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- Obamacare Basics for Texas - (Basics)
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- Obamacare Rates for Jefferson County - (Rates)
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- Obamacare for Different Life Situations - (Life Situations)
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Obamacare 2021 Rates and Health Insurance Providers for Jefferson County , Texas

Obamacare > Rates > Texas > Jefferson 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 Jefferson County, TX.

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

Obamacare Providers, Plans and 2021 Rates for Jefferson County, Texas

Below, you’ll find a summary of the 74 plans for Jefferson County, Texas and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • Community Health Choice

    Local: 1-713-295-6704 | Toll Free: 1-855-315-5386 | TTY: 1-855-315-5386

  • Ambetter from Superior HealthPlan

    Local: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989

  • Blue Cross and Blue Shield of Texas

    Local: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989

  • Molina Healthcare

    Local: 1-888-560-2025 | Toll Free: 1-888-560-2025
  • CHRISTUS Health Plan

    Local: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331

  • 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 Beaumont, TX area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Jefferson County

    ADVERTISEMENT

    Community Health Choice

    Local: 1-713-295-6704 | Toll Free: 1-855-315-5386 | TTY: 1-855-315-5386

    Toc - Plan #1

    Expanded Bronze

    (HMO) Community Vital Bronze 003 (No Deductible for PCP, Free Preventive Care, 24/7 Telehealth)

    Annual Out of Pocket Expenses
    Individual Family
    $7,700 $15,400 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $325,26
    $369,17
    $415,68
    $580,91
    $882,75
    $650,52
    $738,34
    $831,36
    $1 161,82
    $1 765,50
    $899,34
    $987,16
    $1 080,18
    $1 410,64
    $1 148,16
    $1 235,98
    $1 329,00
    $1 659,46
    $1 396,98
    $1 484,80
    $1 577,82
    $1 908,28
    $574,08
    $617,99
    $664,50
    $829,73
    $822,90
    $866,81
    $913,32
    $1 078,55
    $1 071,72
    $1 115,63
    $1 162,14
    $1 327,37
    $248,82
    Toc - Plan #2

    Silver

    (HMO) Community Advance Preferred Silver 004 (No deductible PCP, Specialists, Urgent Care and Generics, Free 24/7 Telehealth)

    Annual Out of Pocket Expenses
    Individual Family
    $3,000 $6,000 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
    $433,02
    $491,48
    $553,40
    $773,37
    $1 175,21
    $866,04
    $982,96
    $1 106,80
    $1 546,74
    $2 350,42
    $1 197,30
    $1 314,22
    $1 438,06
    $1 878,00
    $1 528,56
    $1 645,48
    $1 769,32
    $2 209,26
    $1 859,82
    $1 976,74
    $2 100,58
    $2 540,52
    $764,28
    $822,74
    $884,66
    $1 104,63
    $1 095,54
    $1 154,00
    $1 215,92
    $1 435,89
    $1 426,80
    $1 485,26
    $1 547,18
    $1 767,15
    $331,26
    Toc - Plan #3

    Gold

    (HMO) Community Enhanced Gold 005 (No Deductible PCP, Specialists & Generics, Free 24/7 Telehealth)

    Annual Out of Pocket Expenses
    Individual Family
    $2,000 $4,000 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
    $413,59
    $469,43
    $528,57
    $738,68
    $1 122,49
    $827,18
    $938,86
    $1 057,14
    $1 477,36
    $2 244,98
    $1 143,58
    $1 255,26
    $1 373,54
    $1 793,76
    $1 459,98
    $1 571,66
    $1 689,94
    $2 110,16
    $1 776,38
    $1 888,06
    $2 006,34
    $2 426,56
    $729,99
    $785,83
    $844,97
    $1 055,08
    $1 046,39
    $1 102,23
    $1 161,37
    $1 371,48
    $1 362,79
    $1 418,63
    $1 477,77
    $1 687,88
    $316,40
    Toc - Plan #4

    Expanded Bronze

    (HMO) Community Essential Bronze 008 HSA(No cost after deductible, No referrals for Specialists)

    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
    $333,99
    $379,08
    $426,84
    $596,51
    $906,45
    $667,98
    $758,16
    $853,68
    $1 193,02
    $1 812,90
    $923,48
    $1 013,66
    $1 109,18
    $1 448,52
    $1 178,98
    $1 269,16
    $1 364,68
    $1 704,02
    $1 434,48
    $1 524,66
    $1 620,18
    $1 959,52
    $589,49
    $634,58
    $682,34
    $852,01
    $844,99
    $890,08
    $937,84
    $1 107,51
    $1 100,49
    $1 145,58
    $1 193,34
    $1 363,01
    $255,50
    Toc - Plan #5

    Silver

    (HMO) Community Standard Preferred Silver 009 (No deductible PCP, Urgent Care & Generics, Free 24/7 Telehealth)

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 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
    $423,95
    $481,19
    $541,81
    $757,18
    $1 150,61
    $847,90
    $962,38
    $1 083,62
    $1 514,36
    $2 301,22
    $1 172,22
    $1 286,70
    $1 407,94
    $1 838,68
    $1 496,54
    $1 611,02
    $1 732,26
    $2 163,00
    $1 820,86
    $1 935,34
    $2 056,58
    $2 487,32
    $748,27
    $805,51
    $866,13
    $1 081,50
    $1 072,59
    $1 129,83
    $1 190,45
    $1 405,82
    $1 396,91
    $1 454,15
    $1 514,77
    $1 730,14
    $324,32
    Toc - Plan #6

    Bronze

    (HMO) Community Value Bronze 10 (Free Preventive Care, Free 24/7 Telehealth)

    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
    $320,92
    $364,24
    $410,13
    $573,16
    $870,97
    $641,84
    $728,48
    $820,26
    $1 146,32
    $1 741,94
    $887,34
    $973,98
    $1 065,76
    $1 391,82
    $1 132,84
    $1 219,48
    $1 311,26
    $1 637,32
    $1 378,34
    $1 464,98
    $1 556,76
    $1 882,82
    $566,42
    $609,74
    $655,63
    $818,66
    $811,92
    $855,24
    $901,13
    $1 064,16
    $1 057,42
    $1 100,74
    $1 146,63
    $1 309,66
    $245,50
    Toc - Plan #7

    Expanded Bronze

    (HMO) Community Virtual Now Bronze 11 (Unlimited Free 24/7 Virtual Visits)

    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
    $320,27
    $363,50
    $409,30
    $572,00
    $869,20
    $640,54
    $727,00
    $818,60
    $1 144,00
    $1 738,40
    $885,54
    $972,00
    $1 063,60
    $1 389,00
    $1 130,54
    $1 217,00
    $1 308,60
    $1 634,00
    $1 375,54
    $1 462,00
    $1 553,60
    $1 879,00
    $565,27
    $608,50
    $654,30
    $817,00
    $810,27
    $853,50
    $899,30
    $1 062,00
    $1 055,27
    $1 098,50
    $1 144,30
    $1 307,00
    $245,00
    Toc - Plan #8

    Silver

    (HMO) Community Standard Silver 12 (No deductible PCP, Urgent Care & Generics, Free 24/7 Telehealth)

