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Obamacare 2021 Rates and Health Insurance Providers for Llano County , Texas

Obamacare > Rates > Texas > Llano County

Obamacare Rates and Providers for Other Years

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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Llano County, Texas.

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

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

Below, you’ll find a summary of the 51 plans for Llano County, Texas and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • 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

  • Scott and White Health Plan

    Local: 1-254-298-3000x20300 | Toll Free: 1-800-321-7947 | TTY: 1-800-735-2989

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

    2021 Obamacare Rates, Providers, and Plans for Llano County

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    Ambetter from Superior HealthPlan

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

    Toc - Plan #1

    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
    $378,59
    $429,69
    $483,83
    $676,15
    $1 027,47
    $757,18
    $859,38
    $967,66
    $1 352,30
    $2 054,94
    $1 046,80
    $1 149,00
    $1 257,28
    $1 641,92
    $1 336,42
    $1 438,62
    $1 546,90
    $1 931,54
    $1 626,04
    $1 728,24
    $1 836,52
    $2 221,16
    $668,21
    $719,31
    $773,45
    $965,77
    $957,83
    $1 008,93
    $1 063,07
    $1 255,39
    $1 247,45
    $1 298,55
    $1 352,69
    $1 545,01
    $289,62
    Toc - Plan #2

    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
    $318,74
    $361,76
    $407,33
    $569,25
    $865,03
    $637,48
    $723,52
    $814,66
    $1 138,50
    $1 730,06
    $881,31
    $967,35
    $1 058,49
    $1 382,33
    $1 125,14
    $1 211,18
    $1 302,32
    $1 626,16
    $1 368,97
    $1 455,01
    $1 546,15
    $1 869,99
    $562,57
    $605,59
    $651,16
    $813,08
    $806,40
    $849,42
    $894,99
    $1 056,91
    $1 050,23
    $1 093,25
    $1 138,82
    $1 300,74
    $243,83
    Toc - Plan #3

    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
    $330,36
    $374,95
    $422,19
    $590,01
    $896,57
    $660,72
    $749,90
    $844,38
    $1 180,02
    $1 793,14
    $913,44
    $1 002,62
    $1 097,10
    $1 432,74
    $1 166,16
    $1 255,34
    $1 349,82
    $1 685,46
    $1 418,88
    $1 508,06
    $1 602,54
    $1 938,18
    $583,08
    $627,67
    $674,91
    $842,73
    $835,80
    $880,39
    $927,63
    $1 095,45
    $1 088,52
    $1 133,11
    $1 180,35
    $1 348,17
    $252,72
    Toc - Plan #4

    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
    $504,09
    $572,13
    $644,22
    $900,29
    $1 368,08
    $1 008,18
    $1 144,26
    $1 288,44
    $1 800,58
    $2 736,16
    $1 393,80
    $1 529,88
    $1 674,06
    $2 186,20
    $1 779,42
    $1 915,50
    $2 059,68
    $2 571,82
    $2 165,04
    $2 301,12
    $2 445,30
    $2 957,44
    $889,71
    $957,75
    $1 029,84
    $1 285,91
    $1 275,33
    $1 343,37
    $1 415,46
    $1 671,53
    $1 660,95
    $1 728,99
    $1 801,08
    $2 057,15
    $385,62
    Toc - Plan #5

    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
    $344,52
    $391,02
    $440,28
    $615,29
    $935,00
    $689,04
    $782,04
    $880,56
    $1 230,58
    $1 870,00
    $952,59
    $1 045,59
    $1 144,11
    $1 494,13
    $1 216,14
    $1 309,14
    $1 407,66
    $1 757,68
    $1 479,69
    $1 572,69
    $1 671,21
    $2 021,23
    $608,07
    $654,57
    $703,83
    $878,84
    $871,62
    $918,12
    $967,38
    $1 142,39
    $1 135,17
    $1 181,67
    $1 230,93
    $1 405,94
    $263,55
    Toc - Plan #6

    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
    $377,57
    $428,53
    $482,52
    $674,32
    $1 024,70
    $755,14
    $857,06
    $965,04
    $1 348,64
    $2 049,40
    $1 043,97
    $1 145,89
    $1 253,87
    $1 637,47
    $1 332,80
    $1 434,72
    $1 542,70
    $1 926,30
    $1 621,63
    $1 723,55
    $1 831,53
    $2 215,13
    $666,40
    $717,36
    $771,35
    $963,15
    $955,23
    $1 006,19
    $1 060,18
    $1 251,98
    $1 244,06
    $1 295,02
    $1 349,01
    $1 540,81
    $288,83
    Toc - Plan #7

