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Obamacare 2021 Rates and Health Insurance Providers for Tooele County , Utah

Obamacare > Rates > Utah > Tooele 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 Tooele County, Utah.

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

Obamacare Providers, Plans and 2021 Rates for Tooele County, Utah

Below, you’ll find a summary of the 61 plans for Tooele County, Utah and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

  • Molina Healthcare

    Local: 1-801-858-0400 | Toll Free: 1-888-858-3973
  • Regence BlueCross BlueShield of Utah

    Local: 1-888-231-8424 | Toll Free: 1-888-231-8424
  • BridgeSpan Health Company

    Local: 1-855-857-9945 | Toll Free: 1-855-857-9945 | TTY: 1-800-735-2900

  • University of Utah Health Plans

    Local: 1-801-587-6480x1 | Toll Free: 1-888-271-5870 | TTY: 1-800-346-4128

  • SelectHealth

    Local: 1-801-442-5038 | Toll Free: 1-800-538-5038
  • 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 Tooele, UT area accept this insurance coverage as within the plan's network.

    2021 Obamacare Rates, Providers, and Plans for Tooele County

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    Molina Healthcare

    Local: 1-801-858-0400 | Toll Free: 1-888-858-3973

    Toc - Plan #1

    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
    $304,20
    $422,84
    $449,92
    $647,04
    $912,60
    $608,40
    $845,68
    $899,84
    $1 294,08
    $1 825,20
    $849,63
    $1 086,91
    $1 141,07
    $1 535,31
    $1 090,86
    $1 328,14
    $1 382,30
    $1 776,54
    $1 332,09
    $1 569,37
    $1 623,53
    $2 017,77
    $545,43
    $664,07
    $691,15
    $888,27
    $786,66
    $905,30
    $932,38
    $1 129,50
    $1 027,89
    $1 146,53
    $1 173,61
    $1 370,73
    $241,23
    Toc - Plan #2

    Silver

    (HMO) Constant Care Silver 1

    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
    $313,64
    $435,95
    $463,87
    $667,10
    $940,91
    $627,28
    $871,90
    $927,74
    $1 334,20
    $1 881,82
    $875,99
    $1 120,61
    $1 176,45
    $1 582,91
    $1 124,70
    $1 369,32
    $1 425,16
    $1 831,62
    $1 373,41
    $1 618,03
    $1 673,87
    $2 080,33
    $562,35
    $684,66
    $712,58
    $915,81
    $811,06
    $933,37
    $961,29
    $1 164,52
    $1 059,77
    $1 182,08
    $1 210,00
    $1 413,23
    $248,71
    Toc - Plan #3

    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
    $215,48
    $299,52
    $318,70
    $458,33
    $646,44
    $430,96
    $599,04
    $637,40
    $916,66
    $1 292,88
    $601,84
    $769,92
    $808,28
    $1 087,54
    $772,72
    $940,80
    $979,16
    $1 258,42
    $943,60
    $1 111,68
    $1 150,04
    $1 429,30
    $386,36
    $470,40
    $489,58
    $629,21
    $557,24
    $641,28
    $660,46
    $800,09
    $728,12
    $812,16
    $831,34
    $970,97
    $170,88
    Toc - Plan #4

    Silver

    (HMO) Constant Care Silver 4

    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
    $301,53
    $419,13
    $445,97
    $641,36
    $904,59
    $603,06
    $838,26
    $891,94
    $1 282,72
    $1 809,18
    $842,18
    $1 077,38
    $1 131,06
    $1 521,84
    $1 081,30
    $1 316,50
    $1 370,18
    $1 760,96
    $1 320,42
    $1 555,62
    $1 609,30
    $2 000,08
    $540,65
    $658,25
    $685,09
    $880,48
    $779,77
    $897,37
    $924,21
    $1 119,60
    $1 018,89
    $1 136,49
    $1 163,33
    $1 358,72
    $239,12
    Toc - Plan #5

    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
    $225,42
    $313,34
    $333,40
    $479,48
    $676,26
    $450,84
    $626,68
    $666,80
    $958,96
    $1 352,52
    $629,60
    $805,44
    $845,56
    $1 137,72
    $808,36
    $984,20
    $1 024,32
    $1 316,48
    $987,12
    $1 162,96
    $1 203,08
    $1 495,24
    $404,18
    $492,10
    $512,16
    $658,24
    $582,94
    $670,86
    $690,92
    $837,00
    $761,70
    $849,62
    $869,68
    $1 015,76
    $178,76
    Toc - Plan #6

    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
    $219,35
    $304,89
    $324,41
    $466,55
    $658,04
    $438,70
    $609,78
    $648,82
    $933,10
    $1 316,08
    $612,64
    $783,72
    $822,76
    $1 107,04
    $786,58
    $957,66
    $996,70
    $1 280,98
    $960,52
    $1 131,60
    $1 170,64
    $1 454,92
    $393,29
    $478,83
    $498,35
    $640,49
    $567,23
    $652,77
    $672,29
    $814,43
    $741,17
    $826,71
    $846,23
    $988,37
    $173,94
    Toc - Plan #7

    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
    $307,83
    $427,89
    $455,29
    $654,76
    $923,49
    $615,66
    $855,78
    $910,58
    $1 309,52
    $1 846,98
    $859,77
    $1 099,89
    $1 154,69
    $1 553,63
    $1 103,88
    $1 344,00
    $1 398,80
    $1 797,74
    $1 347,99
    $1 588,11
    $1 642,91
    $2 041,85
    $551,94
    $672,00
    $699,40
    $898,87
    $796,05
    $916,11
    $943,51
    $1 142,98
    $1 040,16
    $1 160,22
    $1 187,62
    $1 387,09
    $244,11
    Toc - Plan #8

