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Obamacare 2021 Rates and Health Insurance Providers for Wilson County , Tennessee

Obamacare > Rates > Tennessee > Wilson County

Obamacare Rates and Providers for Other Years

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

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 Wilson County, TN.

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

Obamacare Providers, Plans and 2021 Rates for Wilson County, Tennessee

Below, you’ll find a summary of the 66 plans for Wilson County, Tennessee and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

  • BlueCross BlueShield of Tennessee

    Local: 1-423-535-5600 | Toll Free: 1-800-565-9140

  • Oscar Insurance Company

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

  • UnitedHealthcare

    Local: 1-877-632-4195 | Toll Free: 

  • Ambetter of Tennessee

    Local: 1-833-709-4735 | Toll Free: 1-833-709-4735

  • Bright Health

    Local: 1-855-827-4448 | Toll Free: 1-855-827-4448

  • Cigna Healthcare

    Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777

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

    The table below shows premiums for the following profiles at various ages:

    • Individuals
    • Couples
    • Couples with 1, 2, or 3 children
    • Individuals with 1, 2, or 3 children
    • A child alone

    Each plan links to the insurance provider's website. You can find the following:

    • Summary of plan benefits and costs
    • Plan brochure
    • Provider Directory where you can find out which doctors and hospitals in the Mount Juliet, TN area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Wilson County

    ADVERTISEMENT

    BlueCross BlueShield of Tennessee

    Local: 1-423-535-5600 | Toll Free: 1-800-565-9140

    Toc - Plan #1

    Expanded Bronze

    (EPO) Bronze B07S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $5,950 $11,900 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$356,42
    $404,54
    $455,50
    $636,57
    $967,32     		$712,84
    $809,08
    $911,00
    $1 273,14
    $1 934,64     		$985,50
    $1 081,74
    $1 183,66
    $1 545,80     		$1 258,16
    $1 354,40
    $1 456,32
    $1 818,46     		$1 530,82
    $1 627,06
    $1 728,98
    $2 091,12     		$629,08
    $677,20
    $728,16
    $909,23     		$901,74
    $949,86
    $1 000,82
    $1 181,89     		$1 174,40
    $1 222,52
    $1 273,48
    $1 454,55     		$272,66
    Toc - Plan #2

    Bronze

    (EPO) Bronze B08S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$289,59
    $328,68
    $370,10
    $517,21
    $785,95     		$579,18
    $657,36
    $740,20
    $1 034,42
    $1 571,90     		$800,72
    $878,90
    $961,74
    $1 255,96     		$1 022,26
    $1 100,44
    $1 183,28
    $1 477,50     		$1 243,80
    $1 321,98
    $1 404,82
    $1 699,04     		$511,13
    $550,22
    $591,64
    $738,75     		$732,67
    $771,76
    $813,18
    $960,29     		$954,21
    $993,30
    $1 034,72
    $1 181,83     		$221,54
    Toc - Plan #3

    Expanded Bronze

    (EPO) Bronze B11S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $6,400 $12,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$337,19
    $382,71
    $430,93
    $602,22
    $915,13     		$674,38
    $765,42
    $861,86
    $1 204,44
    $1 830,26     		$932,33
    $1 023,37
    $1 119,81
    $1 462,39     		$1 190,28
    $1 281,32
    $1 377,76
    $1 720,34     		$1 448,23
    $1 539,27
    $1 635,71
    $1 978,29     		$595,14
    $640,66
    $688,88
    $860,17     		$853,09
    $898,61
    $946,83
    $1 118,12     		$1 111,04
    $1 156,56
    $1 204,78
    $1 376,07     		$257,95
    Toc - Plan #4

    Silver

    (EPO) Silver S01S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $750 $1,500 Annual Deductible
    $7,800 $15,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$590,36
    $670,06
    $754,48
    $1 054,38
    $1 602,24     		$1 180,72
    $1 340,12
    $1 508,96
    $2 108,76
    $3 204,48     		$1 632,35
    $1 791,75
    $1 960,59
    $2 560,39     		$2 083,98
    $2 243,38
    $2 412,22
    $3 012,02     		$2 535,61
    $2 695,01
    $2 863,85
    $3 463,65     		$1 041,99
    $1 121,69
    $1 206,11
    $1 506,01     		$1 493,62
    $1 573,32
    $1 657,74
    $1 957,64     		$1 945,25
    $2 024,95
    $2 109,37
    $2 409,27     		$451,63
    Toc - Plan #5

    Silver

    (EPO) Silver S04S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $7,900 $15,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$496,15
    $563,13
    $634,08
    $886,12
    $1 346,55     		$992,30
    $1 126,26
    $1 268,16
    $1 772,24
    $2 693,10     		$1 371,85
    $1 505,81
    $1 647,71
    $2 151,79     		$1 751,40
    $1 885,36
    $2 027,26
    $2 531,34     		$2 130,95
    $2 264,91
    $2 406,81
    $2 910,89     		$875,70
    $942,68
    $1 013,63
    $1 265,67     		$1 255,25
    $1 322,23
    $1 393,18
    $1 645,22     		$1 634,80
    $1 701,78
    $1 772,73
    $2 024,77     		$379,55
    Toc - Plan #6

    Silver

    (EPO) Silver S21S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $3,900 $7,800 Annual Deductible
    $8,000 $16,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$492,25
    $558,70
    $629,10
    $879,16
    $1 335,97     		$984,50
    $1 117,40
    $1 258,20
    $1 758,32
    $2 671,94     		$1 361,07
    $1 493,97
    $1 634,77
    $2 134,89     		$1 737,64
    $1 870,54
    $2 011,34
    $2 511,46     		$2 114,21
    $2 247,11
    $2 387,91
    $2 888,03     		$868,82
    $935,27
    $1 005,67
    $1 255,73     		$1 245,39
    $1 311,84
    $1 382,24
    $1 632,30     		$1 621,96
    $1 688,41
    $1 758,81
    $2 008,87     		$376,57
    Toc - Plan #7

    Gold

    (EPO) Gold G06S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,350 $12,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$639,56
    $725,90
    $817,36
    $1 142,25
    $1 735,77     		$1 279,12
    $1 451,80
    $1 634,72
    $2 284,50
    $3 471,54     		$1 768,38
    $1 941,06
    $2 123,98
    $2 773,76     		$2 257,64
    $2 430,32
    $2 613,24
    $3 263,02     		$2 746,90
    $2 919,58
    $3 102,50
    $3 752,28     		$1 128,82
    $1 215,16
    $1 306,62
    $1 631,51     		$1 618,08
    $1 704,42
    $1 795,88
    $2 120,77     		$2 107,34
    $2 193,68
    $2 285,14
    $2 610,03     		$489,26
    Toc - Plan #8

