South Carolina

Obamacare 2018 Rates

South Carolina Obamacare 2018 Rates

 
Kingstree, SC

Obamacare 2018 Rates and Health Insurance Providers for Williamsburg County,Kingstree,SC


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

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

Obamacare Providers, Plans and 2018 Rates for Williamsburg County

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

Currently, there are 24 plans offered in Rating Area 45.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

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

Each scenario is covered for age

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

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

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

2018 Obamacare Rates Providers, Plans for Williamsburg County

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

Plan: (EPO) BlueEssentials Gold 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $461.79
$524.13
$590.16
$824.75
$1,253.29		 $923.58
$1,048.26
$1,180.32
$1,649.50
$2,506.58		 $1,276.85
$1,401.53
$1,533.59
$2,002.77		 $1,630.12
$1,754.80
$1,886.86
$2,356.04		 $1,983.39
$2,108.07
$2,240.13
$2,709.31		 $815.06
$877.40
$943.43
$1,178.02		 $1,168.33
$1,230.67
$1,296.70
$1,531.29		 $1,521.60
$1,583.94
$1,649.97
$1,884.56		 $353.27

Silver

Plan: (EPO) BlueEssentials Silver 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $690 : Family: $1,380
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $433.41
$491.92
$553.89
$774.06
$1,176.27		 $866.82
$983.84
$1,107.78
$1,548.12
$2,352.54		 $1,198.38
$1,315.40
$1,439.34
$1,879.68		 $1,529.94
$1,646.96
$1,770.90
$2,211.24		 $1,861.50
$1,978.52
$2,102.46
$2,542.80		 $764.97
$823.48
$885.45
$1,105.62		 $1,096.53
$1,155.04
$1,217.01
$1,437.18		 $1,428.09
$1,486.60
$1,548.57
$1,768.74		 $331.56

Gold

Plan: (EPO) BlueEssentials HD Gold 3

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $458.04
$519.87
$585.37
$818.06
$1,243.12		 $916.08
$1,039.74
$1,170.74
$1,636.12
$2,486.24		 $1,266.48
$1,390.14
$1,521.14
$1,986.52		 $1,616.88
$1,740.54
$1,871.54
$2,336.92		 $1,967.28
$2,090.94
$2,221.94
$2,687.32		 $808.44
$870.27
$935.77
$1,168.46		 $1,158.84
$1,220.67
$1,286.17
$1,518.86		 $1,509.24
$1,571.07
$1,636.57
$1,869.26		 $350.40

Silver

Plan: (EPO) BlueEssentials Silver 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $3,000 : Family: $6,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $427.77
$485.52
$546.69
$764.00
$1,160.97		 $855.54
$971.04
$1,093.38
$1,528.00
$2,321.94		 $1,182.78
$1,298.28
$1,420.62
$1,855.24		 $1,510.02
$1,625.52
$1,747.86
$2,182.48		 $1,837.26
$1,952.76
$2,075.10
$2,509.72		 $755.01
$812.76
$873.93
$1,091.24		 $1,082.25
$1,140.00
$1,201.17
$1,418.48		 $1,409.49
$1,467.24
$1,528.41
$1,745.72		 $327.24

Silver

Plan: (EPO) BlueEssentials Silver 3

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $429.47
$487.45
$548.87
$767.04
$1,165.59		 $858.94
$974.90
$1,097.74
$1,534.08
$2,331.18		 $1,187.49
$1,303.45
$1,426.29
$1,862.63		 $1,516.04
$1,632.00
$1,754.84
$2,191.18		 $1,844.59
$1,960.55
$2,083.39
$2,519.73		 $758.02
$816.00
$877.42
$1,095.59		 $1,086.57
$1,144.55
$1,205.97
$1,424.14		 $1,415.12
$1,473.10
$1,534.52
$1,752.69		 $328.55

Bronze

Plan: (EPO) BlueEssentials Bronze 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $7,000 : Family: $14,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $295.87
$335.81
$378.12
$528.43
$803.00		 $591.74
$671.62
$756.24
$1,056.86
$1,606.00		 $818.08
$897.96
$982.58
$1,283.20		 $1,044.42
$1,124.30
$1,208.92
$1,509.54		 $1,270.76
$1,350.64
$1,435.26
$1,735.88		 $522.21
$562.15
$604.46
$754.77		 $748.55
$788.49
$830.80
$981.11		 $974.89
$1,014.83
$1,057.14
$1,207.45		 $226.34