    Silver

    (HMO) Constant Care Silver 1 + 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
    $317,27
    $441,00
    $469,24
    $674,83
    $951,80
    $634,54
    $882,00
    $938,48
    $1 349,66
    $1 903,60
    $886,13
    $1 133,59
    $1 190,07
    $1 601,25
    $1 137,72
    $1 385,18
    $1 441,66
    $1 852,84
    $1 389,31
    $1 636,77
    $1 693,25
    $2 104,43
    $568,86
    $692,59
    $720,83
    $926,42
    $820,45
    $944,18
    $972,42
    $1 178,01
    $1 072,04
    $1 195,77
    $1 224,01
    $1 429,60
    $251,59
    Toc - Plan #9

    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
    $219,11
    $304,57
    $324,07
    $466,06
    $657,33
    $438,22
    $609,14
    $648,14
    $932,12
    $1 314,66
    $611,98
    $782,90
    $821,90
    $1 105,88
    $785,74
    $956,66
    $995,66
    $1 279,64
    $959,50
    $1 130,42
    $1 169,42
    $1 453,40
    $392,87
    $478,33
    $497,83
    $639,82
    $566,63
    $652,09
    $671,59
    $813,58
    $740,39
    $825,85
    $845,35
    $987,34
    $173,76
    Toc - Plan #10

    Silver

    (HMO) Constant Care Silver 2

    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
    $310,40
    $431,45
    $459,08
    $660,22
    $931,20
    $620,80
    $862,90
    $918,16
    $1 320,44
    $1 862,40
    $866,95
    $1 109,05
    $1 164,31
    $1 566,59
    $1 113,10
    $1 355,20
    $1 410,46
    $1 812,74
    $1 359,25
    $1 601,35
    $1 656,61
    $2 058,89
    $556,55
    $677,60
    $705,23
    $906,37
    $802,70
    $923,75
    $951,38
    $1 152,52
    $1 048,85
    $1 169,90
    $1 197,53
    $1 398,67
    $246,15
    Toc - Plan #11

    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
    $213,63
    $296,95
    $315,96
    $454,40
    $640,89
    $427,26
    $593,90
    $631,92
    $908,80
    $1 281,78
    $596,67
    $763,31
    $801,33
    $1 078,21
    $766,08
    $932,72
    $970,74
    $1 247,62
    $935,49
    $1 102,13
    $1 140,15
    $1 417,03
    $383,04
    $466,36
    $485,37
    $623,81
    $552,45
    $635,77
    $654,78
    $793,22
    $721,86
    $805,18
    $824,19
    $962,63
    $169,41
    ADVERTISEMENT

    Regence BlueCross BlueShield of Utah

    Local: 1-888-231-8424 | Toll Free: 1-888-231-8424

    Toc - Plan #12

    Silver

    (EPO) Silver 3500 EPO

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $327,42
    $455,11
    $484,25
    $696,41
    $982,25
    $654,84
    $910,22
    $968,50
    $1 392,82
    $1 964,50
    $914,48
    $1 169,86
    $1 228,14
    $1 652,46
    $1 174,12
    $1 429,50
    $1 487,78
    $1 912,10
    $1 433,76
    $1 689,14
    $1 747,42
    $2 171,74
    $587,06
    $714,75
    $743,89
    $956,05
    $846,70
    $974,39
    $1 003,53
    $1 215,69
    $1 106,34
    $1 234,03
    $1 263,17
    $1 475,33
    $259,64
    Toc - Plan #13

    Expanded Bronze

    (EPO) Bronze HDHP 5700 EPO

    Annual Out of Pocket Expenses
    Individual Family
    $5,700 $11,400 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $240,04
    $333,66
    $355,02
    $510,57
    $720,12
    $480,08
    $667,32
    $710,04
    $1 021,14
    $1 440,24
    $670,43
    $857,67
    $900,39
    $1 211,49
    $860,78
    $1 048,02
    $1 090,74
    $1 401,84
    $1 051,13
    $1 238,37
    $1 281,09
    $1 592,19
    $430,39
    $524,01
    $545,37
    $700,92
    $620,74
    $714,36
    $735,72
    $891,27
    $811,09
    $904,71
    $926,07
    $1 081,62
    $190,35
    Toc - Plan #14

    Expanded Bronze

    (EPO) Bronze Essential 7500 EPO

    Annual Out of Pocket Expenses
    Individual Family
    $7,500 $15,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $239,02
    $332,24
    $353,52
    $508,40
    $717,06
    $478,04
    $664,48
    $707,04
    $1 016,80
    $1 434,12
    $667,59
    $854,03
    $896,59
    $1 206,35
    $857,14
    $1 043,58
    $1 086,14
    $1 395,90
    $1 046,69
    $1 233,13
    $1 275,69
    $1 585,45
    $428,57
    $521,79
    $543,07
    $697,95
    $618,12
    $711,34
    $732,62
    $887,50
    $807,67
    $900,89
    $922,17
    $1 077,05
    $189,55
    Toc - Plan #15

    Expanded Bronze

    (EPO) Bronze Care on Demand 8000 EPO

    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
    $228,06
    $317,01
    $337,31
    $485,09
    $684,18
    $456,12
    $634,02
    $674,62
    $970,18
    $1 368,36
    $636,97
    $814,87
    $855,47
    $1 151,03
    $817,82
    $995,72
    $1 036,32
    $1 331,88
    $998,67
    $1 176,57
    $1 217,17
    $1 512,73
    $408,91
    $497,86
    $518,16
    $665,94
    $589,76
    $678,71
    $699,01
    $846,79
    $770,61
    $859,56
    $879,86
    $1 027,64
    $180,85
    Toc - Plan #16

