Obamacare 2022 Rates and Health Insurance Providers for Prince William County , Virginia

Obamacare > Rates > Virginia > Prince William County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |

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 Prince William County, VA.

The health insurance rates listed below are for calendar year 2022.

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

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

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 Manassas Park, VA area accept this insurance coverage as within the plan's network.

Obamacare Providers, Plans and 2022 Rates for Prince William County, Virginia

Below, you’ll find a summary of the 41 plans for Prince William County, Virginia and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021 2022

You may also be interested in:

How To Sign Up for Obamacare in Virginia

For 2022 health plans, Virginia open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)

To get covered, you can go directly to the online health insurance marketplace for Virginia. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.

Where's the Virginia Health Care Exchange?

You can find the health insurance exchange for Virginia at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.

more...  

Virginia Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?

The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Virginia in 2021, that’s $17,609. For a family of four, it’s $36,156.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.

Virginia Has Expanded Medicaid

Because Virginia did decide to expand its Medicaid program, adults with income up to 138% of the federal poverty level are now eligible.

Virginia's Medicaid expansion law originally included plans for a work requirement and monthly premiums. However, those proposals were never implemented and Governor Northam withdrew them from consideration in July 2020.

more...  

Get Help Finding a Health Insurance Plan in Virginia

Get Help From Virginia's Health Insurance Exchange

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

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

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

Get Help From a Licensed Insurance Broker

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

More Information

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

  • Prince William County, VA Obamacare Rates
  • General Info
  • Rates
Obamacare Basics for Virginia - (Basics)
Obamacare Rates for Prince William County - (Rates)
Obamacare Enrollment - (How to Enroll)
Obamacare Financial Assistance - (Financial Help)
Obamacare for Different Life Situations - (Life Situations)
Using Your Obamacare Health Insurance Plan - (Using Your Plan)
Obamacare News - (News)

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CareFirst BlueChoice

Local: 1-855-444-3119 | Toll Free: 1-855-444-3119 | TTY: 1-202-479-3546
Toc - Plan #1 CareFirst BlueChoice
Silver

(HMO) BlueChoice HMO HSA Silver 3000

Annual Out of Pocket Expenses
Individual Family
$3,000 $6,000 Annual Deductible
$6,650 $13,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$467,88
$531,04
$597,95
$835,63
$1 269,83 		$825,81
$888,97
$955,88
$1 193,56 		$1 183,74
$1 246,90
$1 313,81
$1 551,49 		$1 541,67
$1 604,83
$1 671,74
$1 909,42 		$357,93
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$935,76
$1 062,08
$1 195,90
$1 671,26
$2 539,66 		$1 293,69
$1 420,01
$1 553,83
$2 029,19 		$1 651,62
$1 777,94
$1 911,76
$2 387,12 		$2 009,55
$2 135,87
$2 269,69
$2 745,05 		$357,93
Toc - Plan #2 CareFirst BlueChoice
Gold

(HMO) BlueChoice HMO Gold 1750

Annual Out of Pocket Expenses
Individual Family
$1,750 $3,500 Annual Deductible
$6,650 $13,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$448,95
$509,56
$573,76
$801,82
$1 218,45 		$792,40
$853,01
$917,21
$1 145,27 		$1 135,85
$1 196,46
$1 260,66
$1 488,72 		$1 479,30
$1 539,91
$1 604,11
$1 832,17 		$343,45
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$897,90
$1 019,12
$1 147,52
$1 603,64
$2 436,90 		$1 241,35
$1 362,57
$1 490,97
$1 947,09 		$1 584,80
$1 706,02
$1 834,42
$2 290,54 		$1 928,25
$2 049,47
$2 177,87
$2 633,99 		$343,45
Toc - Plan #3 CareFirst BlueChoice
Catastrophic

(HMO) BlueChoice HMO Young Adult 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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$185,92
$211,02
$237,61
$332,05
$504,59 		$328,15
$353,25
$379,84
$474,28 		$470,38
$495,48
$522,07
$616,51 		$612,61
$637,71
$664,30
$758,74 		$142,23
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$371,84
$422,04
$475,22
$664,10
$1 009,18 		$514,07
$564,27
$617,45
$806,33 		$656,30
$706,50
$759,68
$948,56 		$798,53
$848,73
$901,91
$1 090,79 		$142,23

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UnitedHealthcare

Local: 1-877-265-9199 | Toll Free:  | TTY: 1-877-265-9199
Toc - Plan #4 UnitedHealthcare
Gold