    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
    $414,46
    $470,42
    $529,68
    $740,23
    $1 124,85
    $828,92
    $940,84
    $1 059,36
    $1 480,46
    $2 249,70
    $1 145,98
    $1 257,90
    $1 376,42
    $1 797,52
    $1 463,04
    $1 574,96
    $1 693,48
    $2 114,58
    $1 780,10
    $1 892,02
    $2 010,54
    $2 431,64
    $731,52
    $787,48
    $846,74
    $1 057,29
    $1 048,58
    $1 104,54
    $1 163,80
    $1 374,35
    $1 365,64
    $1 421,60
    $1 480,86
    $1 691,41
    $317,06
    Toc - Plan #9

    Silver

    (HMO) Community Advance Silver 13 (No Deductible PCP, Specialists, Urgent Care & Generics, Free 24/7 Telehealth)

    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
    $419,02
    $475,59
    $535,51
    $748,37
    $1 137,22
    $838,04
    $951,18
    $1 071,02
    $1 496,74
    $2 274,44
    $1 158,59
    $1 271,73
    $1 391,57
    $1 817,29
    $1 479,14
    $1 592,28
    $1 712,12
    $2 137,84
    $1 799,69
    $1 912,83
    $2 032,67
    $2 458,39
    $739,57
    $796,14
    $856,06
    $1 068,92
    $1 060,12
    $1 116,69
    $1 176,61
    $1 389,47
    $1 380,67
    $1 437,24
    $1 497,16
    $1 710,02
    $320,55

    ADVERTISEMENT

    Ambetter from Superior HealthPlan

    Local: 1-877-687-1196 | Toll Free: 1-877-687-1196 | TTY: 1-800-735-2989

    Toc - Plan #10

    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
    $398,63
    $452,43
    $509,43
    $711,93
    $1 081,85
    $797,26
    $904,86
    $1 018,86
    $1 423,86
    $2 163,70
    $1 102,20
    $1 209,80
    $1 323,80
    $1 728,80
    $1 407,14
    $1 514,74
    $1 628,74
    $2 033,74
    $1 712,08
    $1 819,68
    $1 933,68
    $2 338,68
    $703,57
    $757,37
    $814,37
    $1 016,87
    $1 008,51
    $1 062,31
    $1 119,31
    $1 321,81
    $1 313,45
    $1 367,25
    $1 424,25
    $1 626,75
    $304,94
    Toc - Plan #11

    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
    $335,61
    $380,90
    $428,89
    $599,38
    $910,81
    $671,22
    $761,80
    $857,78
    $1 198,76
    $1 821,62
    $927,95
    $1 018,53
    $1 114,51
    $1 455,49
    $1 184,68
    $1 275,26
    $1 371,24
    $1 712,22
    $1 441,41
    $1 531,99
    $1 627,97
    $1 968,95
    $592,34
    $637,63
    $685,62
    $856,11
    $849,07
    $894,36
    $942,35
    $1 112,84
    $1 105,80
    $1 151,09
    $1 199,08
    $1 369,57
    $256,73
    Toc - Plan #12

    Expanded Bronze

    (EPO) Ambetter Essential Care 10 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $347,84
    $394,79
    $444,53
    $621,23
    $944,02
    $695,68
    $789,58
    $889,06
    $1 242,46
    $1 888,04
    $961,77
    $1 055,67
    $1 155,15
    $1 508,55
    $1 227,86
    $1 321,76
    $1 421,24
    $1 774,64
    $1 493,95
    $1 587,85
    $1 687,33
    $2 040,73
    $613,93
    $660,88
    $710,62
    $887,32
    $880,02
    $926,97
    $976,71
    $1 153,41
    $1 146,11
    $1 193,06
    $1 242,80
    $1 419,50
    $266,09
    Toc - Plan #13

    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
    $530,77
    $602,41
    $678,31
    $947,94
    $1 440,49
    $1 061,54
    $1 204,82
    $1 356,62
    $1 895,88
    $2 880,98
    $1 467,57
    $1 610,85
    $1 762,65
    $2 301,91
    $1 873,60
    $2 016,88
    $2 168,68
    $2 707,94
    $2 279,63
    $2 422,91
    $2 574,71
    $3 113,97
    $936,80
    $1 008,44
    $1 084,34
    $1 353,97
    $1 342,83
    $1 414,47
    $1 490,37
    $1 760,00
    $1 748,86
    $1 820,50
    $1 896,40
    $2 166,03
    $406,03
    Toc - Plan #14

    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
    $362,75
    $411,71
    $463,59
    $647,86
    $984,48
    $725,50
    $823,42
    $927,18
    $1 295,72
    $1 968,96
    $1 003,00
    $1 100,92
    $1 204,68
    $1 573,22
    $1 280,50
    $1 378,42
    $1 482,18
    $1 850,72
    $1 558,00
    $1 655,92
    $1 759,68
    $2 128,22
    $640,25
    $689,21
    $741,09
    $925,36
    $917,75
    $966,71
    $1 018,59
    $1 202,86
    $1 195,25
    $1 244,21
    $1 296,09
    $1 480,36
    $277,50
    Toc - Plan #15

    Silver

    (EPO) Ambetter Balanced Care 5 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $7,350 $14,700 Annual Deductible
    $7,350 $14,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $397,55
    $451,21
    $508,06
    $710,01
    $1 078,93
    $795,10
    $902,42
    $1 016,12
    $1 420,02
    $2 157,86
    $1 099,22
    $1 206,54
    $1 320,24
    $1 724,14
    $1 403,34
    $1 510,66
    $1 624,36
    $2 028,26
    $1 707,46
    $1 814,78
    $1 928,48
    $2 332,38
    $701,67
    $755,33
    $812,18
    $1 014,13
    $1 005,79
    $1 059,45
    $1 116,30
    $1 318,25
    $1 309,91
    $1 363,57
    $1 420,42
    $1 622,37
    $304,12
    Toc - Plan #16

    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
    $390,42
    $443,11
    $498,94
    $697,27
    $1 059,57
    $780,84
    $886,22
    $997,88
    $1 394,54
    $2 119,14
    $1 079,50
    $1 184,88
    $1 296,54
    $1 693,20
    $1 378,16
    $1 483,54
    $1 595,20
    $1 991,86
    $1 676,82
    $1 782,20
    $1 893,86
    $2 290,52
    $689,08
    $741,77
    $797,60
    $995,93
    $987,74
    $1 040,43
    $1 096,26
    $1 294,59
    $1 286,40
    $1 339,09
    $1 394,92
    $1 593,25
    $298,66
    Toc - Plan #17

    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
    $386,99
    $439,22
    $494,56
    $691,14
    $1 050,26
    $773,98
    $878,44
    $989,12
    $1 382,28
    $2 100,52
    $1 070,02
    $1 174,48
    $1 285,16
    $1 678,32
    $1 366,06
    $1 470,52
    $1 581,20
    $1 974,36
    $1 662,10
    $1 766,56
    $1 877,24
    $2 270,40
    $683,03
    $735,26
    $790,60
    $987,18
    $979,07
    $1 031,30
    $1 086,64
    $1 283,22
    $1 275,11
    $1 327,34
    $1 382,68
    $1 579,26
    $296,04
    Toc - Plan #18