    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
    $370,79
    $420,84
    $473,86
    $662,22
    $1 006,31
    $741,58
    $841,68
    $947,72
    $1 324,44
    $2 012,62
    $1 025,23
    $1 125,33
    $1 231,37
    $1 608,09
    $1 308,88
    $1 408,98
    $1 515,02
    $1 891,74
    $1 592,53
    $1 692,63
    $1 798,67
    $2 175,39
    $654,44
    $704,49
    $757,51
    $945,87
    $938,09
    $988,14
    $1 041,16
    $1 229,52
    $1 221,74
    $1 271,79
    $1 324,81
    $1 513,17
    $283,65
    Toc - Plan #8

    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
    $367,54
    $417,14
    $469,70
    $656,40
    $997,47
    $735,08
    $834,28
    $939,40
    $1 312,80
    $1 994,94
    $1 016,24
    $1 115,44
    $1 220,56
    $1 593,96
    $1 297,40
    $1 396,60
    $1 501,72
    $1 875,12
    $1 578,56
    $1 677,76
    $1 782,88
    $2 156,28
    $648,70
    $698,30
    $750,86
    $937,56
    $929,86
    $979,46
    $1 032,02
    $1 218,72
    $1 211,02
    $1 260,62
    $1 313,18
    $1 499,88
    $281,16
    Toc - Plan #9

    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
    $382,87
    $434,55
    $489,30
    $683,79
    $1 039,08
    $765,74
    $869,10
    $978,60
    $1 367,58
    $2 078,16
    $1 058,63
    $1 161,99
    $1 271,49
    $1 660,47
    $1 351,52
    $1 454,88
    $1 564,38
    $1 953,36
    $1 644,41
    $1 747,77
    $1 857,27
    $2 246,25
    $675,76
    $727,44
    $782,19
    $976,68
    $968,65
    $1 020,33
    $1 075,08
    $1 269,57
    $1 261,54
    $1 313,22
    $1 367,97
    $1 562,46
    $292,89
    Toc - Plan #10

    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
    $404,68
    $459,30
    $517,16
    $722,73
    $1 098,26
    $809,36
    $918,60
    $1 034,32
    $1 445,46
    $2 196,52
    $1 118,93
    $1 228,17
    $1 343,89
    $1 755,03
    $1 428,50
    $1 537,74
    $1 653,46
    $2 064,60
    $1 738,07
    $1 847,31
    $1 963,03
    $2 374,17
    $714,25
    $768,87
    $826,73
    $1 032,30
    $1 023,82
    $1 078,44
    $1 136,30
    $1 341,87
    $1 333,39
    $1 388,01
    $1 445,87
    $1 651,44
    $309,57
    Toc - Plan #11

    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
    $407,97
    $463,03
    $521,37
    $728,62
    $1 107,20
    $815,94
    $926,06
    $1 042,74
    $1 457,24
    $2 214,40
    $1 128,03
    $1 238,15
    $1 354,83
    $1 769,33
    $1 440,12
    $1 550,24
    $1 666,92
    $2 081,42
    $1 752,21
    $1 862,33
    $1 979,01
    $2 393,51
    $720,06
    $775,12
    $833,46
    $1 040,71
    $1 032,15
    $1 087,21
    $1 145,55
    $1 352,80
    $1 344,24
    $1 399,30
    $1 457,64
    $1 664,89
    $312,09
    Toc - Plan #12

    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
    $514,88
    $584,38
    $658,01
    $919,56
    $1 397,36
    $1 029,76
    $1 168,76
    $1 316,02
    $1 839,12
    $2 794,72
    $1 423,64
    $1 562,64
    $1 709,90
    $2 233,00
    $1 817,52
    $1 956,52
    $2 103,78
    $2 626,88
    $2 211,40
    $2 350,40
    $2 497,66
    $3 020,76
    $908,76
    $978,26
    $1 051,89
    $1 313,44
    $1 302,64
    $1 372,14
    $1 445,77
    $1 707,32
    $1 696,52
    $1 766,02
    $1 839,65
    $2 101,20
    $393,88
    Toc - Plan #13

    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
    $509,88
    $578,70
    $651,61
    $910,63
    $1 383,79
    $1 019,76
    $1 157,40
    $1 303,22
    $1 821,26
    $2 767,58
    $1 409,81
    $1 547,45
    $1 693,27
    $2 211,31
    $1 799,86
    $1 937,50
    $2 083,32
    $2 601,36
    $2 189,91
    $2 327,55
    $2 473,37
    $2 991,41
    $899,93
    $968,75
    $1 041,66
    $1 300,68
    $1 289,98
    $1 358,80
    $1 431,71
    $1 690,73
    $1 680,03
    $1 748,85
    $1 821,76
    $2 080,78
    $390,05
    Toc - Plan #14

