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Obamacare 2019 Rates for Louisa County, Virginia


The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

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

Obamacare Providers, Plans and 2019 Rates for Louisa County

Louisa County is in “Rating Area 2” of Virginia.

Currently, there are 24 plans offered in Rating Area 2.

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

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

The table below shows premiums for the following scenarios for:

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

Each scenario is covered for age

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

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

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

2019 Obamacare Rates Providers, Plans for Louisa County

ADVERTISEMENT

Optima Health Plan

Local: 1-866-946-6034 | Toll Free: 1-866-946-6034

TTY: 1-800-828-1140

Bronze

Plan: (HMO) OptimaFit Bronze 6000 20% HSA Direct M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$498.65
$565.96
$637.27
$890.58
$1,353.32
$997.30
$1,131.92
$1,274.54
$1,781.16
$2,706.64
$1,378.76
$1,513.38
$1,656.00
$2,162.62
$1,760.22
$1,894.84
$2,037.46
$2,544.08
$2,141.68
$2,276.30
$2,418.92
$2,925.54
$880.11
$947.42
$1,018.73
$1,272.04
$1,261.57
$1,328.88
$1,400.19
$1,653.50
$1,643.03
$1,710.34
$1,781.65
$2,034.96
$455.26

Catastrophic

Plan: (HMO) OptimaFit Catastrophic 7900 M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Catastrophic 21
30
40
50
60
$371.22
$421.33
$474.41
$662.99
$1,007.48
$742.44
$842.66
$948.82
$1,325.98
$2,014.96
$1,026.42
$1,126.64
$1,232.80
$1,609.96
$1,310.40
$1,410.62
$1,516.78
$1,893.94
$1,594.38
$1,694.60
$1,800.76
$2,177.92
$655.20
$705.31
$758.39
$946.97
$939.18
$989.29
$1,042.37
$1,230.95
$1,223.16
$1,273.27
$1,326.35
$1,514.93
$338.92

Gold

Plan: (HMO) OptimaFit Gold 1600 10% Direct M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $1,600 : Family: $3,200
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$635.62
$721.43
$812.32
$1,135.22
$1,725.07
$1,271.24
$1,442.86
$1,624.64
$2,270.44
$3,450.14
$1,757.49
$1,929.11
$2,110.89
$2,756.69
$2,243.74
$2,415.36
$2,597.14
$3,242.94
$2,729.99
$2,901.61
$3,083.39
$3,729.19
$1,121.87
$1,207.68
$1,298.57
$1,621.47
$1,608.12
$1,693.93
$1,784.82
$2,107.72
$2,094.37
$2,180.18
$2,271.07
$2,593.97
$580.32

Bronze

Plan: (HMO) OptimaFit Bronze 7200 20% Direct M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $7,200 : Family: $14,400
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$461.87
$524.22
$590.27
$824.90
$1,253.52
$923.74
$1,048.44
$1,180.54
$1,649.80
$2,507.04
$1,277.07
$1,401.77
$1,533.87
$2,003.13
$1,630.40
$1,755.10
$1,887.20
$2,356.46
$1,983.73
$2,108.43
$2,240.53
$2,709.79
$815.20
$877.55
$943.60
$1,178.23
$1,168.53
$1,230.88
$1,296.93
$1,531.56
$1,521.86
$1,584.21
$1,650.26
$1,884.89
$421.69

Silver

Plan: (HMO) OptimaFit Silver 1800 25% Direct M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $1,800 : Family: $3,600
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$691.17
$784.48
$883.32
$1,234.44
$1,875.85
$1,382.34
$1,568.96
$1,766.64
$2,468.88
$3,751.70
$1,911.09
$2,097.71
$2,295.39
$2,997.63
$2,439.84
$2,626.46
$2,824.14
$3,526.38
$2,968.59
$3,155.21
$3,352.89
$4,055.13
$1,219.92
$1,313.23
$1,412.07
$1,763.19
$1,748.67
$1,841.98
$1,940.82
$2,291.94
$2,277.42
$2,370.73
$2,469.57
$2,820.69
$631.04

Silver

Plan: (HMO) OptimaFit Silver 6600 30% Direct M

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Optima Health Plan)
Customer Service Phone: 1-866-946-6034

Deductible: Individual: $6,600 : Family: $13,200
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$626.58
$711.17
$800.77
$1,119.07
$1,700.54
$1,253.16
$1,422.34
$1,601.54
$2,238.14
$3,401.08
$1,732.49
$1,901.67
$2,080.87
$2,717.47
$2,211.82
$2,381.00
$2,560.20
$3,196.80
$2,691.15
$2,860.33
$3,039.53
$3,676.13
$1,105.91
$1,190.50
$1,280.10
$1,598.40
$1,585.24
$1,669.83
$1,759.43
$2,077.73
$2,064.57
$2,149.16
$2,238.76
$2,557.06
$572.07

ADVERTISEMENT

HealthKeepers, Inc.