Bronze

Plan: (EPO) BlueEssentials HD Bronze 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $6,300 : Family: $12,600
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $302.04
$342.81
$386.00
$539.44
$819.73		 $604.08
$685.62
$772.00
$1,078.88
$1,639.46		 $835.14
$916.68
$1,003.06
$1,309.94		 $1,066.20
$1,147.74
$1,234.12
$1,541.00		 $1,297.26
$1,378.80
$1,465.18
$1,772.06		 $533.10
$573.87
$617.06
$770.50		 $764.16
$804.93
$848.12
$1,001.56		 $995.22
$1,035.99
$1,079.18
$1,232.62		 $231.06

Gold

Plan: (EPO) BlueEssentials Gold 2

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $466.08
$529.00
$595.65
$832.42
$1,264.95		 $932.16
$1,058.00
$1,191.30
$1,664.84
$2,529.90		 $1,288.71
$1,414.55
$1,547.85
$2,021.39		 $1,645.26
$1,771.10
$1,904.40
$2,377.94		 $2,001.81
$2,127.65
$2,260.95
$2,734.49		 $822.63
$885.55
$952.20
$1,188.97		 $1,179.18
$1,242.10
$1,308.75
$1,545.52		 $1,535.73
$1,598.65
$1,665.30
$1,902.07		 $356.55

Silver

Plan: (EPO) BlueEssentials Silver 4

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $3,100 : Family: $6,200
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $429.35
$487.31
$548.71
$766.82
$1,165.25		 $858.70
$974.62
$1,097.42
$1,533.64
$2,330.50		 $1,187.15
$1,303.07
$1,425.87
$1,862.09		 $1,515.60
$1,631.52
$1,754.32
$2,190.54		 $1,844.05
$1,959.97
$2,082.77
$2,518.99		 $757.80
$815.76
$877.16
$1,095.27		 $1,086.25
$1,144.21
$1,205.61
$1,423.72		 $1,414.70
$1,472.66
$1,534.06
$1,752.17		 $328.45

Silver

Plan: (EPO) BlueEssentials HD Silver 5

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $3,300 : Family: $6,600
Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $429.62
$487.62
$549.05
$767.30
$1,165.98		 $859.24
$975.24
$1,098.10
$1,534.60
$2,331.96		 $1,187.90
$1,303.90
$1,426.76
$1,863.26		 $1,516.56
$1,632.56
$1,755.42
$2,191.92		 $1,845.22
$1,961.22
$2,084.08
$2,520.58		 $758.28
$816.28
$877.71
$1,095.96		 $1,086.94
$1,144.94
$1,206.37
$1,424.62		 $1,415.60
$1,473.60
$1,535.03
$1,753.28		 $328.66

Silver

Plan: (EPO) BlueEssentials HD Silver 6

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $4,300 : Family: $8,600
Out of Pocket Maximum per year: Individual: $4,300 : Family: $8,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $429.76
$487.78
$549.24
$767.56
$1,166.38		 $859.52
$975.56
$1,098.48
$1,535.12
$2,332.76		 $1,188.29
$1,304.33
$1,427.25
$1,863.89		 $1,517.06
$1,633.10
$1,756.02
$2,192.66		 $1,845.83
$1,961.87
$2,084.79
$2,521.43		 $758.53
$816.55
$878.01
$1,096.33		 $1,087.30
$1,145.32
$1,206.78
$1,425.10		 $1,416.07
$1,474.09
$1,535.55
$1,753.87		 $328.77

Bronze

Plan: (EPO) BlueEssentials HD Bronze 3

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $5,200 : Family: $10,400
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $304.83
$345.98
$389.57
$544.43
$827.31		 $609.66
$691.96
$779.14
$1,088.86
$1,654.62		 $842.85
$925.15
$1,012.33
$1,322.05		 $1,076.04
$1,158.34
$1,245.52
$1,555.24		 $1,309.23
$1,391.53
$1,478.71
$1,788.43		 $538.02
$579.17
$622.76
$777.62		 $771.21
$812.36
$855.95
$1,010.81		 $1,004.40
$1,045.55
$1,089.14
$1,244.00		 $233.19