    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
    $322,40
    $365,91
    $412,01
    $575,78
    $874,96
    $644,80
    $731,82
    $824,02
    $1 151,56
    $1 749,92
    $891,43
    $978,45
    $1 070,65
    $1 398,19
    $1 138,06
    $1 225,08
    $1 317,28
    $1 644,82
    $1 384,69
    $1 471,71
    $1 563,91
    $1 891,45
    $569,03
    $612,54
    $658,64
    $822,41
    $815,66
    $859,17
    $905,27
    $1 069,04
    $1 062,29
    $1 105,80
    $1 151,90
    $1 315,67
    $246,63
    Toc - Plan #15

    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
    $334,15
    $379,25
    $427,04
    $596,78
    $906,87
    $668,30
    $758,50
    $854,08
    $1 193,56
    $1 813,74
    $923,92
    $1 014,12
    $1 109,70
    $1 449,18
    $1 179,54
    $1 269,74
    $1 365,32
    $1 704,80
    $1 435,16
    $1 525,36
    $1 620,94
    $1 960,42
    $589,77
    $634,87
    $682,66
    $852,40
    $845,39
    $890,49
    $938,28
    $1 108,02
    $1 101,01
    $1 146,11
    $1 193,90
    $1 363,64
    $255,62
    Toc - Plan #16

    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
    $382,94
    $434,62
    $489,38
    $683,91
    $1 039,27
    $765,88
    $869,24
    $978,76
    $1 367,82
    $2 078,54
    $1 058,82
    $1 162,18
    $1 271,70
    $1 660,76
    $1 351,76
    $1 455,12
    $1 564,64
    $1 953,70
    $1 644,70
    $1 748,06
    $1 857,58
    $2 246,64
    $675,88
    $727,56
    $782,32
    $976,85
    $968,82
    $1 020,50
    $1 075,26
    $1 269,79
    $1 261,76
    $1 313,44
    $1 368,20
    $1 562,73
    $292,94
    Toc - Plan #17

    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
    $348,47
    $395,51
    $445,34
    $622,36
    $945,73
    $696,94
    $791,02
    $890,68
    $1 244,72
    $1 891,46
    $963,52
    $1 057,60
    $1 157,26
    $1 511,30
    $1 230,10
    $1 324,18
    $1 423,84
    $1 777,88
    $1 496,68
    $1 590,76
    $1 690,42
    $2 044,46
    $615,05
    $662,09
    $711,92
    $888,94
    $881,63
    $928,67
    $978,50
    $1 155,52
    $1 148,21
    $1 195,25
    $1 245,08
    $1 422,10
    $266,58
    Toc - Plan #18

    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
    $381,90
    $433,45
    $488,06
    $682,06
    $1 036,46
    $763,80
    $866,90
    $976,12
    $1 364,12
    $2 072,92
    $1 055,95
    $1 159,05
    $1 268,27
    $1 656,27
    $1 348,10
    $1 451,20
    $1 560,42
    $1 948,42
    $1 640,25
    $1 743,35
    $1 852,57
    $2 240,57
    $674,05
    $725,60
    $780,21
    $974,21
    $966,20
    $1 017,75
    $1 072,36
    $1 266,36
    $1 258,35
    $1 309,90
    $1 364,51
    $1 558,51
    $292,15
    Toc - Plan #19

    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
    $375,05
    $425,67
    $479,30
    $669,82
    $1 017,86
    $750,10
    $851,34
    $958,60
    $1 339,64
    $2 035,72
    $1 037,01
    $1 138,25
    $1 245,51
    $1 626,55
    $1 323,92
    $1 425,16
    $1 532,42
    $1 913,46
    $1 610,83
    $1 712,07
    $1 819,33
    $2 200,37
    $661,96
    $712,58
    $766,21
    $956,73
    $948,87
    $999,49
    $1 053,12
    $1 243,64
    $1 235,78
    $1 286,40
    $1 340,03
    $1 530,55
    $286,91
    Toc - Plan #20

    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
    $387,27
    $439,54
    $494,91
    $691,64
    $1 051,01
    $774,54
    $879,08
    $989,82
    $1 383,28
    $2 102,02
    $1 070,79
    $1 175,33
    $1 286,07
    $1 679,53
    $1 367,04
    $1 471,58
    $1 582,32
    $1 975,78
    $1 663,29
    $1 767,83
    $1 878,57
    $2 272,03
    $683,52
    $735,79
    $791,16
    $987,89
    $979,77
    $1 032,04
    $1 087,41
    $1 284,14
    $1 276,02
    $1 328,29
    $1 383,66
    $1 580,39
    $296,25
    Toc - Plan #21