    Gold

    (EPO) Gold 1200 EPO

    Annual Out of Pocket Expenses
    Individual Family
    $1,200 $2,400 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
    $390,26
    $542,47
    $577,20
    $830,09
    $1 170,78
    $780,52
    $1 084,94
    $1 154,40
    $1 660,18
    $2 341,56
    $1 090,00
    $1 394,42
    $1 463,88
    $1 969,66
    $1 399,48
    $1 703,90
    $1 773,36
    $2 279,14
    $1 708,96
    $2 013,38
    $2 082,84
    $2 588,62
    $699,74
    $851,95
    $886,68
    $1 139,57
    $1 009,22
    $1 161,43
    $1 196,16
    $1 449,05
    $1 318,70
    $1 470,91
    $1 505,64
    $1 758,53
    $309,48
    Toc - Plan #17

    Silver

    (EPO) Silver Care on Demand 4000 EPO

    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
    $319,93
    $444,70
    $473,17
    $680,48
    $959,78
    $639,86
    $889,40
    $946,34
    $1 360,96
    $1 919,56
    $893,56
    $1 143,10
    $1 200,04
    $1 614,66
    $1 147,26
    $1 396,80
    $1 453,74
    $1 868,36
    $1 400,96
    $1 650,50
    $1 707,44
    $2 122,06
    $573,63
    $698,40
    $726,87
    $934,18
    $827,33
    $952,10
    $980,57
    $1 187,88
    $1 081,03
    $1 205,80
    $1 234,27
    $1 441,58
    $253,70
    Toc - Plan #18

    Silver

    (EPO) Silver 5000 EPO

    Annual Out of Pocket Expenses
    Individual Family
    $5,000 $10,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $312,47
    $434,34
    $462,15
    $664,63
    $937,41
    $624,94
    $868,68
    $924,30
    $1 329,26
    $1 874,82
    $872,73
    $1 116,47
    $1 172,09
    $1 577,05
    $1 120,52
    $1 364,26
    $1 419,88
    $1 824,84
    $1 368,31
    $1 612,05
    $1 667,67
    $2 072,63
    $560,26
    $682,13
    $709,94
    $912,42
    $808,05
    $929,92
    $957,73
    $1 160,21
    $1 055,84
    $1 177,71
    $1 205,52
    $1 408,00
    $247,79
    ADVERTISEMENT

    BridgeSpan Health Company

    Local: 1-855-857-9945 | Toll Free: 1-855-857-9945 | TTY: 1-800-735-2900

    Toc - Plan #19

    Silver

    (HMO) BridgeSpan Silver Essential 4000 HMO

    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
    $346,62
    $481,80
    $512,65
    $737,26
    $1 039,86
    $693,24
    $963,60
    $1 025,30
    $1 474,52
    $2 079,72
    $968,11
    $1 238,47
    $1 300,17
    $1 749,39
    $1 242,98
    $1 513,34
    $1 575,04
    $2 024,26
    $1 517,85
    $1 788,21
    $1 849,91
    $2 299,13
    $621,49
    $756,67
    $787,52
    $1 012,13
    $896,36
    $1 031,54
    $1 062,39
    $1 287,00
    $1 171,23
    $1 306,41
    $1 337,26
    $1 561,87
    $274,87
    Toc - Plan #20

    Gold

    (HMO) Gold Essential 1200 HMO

    Annual Out of Pocket Expenses
    Individual Family
    $1,200 $2,400 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
    $390,06
    $542,19
    $576,90
    $829,66
    $1 170,18
    $780,12
    $1 084,38
    $1 153,80
    $1 659,32
    $2 340,36
    $1 089,44
    $1 393,70
    $1 463,12
    $1 968,64
    $1 398,76
    $1 703,02
    $1 772,44
    $2 277,96
    $1 708,08
    $2 012,34
    $2 081,76
    $2 587,28
    $699,38
    $851,51
    $886,22
    $1 138,98
    $1 008,70
    $1 160,83
    $1 195,54
    $1 448,30
    $1 318,02
    $1 470,15
    $1 504,86
    $1 757,62
    $309,32
    Toc - Plan #21

    Expanded Bronze

    (HMO) Bronze Care on Demand 8000 HMO

    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
    $233,03
    $323,90
    $344,64
    $495,64
    $699,08
    $466,06
    $647,80
    $689,28
    $991,28
    $1 398,16
    $650,85
    $832,59
    $874,07
    $1 176,07
    $835,64
    $1 017,38
    $1 058,86
    $1 360,86
    $1 020,43
    $1 202,17
    $1 243,65
    $1 545,65
    $417,82
    $508,69
    $529,43
    $680,43
    $602,61
    $693,48
    $714,22
    $865,22
    $787,40
    $878,27
    $899,01
    $1 050,01
    $184,79
    ADVERTISEMENT

    University of Utah Health Plans

    Local: 1-801-587-6480x1 | Toll Free: 1-888-271-5870 | TTY: 1-800-346-4128

    Toc - Plan #22

    Gold

    (EPO) Healthy Premier Gold Copay

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 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
    $520,99
    $724,17
    $770,54
    $1 108,14
    $1 562,96
    $1 041,98
    $1 448,34
    $1 541,08
    $2 216,28
    $3 125,92
    $1 455,12
    $1 861,48
    $1 954,22
    $2 629,42
    $1 868,26
    $2 274,62
    $2 367,36
    $3 042,56
    $2 281,40
    $2 687,76
    $2 780,50
    $3 455,70
    $934,13
    $1 137,31
    $1 183,68
    $1 521,28
    $1 347,27
    $1 550,45
    $1 596,82
    $1 934,42
    $1 760,41
    $1 963,59
    $2 009,96
    $2 347,56
    $413,14
    Toc - Plan #23

    Silver

    (EPO) Healthy Premier Silver Copay

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,000 $16,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $399,93
    $555,90
    $591,49
    $850,65
    $1 199,79
    $799,86
    $1 111,80
    $1 182,98
    $1 701,30
    $2 399,58
    $1 117,00
    $1 428,94
    $1 500,12
    $2 018,44
    $1 434,14
    $1 746,08
    $1 817,26
    $2 335,58
    $1 751,28
    $2 063,22
    $2 134,40
    $2 652,72
    $717,07
    $873,04
    $908,63
    $1 167,79
    $1 034,21
    $1 190,18
    $1 225,77
    $1 484,93
    $1 351,35
    $1 507,32
    $1 542,91
    $1 802,07
    $317,14
    Toc - Plan #24