    Gold

    (EPO) Gold G07S, Network S

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,000 $12,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$494,01
    $560,70
    $631,34
    $882,30
    $1 340,74     		$988,02
    $1 121,40
    $1 262,68
    $1 764,60
    $2 681,48     		$1 365,94
    $1 499,32
    $1 640,60
    $2 142,52     		$1 743,86
    $1 877,24
    $2 018,52
    $2 520,44     		$2 121,78
    $2 255,16
    $2 396,44
    $2 898,36     		$871,93
    $938,62
    $1 009,26
    $1 260,22     		$1 249,85
    $1 316,54
    $1 387,18
    $1 638,14     		$1 627,77
    $1 694,46
    $1 765,10
    $2 016,06     		$377,92
    ADVERTISEMENT

    Oscar Insurance Company

    Local: 1-855-672-2755 | Toll Free: 1-855-672-2755 | TTY: 1-855-672-2755
    Toc - Plan #9

    Expanded Bronze

    (EPO) Oscar Bronze Simple

    Annual Out of Pocket Expenses
    Individual Family
    $7,300 $14,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$335,96
    $381,31
    $429,35
    $600,01
    $911,78     		$671,92
    $762,62
    $858,70
    $1 200,02
    $1 823,56     		$928,93
    $1 019,63
    $1 115,71
    $1 457,03     		$1 185,94
    $1 276,64
    $1 372,72
    $1 714,04     		$1 442,95
    $1 533,65
    $1 629,73
    $1 971,05     		$592,97
    $638,32
    $686,36
    $857,02     		$849,98
    $895,33
    $943,37
    $1 114,03     		$1 106,99
    $1 152,34
    $1 200,38
    $1 371,04     		$257,01
    Toc - Plan #10

    Expanded Bronze

    (EPO) Oscar Bronze Classic PCP Copay

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$347,37
    $394,25
    $443,93
    $620,39
    $942,74     		$694,74
    $788,50
    $887,86
    $1 240,78
    $1 885,48     		$960,47
    $1 054,23
    $1 153,59
    $1 506,51     		$1 226,20
    $1 319,96
    $1 419,32
    $1 772,24     		$1 491,93
    $1 585,69
    $1 685,05
    $2 037,97     		$613,10
    $659,98
    $709,66
    $886,12     		$878,83
    $925,71
    $975,39
    $1 151,85     		$1 144,56
    $1 191,44
    $1 241,12
    $1 417,58     		$265,73
    Toc - Plan #11

    Expanded Bronze

    (EPO) Oscar Bronze Classic

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$337,90
    $383,51
    $431,83
    $603,48
    $917,05     		$675,80
    $767,02
    $863,66
    $1 206,96
    $1 834,10     		$934,29
    $1 025,51
    $1 122,15
    $1 465,45     		$1 192,78
    $1 284,00
    $1 380,64
    $1 723,94     		$1 451,27
    $1 542,49
    $1 639,13
    $1 982,43     		$596,39
    $642,00
    $690,32
    $861,97     		$854,88
    $900,49
    $948,81
    $1 120,46     		$1 113,37
    $1 158,98
    $1 207,30
    $1 378,95     		$258,49
    Toc - Plan #12

    Expanded Bronze

    (EPO) Oscar Bronze Classic Next

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$403,26
    $457,69
    $515,35
    $720,21
    $1 094,42     		$806,52
    $915,38
    $1 030,70
    $1 440,42
    $2 188,84     		$1 115,01
    $1 223,87
    $1 339,19
    $1 748,91     		$1 423,50
    $1 532,36
    $1 647,68
    $2 057,40     		$1 731,99
    $1 840,85
    $1 956,17
    $2 365,89     		$711,75
    $766,18
    $823,84
    $1 028,70     		$1 020,24
    $1 074,67
    $1 132,33
    $1 337,19     		$1 328,73
    $1 383,16
    $1 440,82
    $1 645,68     		$308,49
    Toc - Plan #13

    Silver

    (EPO) Oscar Silver Classic

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$428,10
    $485,88
    $547,10
    $764,57
    $1 161,83     		$856,20
    $971,76
    $1 094,20
    $1 529,14
    $2 323,66     		$1 183,69
    $1 299,25
    $1 421,69
    $1 856,63     		$1 511,18
    $1 626,74
    $1 749,18
    $2 184,12     		$1 838,67
    $1 954,23
    $2 076,67
    $2 511,61     		$755,59
    $813,37
    $874,59
    $1 092,06     		$1 083,08
    $1 140,86
    $1 202,08
    $1 419,55     		$1 410,57
    $1 468,35
    $1 529,57
    $1 747,04     		$327,49
    Toc - Plan #14

    Silver

    (EPO) Oscar Silver Saver 2

    Annual Out of Pocket Expenses
    Individual Family
    $6,200 $12,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$421,14
    $477,98
    $538,20
    $752,13
    $1 142,94     		$842,28
    $955,96
    $1 076,40
    $1 504,26
    $2 285,88     		$1 164,44
    $1 278,12
    $1 398,56
    $1 826,42     		$1 486,60
    $1 600,28
    $1 720,72
    $2 148,58     		$1 808,76
    $1 922,44
    $2 042,88
    $2 470,74     		$743,30
    $800,14
    $860,36
    $1 074,29     		$1 065,46
    $1 122,30
    $1 182,52
    $1 396,45     		$1 387,62
    $1 444,46
    $1 504,68
    $1 718,61     		$322,16
    Toc - Plan #15

    Silver

    (EPO) Oscar Silver Classic Next

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,000 $16,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$430,88
    $489,04
    $550,65
    $769,54
    $1 169,39     		$861,76
    $978,08
    $1 101,30
    $1 539,08
    $2 338,78     		$1 191,38
    $1 307,70
    $1 430,92
    $1 868,70     		$1 521,00
    $1 637,32
    $1 760,54
    $2 198,32     		$1 850,62
    $1 966,94
    $2 090,16
    $2 527,94     		$760,50
    $818,66
    $880,27
    $1 099,16     		$1 090,12
    $1 148,28
    $1 209,89
    $1 428,78     		$1 419,74
    $1 477,90
    $1 539,51
    $1 758,40     		$329,62
    Toc - Plan #16