    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
    $409,32
    $464,57
    $523,10
    $731,03
    $1 110,87
    $818,64
    $929,14
    $1 046,20
    $1 462,06
    $2 221,74
    $1 131,76
    $1 242,26
    $1 359,32
    $1 775,18
    $1 444,88
    $1 555,38
    $1 672,44
    $2 088,30
    $1 758,00
    $1 868,50
    $1 985,56
    $2 401,42
    $722,44
    $777,69
    $836,22
    $1 044,15
    $1 035,56
    $1 090,81
    $1 149,34
    $1 357,27
    $1 348,68
    $1 403,93
    $1 462,46
    $1 670,39
    $313,12
    Toc - Plan #22

    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
    $412,65
    $468,35
    $527,36
    $736,98
    $1 119,92
    $825,30
    $936,70
    $1 054,72
    $1 473,96
    $2 239,84
    $1 140,97
    $1 252,37
    $1 370,39
    $1 789,63
    $1 456,64
    $1 568,04
    $1 686,06
    $2 105,30
    $1 772,31
    $1 883,71
    $2 001,73
    $2 420,97
    $728,32
    $784,02
    $843,03
    $1 052,65
    $1 043,99
    $1 099,69
    $1 158,70
    $1 368,32
    $1 359,66
    $1 415,36
    $1 474,37
    $1 683,99
    $315,67
    Toc - Plan #23

    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
    $520,79
    $591,09
    $665,56
    $930,12
    $1 413,40
    $1 041,58
    $1 182,18
    $1 331,12
    $1 860,24
    $2 826,80
    $1 439,98
    $1 580,58
    $1 729,52
    $2 258,64
    $1 838,38
    $1 978,98
    $2 127,92
    $2 657,04
    $2 236,78
    $2 377,38
    $2 526,32
    $3 055,44
    $919,19
    $989,49
    $1 063,96
    $1 328,52
    $1 317,59
    $1 387,89
    $1 462,36
    $1 726,92
    $1 715,99
    $1 786,29
    $1 860,76
    $2 125,32
    $398,40
    Toc - Plan #24

    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
    $528,16
    $599,45
    $674,97
    $943,27
    $1 433,39
    $1 056,32
    $1 198,90
    $1 349,94
    $1 886,54
    $2 866,78
    $1 460,35
    $1 602,93
    $1 753,97
    $2 290,57
    $1 864,38
    $2 006,96
    $2 158,00
    $2 694,60
    $2 268,41
    $2 410,99
    $2 562,03
    $3 098,63
    $932,19
    $1 003,48
    $1 079,00
    $1 347,30
    $1 336,22
    $1 407,51
    $1 483,03
    $1 751,33
    $1 740,25
    $1 811,54
    $1 887,06
    $2 155,36
    $404,03
    Toc - Plan #25

    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
    $333,95
    $379,03
    $426,78
    $596,42
    $906,32
    $667,90
    $758,06
    $853,56
    $1 192,84
    $1 812,64
    $923,37
    $1 013,53
    $1 109,03
    $1 448,31
    $1 178,84
    $1 269,00
    $1 364,50
    $1 703,78
    $1 434,31
    $1 524,47
    $1 619,97
    $1 959,25
    $589,42
    $634,50
    $682,25
    $851,89
    $844,89
    $889,97
    $937,72
    $1 107,36
    $1 100,36
    $1 145,44
    $1 193,19
    $1 362,83
    $255,47
    Toc - Plan #26

    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
    $346,13
    $392,85
    $442,34
    $618,17
    $939,37
    $692,26
    $785,70
    $884,68
    $1 236,34
    $1 878,74
    $957,04
    $1 050,48
    $1 149,46
    $1 501,12
    $1 221,82
    $1 315,26
    $1 414,24
    $1 765,90
    $1 486,60
    $1 580,04
    $1 679,02
    $2 030,68
    $610,91
    $657,63
    $707,12
    $882,95
    $875,69
    $922,41
    $971,90
    $1 147,73
    $1 140,47
    $1 187,19
    $1 236,68
    $1 412,51
    $264,78
    Toc - Plan #27