    Expanded Bronze

    (EPO) Healthy Premier Bronze HSA

    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
    $247,61
    $344,18
    $366,22
    $526,67
    $742,83
    $495,22
    $688,36
    $732,44
    $1 053,34
    $1 485,66
    $691,57
    $884,71
    $928,79
    $1 249,69
    $887,92
    $1 081,06
    $1 125,14
    $1 446,04
    $1 084,27
    $1 277,41
    $1 321,49
    $1 642,39
    $443,96
    $540,53
    $562,57
    $723,02
    $640,31
    $736,88
    $758,92
    $919,37
    $836,66
    $933,23
    $955,27
    $1 115,72
    $196,35
    Toc - Plan #25

    Gold

    (EPO) Healthy Preferred Gold Copay

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 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
    $461,05
    $640,86
    $681,89
    $980,65
    $1 383,15
    $922,10
    $1 281,72
    $1 363,78
    $1 961,30
    $2 766,30
    $1 287,71
    $1 647,33
    $1 729,39
    $2 326,91
    $1 653,32
    $2 012,94
    $2 095,00
    $2 692,52
    $2 018,93
    $2 378,55
    $2 460,61
    $3 058,13
    $826,66
    $1 006,47
    $1 047,50
    $1 346,26
    $1 192,27
    $1 372,08
    $1 413,11
    $1 711,87
    $1 557,88
    $1 737,69
    $1 778,72
    $2 077,48
    $365,61
    Toc - Plan #26

    Silver

    (EPO) Healthy Preferred Silver Copay

    Annual Out of Pocket Expenses
    Individual Family
    $3,500 $7,000 Annual Deductible
    $8,000 $16,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $353,92
    $491,95
    $523,45
    $752,79
    $1 061,76
    $707,84
    $983,90
    $1 046,90
    $1 505,58
    $2 123,52
    $988,50
    $1 264,56
    $1 327,56
    $1 786,24
    $1 269,16
    $1 545,22
    $1 608,22
    $2 066,90
    $1 549,82
    $1 825,88
    $1 888,88
    $2 347,56
    $634,58
    $772,61
    $804,11
    $1 033,45
    $915,24
    $1 053,27
    $1 084,77
    $1 314,11
    $1 195,90
    $1 333,93
    $1 365,43
    $1 594,77
    $280,66
    Toc - Plan #27

    Expanded Bronze

    (EPO) Healthy Preferred Bronze HSA

    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
    $219,12
    $304,58
    $324,08
    $466,08
    $657,36
    $438,24
    $609,16
    $648,16
    $932,16
    $1 314,72
    $612,01
    $782,93
    $821,93
    $1 105,93
    $785,78
    $956,70
    $995,70
    $1 279,70
    $959,55
    $1 130,47
    $1 169,47
    $1 453,47
    $392,89
    $478,35
    $497,85
    $639,85
    $566,66
    $652,12
    $671,62
    $813,62
    $740,43
    $825,89
    $845,39
    $987,39
    $173,77
    Toc - Plan #28

    Expanded Bronze

    (EPO) Healthy Premier Expanded Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $5,650 $11,300 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
    $297,64
    $413,72
    $440,21
    $633,08
    $892,91
    $595,28
    $827,44
    $880,42
    $1 266,16
    $1 785,82
    $831,31
    $1 063,47
    $1 116,45
    $1 502,19
    $1 067,34
    $1 299,50
    $1 352,48
    $1 738,22
    $1 303,37
    $1 535,53
    $1 588,51
    $1 974,25
    $533,67
    $649,75
    $676,24
    $869,11
    $769,70
    $885,78
    $912,27
    $1 105,14
    $1 005,73
    $1 121,81
    $1 148,30
    $1 341,17
    $236,03
    Toc - Plan #29

    Expanded Bronze

    (EPO) Healthy Preferred Expanded Bronze

    Annual Out of Pocket Expenses
    Individual Family
    $5,650 $11,300 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
    $263,40
    $366,12
    $389,56
    $560,24
    $790,19
    $526,80
    $732,24
    $779,12
    $1 120,48
    $1 580,38
    $735,67
    $941,11
    $987,99
    $1 329,35
    $944,54
    $1 149,98
    $1 196,86
    $1 538,22
    $1 153,41
    $1 358,85
    $1 405,73
    $1 747,09
    $472,27
    $574,99
    $598,43
    $769,11
    $681,14
    $783,86
    $807,30
    $977,98
    $890,01
    $992,73
    $1 016,17
    $1 186,85
    $208,87
    Toc - Plan #30

    Expanded Bronze

    (EPO) Healthy Premier Expanded Bronze HSA

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $297,64
    $413,72
    $440,21
    $633,08
    $892,91
    $595,28
    $827,44
    $880,42
    $1 266,16
    $1 785,82
    $831,31
    $1 063,47
    $1 116,45
    $1 502,19
    $1 067,34
    $1 299,50
    $1 352,48
    $1 738,22
    $1 303,37
    $1 535,53
    $1 588,51
    $1 974,25
    $533,67
    $649,75
    $676,24
    $869,11
    $769,70
    $885,78
    $912,27
    $1 105,14
    $1 005,73
    $1 121,81
    $1 148,30
    $1 341,17
    $236,03
    Toc - Plan #31

    Expanded Bronze

    (EPO) Healthy Preferred Expanded Bronze HSA

    Annual Out of Pocket Expenses
    Individual Family
    $5,750 $11,500 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
    $263,40
    $366,12
    $389,56
    $560,24
    $790,19
    $526,80
    $732,24
    $779,12
    $1 120,48
    $1 580,38
    $735,67
    $941,11
    $987,99
    $1 329,35
    $944,54
    $1 149,98
    $1 196,86
    $1 538,22
    $1 153,41
    $1 358,85
    $1 405,73
    $1 747,09
    $472,27
    $574,99
    $598,43
    $769,11
    $681,14
    $783,86
    $807,30
    $977,98
    $890,01
    $992,73
    $1 016,17
    $1 186,85
    $208,87
    Toc - Plan #32