    Catastrophic

    (EPO) Oscar Secure

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$260,12
    $295,23
    $332,42
    $464,56
    $705,95     		$520,24
    $590,46
    $664,84
    $929,12
    $1 411,90     		$719,23
    $789,45
    $863,83
    $1 128,11     		$918,22
    $988,44
    $1 062,82
    $1 327,10     		$1 117,21
    $1 187,43
    $1 261,81
    $1 526,09     		$459,11
    $494,22
    $531,41
    $663,55     		$658,10
    $693,21
    $730,40
    $862,54     		$857,09
    $892,20
    $929,39
    $1 061,53     		$198,99
    Toc - Plan #17

    Expanded Bronze

    (EPO) Oscar Bronze Classic Next 2

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$403,14
    $457,56
    $515,21
    $720,00
    $1 094,11     		$806,28
    $915,12
    $1 030,42
    $1 440,00
    $2 188,22     		$1 114,68
    $1 223,52
    $1 338,82
    $1 748,40     		$1 423,08
    $1 531,92
    $1 647,22
    $2 056,80     		$1 731,48
    $1 840,32
    $1 955,62
    $2 365,20     		$711,54
    $765,96
    $823,61
    $1 028,40     		$1 019,94
    $1 074,36
    $1 132,01
    $1 336,80     		$1 328,34
    $1 382,76
    $1 440,41
    $1 645,20     		$308,40
    Toc - Plan #18

    Gold

    (EPO) Oscar Gold Classic

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 Annual Deductible
    $6,000 $12,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$573,81
    $651,27
    $733,32
    $1 024,81
    $1 557,30     		$1 147,62
    $1 302,54
    $1 466,64
    $2 049,62
    $3 114,60     		$1 586,58
    $1 741,50
    $1 905,60
    $2 488,58     		$2 025,54
    $2 180,46
    $2 344,56
    $2 927,54     		$2 464,50
    $2 619,42
    $2 783,52
    $3 366,50     		$1 012,77
    $1 090,23
    $1 172,28
    $1 463,77     		$1 451,73
    $1 529,19
    $1 611,24
    $1 902,73     		$1 890,69
    $1 968,15
    $2 050,20
    $2 341,69     		$438,96
    Toc - Plan #19

    Expanded Bronze

    (EPO) Oscar Bronze HDHP

    Annual Out of Pocket Expenses
    Individual Family
    $5,200 $10,400 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$356,26
    $404,35
    $455,29
    $636,27
    $966,87     		$712,52
    $808,70
    $910,58
    $1 272,54
    $1 933,74     		$985,05
    $1 081,23
    $1 183,11
    $1 545,07     		$1 257,58
    $1 353,76
    $1 455,64
    $1 817,60     		$1 530,11
    $1 626,29
    $1 728,17
    $2 090,13     		$628,79
    $676,88
    $727,82
    $908,80     		$901,32
    $949,41
    $1 000,35
    $1 181,33     		$1 173,85
    $1 221,94
    $1 272,88
    $1 453,86     		$272,53
    Toc - Plan #20

    Silver

    (EPO) Oscar Silver Classic Copay

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$437,13
    $496,13
    $558,63
    $780,69
    $1 186,33     		$874,26
    $992,26
    $1 117,26
    $1 561,38
    $2 372,66     		$1 208,65
    $1 326,65
    $1 451,65
    $1 895,77     		$1 543,04
    $1 661,04
    $1 786,04
    $2 230,16     		$1 877,43
    $1 995,43
    $2 120,43
    $2 564,55     		$771,52
    $830,52
    $893,02
    $1 115,08     		$1 105,91
    $1 164,91
    $1 227,41
    $1 449,47     		$1 440,30
    $1 499,30
    $1 561,80
    $1 783,86     		$334,39
    Toc - Plan #21

    Silver

    (EPO) Oscar Silver Classic $0 Ded

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$452,77
    $513,88
    $578,62
    $808,62
    $1 228,78     		$905,54
    $1 027,76
    $1 157,24
    $1 617,24
    $2 457,56     		$1 251,90
    $1 374,12
    $1 503,60
    $1 963,60     		$1 598,26
    $1 720,48
    $1 849,96
    $2 309,96     		$1 944,62
    $2 066,84
    $2 196,32
    $2 656,32     		$799,13
    $860,24
    $924,98
    $1 154,98     		$1 145,49
    $1 206,60
    $1 271,34
    $1 501,34     		$1 491,85
    $1 552,96
    $1 617,70
    $1 847,70     		$346,36
    ADVERTISEMENT

    UnitedHealthcare

    Local: 1-877-632-4195 | Toll Free: 

    Toc - Plan #22

    Gold

    (EPO) Value Gold

    Annual Out of Pocket Expenses
    Individual Family
    $2,350 $4,700 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$538,73
    $611,46
    $688,50
    $962,18
    $1 462,12     		$1 077,46
    $1 222,92
    $1 377,00
    $1 924,36
    $2 924,24     		$1 489,59
    $1 635,05
    $1 789,13
    $2 336,49     		$1 901,72
    $2 047,18
    $2 201,26
    $2 748,62     		$2 313,85
    $2 459,31
    $2 613,39
    $3 160,75     		$950,86
    $1 023,59
    $1 100,63
    $1 374,31     		$1 362,99
    $1 435,72
    $1 512,76
    $1 786,44     		$1 775,12
    $1 847,85
    $1 924,89
    $2 198,57     		$412,13
    Toc - Plan #23

    Silver

    (EPO) Balance Plus Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $4,500 $9,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$403,82
    $458,34
    $516,09
    $721,23
    $1 095,98     		$807,64
    $916,68
    $1 032,18
    $1 442,46
    $2 191,96     		$1 116,57
    $1 225,61
    $1 341,11
    $1 751,39     		$1 425,50
    $1 534,54
    $1 650,04
    $2 060,32     		$1 734,43
    $1 843,47
    $1 958,97
    $2 369,25     		$712,75
    $767,27
    $825,02
    $1 030,16     		$1 021,68
    $1 076,20
    $1 133,95
    $1 339,09     		$1 330,61
    $1 385,13
    $1 442,88
    $1 648,02     		$308,93
    Toc - Plan #24