Expanded Bronze

Plan: (EPO) BlueEssentials Bronze 4

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $6,200 : Family: $12,400
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $311.48
$353.53
$398.08
$556.31
$845.36		 $622.96
$707.06
$796.16
$1,112.62
$1,690.72		 $861.24
$945.34
$1,034.44
$1,350.90		 $1,099.52
$1,183.62
$1,272.72
$1,589.18		 $1,337.80
$1,421.90
$1,511.00
$1,827.46		 $549.76
$591.81
$636.36
$794.59		 $788.04
$830.09
$874.64
$1,032.87		 $1,026.32
$1,068.37
$1,112.92
$1,271.15		 $238.28

Bronze

Plan: (EPO) BlueEssentials HD Bronze 5

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $301.97
$342.74
$385.92
$539.33
$819.56		 $603.94
$685.48
$771.84
$1,078.66
$1,639.12		 $834.95
$916.49
$1,002.85
$1,309.67		 $1,065.96
$1,147.50
$1,233.86
$1,540.68		 $1,296.97
$1,378.51
$1,464.87
$1,771.69		 $532.98
$573.75
$616.93
$770.34		 $763.99
$804.76
$847.94
$1,001.35		 $995.00
$1,035.77
$1,078.95
$1,232.36		 $231.01

Silver

Plan: (EPO) BlueEssentials Silver 7

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $6,400 : Family: $12,800
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $425.16
$482.56
$543.36
$759.34
$1,153.90		 $850.32
$965.12
$1,086.72
$1,518.68
$2,307.80		 $1,175.57
$1,290.37
$1,411.97
$1,843.93		 $1,500.82
$1,615.62
$1,737.22
$2,169.18		 $1,826.07
$1,940.87
$2,062.47
$2,494.43		 $750.41
$807.81
$868.61
$1,084.59		 $1,075.66
$1,133.06
$1,193.86
$1,409.84		 $1,400.91
$1,458.31
$1,519.11
$1,735.09		 $325.25

Silver

Plan: (EPO) BlueEssentials Silver 8

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $426.74
$484.35
$545.38
$762.16
$1,158.18		 $853.48
$968.70
$1,090.76
$1,524.32
$2,316.36		 $1,179.94
$1,295.16
$1,417.22
$1,850.78		 $1,506.40
$1,621.62
$1,743.68
$2,177.24		 $1,832.86
$1,948.08
$2,070.14
$2,503.70		 $753.20
$810.81
$871.84
$1,088.62		 $1,079.66
$1,137.27
$1,198.30
$1,415.08		 $1,406.12
$1,463.73
$1,524.76
$1,741.54		 $326.46

Gold

Plan: (EPO) BlueEssentials Gold 4

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $2,700 : Family: $5,400
Out of Pocket Maximum per year: Individual: $5,600 : Family: $11,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $443.54
$503.41
$566.84
$792.16
$1,203.76		 $887.08
$1,006.82
$1,133.68
$1,584.32
$2,407.52		 $1,226.39
$1,346.13
$1,472.99
$1,923.63		 $1,565.70
$1,685.44
$1,812.30
$2,262.94		 $1,905.01
$2,024.75
$2,151.61
$2,602.25		 $782.85
$842.72
$906.15
$1,131.47		 $1,122.16
$1,182.03
$1,245.46
$1,470.78		 $1,461.47
$1,521.34
$1,584.77
$1,810.09		 $339.31

Silver

Plan: (EPO) BlueEssentials Silver 9

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $422.79
$479.86
$540.32
$755.10
$1,147.45		 $845.58
$959.72
$1,080.64
$1,510.20
$2,294.90		 $1,169.01
$1,283.15
$1,404.07
$1,833.63		 $1,492.44
$1,606.58
$1,727.50
$2,157.06		 $1,815.87
$1,930.01
$2,050.93
$2,480.49		 $746.22
$803.29
$863.75
$1,078.53		 $1,069.65
$1,126.72
$1,187.18
$1,401.96		 $1,393.08
$1,450.15
$1,510.61
$1,725.39		 $323.43

