13

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,550 $9,100
Maximum Out of Pocket Per Year $4,550 $9,100
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 		$452.64
$513.75
$578.47
$808.42
$1,228.46 		$905.28
$1,027.50
$1,156.94
$1,616.84
$2,456.92 		$1,251.55
$1,373.77
$1,503.21
$1,963.11 		$1,597.82
$1,720.04
$1,849.48
$2,309.38 		$1,944.09
$2,066.31
$2,195.75
$2,655.65 		$798.91
$860.02
$924.74
$1,154.69 		$1,145.18
$1,206.29
$1,271.01
$1,500.96 		$1,491.45
$1,552.56
$1,617.28
$1,847.23 		$346.27
 

Silver

(EPO) BlueEssentials Silver 14

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,650 $13,300
Maximum Out of Pocket Per Year $7,900 $15,800
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 		$427.37
$485.06
$546.17
$763.27
$1,159.87 		$854.74
$970.12
$1,092.34
$1,526.54
$2,319.74 		$1,181.67
$1,297.05
$1,419.27
$1,853.47 		$1,508.60
$1,623.98
$1,746.20
$2,180.40 		$1,835.53
$1,950.91
$2,073.13
$2,507.33 		$754.30
$811.99
$873.10
$1,090.20 		$1,081.23
$1,138.92
$1,200.03
$1,417.13 		$1,408.16
$1,465.85
$1,526.96
$1,744.06 		$326.93
 

Catastrophic

(EPO) BlueEssentials Catastrophic 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$181.41
$205.90
$231.84
$324.00
$492.34 		$362.82
$411.80
$463.68
$648.00
$984.68 		$501.60
$550.58
$602.46
$786.78 		$640.38
$689.36
$741.24
$925.56 		$779.16
$828.14
$880.02
$1,064.34 		$320.19
$344.68
$370.62
$462.78 		$458.97
$483.46
$509.40
$601.56 		$597.75
$622.24
$648.18
$740.34 		$138.78

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MOLINA HEALTHCARE OF SOUTH CAROLINA, INC

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

Gold

(HMO) Confident Care Gold 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
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 		$446.58
$506.87
$570.73
$797.60
$1,212.03 		$893.16
$1,013.74
$1,141.46
$1,595.20
$2,424.06 		$1,234.80
$1,355.38
$1,483.10
$1,936.84 		$1,576.44
$1,697.02
$1,824.74
$2,278.48 		$1,918.08
$2,038.66
$2,166.38
$2,620.12 		$788.22
$848.51
$912.37
$1,139.24 		$1,129.86
$1,190.15
$1,254.01
$1,480.88 		$1,471.50
$1,531.79
$1,595.65
$1,822.52 		$341.64
 

Silver

(HMO) Constant Care Silver 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$420.21
$476.94
$537.03
$750.50
$1,140.46 		$840.42
$953.88
$1,074.06
$1,501.00
$2,280.92 		$1,161.88
$1,275.34
$1,395.52
$1,822.46 		$1,483.34
$1,596.80
$1,716.98
$2,143.92 		$1,804.80
$1,918.26
$2,038.44
$2,465.38 		$741.67
$798.40
$858.49
$1,071.96 		$1,063.13
$1,119.86
$1,179.95
$1,393.42 		$1,384.59
$1,441.32
$1,501.41
$1,714.88 		$321.46
 

Bronze

(HMO) Core Care Bronze 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$321.49
$364.89
$410.86
$574.18
$872.52 		$642.98
$729.78
$821.72
$1,148.36
$1,745.04 		$888.92
$975.72
$1,067.66
$1,394.30 		$1,134.86
$1,221.66
$1,313.60
$1,640.24 		$1,380.80
$1,467.60
$1,559.54
$1,886.18 		$567.43
$610.83
$656.80
$820.12 		$813.37
$856.77
$902.74
$1,066.06 		$1,059.31
$1,102.71
$1,148.68
$1,312.00 		$245.94
 