(HMO) Value Gold

Annual Out of Pocket Expenses
Individual Family
$2,100 $4,200 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$382,19
$433,78
$488,44
$682,59
$1 037,26 		$674,56
$726,15
$780,81
$974,96 		$966,93
$1 018,52
$1 073,18
$1 267,33 		$1 259,30
$1 310,89
$1 365,55
$1 559,70 		$292,37
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$764,38
$867,56
$976,88
$1 365,18
$2 074,52 		$1 056,75
$1 159,93
$1 269,25
$1 657,55 		$1 349,12
$1 452,30
$1 561,62
$1 949,92 		$1 641,49
$1 744,67
$1 853,99
$2 242,29 		$292,37
Toc - Plan #5 UnitedHealthcare
Silver

(HMO) Balance Silver 3 No Copay PCP Visits

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$403,19
$457,62
$515,27
$720,09
$1 094,25 		$711,63
$766,06
$823,71
$1 028,53 		$1 020,07
$1 074,50
$1 132,15
$1 336,97 		$1 328,51
$1 382,94
$1 440,59
$1 645,41 		$308,44
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$806,38
$915,24
$1 030,54
$1 440,18
$2 188,50 		$1 114,82
$1 223,68
$1 338,98
$1 748,62 		$1 423,26
$1 532,12
$1 647,42
$2 057,06 		$1 731,70
$1 840,56
$1 955,86
$2 365,50 		$308,44
Toc - Plan #6 UnitedHealthcare
Silver

(HMO) Balance Plus Silver 3 No Copay PCP Visits

Annual Out of Pocket Expenses
Individual Family
$5,500 $11,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$404,65
$459,28
$517,15
$722,71
$1 098,23 		$714,21
$768,84
$826,71
$1 032,27 		$1 023,77
$1 078,40
$1 136,27
$1 341,83 		$1 333,33
$1 387,96
$1 445,83
$1 651,39 		$309,56
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$809,30
$918,56
$1 034,30
$1 445,42
$2 196,46 		$1 118,86
$1 228,12
$1 343,86
$1 754,98 		$1 428,42
$1 537,68
$1 653,42
$2 064,54 		$1 737,98
$1 847,24
$1 962,98
$2 374,10 		$309,56
Toc - Plan #7 UnitedHealthcare
Silver

(HMO) Value Silver

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$406,33
$461,18
$519,28
$725,70
$1 102,77 		$717,17
$772,02
$830,12
$1 036,54 		$1 028,01
$1 082,86
$1 140,96
$1 347,38 		$1 338,85
$1 393,70
$1 451,80
$1 658,22 		$310,84
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$812,66
$922,36
$1 038,56
$1 451,40
$2 205,54 		$1 123,50
$1 233,20
$1 349,40
$1 762,24 		$1 434,34
$1 544,04
$1 660,24
$2 073,08 		$1 745,18
$1 854,88
$1 971,08
$2 383,92 		$310,84
Toc - Plan #8 UnitedHealthcare
Expanded Bronze

(HMO) Balance Bronze 3 No Copay Telehealth Visits

Annual Out of Pocket Expenses
Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$305,34
$346,56
$390,23
$545,34
$828,70 		$538,93
$580,15
$623,82
$778,93 		$772,52
$813,74
$857,41
$1 012,52 		$1 006,11
$1 047,33
$1 091,00
$1 246,11 		$233,59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$610,68
$693,12
$780,46
$1 090,68
$1 657,40 		$844,27
$926,71
$1 014,05
$1 324,27 		$1 077,86
$1 160,30
$1 247,64
$1 557,86 		$1 311,45
$1 393,89
$1 481,23
$1 791,45 		$233,59
Toc - Plan #9 UnitedHealthcare
Expanded Bronze

(HMO) Balance Bronze 3 No Copay PCP Visits

Annual Out of Pocket Expenses
Individual Family
$7,500 $15,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$302,49
$343,33
$386,59
$540,25
$820,96 		$533,90
$574,74
$618,00
$771,66 		$765,31
$806,15
$849,41
$1 003,07 		$996,72
$1 037,56
$1 080,82
$1 234,48 		$231,41
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$604,98
$686,66
$773,18
$1 080,50
$1 641,92 		$836,39
$918,07
$1 004,59
$1 311,91 		$1 067,80
$1 149,48
$1 236,00
$1 543,32 		$1 299,21
$1 380,89
$1 467,41
$1 774,73 		$231,41
Toc - Plan #10 UnitedHealthcare
Expanded Bronze