    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
    $403,13
    $457,54
    $515,19
    $719,98
    $1 094,08
    $806,26
    $915,08
    $1 030,38
    $1 439,96
    $2 188,16
    $1 114,65
    $1 223,47
    $1 338,77
    $1 748,35
    $1 423,04
    $1 531,86
    $1 647,16
    $2 056,74
    $1 731,43
    $1 840,25
    $1 955,55
    $2 365,13
    $711,52
    $765,93
    $823,58
    $1 028,37
    $1 019,91
    $1 074,32
    $1 131,97
    $1 336,76
    $1 328,30
    $1 382,71
    $1 440,36
    $1 645,15
    $308,39
    Toc - Plan #19

    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
    $426,09
    $483,60
    $544,53
    $760,99
    $1 156,39
    $852,18
    $967,20
    $1 089,06
    $1 521,98
    $2 312,78
    $1 178,13
    $1 293,15
    $1 415,01
    $1 847,93
    $1 504,08
    $1 619,10
    $1 740,96
    $2 173,88
    $1 830,03
    $1 945,05
    $2 066,91
    $2 499,83
    $752,04
    $809,55
    $870,48
    $1 086,94
    $1 077,99
    $1 135,50
    $1 196,43
    $1 412,89
    $1 403,94
    $1 461,45
    $1 522,38
    $1 738,84
    $325,95
    Toc - Plan #20

    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
    $429,56
    $487,54
    $548,97
    $767,18
    $1 165,80
    $859,12
    $975,08
    $1 097,94
    $1 534,36
    $2 331,60
    $1 187,73
    $1 303,69
    $1 426,55
    $1 862,97
    $1 516,34
    $1 632,30
    $1 755,16
    $2 191,58
    $1 844,95
    $1 960,91
    $2 083,77
    $2 520,19
    $758,17
    $816,15
    $877,58
    $1 095,79
    $1 086,78
    $1 144,76
    $1 206,19
    $1 424,40
    $1 415,39
    $1 473,37
    $1 534,80
    $1 753,01
    $328,61
    Toc - Plan #21

    Gold

    (EPO) Ambetter Secure Care 15 (2021)

    Annual Out of Pocket Expenses
    Individual Family
    $1,150 $2,300 Annual Deductible
    $4,450 $8,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $542,13
    $615,31
    $692,83
    $968,23
    $1 471,32
    $1 084,26
    $1 230,62
    $1 385,66
    $1 936,46
    $2 942,64
    $1 498,98
    $1 645,34
    $1 800,38
    $2 351,18
    $1 913,70
    $2 060,06
    $2 215,10
    $2 765,90
    $2 328,42
    $2 474,78
    $2 629,82
    $3 180,62
    $956,85
    $1 030,03
    $1 107,55
    $1 382,95
    $1 371,57
    $1 444,75
    $1 522,27
    $1 797,67
    $1 786,29
    $1 859,47
    $1 936,99
    $2 212,39
    $414,72
    Toc - Plan #22

    Gold

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

    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
    $536,86
    $609,33
    $686,10
    $958,82
    $1 457,02
    $1 073,72
    $1 218,66
    $1 372,20
    $1 917,64
    $2 914,04
    $1 484,41
    $1 629,35
    $1 782,89
    $2 328,33
    $1 895,10
    $2 040,04
    $2 193,58
    $2 739,02
    $2 305,79
    $2 450,73
    $2 604,27
    $3 149,71
    $947,55
    $1 020,02
    $1 096,79
    $1 369,51
    $1 358,24
    $1 430,71
    $1 507,48
    $1 780,20
    $1 768,93
    $1 841,40
    $1 918,17
    $2 190,89
    $410,69
    Toc - Plan #23

    Bronze

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

    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
    $339,46
    $385,28
    $433,82
    $606,26
    $921,27
    $678,92
    $770,56
    $867,64
    $1 212,52
    $1 842,54
    $938,60
    $1 030,24
    $1 127,32
    $1 472,20
    $1 198,28
    $1 289,92
    $1 387,00
    $1 731,88
    $1 457,96
    $1 549,60
    $1 646,68
    $1 991,56
    $599,14
    $644,96
    $693,50
    $865,94
    $858,82
    $904,64
    $953,18
    $1 125,62
    $1 118,50
    $1 164,32
    $1 212,86
    $1 385,30
    $259,68
    Toc - Plan #24

    Expanded Bronze

    (EPO) Ambetter Essential Care 10 (2021) + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $351,84
    $399,33
    $449,64
    $628,37
    $954,86
    $703,68
    $798,66
    $899,28
    $1 256,74
    $1 909,72
    $972,83
    $1 067,81
    $1 168,43
    $1 525,89
    $1 241,98
    $1 336,96
    $1 437,58
    $1 795,04
    $1 511,13
    $1 606,11
    $1 706,73
    $2 064,19
    $620,99
    $668,48
    $718,79
    $897,52
    $890,14
    $937,63
    $987,94
    $1 166,67
    $1 159,29
    $1 206,78
    $1 257,09
    $1 435,82
    $269,15
    Toc - Plan #25

    Silver

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

    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
    $403,21
    $457,63
    $515,28
    $720,11
    $1 094,27
    $806,42
    $915,26
    $1 030,56
    $1 440,22
    $2 188,54
    $1 114,86
    $1 223,70
    $1 339,00
    $1 748,66
    $1 423,30
    $1 532,14
    $1 647,44
    $2 057,10
    $1 731,74
    $1 840,58
    $1 955,88
    $2 365,54
    $711,65
    $766,07
    $823,72
    $1 028,55
    $1 020,09
    $1 074,51
    $1 132,16
    $1 336,99
    $1 328,53
    $1 382,95
    $1 440,60
    $1 645,43
    $308,44
    Toc - Plan #26

    Expanded Bronze

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

    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
    $366,92
    $416,44
    $468,91
    $655,30
    $995,79
    $733,84
    $832,88
    $937,82
    $1 310,60
    $1 991,58
    $1 014,52
    $1 113,56
    $1 218,50
    $1 591,28
    $1 295,20
    $1 394,24
    $1 499,18
    $1 871,96
    $1 575,88
    $1 674,92
    $1 779,86
    $2 152,64
    $647,60
    $697,12
    $749,59
    $935,98
    $928,28
    $977,80
    $1 030,27
    $1 216,66
    $1 208,96
    $1 258,48
    $1 310,95
    $1 497,34
    $280,68
    Toc - Plan #27

    Silver

    (EPO) Ambetter Balanced Care 5 (2021) + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $7,350 $14,700 Annual Deductible
    $7,350 $14,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $402,12
    $456,39
    $513,89
    $718,16
    $1 091,32
    $804,24
    $912,78
    $1 027,78
    $1 436,32
    $2 182,64
    $1 111,85
    $1 220,39
    $1 335,39
    $1 743,93
    $1 419,46
    $1 528,00
    $1 643,00
    $2 051,54
    $1 727,07
    $1 835,61
    $1 950,61
    $2 359,15
    $709,73
    $764,00
    $821,50
    $1 025,77
    $1 017,34
    $1 071,61
    $1 129,11
    $1 333,38
    $1 324,95
    $1 379,22
    $1 436,72
    $1 640,99
    $307,61
    Toc - Plan #28