    Silver

    (EPO) Balance Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$403,22
    $457,66
    $515,32
    $720,15
    $1 094,34     		$806,44
    $915,32
    $1 030,64
    $1 440,30
    $2 188,68     		$1 114,90
    $1 223,78
    $1 339,10
    $1 748,76     		$1 423,36
    $1 532,24
    $1 647,56
    $2 057,22     		$1 731,82
    $1 840,70
    $1 956,02
    $2 365,68     		$711,68
    $766,12
    $823,78
    $1 028,61     		$1 020,14
    $1 074,58
    $1 132,24
    $1 337,07     		$1 328,60
    $1 383,04
    $1 440,70
    $1 645,53     		$308,46
    Toc - Plan #25

    Silver

    (EPO) Value Silver 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $5,500 $11,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$401,72
    $455,95
    $513,39
    $717,46
    $1 090,26     		$803,44
    $911,90
    $1 026,78
    $1 434,92
    $2 180,52     		$1 110,75
    $1 219,21
    $1 334,09
    $1 742,23     		$1 418,06
    $1 526,52
    $1 641,40
    $2 049,54     		$1 725,37
    $1 833,83
    $1 948,71
    $2 356,85     		$709,03
    $763,26
    $820,70
    $1 024,77     		$1 016,34
    $1 070,57
    $1 128,01
    $1 332,08     		$1 323,65
    $1 377,88
    $1 435,32
    $1 639,39     		$307,31
    Toc - Plan #26

    Expanded Bronze

    (EPO) Value Bronze Saver (HSA)

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$311,07
    $353,07
    $397,55
    $555,58
    $844,25     		$622,14
    $706,14
    $795,10
    $1 111,16
    $1 688,50     		$860,11
    $944,11
    $1 033,07
    $1 349,13     		$1 098,08
    $1 182,08
    $1 271,04
    $1 587,10     		$1 336,05
    $1 420,05
    $1 509,01
    $1 825,07     		$549,04
    $591,04
    $635,52
    $793,55     		$787,01
    $829,01
    $873,49
    $1 031,52     		$1 024,98
    $1 066,98
    $1 111,46
    $1 269,49     		$237,97
    Toc - Plan #27

    Expanded Bronze

    (EPO) Balance Bronze 3 Free Visits

    Annual Out of Pocket Expenses
    Individual Family
    $7,500 $15,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$301,14
    $341,79
    $384,85
    $537,83
    $817,28     		$602,28
    $683,58
    $769,70
    $1 075,66
    $1 634,56     		$832,65
    $913,95
    $1 000,07
    $1 306,03     		$1 063,02
    $1 144,32
    $1 230,44
    $1 536,40     		$1 293,39
    $1 374,69
    $1 460,81
    $1 766,77     		$531,51
    $572,16
    $615,22
    $768,20     		$761,88
    $802,53
    $845,59
    $998,57     		$992,25
    $1 032,90
    $1 075,96
    $1 228,94     		$230,37
    Toc - Plan #28

    Expanded Bronze

    (EPO) Value Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$301,44
    $342,13
    $385,24
    $538,37
    $818,10     		$602,88
    $684,26
    $770,48
    $1 076,74
    $1 636,20     		$833,48
    $914,86
    $1 001,08
    $1 307,34     		$1 064,08
    $1 145,46
    $1 231,68
    $1 537,94     		$1 294,68
    $1 376,06
    $1 462,28
    $1 768,54     		$532,04
    $572,73
    $615,84
    $768,97     		$762,64
    $803,33
    $846,44
    $999,57     		$993,24
    $1 033,93
    $1 077,04
    $1 230,17     		$230,60
    ADVERTISEMENT

    Ambetter of Tennessee

    Local: 1-833-709-4735 | Toll Free: 1-833-709-4735

    Toc - Plan #29

    Bronze

    (EPO) Ambetter Essential Care 1 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$283,56
    $321,83
    $362,38
    $506,43
    $769,56     		$567,12
    $643,66
    $724,76
    $1 012,86
    $1 539,12     		$784,04
    $860,58
    $941,68
    $1 229,78     		$1 000,96
    $1 077,50
    $1 158,60
    $1 446,70     		$1 217,88
    $1 294,42
    $1 375,52
    $1 663,62     		$500,48
    $538,75
    $579,30
    $723,35     		$717,40
    $755,67
    $796,22
    $940,27     		$934,32
    $972,59
    $1 013,14
    $1 157,19     		$216,92
    Toc - Plan #30

    Silver

    (EPO) Ambetter Balanced Care 11 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$381,28
    $432,75
    $487,27
    $680,96
    $1 034,78     		$762,56
    $865,50
    $974,54
    $1 361,92
    $2 069,56     		$1 054,23
    $1 157,17
    $1 266,21
    $1 653,59     		$1 345,90
    $1 448,84
    $1 557,88
    $1 945,26     		$1 637,57
    $1 740,51
    $1 849,55
    $2 236,93     		$672,95
    $724,42
    $778,94
    $972,63     		$964,62
    $1 016,09
    $1 070,61
    $1 264,30     		$1 256,29
    $1 307,76
    $1 362,28
    $1 555,97     		$291,67
    Toc - Plan #31

    Gold

    (EPO) Ambetter Secure Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$439,38
    $498,68
    $561,51
    $784,71
    $1 192,45     		$878,76
    $997,36
    $1 123,02
    $1 569,42
    $2 384,90     		$1 214,88
    $1 333,48
    $1 459,14
    $1 905,54     		$1 551,00
    $1 669,60
    $1 795,26
    $2 241,66     		$1 887,12
    $2 005,72
    $2 131,38
    $2 577,78     		$775,50
    $834,80
    $897,63
    $1 120,83     		$1 111,62
    $1 170,92
    $1 233,75
    $1 456,95     		$1 447,74
    $1 507,04
    $1 569,87
    $1 793,07     		$336,12
    Toc - Plan #32

    Expanded Bronze

    (EPO) Ambetter Essential Care 2 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$308,16
    $349,75
    $393,82
    $550,36
    $836,32     		$616,32
    $699,50
    $787,64
    $1 100,72
    $1 672,64     		$852,06
    $935,24
    $1 023,38
    $1 336,46     		$1 087,80
    $1 170,98
    $1 259,12
    $1 572,20     		$1 323,54
    $1 406,72
    $1 494,86
    $1 807,94     		$543,90
    $585,49
    $629,56
    $786,10     		$779,64
    $821,23
    $865,30
    $1 021,84     		$1 015,38
    $1 056,97
    $1 101,04
    $1 257,58     		$235,74
    Toc - Plan #33