Gold

(HMO) Confident Care Gold 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
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 		$450.88
$511.75
$576.22
$805.27
$1,223.68 		$901.76
$1,023.50
$1,152.44
$1,610.54
$2,447.36 		$1,246.68
$1,368.42
$1,497.36
$1,955.46 		$1,591.60
$1,713.34
$1,842.28
$2,300.38 		$1,936.52
$2,058.26
$2,187.20
$2,645.30 		$795.80
$856.67
$921.14
$1,150.19 		$1,140.72
$1,201.59
$1,266.06
$1,495.11 		$1,485.64
$1,546.51
$1,610.98
$1,840.03 		$344.92
 

Silver

(HMO) Confident Care Silver 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$428.81
$486.70
$548.02
$765.85
$1,163.78 		$857.62
$973.40
$1,096.04
$1,531.70
$2,327.56 		$1,185.66
$1,301.44
$1,424.08
$1,859.74 		$1,513.70
$1,629.48
$1,752.12
$2,187.78 		$1,841.74
$1,957.52
$2,080.16
$2,515.82 		$756.85
$814.74
$876.06
$1,093.89 		$1,084.89
$1,142.78
$1,204.10
$1,421.93 		$1,412.93
$1,470.82
$1,532.14
$1,749.97 		$328.04
 

Bronze

(HMO) Core Care Bronze 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$325.78
$369.76
$416.35
$581.84
$884.17 		$651.56
$739.52
$832.70
$1,163.68
$1,768.34 		$900.78
$988.74
$1,081.92
$1,412.90 		$1,150.00
$1,237.96
$1,331.14
$1,662.12 		$1,399.22
$1,487.18
$1,580.36
$1,911.34 		$575.00
$618.98
$665.57
$831.06 		$824.22
$868.20
$914.79
$1,080.28 		$1,073.44
$1,117.42
$1,164.01
$1,329.50 		$249.22
 

Silver

(HMO) Constant Care Silver 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
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 		$406.99
$461.94
$520.14
$726.89
$1,104.58 		$813.98
$923.88
$1,040.28
$1,453.78
$2,209.16 		$1,125.33
$1,235.23
$1,351.63
$1,765.13 		$1,436.68
$1,546.58
$1,662.98
$2,076.48 		$1,748.03
$1,857.93
$1,974.33
$2,387.83 		$718.34
$773.29
$831.49
$1,038.24 		$1,029.69
$1,084.64
$1,142.84
$1,349.59 		$1,341.04
$1,395.99
$1,454.19
$1,660.94 		$311.35
 

Bronze

(HMO) Core Care Bronze 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$306.21
$347.55
$391.34
$546.89
$831.06 		$612.42
$695.10
$782.68
$1,093.78
$1,662.12 		$846.67
$929.35
$1,016.93
$1,328.03 		$1,080.92
$1,163.60
$1,251.18
$1,562.28 		$1,315.17
$1,397.85
$1,485.43
$1,796.53 		$540.46
$581.80
$625.59
$781.14 		$774.71
$816.05
$859.84
$1,015.39 		$1,008.96
$1,050.30
$1,094.09
$1,249.64 		$234.25

‡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 Williamsburg County here.

Williamsburg County is in “Rating Area 45” of South Carolina.

Currently, there are 32 plans offered in Rating Area 45.

Greenville County Spartanburg County Cherokee County York County Pickens County Lancaster County Oconee County Union County Anderson County Chester County Chesterfield County Marlboro County Laurens County Pickens County Dillon County Kershaw County Fairfield County Newberry County Darlington County Abbeville County Greenwood County Lee County Florence County Horry County Marion County Richland County Lexington County Saluda County Sumter County McCormick County Edgefield County Clarendon County Williamsburg County Aiken County Calhoun County Georgetown County Orangeburg County Berkeley County Barnwell County Bamberg County Dorchester County Charleston County Colleton County Allendale County Hampton County Jasper County Beaufort County Beaufort County

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