    Silver

    (EPO) Healthy Premier Silver 2300

    Annual Out of Pocket Expenses
    Individual Family
    $2,300 $4,600 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
    $400,48
    $556,67
    $592,31
    $851,82
    $1 201,44
    $800,96
    $1 113,34
    $1 184,62
    $1 703,64
    $2 402,88
    $1 118,54
    $1 430,92
    $1 502,20
    $2 021,22
    $1 436,12
    $1 748,50
    $1 819,78
    $2 338,80
    $1 753,70
    $2 066,08
    $2 137,36
    $2 656,38
    $718,06
    $874,25
    $909,89
    $1 169,40
    $1 035,64
    $1 191,83
    $1 227,47
    $1 486,98
    $1 353,22
    $1 509,41
    $1 545,05
    $1 804,56
    $317,58
    Toc - Plan #33

    Silver

    (EPO) Healthy Preferred Silver 2300

    Annual Out of Pocket Expenses
    Individual Family
    $2,300 $4,600 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
    $354,41
    $492,62
    $524,17
    $753,82
    $1 063,22
    $708,82
    $985,24
    $1 048,34
    $1 507,64
    $2 126,44
    $989,86
    $1 266,28
    $1 329,38
    $1 788,68
    $1 270,90
    $1 547,32
    $1 610,42
    $2 069,72
    $1 551,94
    $1 828,36
    $1 891,46
    $2 350,76
    $635,45
    $773,66
    $805,21
    $1 034,86
    $916,49
    $1 054,70
    $1 086,25
    $1 315,90
    $1 197,53
    $1 335,74
    $1 367,29
    $1 596,94
    $281,04
    Toc - Plan #34

    Expanded Bronze

    (EPO) Healthy Premier Bronze w.3 Copays Before Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $7,800 $15,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $249,26
    $346,47
    $368,65
    $530,17
    $747,78
    $498,52
    $692,94
    $737,30
    $1 060,34
    $1 495,56
    $696,18
    $890,60
    $934,96
    $1 258,00
    $893,84
    $1 088,26
    $1 132,62
    $1 455,66
    $1 091,50
    $1 285,92
    $1 330,28
    $1 653,32
    $446,92
    $544,13
    $566,31
    $727,83
    $644,58
    $741,79
    $763,97
    $925,49
    $842,24
    $939,45
    $961,63
    $1 123,15
    $197,66
    Toc - Plan #35

    Expanded Bronze

    (EPO) Healthy Preferred Bronze w.3 Copays Before Deductible

    Annual Out of Pocket Expenses
    Individual Family
    $7,800 $15,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $220,58
    $306,61
    $326,24
    $469,18
    $661,74
    $441,16
    $613,22
    $652,48
    $938,36
    $1 323,48
    $616,08
    $788,14
    $827,40
    $1 113,28
    $791,00
    $963,06
    $1 002,32
    $1 288,20
    $965,92
    $1 137,98
    $1 177,24
    $1 463,12
    $395,50
    $481,53
    $501,16
    $644,10
    $570,42
    $656,45
    $676,08
    $819,02
    $745,34
    $831,37
    $851,00
    $993,94
    $174,92
    ADVERTISEMENT

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    Toc - Plan #36

    Silver

    (HMO) Med Silver 2500

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 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
    $350,26
    $486,86
    $518,03
    $745,00
    $1 050,78
    $700,52
    $973,72
    $1 036,06
    $1 490,00
    $2 101,56
    $978,27
    $1 251,47
    $1 313,81
    $1 767,75
    $1 256,02
    $1 529,22
    $1 591,56
    $2 045,50
    $1 533,77
    $1 806,97
    $1 869,31
    $2 323,25
    $628,01
    $764,61
    $795,78
    $1 022,75
    $905,76
    $1 042,36
    $1 073,53
    $1 300,50
    $1 183,51
    $1 320,11
    $1 351,28
    $1 578,25
    $277,75
    Toc - Plan #37

    Gold

    (HMO) Med Gold 1500 - no deductible for office visits

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 Annual Deductible
    $6,000 $12,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $431,93
    $600,38
    $638,82
    $918,71
    $1 295,78
    $863,86
    $1 200,76
    $1 277,64
    $1 837,42
    $2 591,56
    $1 206,38
    $1 543,28
    $1 620,16
    $2 179,94
    $1 548,90
    $1 885,80
    $1 962,68
    $2 522,46
    $1 891,42
    $2 228,32
    $2 305,20
    $2 864,98
    $774,45
    $942,90
    $981,34
    $1 261,23
    $1 116,97
    $1 285,42
    $1 323,86
    $1 603,75
    $1 459,49
    $1 627,94
    $1 666,38
    $1 946,27
    $342,52
    Toc - Plan #38

    Expanded Bronze

    (HMO) Med Expanded Bronze 7800 - no deductible for one urgent care and all PCP visits

    Annual Out of Pocket Expenses
    Individual Family
    $7,800 $15,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $220,11
    $305,96
    $325,55
    $468,18
    $660,33
    $440,22
    $611,92
    $651,10
    $936,36
    $1 320,66
    $614,77
    $786,47
    $825,65
    $1 110,91
    $789,32
    $961,02
    $1 000,20
    $1 285,46
    $963,87
    $1 135,57
    $1 174,75
    $1 460,01
    $394,66
    $480,51
    $500,10
    $642,73
    $569,21
    $655,06
    $674,65
    $817,28
    $743,76
    $829,61
    $849,20
    $991,83
    $174,55
    Toc - Plan #39