    Silver

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

    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
    $394,90
    $448,20
    $504,67
    $705,27
    $1 071,73
    $789,80
    $896,40
    $1 009,34
    $1 410,54
    $2 143,46
    $1 091,89
    $1 198,49
    $1 311,43
    $1 712,63
    $1 393,98
    $1 500,58
    $1 613,52
    $2 014,72
    $1 696,07
    $1 802,67
    $1 915,61
    $2 316,81
    $696,99
    $750,29
    $806,76
    $1 007,36
    $999,08
    $1 052,38
    $1 108,85
    $1 309,45
    $1 301,17
    $1 354,47
    $1 410,94
    $1 611,54
    $302,09
    Toc - Plan #29

    Silver

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

    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
    $407,76
    $462,80
    $521,11
    $728,24
    $1 106,64
    $815,52
    $925,60
    $1 042,22
    $1 456,48
    $2 213,28
    $1 127,45
    $1 237,53
    $1 354,15
    $1 768,41
    $1 439,38
    $1 549,46
    $1 666,08
    $2 080,34
    $1 751,31
    $1 861,39
    $1 978,01
    $2 392,27
    $719,69
    $774,73
    $833,04
    $1 040,17
    $1 031,62
    $1 086,66
    $1 144,97
    $1 352,10
    $1 343,55
    $1 398,59
    $1 456,90
    $1 664,03
    $311,93
    Toc - Plan #30

    Silver

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

    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
    $430,99
    $489,16
    $550,79
    $769,72
    $1 169,67
    $861,98
    $978,32
    $1 101,58
    $1 539,44
    $2 339,34
    $1 191,68
    $1 308,02
    $1 431,28
    $1 869,14
    $1 521,38
    $1 637,72
    $1 760,98
    $2 198,84
    $1 851,08
    $1 967,42
    $2 090,68
    $2 528,54
    $760,69
    $818,86
    $880,49
    $1 099,42
    $1 090,39
    $1 148,56
    $1 210,19
    $1 429,12
    $1 420,09
    $1 478,26
    $1 539,89
    $1 758,82
    $329,70
    Toc - Plan #31

    Silver

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

    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
    $434,49
    $493,14
    $555,27
    $775,99
    $1 179,19
    $868,98
    $986,28
    $1 110,54
    $1 551,98
    $2 358,38
    $1 201,36
    $1 318,66
    $1 442,92
    $1 884,36
    $1 533,74
    $1 651,04
    $1 775,30
    $2 216,74
    $1 866,12
    $1 983,42
    $2 107,68
    $2 549,12
    $766,87
    $825,52
    $887,65
    $1 108,37
    $1 099,25
    $1 157,90
    $1 220,03
    $1 440,75
    $1 431,63
    $1 490,28
    $1 552,41
    $1 773,13
    $332,38
    Toc - Plan #32

    Gold

    (EPO) Ambetter Secure Care 15 (2021) + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $1,150 $2,300 Annual Deductible
    $4,450 $8,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $548,36
    $622,37
    $700,79
    $979,35
    $1 488,21
    $1 096,72
    $1 244,74
    $1 401,58
    $1 958,70
    $2 976,42
    $1 516,20
    $1 664,22
    $1 821,06
    $2 378,18
    $1 935,68
    $2 083,70
    $2 240,54
    $2 797,66
    $2 355,16
    $2 503,18
    $2 660,02
    $3 217,14
    $967,84
    $1 041,85
    $1 120,27
    $1 398,83
    $1 387,32
    $1 461,33
    $1 539,75
    $1 818,31
    $1 806,80
    $1 880,81
    $1 959,23
    $2 237,79
    $419,48
    Toc - Plan #33

    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
    $556,11
    $631,17
    $710,69
    $993,19
    $1 509,25
    $1 112,22
    $1 262,34
    $1 421,38
    $1 986,38
    $3 018,50
    $1 537,64
    $1 687,76
    $1 846,80
    $2 411,80
    $1 963,06
    $2 113,18
    $2 272,22
    $2 837,22
    $2 388,48
    $2 538,60
    $2 697,64
    $3 262,64
    $981,53
    $1 056,59
    $1 136,11
    $1 418,61
    $1 406,95
    $1 482,01
    $1 561,53
    $1 844,03
    $1 832,37
    $1 907,43
    $1 986,95
    $2 269,45
    $425,42
    Toc - Plan #34

    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
    $351,63
    $399,09
    $449,37
    $627,99
    $954,29
    $703,26
    $798,18
    $898,74
    $1 255,98
    $1 908,58
    $972,25
    $1 067,17
    $1 167,73
    $1 524,97
    $1 241,24
    $1 336,16
    $1 436,72
    $1 793,96
    $1 510,23
    $1 605,15
    $1 705,71
    $2 062,95
    $620,62
    $668,08
    $718,36
    $896,98
    $889,61
    $937,07
    $987,35
    $1 165,97
    $1 158,60
    $1 206,06
    $1 256,34
    $1 434,96
    $268,99
    Toc - Plan #35

    Expanded Bronze

    (EPO) Ambetter Essential Care 10 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $7,200 $14,400 Annual Deductible
    $8,400 $16,800 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $364,45
    $413,64
    $465,75
    $650,89
    $989,09
    $728,90
    $827,28
    $931,50
    $1 301,78
    $1 978,18
    $1 007,70
    $1 106,08
    $1 210,30
    $1 580,58
    $1 286,50
    $1 384,88
    $1 489,10
    $1 859,38
    $1 565,30
    $1 663,68
    $1 767,90
    $2 138,18
    $643,25
    $692,44
    $744,55
    $929,69
    $922,05
    $971,24
    $1 023,35
    $1 208,49
    $1 200,85
    $1 250,04
    $1 302,15
    $1 487,29
    $278,80
    Toc - Plan #36

    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
    $417,66
    $474,03
    $533,75
    $745,92
    $1 133,50
    $835,32
    $948,06
    $1 067,50
    $1 491,84
    $2 267,00
    $1 154,82
    $1 267,56
    $1 387,00
    $1 811,34
    $1 474,32
    $1 587,06
    $1 706,50
    $2 130,84
    $1 793,82
    $1 906,56
    $2 026,00
    $2 450,34
    $737,16
    $793,53
    $853,25
    $1 065,42
    $1 056,66
    $1 113,03
    $1 172,75
    $1 384,92
    $1 376,16
    $1 432,53
    $1 492,25
    $1 704,42
    $319,50
    Toc - Plan #37

    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
    $380,07
    $431,37
    $485,72
    $678,79
    $1 031,48
    $760,14
    $862,74
    $971,44
    $1 357,58
    $2 062,96
    $1 050,89
    $1 153,49
    $1 262,19
    $1 648,33
    $1 341,64
    $1 444,24
    $1 552,94
    $1 939,08
    $1 632,39
    $1 734,99
    $1 843,69
    $2 229,83
    $670,82
    $722,12
    $776,47
    $969,54
    $961,57
    $1 012,87
    $1 067,22
    $1 260,29
    $1 252,32
    $1 303,62
    $1 357,97
    $1 551,04
    $290,75
    Toc - Plan #38