Silver

Plan: (EPO) BlueEssentials Silver 10

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $422.32
$479.33
$539.73
$754.26
$1,146.18		 $844.64
$958.66
$1,079.46
$1,508.52
$2,292.36		 $1,167.72
$1,281.74
$1,402.54
$1,831.60		 $1,490.80
$1,604.82
$1,725.62
$2,154.68		 $1,813.88
$1,927.90
$2,048.70
$2,477.76		 $745.40
$802.41
$862.81
$1,077.34		 $1,068.48
$1,125.49
$1,185.89
$1,400.42		 $1,391.56
$1,448.57
$1,508.97
$1,723.50		 $323.08

Silver

Plan: (EPO) BlueEssentials Silver 11

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $423.77
$480.98
$541.58
$756.86
$1,150.12		 $847.54
$961.96
$1,083.16
$1,513.72
$2,300.24		 $1,171.73
$1,286.15
$1,407.35
$1,837.91		 $1,495.92
$1,610.34
$1,731.54
$2,162.10		 $1,820.11
$1,934.53
$2,055.73
$2,486.29		 $747.96
$805.17
$865.77
$1,081.05		 $1,072.15
$1,129.36
$1,189.96
$1,405.24		 $1,396.34
$1,453.55
$1,514.15
$1,729.43		 $324.19

Silver

Plan: (EPO) BlueEssentials Silver 12

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $4,800 : Family: $9,600
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $424.25
$481.53
$542.19
$757.71
$1,151.42		 $848.50
$963.06
$1,084.38
$1,515.42
$2,302.84		 $1,173.05
$1,287.61
$1,408.93
$1,839.97		 $1,497.60
$1,612.16
$1,733.48
$2,164.52		 $1,822.15
$1,936.71
$2,058.03
$2,489.07		 $748.80
$806.08
$866.74
$1,082.26		 $1,073.35
$1,130.63
$1,191.29
$1,406.81		 $1,397.90
$1,455.18
$1,515.84
$1,731.36		 $324.55

Silver

Plan: (EPO) BlueEssentials HD Silver 13

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $4,550 : Family: $9,100
Out of Pocket Maximum per year: Individual: $4,550 : Family: $9,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $430.42
$488.52
$550.07
$768.72
$1,168.15		 $860.84
$977.04
$1,100.14
$1,537.44
$2,336.30		 $1,190.11
$1,306.31
$1,429.41
$1,866.71		 $1,519.38
$1,635.58
$1,758.68
$2,195.98		 $1,848.65
$1,964.85
$2,087.95
$2,525.25		 $759.69
$817.79
$879.34
$1,097.99		 $1,088.96
$1,147.06
$1,208.61
$1,427.26		 $1,418.23
$1,476.33
$1,537.88
$1,756.53		 $329.27

Silver

Plan: (EPO) BlueEssentials Silver 14

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

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

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $424.48
$481.78
$542.49
$758.12
$1,152.04		 $848.96
$963.56
$1,084.98
$1,516.24
$2,304.08		 $1,173.69
$1,288.29
$1,409.71
$1,840.97		 $1,498.42
$1,613.02
$1,734.44
$2,165.70		 $1,823.15
$1,937.75
$2,059.17
$2,490.43		 $749.21
$806.51
$867.22
$1,082.85		 $1,073.94
$1,131.24
$1,191.95
$1,407.58		 $1,398.67
$1,455.97
$1,516.68
$1,732.31		 $324.73

Catastrophic

Plan: (EPO) BlueEssentials Catastrophic 1

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross and Blue Shield of South Carolina)
Customer Service Phone: 1-855-404-6752

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $214.07
$242.97
$273.58
$382.32
$580.98		 $428.14
$485.94
$547.16
$764.64
$1,161.96		 $591.90
$649.70
$710.92
$928.40		 $755.66
$813.46
$874.68
$1,092.16		 $919.42
$977.22
$1,038.44
$1,255.92		 $377.83
$406.73
$437.34
$546.08		 $541.59
$570.49
$601.10
$709.84		 $705.35
$734.25
$764.86
$873.60		 $163.76

‡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.

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