Local: 1-855-748-1810 | Toll Free: 1-855-748-1810

Catastrophic

Plan: (HMO) Anthem HealthKeepers Catastrophic X 7900

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Catastrophic 21
30
40
50
60
$251.89
$285.90
$321.92
$449.88
$683.63
$503.78
$571.80
$643.84
$899.76
$1,367.26
$696.48
$764.50
$836.54
$1,092.46
$889.18
$957.20
$1,029.24
$1,285.16
$1,081.88
$1,149.90
$1,221.94
$1,477.86
$444.59
$478.60
$514.62
$642.58
$637.29
$671.30
$707.32
$835.28
$829.99
$864.00
$900.02
$1,027.98
$229.98

Bronze

Plan: (HMO) Anthem HealthKeepers Bronze X 5900

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $5,900 : Family: $11,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$335.76
$381.09
$429.10
$599.67
$911.25
$671.52
$762.18
$858.20
$1,199.34
$1,822.50
$928.38
$1,019.04
$1,115.06
$1,456.20
$1,185.24
$1,275.90
$1,371.92
$1,713.06
$1,442.10
$1,532.76
$1,628.78
$1,969.92
$592.62
$637.95
$685.96
$856.53
$849.48
$894.81
$942.82
$1,113.39
$1,106.34
$1,151.67
$1,199.68
$1,370.25
$306.55

Expanded Bronze

Plan: (HMO) Anthem HealthKeepers Bronze X 5250

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $5,250 : Family: $10,500
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$327.03
$371.18
$417.94
$584.08
$887.56
$654.06
$742.36
$835.88
$1,168.16
$1,775.12
$904.24
$992.54
$1,086.06
$1,418.34
$1,154.42
$1,242.72
$1,336.24
$1,668.52
$1,404.60
$1,492.90
$1,586.42
$1,918.70
$577.21
$621.36
$668.12
$834.26
$827.39
$871.54
$918.30
$1,084.44
$1,077.57
$1,121.72
$1,168.48
$1,334.62
$298.58

Expanded Bronze

Plan: (HMO) Anthem HealthKeepers Bronze X 4900 for HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $4,900 : Family: $9,800
Out of Pocket Maximum per year: Individual: $6,700 : Family: $13,400

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$339.18
$384.97
$433.47
$605.78
$920.53
$678.36
$769.94
$866.94
$1,211.56
$1,841.06
$937.83
$1,029.41
$1,126.41
$1,471.03
$1,197.30
$1,288.88
$1,385.88
$1,730.50
$1,456.77
$1,548.35
$1,645.35
$1,989.97
$598.65
$644.44
$692.94
$865.25
$858.12
$903.91
$952.41
$1,124.72
$1,117.59
$1,163.38
$1,211.88
$1,384.19
$309.67

Bronze

Plan: (HMO) Anthem HealthKeepers Bronze X 6500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $6,500 : Family: $13,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Bronze 21
30
40
50
60
$320.55
$363.82
$409.66
$572.50
$869.97
$641.10
$727.64
$819.32
$1,145.00
$1,739.94
$886.32
$972.86
$1,064.54
$1,390.22
$1,131.54
$1,218.08
$1,309.76
$1,635.44
$1,376.76
$1,463.30
$1,554.98
$1,880.66
$565.77
$609.04
$654.88
$817.72
$810.99
$854.26
$900.10
$1,062.94
$1,056.21
$1,099.48
$1,145.32
$1,308.16
$292.66

Gold

Plan: (HMO) Anthem HealthKeepers Gold X 1350

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $1,350 : Family: $4,050
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$415.28
$471.34
$530.73
$741.69
$1,127.07
$830.56
$942.68
$1,061.46
$1,483.38
$2,254.14
$1,148.25
$1,260.37
$1,379.15
$1,801.07
$1,465.94
$1,578.06
$1,696.84
$2,118.76
$1,783.63
$1,895.75
$2,014.53
$2,436.45
$732.97
$789.03
$848.42
$1,059.38
$1,050.66
$1,106.72
$1,166.11
$1,377.07
$1,368.35
$1,424.41
$1,483.80
$1,694.76
$379.15