    Silver

    (EPO) Ambetter Balanced Care 12 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$373,84
    $424,30
    $477,76
    $667,67
    $1 014,59     		$747,68
    $848,60
    $955,52
    $1 335,34
    $2 029,18     		$1 033,66
    $1 134,58
    $1 241,50
    $1 621,32     		$1 319,64
    $1 420,56
    $1 527,48
    $1 907,30     		$1 605,62
    $1 706,54
    $1 813,46
    $2 193,28     		$659,82
    $710,28
    $763,74
    $953,65     		$945,80
    $996,26
    $1 049,72
    $1 239,63     		$1 231,78
    $1 282,24
    $1 335,70
    $1 525,61     		$285,98
    Toc - Plan #34

    Silver

    (EPO) Ambetter Balanced Care 29 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$370,56
    $420,57
    $473,56
    $661,79
    $1 005,66     		$741,12
    $841,14
    $947,12
    $1 323,58
    $2 011,32     		$1 024,59
    $1 124,61
    $1 230,59
    $1 607,05     		$1 308,06
    $1 408,08
    $1 514,06
    $1 890,52     		$1 591,53
    $1 691,55
    $1 797,53
    $2 173,99     		$654,03
    $704,04
    $757,03
    $945,26     		$937,50
    $987,51
    $1 040,50
    $1 228,73     		$1 220,97
    $1 270,98
    $1 323,97
    $1 512,20     		$283,47
    Toc - Plan #35

    Silver

    (EPO) Ambetter Balanced Care 25 HSA (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$389,81
    $442,42
    $498,16
    $696,18
    $1 057,91     		$779,62
    $884,84
    $996,32
    $1 392,36
    $2 115,82     		$1 077,82
    $1 183,04
    $1 294,52
    $1 690,56     		$1 376,02
    $1 481,24
    $1 592,72
    $1 988,76     		$1 674,22
    $1 779,44
    $1 890,92
    $2 286,96     		$688,01
    $740,62
    $796,36
    $994,38     		$986,21
    $1 038,82
    $1 094,56
    $1 292,58     		$1 284,41
    $1 337,02
    $1 392,76
    $1 590,78     		$298,20
    Toc - Plan #36

    Silver

    (EPO) Ambetter Balanced Care 26 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$391,38
    $444,20
    $500,17
    $698,98
    $1 062,17     		$782,76
    $888,40
    $1 000,34
    $1 397,96
    $2 124,34     		$1 082,16
    $1 187,80
    $1 299,74
    $1 697,36     		$1 381,56
    $1 487,20
    $1 599,14
    $1 996,76     		$1 680,96
    $1 786,60
    $1 898,54
    $2 296,16     		$690,78
    $743,60
    $799,57
    $998,38     		$990,18
    $1 043,00
    $1 098,97
    $1 297,78     		$1 289,58
    $1 342,40
    $1 398,37
    $1 597,18     		$299,40
    Toc - Plan #37

    Silver

    (EPO) Ambetter Balanced Care 27 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$407,53
    $462,53
    $520,81
    $727,83
    $1 106,00     		$815,06
    $925,06
    $1 041,62
    $1 455,66
    $2 212,00     		$1 126,81
    $1 236,81
    $1 353,37
    $1 767,41     		$1 438,56
    $1 548,56
    $1 665,12
    $2 079,16     		$1 750,31
    $1 860,31
    $1 976,87
    $2 390,91     		$719,28
    $774,28
    $832,56
    $1 039,58     		$1 031,03
    $1 086,03
    $1 144,31
    $1 351,33     		$1 342,78
    $1 397,78
    $1 456,06
    $1 663,08     		$311,75
    Toc - Plan #38

    Silver

    (EPO) Ambetter Balanced Care 28 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$407,83
    $462,87
    $521,19
    $728,36
    $1 106,81     		$815,66
    $925,74
    $1 042,38
    $1 456,72
    $2 213,62     		$1 127,64
    $1 237,72
    $1 354,36
    $1 768,70     		$1 439,62
    $1 549,70
    $1 666,34
    $2 080,68     		$1 751,60
    $1 861,68
    $1 978,32
    $2 392,66     		$719,81
    $774,85
    $833,17
    $1 040,34     		$1 031,79
    $1 086,83
    $1 145,15
    $1 352,32     		$1 343,77
    $1 398,81
    $1 457,13
    $1 664,30     		$311,98
    Toc - Plan #39

    Bronze

    (EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $8,300 $16,600 Annual Deductible
    $8,300 $16,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$295,96
    $335,90
    $378,22
    $528,56
    $803,20     		$591,92
    $671,80
    $756,44
    $1 057,12
    $1 606,40     		$818,32
    $898,20
    $982,84
    $1 283,52     		$1 044,72
    $1 124,60
    $1 209,24
    $1 509,92     		$1 271,12
    $1 351,00
    $1 435,64
    $1 736,32     		$522,36
    $562,30
    $604,62
    $754,96     		$748,76
    $788,70
    $831,02
    $981,36     		$975,16
    $1 015,10
    $1 057,42
    $1 207,76     		$226,40
    Toc - Plan #40

    Silver

    (EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $12,000 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$397,95
    $451,66
    $508,56
    $710,72
    $1 080,00     		$795,90
    $903,32
    $1 017,12
    $1 421,44
    $2 160,00     		$1 100,32
    $1 207,74
    $1 321,54
    $1 725,86     		$1 404,74
    $1 512,16
    $1 625,96
    $2 030,28     		$1 709,16
    $1 816,58
    $1 930,38
    $2 334,70     		$702,37
    $756,08
    $812,98
    $1 015,14     		$1 006,79
    $1 060,50
    $1 117,40
    $1 319,56     		$1 311,21
    $1 364,92
    $1 421,82
    $1 623,98     		$304,42
    Toc - Plan #41

    Gold

    (EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,450 $2,900 Annual Deductible
    $6,300 $12,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$458,58
    $520,48
    $586,05
    $819,01
    $1 244,56     		$917,16
    $1 040,96
    $1 172,10
    $1 638,02
    $2 489,12     		$1 267,97
    $1 391,77
    $1 522,91
    $1 988,83     		$1 618,78
    $1 742,58
    $1 873,72
    $2 339,64     		$1 969,59
    $2 093,39
    $2 224,53
    $2 690,45     		$809,39
    $871,29
    $936,86
    $1 169,82     		$1 160,20
    $1 222,10
    $1 287,67
    $1 520,63     		$1 511,01
    $1 572,91
    $1 638,48
    $1 871,44     		$350,81
    Toc - Plan #42