    Silver

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

    Annual Out of Pocket Expenses
    Individual Family
    $7,350 $14,700 Annual Deductible
    $7,350 $14,700 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $416,53
    $472,75
    $532,31
    $743,91
    $1 130,44
    $833,06
    $945,50
    $1 064,62
    $1 487,82
    $2 260,88
    $1 151,70
    $1 264,14
    $1 383,26
    $1 806,46
    $1 470,34
    $1 582,78
    $1 701,90
    $2 125,10
    $1 788,98
    $1 901,42
    $2 020,54
    $2 443,74
    $735,17
    $791,39
    $850,95
    $1 062,55
    $1 053,81
    $1 110,03
    $1 169,59
    $1 381,19
    $1 372,45
    $1 428,67
    $1 488,23
    $1 699,83
    $318,64
    Toc - Plan #39

    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
    $409,05
    $464,27
    $522,76
    $730,55
    $1 110,15
    $818,10
    $928,54
    $1 045,52
    $1 461,10
    $2 220,30
    $1 131,02
    $1 241,46
    $1 358,44
    $1 774,02
    $1 443,94
    $1 554,38
    $1 671,36
    $2 086,94
    $1 756,86
    $1 867,30
    $1 984,28
    $2 399,86
    $721,97
    $777,19
    $835,68
    $1 043,47
    $1 034,89
    $1 090,11
    $1 148,60
    $1 356,39
    $1 347,81
    $1 403,03
    $1 461,52
    $1 669,31
    $312,92
    Toc - Plan #40

    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
    $422,38
    $479,39
    $539,79
    $754,35
    $1 146,31
    $844,76
    $958,78
    $1 079,58
    $1 508,70
    $2 292,62
    $1 167,87
    $1 281,89
    $1 402,69
    $1 831,81
    $1 490,98
    $1 605,00
    $1 725,80
    $2 154,92
    $1 814,09
    $1 928,11
    $2 048,91
    $2 478,03
    $745,49
    $802,50
    $862,90
    $1 077,46
    $1 068,60
    $1 125,61
    $1 186,01
    $1 400,57
    $1 391,71
    $1 448,72
    $1 509,12
    $1 723,68
    $323,11
    Toc - Plan #41

    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
    $446,43
    $506,69
    $570,53
    $797,31
    $1 211,59
    $892,86
    $1 013,38
    $1 141,06
    $1 594,62
    $2 423,18
    $1 234,37
    $1 354,89
    $1 482,57
    $1 936,13
    $1 575,88
    $1 696,40
    $1 824,08
    $2 277,64
    $1 917,39
    $2 037,91
    $2 165,59
    $2 619,15
    $787,94
    $848,20
    $912,04
    $1 138,82
    $1 129,45
    $1 189,71
    $1 253,55
    $1 480,33
    $1 470,96
    $1 531,22
    $1 595,06
    $1 821,84
    $341,51
    Toc - Plan #42

    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
    $450,07
    $510,82
    $575,17
    $803,80
    $1 221,46
    $900,14
    $1 021,64
    $1 150,34
    $1 607,60
    $2 442,92
    $1 244,43
    $1 365,93
    $1 494,63
    $1 951,89
    $1 588,72
    $1 710,22
    $1 838,92
    $2 296,18
    $1 933,01
    $2 054,51
    $2 183,21
    $2 640,47
    $794,36
    $855,11
    $919,46
    $1 148,09
    $1 138,65
    $1 199,40
    $1 263,75
    $1 492,38
    $1 482,94
    $1 543,69
    $1 608,04
    $1 836,67
    $344,29
    Toc - Plan #43

    Gold

    (EPO) Ambetter Secure Care 15 (2021) + Vision + Adult Dental

    Annual Out of Pocket Expenses
    Individual Family
    $1,150 $2,300 Annual Deductible
    $4,450 $8,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $568,01
    $644,68
    $725,91
    $1 014,45
    $1 541,56
    $1 136,02
    $1 289,36
    $1 451,82
    $2 028,90
    $3 083,12
    $1 570,54
    $1 723,88
    $1 886,34
    $2 463,42
    $2 005,06
    $2 158,40
    $2 320,86
    $2 897,94
    $2 439,58
    $2 592,92
    $2 755,38
    $3 332,46
    $1 002,53
    $1 079,20
    $1 160,43
    $1 448,97
    $1 437,05
    $1 513,72
    $1 594,95
    $1 883,49
    $1 871,57
    $1 948,24
    $2 029,47
    $2 318,01
    $434,52

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    Toc - Plan #44

    Gold

    (HMO) Blue Advantage Gold HMO_ 206

    Annual Out of Pocket Expenses
    Individual Family
    $750 $2,250 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
    $405,19
    $459,89
    $517,83
    $723,66
    $1 099,68
    $810,38
    $919,78
    $1 035,66
    $1 447,32
    $2 199,36
    $1 120,35
    $1 229,75
    $1 345,63
    $1 757,29
    $1 430,32
    $1 539,72
    $1 655,60
    $2 067,26
    $1 740,29
    $1 849,69
    $1 965,57
    $2 377,23
    $715,16
    $769,86
    $827,80
    $1 033,63
    $1 025,13
    $1 079,83
    $1 137,77
    $1 343,60
    $1 335,10
    $1 389,80
    $1 447,74
    $1 653,57
    $309,97
    Toc - Plan #45

    Catastrophic

    (HMO) Blue Advantage Security HMO_ 200

    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
    $276,62
    $313,97
    $353,52
    $494,05
    $750,75
    $553,24
    $627,94
    $707,04
    $988,10
    $1 501,50
    $764,86
    $839,56
    $918,66
    $1 199,72
    $976,48
    $1 051,18
    $1 130,28
    $1 411,34
    $1 188,10
    $1 262,80
    $1 341,90
    $1 622,96
    $488,24
    $525,59
    $565,14
    $705,67
    $699,86
    $737,21
    $776,76
    $917,29
    $911,48
    $948,83
    $988,38
    $1 128,91
    $211,62
    Toc - Plan #46

    Silver

    (HMO) Blue Advantage Silver HMO_ 205

    Annual Out of Pocket Expenses
    Individual Family
    $1,900 $5,700 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
    $404,33
    $458,91
    $516,73
    $722,13
    $1 097,35
    $808,66
    $917,82
    $1 033,46
    $1 444,26
    $2 194,70
    $1 117,97
    $1 227,13
    $1 342,77
    $1 753,57
    $1 427,28
    $1 536,44
    $1 652,08
    $2 062,88
    $1 736,59
    $1 845,75
    $1 961,39
    $2 372,19
    $713,64
    $768,22
    $826,04
    $1 031,44
    $1 022,95
    $1 077,53
    $1 135,35
    $1 340,75
    $1 332,26
    $1 386,84
    $1 444,66
    $1 650,06
    $309,31
    Toc - Plan #47

    Expanded Bronze

    (HMO) Blue Advantage Bronze HMO_ 204

    Annual Out of Pocket Expenses
    Individual Family
    $6,000 $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
    $304,25
    $345,33
    $388,83
    $543,39
    $825,74
    $608,50
    $690,66
    $777,66
    $1 086,78
    $1 651,48
    $841,25
    $923,41
    $1 010,41
    $1 319,53
    $1 074,00
    $1 156,16
    $1 243,16
    $1 552,28
    $1 306,75
    $1 388,91
    $1 475,91
    $1 785,03
    $537,00
    $578,08
    $621,58
    $776,14
    $769,75
    $810,83
    $854,33
    $1 008,89
    $1 002,50
    $1 043,58
    $1 087,08
    $1 241,64
    $232,75
    Toc - Plan #48