    Expanded Bronze

    (HMO) Med Expanded Bronze 6900 HSA Qualified

    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
    $221,86
    $308,38
    $328,13
    $471,90
    $665,58
    $443,72
    $616,76
    $656,26
    $943,80
    $1 331,16
    $619,65
    $792,69
    $832,19
    $1 119,73
    $795,58
    $968,62
    $1 008,12
    $1 295,66
    $971,51
    $1 144,55
    $1 184,05
    $1 471,59
    $397,79
    $484,31
    $504,06
    $647,83
    $573,72
    $660,24
    $679,99
    $823,76
    $749,65
    $836,17
    $855,92
    $999,69
    $175,93
    Toc - Plan #40

    Catastrophic

    (HMO) Med Catastrophic 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $183,86
    $255,57
    $271,93
    $391,08
    $551,58
    $367,72
    $511,14
    $543,86
    $782,16
    $1 103,16
    $513,52
    $656,94
    $689,66
    $927,96
    $659,32
    $802,74
    $835,46
    $1 073,76
    $805,12
    $948,54
    $981,26
    $1 219,56
    $329,66
    $401,37
    $417,73
    $536,88
    $475,46
    $547,17
    $563,53
    $682,68
    $621,26
    $692,97
    $709,33
    $828,48
    $145,80
    Toc - Plan #41

    Gold

    (HMO) Value Gold 1500 - no deductible for office visits

    Annual Out of Pocket Expenses
    Individual Family
    $1,500 $3,000 Annual Deductible
    $6,000 $12,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $382,27
    $531,35
    $565,37
    $813,08
    $1 146,80
    $764,54
    $1 062,70
    $1 130,74
    $1 626,16
    $2 293,60
    $1 067,68
    $1 365,84
    $1 433,88
    $1 929,30
    $1 370,82
    $1 668,98
    $1 737,02
    $2 232,44
    $1 673,96
    $1 972,12
    $2 040,16
    $2 535,58
    $685,41
    $834,49
    $868,51
    $1 116,22
    $988,55
    $1 137,63
    $1 171,65
    $1 419,36
    $1 291,69
    $1 440,77
    $1 474,79
    $1 722,50
    $303,14
    Toc - Plan #42

    Silver

    (HMO) Value Silver 2500

    Annual Out of Pocket Expenses
    Individual Family
    $2,500 $5,000 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
    $309,99
    $430,88
    $458,47
    $659,34
    $929,96
    $619,98
    $861,76
    $916,94
    $1 318,68
    $1 859,92
    $865,80
    $1 107,58
    $1 162,76
    $1 564,50
    $1 111,62
    $1 353,40
    $1 408,58
    $1 810,32
    $1 357,44
    $1 599,22
    $1 654,40
    $2 056,14
    $555,81
    $676,70
    $704,29
    $905,16
    $801,63
    $922,52
    $950,11
    $1 150,98
    $1 047,45
    $1 168,34
    $1 195,93
    $1 396,80
    $245,82
    Toc - Plan #43

    Expanded Bronze

    (HMO) Value Expanded Bronze 7800 - no deductible for one urgent care and all PCP visits

    Annual Out of Pocket Expenses
    Individual Family
    $7,800 $15,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $194,80
    $270,78
    $288,12
    $414,35
    $584,40
    $389,60
    $541,56
    $576,24
    $828,70
    $1 168,80
    $544,08
    $696,04
    $730,72
    $983,18
    $698,56
    $850,52
    $885,20
    $1 137,66
    $853,04
    $1 005,00
    $1 039,68
    $1 292,14
    $349,28
    $425,26
    $442,60
    $568,83
    $503,76
    $579,74
    $597,08
    $723,31
    $658,24
    $734,22
    $751,56
    $877,79
    $154,48
    Toc - Plan #44

    Expanded Bronze

    (HMO) Value Expanded Bronze 6900 HSA Qualified

    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
    $196,35
    $272,93
    $290,40
    $417,64
    $589,05
    $392,70
    $545,86
    $580,80
    $835,28
    $1 178,10
    $548,41
    $701,57
    $736,51
    $990,99
    $704,12
    $857,28
    $892,22
    $1 146,70
    $859,83
    $1 012,99
    $1 047,93
    $1 302,41
    $352,06
    $428,64
    $446,11
    $573,35
    $507,77
    $584,35
    $601,82
    $729,06
    $663,48
    $740,06
    $757,53
    $884,77
    $155,71
    Toc - Plan #45

    Catastrophic

    (HMO) Value Catastrophic 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $162,72
    $226,19
    $240,67
    $346,11
    $488,16
    $325,44
    $452,38
    $481,34
    $692,22
    $976,32
    $454,48
    $581,42
    $610,38
    $821,26
    $583,52
    $710,46
    $739,42
    $950,30
    $712,56
    $839,50
    $868,46
    $1 079,34
    $291,76
    $355,23
    $369,71
    $475,15
    $420,80
    $484,27
    $498,75
    $604,19
    $549,84
    $613,31
    $627,79
    $733,23
    $129,04
    Toc - Plan #46

    Silver

    (HMO) Value Silver 3000 - no deductible for office visits

    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
    $333,95
    $464,19
    $493,91
    $710,31
    $1 001,85
    $667,90
    $928,38
    $987,82
    $1 420,62
    $2 003,70
    $932,72
    $1 193,20
    $1 252,64
    $1 685,44
    $1 197,54
    $1 458,02
    $1 517,46
    $1 950,26
    $1 462,36
    $1 722,84
    $1 782,28
    $2 215,08
    $598,77
    $729,01
    $758,73
    $975,13
    $863,59
    $993,83
    $1 023,55
    $1 239,95
    $1 128,41
    $1 258,65
    $1 288,37
    $1 504,77
    $264,82
    Toc - Plan #47