    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
    $396,66
    $450,20
    $506,92
    $708,43
    $1 076,52
    $793,32
    $900,40
    $1 013,84
    $1 416,86
    $2 153,04
    $1 096,76
    $1 203,84
    $1 317,28
    $1 720,30
    $1 400,20
    $1 507,28
    $1 620,72
    $2 023,74
    $1 703,64
    $1 810,72
    $1 924,16
    $2 327,18
    $700,10
    $753,64
    $810,36
    $1 011,87
    $1 003,54
    $1 057,08
    $1 113,80
    $1 315,31
    $1 306,98
    $1 360,52
    $1 417,24
    $1 618,75
    $303,44
    Toc - Plan #28

    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
    $360,97
    $409,68
    $461,30
    $644,67
    $979,63
    $721,94
    $819,36
    $922,60
    $1 289,34
    $1 959,26
    $998,07
    $1 095,49
    $1 198,73
    $1 565,47
    $1 274,20
    $1 371,62
    $1 474,86
    $1 841,60
    $1 550,33
    $1 647,75
    $1 750,99
    $2 117,73
    $637,10
    $685,81
    $737,43
    $920,80
    $913,23
    $961,94
    $1 013,56
    $1 196,93
    $1 189,36
    $1 238,07
    $1 289,69
    $1 473,06
    $276,13
    Toc - Plan #29

    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
    $395,59
    $448,99
    $505,56
    $706,51
    $1 073,61
    $791,18
    $897,98
    $1 011,12
    $1 413,02
    $2 147,22
    $1 093,80
    $1 200,60
    $1 313,74
    $1 715,64
    $1 396,42
    $1 503,22
    $1 616,36
    $2 018,26
    $1 699,04
    $1 805,84
    $1 918,98
    $2 320,88
    $698,21
    $751,61
    $808,18
    $1 009,13
    $1 000,83
    $1 054,23
    $1 110,80
    $1 311,75
    $1 303,45
    $1 356,85
    $1 413,42
    $1 614,37
    $302,62
    Toc - Plan #30

    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
    $388,49
    $440,93
    $496,48
    $693,83
    $1 054,34
    $776,98
    $881,86
    $992,96
    $1 387,66
    $2 108,68
    $1 074,17
    $1 179,05
    $1 290,15
    $1 684,85
    $1 371,36
    $1 476,24
    $1 587,34
    $1 982,04
    $1 668,55
    $1 773,43
    $1 884,53
    $2 279,23
    $685,68
    $738,12
    $793,67
    $991,02
    $982,87
    $1 035,31
    $1 090,86
    $1 288,21
    $1 280,06
    $1 332,50
    $1 388,05
    $1 585,40
    $297,19
    Toc - Plan #31

    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
    $401,15
    $455,29
    $512,65
    $716,43
    $1 088,69
    $802,30
    $910,58
    $1 025,30
    $1 432,86
    $2 177,38
    $1 109,17
    $1 217,45
    $1 332,17
    $1 739,73
    $1 416,04
    $1 524,32
    $1 639,04
    $2 046,60
    $1 722,91
    $1 831,19
    $1 945,91
    $2 353,47
    $708,02
    $762,16
    $819,52
    $1 023,30
    $1 014,89
    $1 069,03
    $1 126,39
    $1 330,17
    $1 321,76
    $1 375,90
    $1 433,26
    $1 637,04
    $306,87
    Toc - Plan #32

    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
    $423,99
    $481,22
    $541,85
    $757,24
    $1 150,69
    $847,98
    $962,44
    $1 083,70
    $1 514,48
    $2 301,38
    $1 172,33
    $1 286,79
    $1 408,05
    $1 838,83
    $1 496,68
    $1 611,14
    $1 732,40
    $2 163,18
    $1 821,03
    $1 935,49
    $2 056,75
    $2 487,53
    $748,34
    $805,57
    $866,20
    $1 081,59
    $1 072,69
    $1 129,92
    $1 190,55
    $1 405,94
    $1 397,04
    $1 454,27
    $1 514,90
    $1 730,29
    $324,35
    Toc - Plan #33

    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
    $427,45
    $485,14
    $546,26
    $763,40
    $1 160,06
    $854,90
    $970,28
    $1 092,52
    $1 526,80
    $2 320,12
    $1 181,89
    $1 297,27
    $1 419,51
    $1 853,79
    $1 508,88
    $1 624,26
    $1 746,50
    $2 180,78
    $1 835,87
    $1 951,25
    $2 073,49
    $2 507,77
    $754,44
    $812,13
    $873,25
    $1 090,39
    $1 081,43
    $1 139,12
    $1 200,24
    $1 417,38
    $1 408,42
    $1 466,11
    $1 527,23
    $1 744,37
    $326,99
    Toc - Plan #34