    Bronze

    (HMO) Blue Advantage Bronze HMO_ 301

    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
    $301,84
    $342,59
    $385,75
    $539,09
    $819,20
    $603,68
    $685,18
    $771,50
    $1 078,18
    $1 638,40
    $834,59
    $916,09
    $1 002,41
    $1 309,09
    $1 065,50
    $1 147,00
    $1 233,32
    $1 540,00
    $1 296,41
    $1 377,91
    $1 464,23
    $1 770,91
    $532,75
    $573,50
    $616,66
    $770,00
    $763,66
    $804,41
    $847,57
    $1 000,91
    $994,57
    $1 035,32
    $1 078,48
    $1 231,82
    $230,91
    Toc - Plan #49

    Gold

    (HMO) Blue Advantage Plus Gold_ 203

    Annual Out of Pocket Expenses
    Individual Family
    $750 $2,250 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
    $450,99
    $511,87
    $576,36
    $805,46
    $1 223,98
    $901,98
    $1 023,74
    $1 152,72
    $1 610,92
    $2 447,96
    $1 246,98
    $1 368,74
    $1 497,72
    $1 955,92
    $1 591,98
    $1 713,74
    $1 842,72
    $2 300,92
    $1 936,98
    $2 058,74
    $2 187,72
    $2 645,92
    $795,99
    $856,87
    $921,36
    $1 150,46
    $1 140,99
    $1 201,87
    $1 266,36
    $1 495,46
    $1 485,99
    $1 546,87
    $1 611,36
    $1 840,46
    $345,00
    Toc - Plan #50

    Silver

    (HMO) Blue Advantage Plus Silver_ 202

    Annual Out of Pocket Expenses
    Individual Family
    $1,250 $3,750 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
    $448,05
    $508,54
    $572,61
    $800,22
    $1 216,01
    $896,10
    $1 017,08
    $1 145,22
    $1 600,44
    $2 432,02
    $1 238,86
    $1 359,84
    $1 487,98
    $1 943,20
    $1 581,62
    $1 702,60
    $1 830,74
    $2 285,96
    $1 924,38
    $2 045,36
    $2 173,50
    $2 628,72
    $790,81
    $851,30
    $915,37
    $1 142,98
    $1 133,57
    $1 194,06
    $1 258,13
    $1 485,74
    $1 476,33
    $1 536,82
    $1 600,89
    $1 828,50
    $342,76
    Toc - Plan #51

    Expanded Bronze

    (HMO) Blue Advantage Plus Bronze_ 303

    Annual Out of Pocket Expenses
    Individual Family
    $4,900 $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
    $339,45
    $385,27
    $433,81
    $606,25
    $921,26
    $678,90
    $770,54
    $867,62
    $1 212,50
    $1 842,52
    $938,58
    $1 030,22
    $1 127,30
    $1 472,18
    $1 198,26
    $1 289,90
    $1 386,98
    $1 731,86
    $1 457,94
    $1 549,58
    $1 646,66
    $1 991,54
    $599,13
    $644,95
    $693,49
    $865,93
    $858,81
    $904,63
    $953,17
    $1 125,61
    $1 118,49
    $1 164,31
    $1 212,85
    $1 385,29
    $259,68
    Toc - Plan #52

    Bronze

    (HMO) Blue Advantage Plus Bronze_ 305

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $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
    $317,25
    $360,08
    $405,45
    $566,61
    $861,02
    $634,50
    $720,16
    $810,90
    $1 133,22
    $1 722,04
    $877,20
    $962,86
    $1 053,60
    $1 375,92
    $1 119,90
    $1 205,56
    $1 296,30
    $1 618,62
    $1 362,60
    $1 448,26
    $1 539,00
    $1 861,32
    $559,95
    $602,78
    $648,15
    $809,31
    $802,65
    $845,48
    $890,85
    $1 052,01
    $1 045,35
    $1 088,18
    $1 133,55
    $1 294,71
    $242,70

    ADVERTISEMENT

    Molina Healthcare

    Local: 1-888-560-2025 | Toll Free: 1-888-560-2025

    Toc - Plan #53

    Gold

    (HMO) Molina Gold 3

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $350,79
    $398,15
    $448,32
    $626,52
    $952,06
    $701,58
    $796,30
    $896,64
    $1 253,04
    $1 904,12
    $969,94
    $1 064,66
    $1 165,00
    $1 521,40
    $1 238,30
    $1 333,02
    $1 433,36
    $1 789,76
    $1 506,66
    $1 601,38
    $1 701,72
    $2 058,12
    $619,15
    $666,51
    $716,68
    $894,88
    $887,51
    $934,87
    $985,04
    $1 163,24
    $1 155,87
    $1 203,23
    $1 253,40
    $1 431,60
    $268,36
    Toc - Plan #54

    Silver

    (HMO) Molina Silver 3 250

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $330,04
    $374,60
    $421,79
    $589,45
    $895,73
    $660,08
    $749,20
    $843,58
    $1 178,90
    $1 791,46
    $912,56
    $1 001,68
    $1 096,06
    $1 431,38
    $1 165,04
    $1 254,16
    $1 348,54
    $1 683,86
    $1 417,52
    $1 506,64
    $1 601,02
    $1 936,34
    $582,52
    $627,08
    $674,27
    $841,93
    $835,00
    $879,56
    $926,75
    $1 094,41
    $1 087,48
    $1 132,04
    $1 179,23
    $1 346,89
    $252,48
    Toc - Plan #55

    Gold

    (HMO) Confident Care Gold 1

    Annual Out of Pocket Expenses
    Individual Family
    $2,925 $5,850 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $353,08
    $400,75
    $451,24
    $630,61
    $958,27
    $706,16
    $801,50
    $902,48
    $1 261,22
    $1 916,54
    $976,27
    $1 071,61
    $1 172,59
    $1 531,33
    $1 246,38
    $1 341,72
    $1 442,70
    $1 801,44
    $1 516,49
    $1 611,83
    $1 712,81
    $2 071,55
    $623,19
    $670,86
    $721,35
    $900,72
    $893,30
    $940,97
    $991,46
    $1 170,83
    $1 163,41
    $1 211,08
    $1 261,57
    $1 440,94
    $270,11
    Toc - Plan #56

    Silver

    (HMO) Constant Care Silver 1 250

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $329,18
    $373,61
    $420,69
    $587,91
    $893,38
    $658,36
    $747,22
    $841,38
    $1 175,82
    $1 786,76
    $910,18
    $999,04
    $1 093,20
    $1 427,64
    $1 162,00
    $1 250,86
    $1 345,02
    $1 679,46
    $1 413,82
    $1 502,68
    $1 596,84
    $1 931,28
    $581,00
    $625,43
    $672,51
    $839,73
    $832,82
    $877,25
    $924,33
    $1 091,55
    $1 084,64
    $1 129,07
    $1 176,15
    $1 343,37
    $251,82
    Toc - Plan #57