    Expanded Bronze

    (EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,900 $13,800 Annual Deductible
    $6,900 $13,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$321,63
    $365,04
    $411,03
    $574,41
    $872,87     		$643,26
    $730,08
    $822,06
    $1 148,82
    $1 745,74     		$889,30
    $976,12
    $1 068,10
    $1 394,86     		$1 135,34
    $1 222,16
    $1 314,14
    $1 640,90     		$1 381,38
    $1 468,20
    $1 560,18
    $1 886,94     		$567,67
    $611,08
    $657,07
    $820,45     		$813,71
    $857,12
    $903,11
    $1 066,49     		$1 059,75
    $1 103,16
    $1 149,15
    $1 312,53     		$246,04
    Toc - Plan #43

    Silver

    (EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$390,18
    $442,85
    $498,64
    $696,85
    $1 058,93     		$780,36
    $885,70
    $997,28
    $1 393,70
    $2 117,86     		$1 078,84
    $1 184,18
    $1 295,76
    $1 692,18     		$1 377,32
    $1 482,66
    $1 594,24
    $1 990,66     		$1 675,80
    $1 781,14
    $1 892,72
    $2 289,14     		$688,66
    $741,33
    $797,12
    $995,33     		$987,14
    $1 039,81
    $1 095,60
    $1 293,81     		$1 285,62
    $1 338,29
    $1 394,08
    $1 592,29     		$298,48
    Toc - Plan #44

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $4,800 $9,600 Annual Deductible
    $4,800 $9,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$406,84
    $461,76
    $519,93
    $726,60
    $1 104,14     		$813,68
    $923,52
    $1 039,86
    $1 453,20
    $2 208,28     		$1 124,91
    $1 234,75
    $1 351,09
    $1 764,43     		$1 436,14
    $1 545,98
    $1 662,32
    $2 075,66     		$1 747,37
    $1 857,21
    $1 973,55
    $2 386,89     		$718,07
    $772,99
    $831,16
    $1 037,83     		$1 029,30
    $1 084,22
    $1 142,39
    $1 349,06     		$1 340,53
    $1 395,45
    $1 453,62
    $1 660,29     		$311,23
    Toc - Plan #45

    Silver

    (EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $5,450 $10,900 Annual Deductible
    $8,100 $16,200 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$408,48
    $463,62
    $522,03
    $729,53
    $1 108,59     		$816,96
    $927,24
    $1 044,06
    $1 459,06
    $2 217,18     		$1 129,44
    $1 239,72
    $1 356,54
    $1 771,54     		$1 441,92
    $1 552,20
    $1 669,02
    $2 084,02     		$1 754,40
    $1 864,68
    $1 981,50
    $2 396,50     		$720,96
    $776,10
    $834,51
    $1 042,01     		$1 033,44
    $1 088,58
    $1 146,99
    $1 354,49     		$1 345,92
    $1 401,06
    $1 459,47
    $1 666,97     		$312,48
    Toc - Plan #46

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $2,750 $5,500 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$425,34
    $482,75
    $543,57
    $759,63
    $1 154,34     		$850,68
    $965,50
    $1 087,14
    $1 519,26
    $2 308,68     		$1 176,06
    $1 290,88
    $1 412,52
    $1 844,64     		$1 501,44
    $1 616,26
    $1 737,90
    $2 170,02     		$1 826,82
    $1 941,64
    $2 063,28
    $2 495,40     		$750,72
    $808,13
    $868,95
    $1 085,01     		$1 076,10
    $1 133,51
    $1 194,33
    $1 410,39     		$1 401,48
    $1 458,89
    $1 519,71
    $1 735,77     		$325,38
    Toc - Plan #47

    Silver

    (EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,200 $16,400 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$425,65
    $483,10
    $543,97
    $760,19
    $1 155,18     		$851,30
    $966,20
    $1 087,94
    $1 520,38
    $2 310,36     		$1 176,91
    $1 291,81
    $1 413,55
    $1 845,99     		$1 502,52
    $1 617,42
    $1 739,16
    $2 171,60     		$1 828,13
    $1 943,03
    $2 064,77
    $2 497,21     		$751,26
    $808,71
    $869,58
    $1 085,80     		$1 076,87
    $1 134,32
    $1 195,19
    $1 411,41     		$1 402,48
    $1 459,93
    $1 520,80
    $1 737,02     		$325,61
    ADVERTISEMENT

    Bright Health

    Local: 1-855-827-4448 | Toll Free: 1-855-827-4448

    Toc - Plan #48

    Gold

    (EPO) Gold 1000 Direct

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$532,57
    $604,46
    $680,62
    $951,16
    $1 445,38     		$1 065,14
    $1 208,92
    $1 361,24
    $1 902,32
    $2 890,76     		$1 472,55
    $1 616,33
    $1 768,65
    $2 309,73     		$1 879,96
    $2 023,74
    $2 176,06
    $2 717,14     		$2 287,37
    $2 431,15
    $2 583,47
    $3 124,55     		$939,98
    $1 011,87
    $1 088,03
    $1 358,57     		$1 347,39
    $1 419,28
    $1 495,44
    $1 765,98     		$1 754,80
    $1 826,69
    $1 902,85
    $2 173,39     		$407,41
    Toc - Plan #49

    Silver

    (EPO) Silver $0 Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$388,34
    $440,77
    $496,30
    $693,58
    $1 053,96     		$776,68
    $881,54
    $992,60
    $1 387,16
    $2 107,92     		$1 073,76
    $1 178,62
    $1 289,68
    $1 684,24     		$1 370,84
    $1 475,70
    $1 586,76
    $1 981,32     		$1 667,92
    $1 772,78
    $1 883,84
    $2 278,40     		$685,42
    $737,85
    $793,38
    $990,66     		$982,50
    $1 034,93
    $1 090,46
    $1 287,74     		$1 279,58
    $1 332,01
    $1 387,54
    $1 584,82     		$297,08
    Toc - Plan #50