Silver

Plan: (HMO) Anthem HealthKeepers Silver X 1800

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $1,800 : Family: $3,600
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$454.22
$515.54
$580.49
$811.24
$1,232.75
$908.44
$1,031.08
$1,160.98
$1,622.48
$2,465.50
$1,255.92
$1,378.56
$1,508.46
$1,969.96
$1,603.40
$1,726.04
$1,855.94
$2,317.44
$1,950.88
$2,073.52
$2,203.42
$2,664.92
$801.70
$863.02
$927.97
$1,158.72
$1,149.18
$1,210.50
$1,275.45
$1,506.20
$1,496.66
$1,557.98
$1,622.93
$1,853.68
$414.70

Silver

Plan: (HMO) Anthem HealthKeepers Silver X 6100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $6,100 : Family: $12,200
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$415.44
$471.52
$530.93
$741.98
$1,127.50
$830.88
$943.04
$1,061.86
$1,483.96
$2,255.00
$1,148.69
$1,260.85
$1,379.67
$1,801.77
$1,466.50
$1,578.66
$1,697.48
$2,119.58
$1,784.31
$1,896.47
$2,015.29
$2,437.39
$733.25
$789.33
$848.74
$1,059.79
$1,051.06
$1,107.14
$1,166.55
$1,377.60
$1,368.87
$1,424.95
$1,484.36
$1,695.41
$379.30

Expanded Bronze

Plan: (HMO) Anthem HealthKeepers Bronze X 5700 Online Plus

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (HealthKeepers, Inc.)
Customer Service Phone: 1-855-748-1810

Deductible: Individual: $5,700 : Family: $11,400
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$340.50
$386.47
$435.16
$608.13
$924.12
$681.00
$772.94
$870.32
$1,216.26
$1,848.24
$941.48
$1,033.42
$1,130.80
$1,476.74
$1,201.96
$1,293.90
$1,391.28
$1,737.22
$1,462.44
$1,554.38
$1,651.76
$1,997.70
$600.98
$646.95
$695.64
$868.61
$861.46
$907.43
$956.12
$1,129.09
$1,121.94
$1,167.91
$1,216.60
$1,389.57
$310.88

ADVERTISEMENT

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

Local: 1-800-807-1140 | Toll Free: 1-800-807-1140

TTY: 1-703-359-7616

Gold

Plan: (HMO) KP VA Gold 0/20/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$503.89
$571.91
$643.97
$899.94
$1,367.54
$1,007.78
$1,143.82
$1,287.94
$1,799.88
$2,735.08
$1,393.25
$1,529.29
$1,673.41
$2,185.35
$1,778.72
$1,914.76
$2,058.88
$2,570.82
$2,164.19
$2,300.23
$2,444.35
$2,956.29
$889.36
$957.38
$1,029.44
$1,285.41
$1,274.83
$1,342.85
$1,414.91
$1,670.88
$1,660.30
$1,728.32
$1,800.38
$2,056.35
$460.05

Gold

Plan: (HMO) KP VA Gold 1000/20/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$489.88
$556.01
$626.07
$874.92
$1,329.53
$979.76
$1,112.02
$1,252.14
$1,749.84
$2,659.06
$1,354.52
$1,486.78
$1,626.90
$2,124.60
$1,729.28
$1,861.54
$2,001.66
$2,499.36
$2,104.04
$2,236.30
$2,376.42
$2,874.12
$864.64
$930.77
$1,000.83
$1,249.68
$1,239.40
$1,305.53
$1,375.59
$1,624.44
$1,614.16
$1,680.29
$1,750.35
$1,999.20
$447.26

Silver

Plan: (HMO) KP VA Silver 2500/30/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $7,750 : Family: $15,500

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$562.14
$638.03
$718.42
$1,003.98
$1,525.65
$1,124.28
$1,276.06
$1,436.84
$2,007.96
$3,051.30
$1,554.32
$1,706.10
$1,866.88
$2,438.00
$1,984.36
$2,136.14
$2,296.92
$2,868.04
$2,414.40
$2,566.18
$2,726.96
$3,298.08
$992.18
$1,068.07
$1,148.46
$1,434.02
$1,422.22
$1,498.11
$1,578.50
$1,864.06
$1,852.26
$1,928.15
$2,008.54
$2,294.10
$513.23