    Bronze

    (HMO) Core Care Bronze 1

    Annual Out of Pocket Expenses
    Individual Family
    $6,100 $12,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $233,02
    $264,48
    $297,81
    $416,18
    $632,43
    $466,04
    $528,96
    $595,62
    $832,36
    $1 264,86
    $644,30
    $707,22
    $773,88
    $1 010,62
    $822,56
    $885,48
    $952,14
    $1 188,88
    $1 000,82
    $1 063,74
    $1 130,40
    $1 367,14
    $411,28
    $442,74
    $476,07
    $594,44
    $589,54
    $621,00
    $654,33
    $772,70
    $767,80
    $799,26
    $832,59
    $950,96
    $178,26
    Toc - Plan #58

    Silver

    (HMO) Constant Care Silver 2 250

    Annual Out of Pocket Expenses
    Individual Family
    $5,200 $10,400 Annual Deductible
    $8,150 $16,300 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $328,87
    $373,27
    $420,30
    $587,37
    $892,56
    $657,74
    $746,54
    $840,60
    $1 174,74
    $1 785,12
    $909,33
    $998,13
    $1 092,19
    $1 426,33
    $1 160,92
    $1 249,72
    $1 343,78
    $1 677,92
    $1 412,51
    $1 501,31
    $1 595,37
    $1 929,51
    $580,46
    $624,86
    $671,89
    $838,96
    $832,05
    $876,45
    $923,48
    $1 090,55
    $1 083,64
    $1 128,04
    $1 175,07
    $1 342,14
    $251,59
    Toc - Plan #59

    Bronze

    (HMO) Core Care Bronze 2

    Annual Out of Pocket Expenses
    Individual Family
    $8,000 $16,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $231,01
    $262,20
    $295,23
    $412,59
    $626,97
    $462,02
    $524,40
    $590,46
    $825,18
    $1 253,94
    $638,75
    $701,13
    $767,19
    $1 001,91
    $815,48
    $877,86
    $943,92
    $1 178,64
    $992,21
    $1 054,59
    $1 120,65
    $1 355,37
    $407,74
    $438,93
    $471,96
    $589,32
    $584,47
    $615,66
    $648,69
    $766,05
    $761,20
    $792,39
    $825,42
    $942,78
    $176,73
    Toc - Plan #60

    Silver

    (HMO) Constant Care Silver 4 250

    Annual Out of Pocket Expenses
    Individual Family
    $7,450 $14,900 Annual Deductible
    $7,450 $14,900 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $325,48
    $369,42
    $415,96
    $581,30
    $883,34
    $650,96
    $738,84
    $831,92
    $1 162,60
    $1 766,68
    $899,95
    $987,83
    $1 080,91
    $1 411,59
    $1 148,94
    $1 236,82
    $1 329,90
    $1 660,58
    $1 397,93
    $1 485,81
    $1 578,89
    $1 909,57
    $574,47
    $618,41
    $664,95
    $830,29
    $823,46
    $867,40
    $913,94
    $1 079,28
    $1 072,45
    $1 116,39
    $1 162,93
    $1 328,27
    $248,99
    Toc - Plan #61

    Expanded Bronze

    (HMO) Core Care Bronze 4

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $243,84
    $276,76
    $311,62
    $435,49
    $661,78
    $487,68
    $553,52
    $623,24
    $870,98
    $1 323,56
    $674,22
    $740,06
    $809,78
    $1 057,52
    $860,76
    $926,60
    $996,32
    $1 244,06
    $1 047,30
    $1 113,14
    $1 182,86
    $1 430,60
    $430,38
    $463,30
    $498,16
    $622,03
    $616,92
    $649,84
    $684,70
    $808,57
    $803,46
    $836,38
    $871,24
    $995,11
    $186,54
    Toc - Plan #62

    Expanded Bronze

    (HMO) Core Care Bronze 5

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $237,23
    $269,25
    $303,18
    $423,69
    $643,84
    $474,46
    $538,50
    $606,36
    $847,38
    $1 287,68
    $655,94
    $719,98
    $787,84
    $1 028,86
    $837,42
    $901,46
    $969,32
    $1 210,34
    $1 018,90
    $1 082,94
    $1 150,80
    $1 391,82
    $418,71
    $450,73
    $484,66
    $605,17
    $600,19
    $632,21
    $666,14
    $786,65
    $781,67
    $813,69
    $847,62
    $968,13
    $181,48
    Toc - Plan #63

    Gold

    (HMO) Confident Care Gold 1 + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $2,925 $5,850 Annual Deductible
    $6,500 $13,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $356,52
    $404,65
    $455,63
    $636,74
    $967,58
    $713,04
    $809,30
    $911,26
    $1 273,48
    $1 935,16
    $985,77
    $1 082,03
    $1 183,99
    $1 546,21
    $1 258,50
    $1 354,76
    $1 456,72
    $1 818,94
    $1 531,23
    $1 627,49
    $1 729,45
    $2 091,67
    $629,25
    $677,38
    $728,36
    $909,47
    $901,98
    $950,11
    $1 001,09
    $1 182,20
    $1 174,71
    $1 222,84
    $1 273,82
    $1 454,93
    $272,73
    Toc - Plan #64

    Silver

    (HMO) Constant Care Silver 1 250 + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 Annual Deductible
    $8,500 $17,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $332,61
    $377,51
    $425,07
    $594,04
    $902,69
    $665,22
    $755,02
    $850,14
    $1 188,08
    $1 805,38
    $919,66
    $1 009,46
    $1 104,58
    $1 442,52
    $1 174,10
    $1 263,90
    $1 359,02
    $1 696,96
    $1 428,54
    $1 518,34
    $1 613,46
    $1 951,40
    $587,05
    $631,95
    $679,51
    $848,48
    $841,49
    $886,39
    $933,95
    $1 102,92
    $1 095,93
    $1 140,83
    $1 188,39
    $1 357,36
    $254,44
    Toc - Plan #65

    Bronze

    (HMO) Core Care Bronze 1 + Vision

    Annual Out of Pocket Expenses
    Individual Family
    $6,100 $12,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $236,46
    $268,38
    $302,19
    $422,31
    $641,74
    $472,92
    $536,76
    $604,38
    $844,62
    $1 283,48
    $653,81
    $717,65
    $785,27
    $1 025,51
    $834,70
    $898,54
    $966,16
    $1 206,40
    $1 015,59
    $1 079,43
    $1 147,05
    $1 387,29
    $417,35
    $449,27
    $483,08
    $603,20
    $598,24
    $630,16
    $663,97
    $784,09
    $779,13
    $811,05
    $844,86
    $964,98
    $180,89

    ADVERTISEMENT

    CHRISTUS Health Plan

    Local: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331

    Toc - Plan #66

    Catastrophic

    (HMO) CHP TX Catastrophic - Three Free PCP Visits

    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
    $203,88
    $231,41
    $260,56
    $364,14
    $553,34
    $407,76
    $462,82
    $521,12
    $728,28
    $1 106,68
    $563,73
    $618,79
    $677,09
    $884,25
    $719,70
    $774,76
    $833,06
    $1 040,22
    $875,67
    $930,73
    $989,03
    $1 196,19
    $359,85
    $387,38
    $416,53
    $520,11
    $515,82
    $543,35
    $572,50
    $676,08
    $671,79
    $699,32
    $728,47
    $832,05
    $155,97
    Toc - Plan #67