    Silver

    (HMO) Med Silver 3000 - no deductible for office visits

    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
    $377,34
    $524,50
    $558,08
    $802,59
    $1 132,01
    $754,68
    $1 049,00
    $1 116,16
    $1 605,18
    $2 264,02
    $1 053,91
    $1 348,23
    $1 415,39
    $1 904,41
    $1 353,14
    $1 647,46
    $1 714,62
    $2 203,64
    $1 652,37
    $1 946,69
    $2 013,85
    $2 502,87
    $676,57
    $823,73
    $857,31
    $1 101,82
    $975,80
    $1 122,96
    $1 156,54
    $1 401,05
    $1 275,03
    $1 422,19
    $1 455,77
    $1 700,28
    $299,23
    Toc - Plan #48

    Expanded Bronze

    (HMO) Value Expanded Bronze 5900 HSA Qualified

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $246,98
    $343,31
    $365,29
    $525,34
    $740,94
    $493,96
    $686,62
    $730,58
    $1 050,68
    $1 481,88
    $689,82
    $882,48
    $926,44
    $1 246,54
    $885,68
    $1 078,34
    $1 122,30
    $1 442,40
    $1 081,54
    $1 274,20
    $1 318,16
    $1 638,26
    $442,84
    $539,17
    $561,15
    $721,20
    $638,70
    $735,03
    $757,01
    $917,06
    $834,56
    $930,89
    $952,87
    $1 112,92
    $195,86
    Toc - Plan #49

    Expanded Bronze

    (HMO) Med Expanded Bronze 5900 HSA Qualified

    Annual Out of Pocket Expenses
    Individual Family
    $5,900 $11,800 Annual Deductible
    $7,000 $14,000 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $279,07
    $387,91
    $412,75
    $593,58
    $837,21
    $558,14
    $775,82
    $825,50
    $1 187,16
    $1 674,42
    $779,44
    $997,12
    $1 046,80
    $1 408,46
    $1 000,74
    $1 218,42
    $1 268,10
    $1 629,76
    $1 222,04
    $1 439,72
    $1 489,40
    $1 851,06
    $500,37
    $609,21
    $634,05
    $814,88
    $721,67
    $830,51
    $855,35
    $1 036,18
    $942,97
    $1 051,81
    $1 076,65
    $1 257,48
    $221,30
    Toc - Plan #50

    Expanded Bronze

    (HMO) Value Expanded Bronze 5300 Copay Plan - no deductible for one urgent care and all PCP visits

    Annual Out of Pocket Expenses
    Individual Family
    $5,300 $10,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $240,80
    $334,71
    $356,14
    $512,18
    $722,40
    $481,60
    $669,42
    $712,28
    $1 024,36
    $1 444,80
    $672,55
    $860,37
    $903,23
    $1 215,31
    $863,50
    $1 051,32
    $1 094,18
    $1 406,26
    $1 054,45
    $1 242,27
    $1 285,13
    $1 597,21
    $431,75
    $525,66
    $547,09
    $703,13
    $622,70
    $716,61
    $738,04
    $894,08
    $813,65
    $907,56
    $928,99
    $1 085,03
    $190,95
    Toc - Plan #51

    Expanded Bronze

    (HMO) Med Expanded Bronze 5300 Copay Plan - no deductible for one urgent care and all PCP visits

    Annual Out of Pocket Expenses
    Individual Family
    $5,300 $10,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $272,08
    $378,20
    $402,41
    $578,72
    $816,24
    $544,16
    $756,40
    $804,82
    $1 157,44
    $1 632,48
    $759,92
    $972,16
    $1 020,58
    $1 373,20
    $975,68
    $1 187,92
    $1 236,34
    $1 588,96
    $1 191,44
    $1 403,68
    $1 452,10
    $1 804,72
    $487,84
    $593,96
    $618,17
    $794,48
    $703,60
    $809,72
    $833,93
    $1 010,24
    $919,36
    $1 025,48
    $1 049,69
    $1 226,00
    $215,76
    Toc - Plan #52

    Expanded Bronze

    (HMO) Value Expanded Bronze 8550 - no deductible for office 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
    $239,25
    $332,56
    $353,86
    $508,89
    $717,75
    $478,50
    $665,12
    $707,72
    $1 017,78
    $1 435,50
    $668,23
    $854,85
    $897,45
    $1 207,51
    $857,96
    $1 044,58
    $1 087,18
    $1 397,24
    $1 047,69
    $1 234,31
    $1 276,91
    $1 586,97
    $428,98
    $522,29
    $543,59
    $698,62
    $618,71
    $712,02
    $733,32
    $888,35
    $808,44
    $901,75
    $923,05
    $1 078,08
    $189,73
    Toc - Plan #53

    Expanded Bronze

    (HMO) Med Expanded Bronze 8550 - no deductible for office 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
    $270,34
    $375,77
    $399,83
    $575,01
    $811,01
    $540,68
    $751,54
    $799,66
    $1 150,02
    $1 622,02
    $755,06
    $965,92
    $1 014,04
    $1 364,40
    $969,44
    $1 180,30
    $1 228,42
    $1 578,78
    $1 183,82
    $1 394,68
    $1 442,80
    $1 793,16
    $484,72
    $590,15
    $614,21
    $789,39
    $699,10
    $804,53
    $828,59
    $1 003,77
    $913,48
    $1 018,91
    $1 042,97
    $1 218,15
    $214,38
    Toc - Plan #54

    Expanded Bronze

    (HMO) Med Benchmark Expanded Bronze 6800

    Annual Out of Pocket Expenses
    Individual Family
    $6,800 $13,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $210,98
    $293,26
    $312,04
    $448,75
    $632,93
    $421,96
    $586,52
    $624,08
    $897,50
    $1 265,86
    $589,27
    $753,83
    $791,39
    $1 064,81
    $756,58
    $921,14
    $958,70
    $1 232,12
    $923,89
    $1 088,45
    $1 126,01
    $1 399,43
    $378,29
    $460,57
    $479,35
    $616,06
    $545,60
    $627,88
    $646,66
    $783,37
    $712,91
    $795,19
    $813,97
    $950,68
    $167,31
    Toc - Plan #55