Silver

Plan: (HMO) KP VA Silver 3200/20%/HSA/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $3,200 : Family: $6,400
Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$528.07
$599.36
$674.87
$943.13
$1,433.18
$1,056.14
$1,198.72
$1,349.74
$1,886.26
$2,866.36
$1,460.11
$1,602.69
$1,753.71
$2,290.23
$1,864.08
$2,006.66
$2,157.68
$2,694.20
$2,268.05
$2,410.63
$2,561.65
$3,098.17
$932.04
$1,003.33
$1,078.84
$1,347.10
$1,336.01
$1,407.30
$1,482.81
$1,751.07
$1,739.98
$1,811.27
$1,886.78
$2,155.04
$482.13

Expanded Bronze

Plan: (HMO) KP VA Bronze 5500/50/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $5,500 : Family: $11,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Expanded Bronze 21
30
40
50
60
$404.85
$459.51
$517.40
$723.07
$1,098.78
$809.70
$919.02
$1,034.80
$1,446.14
$2,197.56
$1,119.41
$1,228.73
$1,344.51
$1,755.85
$1,429.12
$1,538.44
$1,654.22
$2,065.56
$1,738.83
$1,848.15
$1,963.93
$2,375.27
$714.56
$769.22
$827.11
$1,032.78
$1,024.27
$1,078.93
$1,136.82
$1,342.49
$1,333.98
$1,388.64
$1,446.53
$1,652.20
$369.63

Catastrophic

Plan: (HMO) KP VA Catastrophic 7900/0/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $7,900 : Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Catastrophic 21
30
40
50
60
$294.06
$333.76
$375.81
$525.20
$798.09
$588.12
$667.52
$751.62
$1,050.40
$1,596.18
$813.08
$892.48
$976.58
$1,275.36
$1,038.04
$1,117.44
$1,201.54
$1,500.32
$1,263.00
$1,342.40
$1,426.50
$1,725.28
$519.02
$558.72
$600.77
$750.16
$743.98
$783.68
$825.73
$975.12
$968.94
$1,008.64
$1,050.69
$1,200.08
$268.48

Platinum

Plan: (HMO) KP VA Platinum 0/5/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Platinum 21
30
40
50
60
$582.42
$661.04
$744.33
$1,040.20
$1,580.68
$1,164.84
$1,322.08
$1,488.66
$2,080.40
$3,161.36
$1,610.39
$1,767.63
$1,934.21
$2,525.95
$2,055.94
$2,213.18
$2,379.76
$2,971.50
$2,501.49
$2,658.73
$2,825.31
$3,417.05
$1,027.97
$1,106.59
$1,189.88
$1,485.75
$1,473.52
$1,552.14
$1,635.43
$1,931.30
$1,919.07
$1,997.69
$2,080.98
$2,376.85
$531.75

Silver

Plan: (HMO) KP VA Silver 6000/35/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Silver 21
30
40
50
60
$499.59
$567.03
$638.47
$892.27
$1,355.88
$999.18
$1,134.06
$1,276.94
$1,784.54
$2,711.76
$1,381.37
$1,516.25
$1,659.13
$2,166.73
$1,763.56
$1,898.44
$2,041.32
$2,548.92
$2,145.75
$2,280.63
$2,423.51
$2,931.11
$881.78
$949.22
$1,020.66
$1,274.46
$1,263.97
$1,331.41
$1,402.85
$1,656.65
$1,646.16
$1,713.60
$1,785.04
$2,038.84
$456.12

Gold

Plan: (HMO) KP VA Gold 1500/20/Dental

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.)
Customer Service Phone: 1-800-807-1140

Deductible: Individual: $1,500 : Family: $3,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:

Metal level Age Individual
Couple
Couple
w 1 Kid
Couple
w 2 Kids
Couple
w3+Kids
Single
w 1 Kid
Single
w 2 Kids
Single
w3+Kids
Child
0-14
Gold 21
30
40
50
60
$478.22
$542.78
$611.16
$854.10
$1,297.88
$956.44
$1,085.56
$1,222.32
$1,708.20
$2,595.76
$1,322.28
$1,451.40
$1,588.16
$2,074.04
$1,688.12
$1,817.24
$1,954.00
$2,439.88
$2,053.96
$2,183.08
$2,319.84
$2,805.72
$844.06
$908.62
$977.00
$1,219.94
$1,209.90
$1,274.46
$1,342.84
$1,585.78
$1,575.74
$1,640.30
$1,708.68
$1,951.62
$436.61

‡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 Louisa County here.

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