    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
    $539,46
    $612,28
    $689,42
    $963,46
    $1 464,07
    $1 078,92
    $1 224,56
    $1 378,84
    $1 926,92
    $2 928,14
    $1 491,60
    $1 637,24
    $1 791,52
    $2 339,60
    $1 904,28
    $2 049,92
    $2 204,20
    $2 752,28
    $2 316,96
    $2 462,60
    $2 616,88
    $3 164,96
    $952,14
    $1 024,96
    $1 102,10
    $1 376,14
    $1 364,82
    $1 437,64
    $1 514,78
    $1 788,82
    $1 777,50
    $1 850,32
    $1 927,46
    $2 201,50
    $412,68
    ADVERTISEMENT

    Blue Cross and Blue Shield of Texas

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

    Toc - Plan #35

    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
    $396,26
    $449,75
    $506,41
    $707,71
    $1 075,44
    $792,52
    $899,50
    $1 012,82
    $1 415,42
    $2 150,88
    $1 095,66
    $1 202,64
    $1 315,96
    $1 718,56
    $1 398,80
    $1 505,78
    $1 619,10
    $2 021,70
    $1 701,94
    $1 808,92
    $1 922,24
    $2 324,84
    $699,40
    $752,89
    $809,55
    $1 010,85
    $1 002,54
    $1 056,03
    $1 112,69
    $1 313,99
    $1 305,68
    $1 359,17
    $1 415,83
    $1 617,13
    $303,14
    Toc - Plan #36

    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
    $270,03
    $306,49
    $345,10
    $482,28
    $732,87
    $540,06
    $612,98
    $690,20
    $964,56
    $1 465,74
    $746,64
    $819,56
    $896,78
    $1 171,14
    $953,22
    $1 026,14
    $1 103,36
    $1 377,72
    $1 159,80
    $1 232,72
    $1 309,94
    $1 584,30
    $476,61
    $513,07
    $551,68
    $688,86
    $683,19
    $719,65
    $758,26
    $895,44
    $889,77
    $926,23
    $964,84
    $1 102,02
    $206,58
    Toc - Plan #37

    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
    $395,27
    $448,63
    $505,15
    $705,94
    $1 072,75
    $790,54
    $897,26
    $1 010,30
    $1 411,88
    $2 145,50
    $1 092,92
    $1 199,64
    $1 312,68
    $1 714,26
    $1 395,30
    $1 502,02
    $1 615,06
    $2 016,64
    $1 697,68
    $1 804,40
    $1 917,44
    $2 319,02
    $697,65
    $751,01
    $807,53
    $1 008,32
    $1 000,03
    $1 053,39
    $1 109,91
    $1 310,70
    $1 302,41
    $1 355,77
    $1 412,29
    $1 613,08
    $302,38
    Toc - Plan #38

    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
    $297,45
    $337,60
    $380,14
    $531,24
    $807,27
    $594,90
    $675,20
    $760,28
    $1 062,48
    $1 614,54
    $822,45
    $902,75
    $987,83
    $1 290,03
    $1 050,00
    $1 130,30
    $1 215,38
    $1 517,58
    $1 277,55
    $1 357,85
    $1 442,93
    $1 745,13
    $525,00
    $565,15
    $607,69
    $758,79
    $752,55
    $792,70
    $835,24
    $986,34
    $980,10
    $1 020,25
    $1 062,79
    $1 213,89
    $227,55
    Toc - Plan #39

    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
    $294,66
    $334,44
    $376,58
    $526,27
    $799,71
    $589,32
    $668,88
    $753,16
    $1 052,54
    $1 599,42
    $814,74
    $894,30
    $978,58
    $1 277,96
    $1 040,16
    $1 119,72
    $1 204,00
    $1 503,38
    $1 265,58
    $1 345,14
    $1 429,42
    $1 728,80
    $520,08
    $559,86
    $602,00
    $751,69
    $745,50
    $785,28
    $827,42
    $977,11
    $970,92
    $1 010,70
    $1 052,84
    $1 202,53
    $225,42
    Toc - Plan #40

    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
    $438,55
    $497,76
    $560,47
    $783,26
    $1 190,24
    $877,10
    $995,52
    $1 120,94
    $1 566,52
    $2 380,48
    $1 212,59
    $1 331,01
    $1 456,43
    $1 902,01
    $1 548,08
    $1 666,50
    $1 791,92
    $2 237,50
    $1 883,57
    $2 001,99
    $2 127,41
    $2 572,99
    $774,04
    $833,25
    $895,96
    $1 118,75
    $1 109,53
    $1 168,74
    $1 231,45
    $1 454,24
    $1 445,02
    $1 504,23
    $1 566,94
    $1 789,73
    $335,49
    Toc - Plan #41