    Expanded Bronze

    (HMO) CHP TX Bronze - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $8,200 $16,400 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
    $250,43
    $284,24
    $320,05
    $447,27
    $679,67
    $500,86
    $568,48
    $640,10
    $894,54
    $1 359,34
    $692,44
    $760,06
    $831,68
    $1 086,12
    $884,02
    $951,64
    $1 023,26
    $1 277,70
    $1 075,60
    $1 143,22
    $1 214,84
    $1 469,28
    $442,01
    $475,82
    $511,63
    $638,85
    $633,59
    $667,40
    $703,21
    $830,43
    $825,17
    $858,98
    $894,79
    $1 022,01
    $191,58
    Toc - Plan #68

    Silver

    (HMO) CHP TX Silver HD - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,450 $12,900 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
    $354,74
    $402,63
    $453,36
    $633,56
    $962,76
    $709,48
    $805,26
    $906,72
    $1 267,12
    $1 925,52
    $980,86
    $1 076,64
    $1 178,10
    $1 538,50
    $1 252,24
    $1 348,02
    $1 449,48
    $1 809,88
    $1 523,62
    $1 619,40
    $1 720,86
    $2 081,26
    $626,12
    $674,01
    $724,74
    $904,94
    $897,50
    $945,39
    $996,12
    $1 176,32
    $1 168,88
    $1 216,77
    $1 267,50
    $1 447,70
    $271,38
    Toc - Plan #69

    Silver

    (HMO) CHP TX Silver LD - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $4,600 $9,200 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $396,04
    $449,50
    $506,14
    $707,32
    $1 074,84
    $792,08
    $899,00
    $1 012,28
    $1 414,64
    $2 149,68
    $1 095,05
    $1 201,97
    $1 315,25
    $1 717,61
    $1 398,02
    $1 504,94
    $1 618,22
    $2 020,58
    $1 700,99
    $1 807,91
    $1 921,19
    $2 323,55
    $699,01
    $752,47
    $809,11
    $1 010,29
    $1 001,98
    $1 055,44
    $1 112,08
    $1 313,26
    $1 304,95
    $1 358,41
    $1 415,05
    $1 616,23
    $302,97
    Toc - Plan #70

    Gold

    (HMO) CHP TX Gold - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $1,100 $2,200 Annual Deductible
    $8,350 $16,700 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
    $355,83
    $403,86
    $454,75
    $635,50
    $965,71
    $711,66
    $807,72
    $909,50
    $1 271,00
    $1 931,42
    $983,87
    $1 079,93
    $1 181,71
    $1 543,21
    $1 256,08
    $1 352,14
    $1 453,92
    $1 815,42
    $1 528,29
    $1 624,35
    $1 726,13
    $2 087,63
    $628,04
    $676,07
    $726,96
    $907,71
    $900,25
    $948,28
    $999,17
    $1 179,92
    $1 172,46
    $1 220,49
    $1 271,38
    $1 452,13
    $272,21
    Toc - Plan #71

    Expanded Bronze

    (HMO) CHP TX Bronze HSA

    Annual Out of Pocket Expenses
    Individual Family
    $5,650 $11,300 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
    $277,95
    $315,48
    $355,22
    $496,42
    $754,37
    $555,90
    $630,96
    $710,44
    $992,84
    $1 508,74
    $768,53
    $843,59
    $923,07
    $1 205,47
    $981,16
    $1 056,22
    $1 135,70
    $1 418,10
    $1 193,79
    $1 268,85
    $1 348,33
    $1 630,73
    $490,58
    $528,11
    $567,85
    $709,05
    $703,21
    $740,74
    $780,48
    $921,68
    $915,84
    $953,37
    $993,11
    $1 134,31
    $212,63
    Toc - Plan #72

    Expanded Bronze

    (HMO) CHP TX Bronze Plus - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $8,200 $16,400 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
    $264,98
    $300,75
    $338,64
    $473,25
    $719,15
    $529,96
    $601,50
    $677,28
    $946,50
    $1 438,30
    $732,67
    $804,21
    $879,99
    $1 149,21
    $935,38
    $1 006,92
    $1 082,70
    $1 351,92
    $1 138,09
    $1 209,63
    $1 285,41
    $1 554,63
    $467,69
    $503,46
    $541,35
    $675,96
    $670,40
    $706,17
    $744,06
    $878,67
    $873,11
    $908,88
    $946,77
    $1 081,38
    $202,71
    Toc - Plan #73

    Silver

    (HMO) CHP TX Silver Plus HD - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,450 $12,900 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
    $369,29
    $419,14
    $471,95
    $659,55
    $1 002,25
    $738,58
    $838,28
    $943,90
    $1 319,10
    $2 004,50
    $1 021,09
    $1 120,79
    $1 226,41
    $1 601,61
    $1 303,60
    $1 403,30
    $1 508,92
    $1 884,12
    $1 586,11
    $1 685,81
    $1 791,43
    $2 166,63
    $651,80
    $701,65
    $754,46
    $942,06
    $934,31
    $984,16
    $1 036,97
    $1 224,57
    $1 216,82
    $1 266,67
    $1 319,48
    $1 507,08
    $282,51
    Toc - Plan #74

    Silver

    (HMO) CHP TX Basic Silver - Two Free PCP Visits

    Annual Out of Pocket Expenses
    Individual Family
    $3,150 $6,300 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
    $328,63
    $373,00
    $419,99
    $586,94
    $891,91
    $657,26
    $746,00
    $839,98
    $1 173,88
    $1 783,82
    $908,67
    $997,41
    $1 091,39
    $1 425,29
    $1 160,08
    $1 248,82
    $1 342,80
    $1 676,70
    $1 411,49
    $1 500,23
    $1 594,21
    $1 928,11
    $580,04
    $624,41
    $671,40
    $838,35
    $831,45
    $875,82
    $922,81
    $1 089,76
    $1 082,86
    $1 127,23
    $1 174,22
    $1 341,17
    $251,41

    ‡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 Jefferson County here.

    Jefferson County is in “Rating Area 4” of Texas.

    Currently, there are 74 plans offered in Rating Area 4.

    Obamacare Rates and Providers for Other Years

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

    You may also be interested in:

    Ways to Save Money on Obamacare in Texas

    There are three primary ways to reduce the cost of health plans under the Affordable Care Act in Texas.

    • You may be able to lower the cost of monthly premiums when you sign up for a private health insurance plan. Your subsidies will come in the form of a federal tax credit. This article is updated to cover the new tax credits available under the American Rescue Plan Act of 2021.
    • You may be able to reduce your out-of-pocket costs -- including copayments, deductibles, and coinsurance -- with cost-sharing subsidies paid for by insurers.
    • You may qualify for free or low-cost coverage through Medicaid in Texas, or your children may be able to obtain coverage through the Children’s Health Insurance Program (CHIP).

    Each of these forms of assistance depends on your income and family size.

    Many people who apply for coverage at the Texas exchange will be eligible for some form of financial assistance. Read on to learn more about each option.

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    Get Help Finding a Health Insurance Plan in Texas

    Get Help From Texas's Health Insurance Exchange

    The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Texas.

    Help by phone: 800-318-2596 (TTY: 855-889-4325)

    In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.

    Get Help From a Licensed Insurance Broker

    To directly connect with a Texas insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)

    More Information

    For more detailed information, see How Do I Sign Up for Obamacare in Texas?

     

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