    Expanded Bronze

    (HMO) Value Benchmark Expanded Bronze 6800

    Annual Out of Pocket Expenses
    Individual Family
    $6,800 $13,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $186,72
    $259,54
    $276,16
    $397,15
    $560,16
    $373,44
    $519,08
    $552,32
    $794,30
    $1 120,32
    $521,51
    $667,15
    $700,39
    $942,37
    $669,58
    $815,22
    $848,46
    $1 090,44
    $817,65
    $963,29
    $996,53
    $1 238,51
    $334,79
    $407,61
    $424,23
    $545,22
    $482,86
    $555,68
    $572,30
    $693,29
    $630,93
    $703,75
    $720,37
    $841,36
    $148,07
    Toc - Plan #56

    Expanded Bronze

    (HMO) Value Benchmark Expanded Bronze 3800

    Annual Out of Pocket Expenses
    Individual Family
    $3,800 $7,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $220,71
    $306,79
    $326,44
    $469,46
    $662,13
    $441,42
    $613,58
    $652,88
    $938,92
    $1 324,26
    $616,45
    $788,61
    $827,91
    $1 113,95
    $791,48
    $963,64
    $1 002,94
    $1 288,98
    $966,51
    $1 138,67
    $1 177,97
    $1 464,01
    $395,74
    $481,82
    $501,47
    $644,49
    $570,77
    $656,85
    $676,50
    $819,52
    $745,80
    $831,88
    $851,53
    $994,55
    $175,03
    Toc - Plan #57

    Expanded Bronze

    (HMO) Med Benchmark Expanded Bronze 3800

    Annual Out of Pocket Expenses
    Individual Family
    $3,800 $7,600 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $249,39
    $346,65
    $368,84
    $530,45
    $748,16
    $498,78
    $693,30
    $737,68
    $1 060,90
    $1 496,32
    $696,54
    $891,06
    $935,44
    $1 258,66
    $894,30
    $1 088,82
    $1 133,20
    $1 456,42
    $1 092,06
    $1 286,58
    $1 330,96
    $1 654,18
    $447,15
    $544,41
    $566,60
    $728,21
    $644,91
    $742,17
    $764,36
    $925,97
    $842,67
    $939,93
    $962,12
    $1 123,73
    $197,76
    Toc - Plan #58

    Bronze

    (HMO) Value Benchmark Bronze 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $180,53
    $250,93
    $267,00
    $383,98
    $541,58
    $361,06
    $501,86
    $534,00
    $767,96
    $1 083,16
    $504,22
    $645,02
    $677,16
    $911,12
    $647,38
    $788,18
    $820,32
    $1 054,28
    $790,54
    $931,34
    $963,48
    $1 197,44
    $323,69
    $394,09
    $410,16
    $527,14
    $466,85
    $537,25
    $553,32
    $670,30
    $610,01
    $680,41
    $696,48
    $813,46
    $143,16
    Toc - Plan #59

    Bronze

    (HMO) Med Benchmark Bronze 8550

    Annual Out of Pocket Expenses
    Individual Family
    $8,550 $17,100 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $203,98
    $283,53
    $301,68
    $433,86
    $611,93
    $407,96
    $567,06
    $603,36
    $867,72
    $1 223,86
    $569,71
    $728,81
    $765,11
    $1 029,47
    $731,46
    $890,56
    $926,86
    $1 191,22
    $893,21
    $1 052,31
    $1 088,61
    $1 352,97
    $365,73
    $445,28
    $463,43
    $595,61
    $527,48
    $607,03
    $625,18
    $757,36
    $689,23
    $768,78
    $786,93
    $919,11
    $161,75
    Toc - Plan #60

    Silver

    (HMO) Value Benchmark Silver 6500 - no deductible for office visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $299,60
    $416,45
    $443,11
    $637,25
    $898,80
    $599,20
    $832,90
    $886,22
    $1 274,50
    $1 797,60
    $836,78
    $1 070,48
    $1 123,80
    $1 512,08
    $1 074,36
    $1 308,06
    $1 361,38
    $1 749,66
    $1 311,94
    $1 545,64
    $1 598,96
    $1 987,24
    $537,18
    $654,03
    $680,69
    $874,83
    $774,76
    $891,61
    $918,27
    $1 112,41
    $1 012,34
    $1 129,19
    $1 155,85
    $1 349,99
    $237,58
    Toc - Plan #61

    Silver

    (HMO) Med Benchmark Silver 6500 - no deductible for office visits

    Annual Out of Pocket Expenses
    Individual Family
    $6,500 $13,000 Annual Deductible
    $8,550 $17,100 Maximum Out of Pocket Per Year
    Monthly Premiums:
    Age Individual
    Couple
    Couple
    1 Child
    Couple
    2 Chidren
    Couple
    3+ Children
    Individual
    1 Child
    Individual
    2 Children
    Individual
    3+ Children
    Child
    0-14
    21
    30
    40
    50
    60
    $338,52
    $470,55
    $500,68
    $720,04
    $1 015,56
    $677,04
    $941,10
    $1 001,36
    $1 440,08
    $2 031,12
    $945,49
    $1 209,55
    $1 269,81
    $1 708,53
    $1 213,94
    $1 478,00
    $1 538,26
    $1 976,98
    $1 482,39
    $1 746,45
    $1 806,71
    $2 245,43
    $606,97
    $739,00
    $769,13
    $988,49
    $875,42
    $1 007,45
    $1 037,58
    $1 256,94
    $1 143,87
    $1 275,90
    $1 306,03
    $1 525,39
    $268,45

    ‡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 Tooele County here.

    Tooele County is in “Rating Area 3” of Utah.

    Currently, there are 61 plans offered in Rating Area 3.

    Obamacare Rates and Providers for Other Years

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

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