    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
    $435,03
    $493,76
    $555,97
    $776,97
    $1 180,68
    $870,06
    $987,52
    $1 111,94
    $1 553,94
    $2 361,36
    $1 202,86
    $1 320,32
    $1 444,74
    $1 886,74
    $1 535,66
    $1 653,12
    $1 777,54
    $2 219,54
    $1 868,46
    $1 985,92
    $2 110,34
    $2 552,34
    $767,83
    $826,56
    $888,77
    $1 109,77
    $1 100,63
    $1 159,36
    $1 221,57
    $1 442,57
    $1 433,43
    $1 492,16
    $1 554,37
    $1 775,37
    $332,80
    Toc - Plan #42

    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
    $329,35
    $373,82
    $420,92
    $588,23
    $893,87
    $658,70
    $747,64
    $841,84
    $1 176,46
    $1 787,74
    $910,66
    $999,60
    $1 093,80
    $1 428,42
    $1 162,62
    $1 251,56
    $1 345,76
    $1 680,38
    $1 414,58
    $1 503,52
    $1 597,72
    $1 932,34
    $581,31
    $625,78
    $672,88
    $840,19
    $833,27
    $877,74
    $924,84
    $1 092,15
    $1 085,23
    $1 129,70
    $1 176,80
    $1 344,11
    $251,96
    Toc - Plan #43

    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
    $307,39
    $348,89
    $392,84
    $549,00
    $834,25
    $614,78
    $697,78
    $785,68
    $1 098,00
    $1 668,50
    $849,93
    $932,93
    $1 020,83
    $1 333,15
    $1 085,08
    $1 168,08
    $1 255,98
    $1 568,30
    $1 320,23
    $1 403,23
    $1 491,13
    $1 803,45
    $542,54
    $584,04
    $627,99
    $784,15
    $777,69
    $819,19
    $863,14
    $1 019,30
    $1 012,84
    $1 054,34
    $1 098,29
    $1 254,45
    $235,15
    ADVERTISEMENT

    Scott and White Health Plan

    Local: 1-254-298-3000x20300 | Toll Free: 1-800-321-7947 | TTY: 1-800-735-2989

    Toc - Plan #44

    Gold

    (HMO) BSW Elite Gold HMO 001 ($0 Preventive Care and Preventive Rx Drugs)

    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
    $364,78
    $414,02
    $466,19
    $651,50
    $990,01
    $729,56
    $828,04
    $932,38
    $1 303,00
    $1 980,02
    $1 008,62
    $1 107,10
    $1 211,44
    $1 582,06
    $1 287,68
    $1 386,16
    $1 490,50
    $1 861,12
    $1 566,74
    $1 665,22
    $1 769,56
    $2 140,18
    $643,84
    $693,08
    $745,25
    $930,56
    $922,90
    $972,14
    $1 024,31
    $1 209,62
    $1 201,96
    $1 251,20
    $1 303,37
    $1 488,68
    $279,06
    Toc - Plan #45

    Silver

    (HMO) BSW Prime Silver HMO 003 ($0 Preventive Care and Preventive Rx Drugs)

    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
    $354,31
    $402,14
    $452,81
    $632,80
    $961,60
    $708,62
    $804,28
    $905,62
    $1 265,60
    $1 923,20
    $979,67
    $1 075,33
    $1 176,67
    $1 536,65
    $1 250,72
    $1 346,38
    $1 447,72
    $1 807,70
    $1 521,77
    $1 617,43
    $1 718,77
    $2 078,75
    $625,36
    $673,19
    $723,86
    $903,85
    $896,41
    $944,24
    $994,91
    $1 174,90
    $1 167,46
    $1 215,29
    $1 265,96
    $1 445,95
    $271,05
    Toc - Plan #46

    Gold

    (HMO) BSW Elite Gold HMO 004 ($0 deductible, $15 PCP visit, $0 Preventive Care and Preventive Rx Drugs)

    Annual Out of Pocket Expenses
    Individual Family
    $0 $0 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
    $392,53
    $445,52
    $501,65
    $701,06
    $1 065,33
    $785,06
    $891,04
    $1 003,30
    $1 402,12
    $2 130,66
    $1 085,35
    $1 191,33
    $1 303,59
    $1 702,41
    $1 385,64
    $1 491,62
    $1 603,88
    $2 002,70
    $1 685,93
    $1 791,91
    $1 904,17
    $2 302,99
    $692,82
    $745,81
    $801,94
    $1 001,35
    $993,11
    $1 046,10
    $1 102,23
    $1 301,64
    $1 293,40
    $1 346,39
    $1 402,52
    $1 601,93
    $300,29
    Toc - Plan #47