    Silver

    (EPO) Silver $0 Primary Care

    Annual Out of Pocket Expenses
    Individual Family
    $6,700 $13,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$381,21
    $432,67
    $487,18
    $680,84
    $1 034,60     		$762,42
    $865,34
    $974,36
    $1 361,68
    $2 069,20     		$1 054,04
    $1 156,96
    $1 265,98
    $1 653,30     		$1 345,66
    $1 448,58
    $1 557,60
    $1 944,92     		$1 637,28
    $1 740,20
    $1 849,22
    $2 236,54     		$672,83
    $724,29
    $778,80
    $972,46     		$964,45
    $1 015,91
    $1 070,42
    $1 264,08     		$1 256,07
    $1 307,53
    $1 362,04
    $1 555,70     		$291,62
    Toc - Plan #51

    Expanded Bronze

    (EPO) Bronze 8550 Direct

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$297,40
    $337,55
    $380,07
    $531,15
    $807,13     		$594,80
    $675,10
    $760,14
    $1 062,30
    $1 614,26     		$822,31
    $902,61
    $987,65
    $1 289,81     		$1 049,82
    $1 130,12
    $1 215,16
    $1 517,32     		$1 277,33
    $1 357,63
    $1 442,67
    $1 744,83     		$524,91
    $565,06
    $607,58
    $758,66     		$752,42
    $792,57
    $835,09
    $986,17     		$979,93
    $1 020,08
    $1 062,60
    $1 213,68     		$227,51
    Toc - Plan #52

    Expanded Bronze

    (EPO) Bronze 5900 Direct

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$310,55
    $352,48
    $396,89
    $554,65
    $842,84     		$621,10
    $704,96
    $793,78
    $1 109,30
    $1 685,68     		$858,67
    $942,53
    $1 031,35
    $1 346,87     		$1 096,24
    $1 180,10
    $1 268,92
    $1 584,44     		$1 333,81
    $1 417,67
    $1 506,49
    $1 822,01     		$548,12
    $590,05
    $634,46
    $792,22     		$785,69
    $827,62
    $872,03
    $1 029,79     		$1 023,26
    $1 065,19
    $1 109,60
    $1 267,36     		$237,57
    Toc - Plan #53

    Expanded Bronze

    (EPO) Bronze 7000 HSA Direct

    Annual Out of Pocket Expenses
    Individual Family
    $7,000 $14,000 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$350,85
    $398,21
    $448,38
    $626,61
    $952,20     		$701,70
    $796,42
    $896,76
    $1 253,22
    $1 904,40     		$970,10
    $1 064,82
    $1 165,16
    $1 521,62     		$1 238,50
    $1 333,22
    $1 433,56
    $1 790,02     		$1 506,90
    $1 601,62
    $1 701,96
    $2 058,42     		$619,25
    $666,61
    $716,78
    $895,01     		$887,65
    $935,01
    $985,18
    $1 163,41     		$1 156,05
    $1 203,41
    $1 253,58
    $1 431,81     		$268,40
    Toc - Plan #54

    Catastrophic

    (EPO) Catastrophic 3 $0 PCP Visits Direct

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$273,96
    $310,95
    $350,12
    $489,30
    $743,53     		$547,92
    $621,90
    $700,24
    $978,60
    $1 487,06     		$757,50
    $831,48
    $909,82
    $1 188,18     		$967,08
    $1 041,06
    $1 119,40
    $1 397,76     		$1 176,66
    $1 250,64
    $1 328,98
    $1 607,34     		$483,54
    $520,53
    $559,70
    $698,88     		$693,12
    $730,11
    $769,28
    $908,46     		$902,70
    $939,69
    $978,86
    $1 118,04     		$209,58
    Toc - Plan #55

    Silver

    (EPO) Silver 5000 Direct

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$377,46
    $428,42
    $482,39
    $674,14
    $1 024,42     		$754,92
    $856,84
    $964,78
    $1 348,28
    $2 048,84     		$1 043,68
    $1 145,60
    $1 253,54
    $1 637,04     		$1 332,44
    $1 434,36
    $1 542,30
    $1 925,80     		$1 621,20
    $1 723,12
    $1 831,06
    $2 214,56     		$666,22
    $717,18
    $771,15
    $962,90     		$954,98
    $1 005,94
    $1 059,91
    $1 251,66     		$1 243,74
    $1 294,70
    $1 348,67
    $1 540,42     		$288,76
    Toc - Plan #56

    Silver

    (EPO) Silver 3000 Direct

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 Annual Deductible
    $7,500 $15,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$380,21
    $431,54
    $485,91
    $679,06
    $1 031,89     		$760,42
    $863,08
    $971,82
    $1 358,12
    $2 063,78     		$1 051,28
    $1 153,94
    $1 262,68
    $1 648,98     		$1 342,14
    $1 444,80
    $1 553,54
    $1 939,84     		$1 633,00
    $1 735,66
    $1 844,40
    $2 230,70     		$671,07
    $722,40
    $776,77
    $969,92     		$961,93
    $1 013,26
    $1 067,63
    $1 260,78     		$1 252,79
    $1 304,12
    $1 358,49
    $1 551,64     		$290,86
    Toc - Plan #57

    Expanded Bronze

    (EPO) Bronze $0 Medical Deductible Direct

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$346,63
    $393,42
    $442,99
    $619,08
    $940,75     		$693,26
    $786,84
    $885,98
    $1 238,16
    $1 881,50     		$958,43
    $1 052,01
    $1 151,15
    $1 503,33     		$1 223,60
    $1 317,18
    $1 416,32
    $1 768,50     		$1 488,77
    $1 582,35
    $1 681,49
    $2 033,67     		$611,80
    $658,59
    $708,16
    $884,25     		$876,97
    $923,76
    $973,33
    $1 149,42     		$1 142,14
    $1 188,93
    $1 238,50
    $1 414,59     		$265,17
    Toc - Plan #58

    Expanded Bronze

    (EPO) Bronze $0 Primary Care Direct

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$310,80
    $352,76
    $397,21
    $555,09
    $843,52     		$621,60
    $705,52
    $794,42
    $1 110,18
    $1 687,04     		$859,36
    $943,28
    $1 032,18
    $1 347,94     		$1 097,12
    $1 181,04
    $1 269,94
    $1 585,70     		$1 334,88
    $1 418,80
    $1 507,70
    $1 823,46     		$548,56
    $590,52
    $634,97
    $792,85     		$786,32
    $828,28
    $872,73
    $1 030,61     		$1 024,08
    $1 066,04
    $1 110,49
    $1 268,37     		$237,76
    ADVERTISEMENT