    Silver

    (HMO) BSW Prime Silver HMO 005 ($0 deductible copay only, $0 Preventive Care and Preventive Rx Drugs)

    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
    $377,71
    $428,70
    $482,71
    $674,59
    $1 025,10
    $755,42
    $857,40
    $965,42
    $1 349,18
    $2 050,20
    $1 044,37
    $1 146,35
    $1 254,37
    $1 638,13
    $1 333,32
    $1 435,30
    $1 543,32
    $1 927,08
    $1 622,27
    $1 724,25
    $1 832,27
    $2 216,03
    $666,66
    $717,65
    $771,66
    $963,54
    $955,61
    $1 006,60
    $1 060,61
    $1 252,49
    $1 244,56
    $1 295,55
    $1 349,56
    $1 541,44
    $288,95
    Toc - Plan #48

    Expanded Bronze

    (HMO) BSW Savers Bronze HMO H S A 006 ($0 Preventive Care and Preventive Rx Drugs)

    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
    $296,08
    $336,05
    $378,39
    $528,80
    $803,56
    $592,16
    $672,10
    $756,78
    $1 057,60
    $1 607,12
    $818,66
    $898,60
    $983,28
    $1 284,10
    $1 045,16
    $1 125,10
    $1 209,78
    $1 510,60
    $1 271,66
    $1 351,60
    $1 436,28
    $1 737,10
    $522,58
    $562,55
    $604,89
    $755,30
    $749,08
    $789,05
    $831,39
    $981,80
    $975,58
    $1 015,55
    $1 057,89
    $1 208,30
    $226,50
    Toc - Plan #49

    Expanded Bronze

    (HMO) BSW Vital Bronze HMO 007 ($20 Generic Rx Drugs, $0 Preventive Care and Preventive Rx Drugs)

    Annual Out of Pocket Expenses
    Individual Family
    $4,000 $8,000 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
    $302,06
    $342,84
    $386,04
    $539,48
    $819,80
    $604,12
    $685,68
    $772,08
    $1 078,96
    $1 639,60
    $835,20
    $916,76
    $1 003,16
    $1 310,04
    $1 066,28
    $1 147,84
    $1 234,24
    $1 541,12
    $1 297,36
    $1 378,92
    $1 465,32
    $1 772,20
    $533,14
    $573,92
    $617,12
    $770,56
    $764,22
    $805,00
    $848,20
    $1 001,64
    $995,30
    $1 036,08
    $1 079,28
    $1 232,72
    $231,08
    Toc - Plan #50

    Silver

    (HMO) BSW Prime Silver HMO 008 ($25 PCP visit, $0 Preventive Care and Preventive Rx Drugs)

    Annual Out of Pocket Expenses
    Individual Family
    $7,800 $15,600 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
    $345,12
    $391,71
    $441,06
    $616,38
    $936,65
    $690,24
    $783,42
    $882,12
    $1 232,76
    $1 873,30
    $954,26
    $1 047,44
    $1 146,14
    $1 496,78
    $1 218,28
    $1 311,46
    $1 410,16
    $1 760,80
    $1 482,30
    $1 575,48
    $1 674,18
    $2 024,82
    $609,14
    $655,73
    $705,08
    $880,40
    $873,16
    $919,75
    $969,10
    $1 144,42
    $1 137,18
    $1 183,77
    $1 233,12
    $1 408,44
    $264,02
    Toc - Plan #51

    Expanded Bronze

    (HMO) BSW Vital Bronze HMO 009 (No limit on PCP visit copay, $0 Preventive Care and Preventive Rx Drugs)

    Annual Out of Pocket Expenses
    Individual Family
    $7,600 $15,200 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
    $294,10
    $333,81
    $375,86
    $525,27
    $798,19
    $588,20
    $667,62
    $751,72
    $1 050,54
    $1 596,38
    $813,19
    $892,61
    $976,71
    $1 275,53
    $1 038,18
    $1 117,60
    $1 201,70
    $1 500,52
    $1 263,17
    $1 342,59
    $1 426,69
    $1 725,51
    $519,09
    $558,80
    $600,85
    $750,26
    $744,08
    $783,79
    $825,84
    $975,25
    $969,07
    $1 008,78
    $1 050,83
    $1 200,24
    $224,99

    ‡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 Llano County here.

    Llano County is in “Rating Area 26” of Texas.

    Currently, there are 51 plans offered in Rating Area 26.

    Obamacare Rates and Providers for Other Years

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

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