    Cigna Healthcare

    Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777
    Toc - Plan #59

    Silver

    (EPO) Cigna Connect 4750

    Annual Out of Pocket Expenses
    Individual Family
    $4,750 $9,500 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$350,02
    $397,27
    $447,32
    $625,13
    $949,95     		$700,04
    $794,54
    $894,64
    $1 250,26
    $1 899,90     		$967,80
    $1 062,30
    $1 162,40
    $1 518,02     		$1 235,56
    $1 330,06
    $1 430,16
    $1 785,78     		$1 503,32
    $1 597,82
    $1 697,92
    $2 053,54     		$617,78
    $665,03
    $715,08
    $892,89     		$885,54
    $932,79
    $982,84
    $1 160,65     		$1 153,30
    $1 200,55
    $1 250,60
    $1 428,41     		$267,76
    Toc - Plan #60

    Gold

    (EPO) Cigna Connect 1000

    Annual Out of Pocket Expenses
    Individual Family
    $1,000 $2,000 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$523,37
    $594,03
    $668,87
    $934,74
    $1 420,43     		$1 046,74
    $1 188,06
    $1 337,74
    $1 869,48
    $2 840,86     		$1 447,12
    $1 588,44
    $1 738,12
    $2 269,86     		$1 847,50
    $1 988,82
    $2 138,50
    $2 670,24     		$2 247,88
    $2 389,20
    $2 538,88
    $3 070,62     		$923,75
    $994,41
    $1 069,25
    $1 335,12     		$1 324,13
    $1 394,79
    $1 469,63
    $1 735,50     		$1 724,51
    $1 795,17
    $1 870,01
    $2 135,88     		$400,38
    Toc - Plan #61

    Bronze

    (EPO) Cigna Connect 6500

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$293,50
    $333,13
    $375,10
    $524,20
    $796,57     		$587,00
    $666,26
    $750,20
    $1 048,40
    $1 593,14     		$811,53
    $890,79
    $974,73
    $1 272,93     		$1 036,06
    $1 115,32
    $1 199,26
    $1 497,46     		$1 260,59
    $1 339,85
    $1 423,79
    $1 721,99     		$518,03
    $557,66
    $599,63
    $748,73     		$742,56
    $782,19
    $824,16
    $973,26     		$967,09
    $1 006,72
    $1 048,69
    $1 197,79     		$224,53
    Toc - Plan #62

    Expanded Bronze

    (EPO) Cigna Connect 5900

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$305,12
    $346,31
    $389,94
    $544,94
    $828,09     		$610,24
    $692,62
    $779,88
    $1 089,88
    $1 656,18     		$843,65
    $926,03
    $1 013,29
    $1 323,29     		$1 077,06
    $1 159,44
    $1 246,70
    $1 556,70     		$1 310,47
    $1 392,85
    $1 480,11
    $1 790,11     		$538,53
    $579,72
    $623,35
    $778,35     		$771,94
    $813,13
    $856,76
    $1 011,76     		$1 005,35
    $1 046,54
    $1 090,17
    $1 245,17     		$233,41
    Toc - Plan #63

    Silver

    (EPO) Cigna Connect 3200

    Annual Out of Pocket Expenses
    Individual Family
    $3,200 $6,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$352,92
    $400,57
    $451,04
    $630,32
    $957,83     		$705,84
    $801,14
    $902,08
    $1 260,64
    $1 915,66     		$975,83
    $1 071,13
    $1 172,07
    $1 530,63     		$1 245,82
    $1 341,12
    $1 442,06
    $1 800,62     		$1 515,81
    $1 611,11
    $1 712,05
    $2 070,61     		$622,91
    $670,56
    $721,03
    $900,31     		$892,90
    $940,55
    $991,02
    $1 170,30     		$1 162,89
    $1 210,54
    $1 261,01
    $1 440,29     		$269,99
    Toc - Plan #64

    Bronze

    (EPO) Cigna Connect 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$292,48
    $331,96
    $373,79
    $522,37
    $793,79     		$584,96
    $663,92
    $747,58
    $1 044,74
    $1 587,58     		$808,71
    $887,67
    $971,33
    $1 268,49     		$1 032,46
    $1 111,42
    $1 195,08
    $1 492,24     		$1 256,21
    $1 335,17
    $1 418,83
    $1 715,99     		$516,23
    $555,71
    $597,54
    $746,12     		$739,98
    $779,46
    $821,29
    $969,87     		$963,73
    $1 003,21
    $1 045,04
    $1 193,62     		$223,75
    Toc - Plan #65

    Silver

    (EPO) Cigna Connect 7300

    Annual Out of Pocket Expenses
    Individual Family
    $7,300 $14,600 Annual Deductible
    $7,300 $14,600 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$349,57
    $396,76
    $446,75
    $624,33
    $948,73     		$699,14
    $793,52
    $893,50
    $1 248,66
    $1 897,46     		$966,56
    $1 060,94
    $1 160,92
    $1 516,08     		$1 233,98
    $1 328,36
    $1 428,34
    $1 783,50     		$1 501,40
    $1 595,78
    $1 695,76
    $2 050,92     		$616,99
    $664,18
    $714,17
    $891,75     		$884,41
    $931,60
    $981,59
    $1 159,17     		$1 151,83
    $1 199,02
    $1 249,01
    $1 426,59     		$267,42
    Toc - Plan #66

    Silver

    (EPO) Cigna Connect 3500 Diabetes Care

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    		 Couple
    		Couple
    1 Child
    		 Couple
    2 Chidren
    		 Couple
    3+ Children
    		 Individual
    1 Child
    		 Individual
    2 Children
    		 Individual
    3+ Children
    		 Child
    0-14
    21
    30
    40
    50
    60     		$352,80
    $400,43
    $450,88
    $630,10
    $957,50     		$705,60
    $800,86
    $901,76
    $1 260,20
    $1 915,00     		$975,49
    $1 070,75
    $1 171,65
    $1 530,09     		$1 245,38
    $1 340,64
    $1 441,54
    $1 799,98     		$1 515,27
    $1 610,53
    $1 711,43
    $2 069,87     		$622,69
    $670,32
    $720,77
    $899,99     		$892,58
    $940,21
    $990,66
    $1 169,88     		$1 162,47
    $1 210,10
    $1 260,55
    $1 439,77     		$269,89

    ‡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 Wilson County here.

    Wilson County is in “Rating Area 4” of Tennessee.

    Currently, there are 66 plans offered in Rating Area 4.

    Obamacare Rates and Providers for Other Years

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