(HMO) Value Bronze

Annual Out of Pocket Expenses
Individual Family
$6,500 $13,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$306,50
$347,88
$391,71
$547,41
$831,84 		$540,97
$582,35
$626,18
$781,88 		$775,44
$816,82
$860,65
$1 016,35 		$1 009,91
$1 051,29
$1 095,12
$1 250,82 		$234,47
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$613,00
$695,76
$783,42
$1 094,82
$1 663,68 		$847,47
$930,23
$1 017,89
$1 329,29 		$1 081,94
$1 164,70
$1 252,36
$1 563,76 		$1 316,41
$1 399,17
$1 486,83
$1 798,23 		$234,47

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CareFirst BlueCross BlueShield

Local: 1-855-444-3119 | Toll Free: 1-855-444-3119 | TTY: 1-202-479-3546
Toc - Plan #11 CareFirst BlueCross BlueShield
Gold

(PPO) BluePreferred PPO Gold 1750

Annual Out of Pocket Expenses
Individual Family
$1,750 $3,500 Annual Deductible
$6,650 $13,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$1 055,82
$1 198,36
$1 349,34
$1 885,69
$2 865,50 		$1 863,52
$2 006,06
$2 157,04
$2 693,39 		$2 671,22
$2 813,76
$2 964,74
$3 501,09 		$3 478,92
$3 621,46
$3 772,44
$4 308,79 		$807,70
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$2 111,64
$2 396,72
$2 698,68
$3 771,38
$5 731,00 		$2 919,34
$3 204,42
$3 506,38
$4 579,08 		$3 727,04
$4 012,12
$4 314,08
$5 386,78 		$4 534,74
$4 819,82
$5 121,78
$6 194,48 		$807,70
Toc - Plan #12 CareFirst BlueCross BlueShield
Silver

(PPO) BluePreferred PPO HSA Silver 3000

Annual Out of Pocket Expenses
Individual Family
$3,000 $6,000 Annual Deductible
$6,650 $13,300 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$1 070,02
$1 214,47
$1 367,49
$1 911,06
$2 904,03 		$1 888,59
$2 033,04
$2 186,06
$2 729,63 		$2 707,16
$2 851,61
$3 004,63
$3 548,20 		$3 525,73
$3 670,18
$3 823,20
$4 366,77 		$818,57
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$2 140,04
$2 428,94
$2 734,98
$3 822,12
$5 808,06 		$2 958,61
$3 247,51
$3 553,55
$4 640,69 		$3 777,18
$4 066,08
$4 372,12
$5 459,26 		$4 595,75
$4 884,65
$5 190,69
$6 277,83 		$818,57

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Cigna Health and Life Insurance Company

Local: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777
Toc - Plan #13 Cigna Health and Life Insurance Company
Bronze

(EPO) Cigna Connect 7000

Annual Out of Pocket Expenses
Individual Family
$7,000 $14,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$277,06
$314,46
$354,08
$494,83
$751,94 		$489,01
$526,41
$566,03
$706,78 		$700,96
$738,36
$777,98
$918,73 		$912,91
$950,31
$989,93
$1 130,68 		$211,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$554,12
$628,92
$708,16
$989,66
$1 503,88 		$766,07
$840,87
$920,11
$1 201,61 		$978,02
$1 052,82
$1 132,06
$1 413,56 		$1 189,97
$1 264,77
$1 344,01
$1 625,51 		$211,95
Toc - Plan #14 Cigna Health and Life Insurance Company
Expanded Bronze

(EPO) Cigna Connect 6750

Annual Out of Pocket Expenses
Individual Family
$6,750 $13,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$289,18
$328,22
$369,58
$516,48
$784,84 		$510,41
$549,45
$590,81
$737,71 		$731,64
$770,68
$812,04
$958,94 		$952,87
$991,91
$1 033,27
$1 180,17 		$221,23
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$578,36
$656,44
$739,16
$1 032,96
$1 569,68 		$799,59
$877,67
$960,39
$1 254,19 		$1 020,82
$1 098,90
$1 181,62
$1 475,42 		$1 242,05
$1 320,13
$1 402,85
$1 696,65 		$221,23
Toc - Plan #15 Cigna Health and Life Insurance Company
Silver

(EPO) Cigna Connect 4500 +Acupuncture

Annual Out of Pocket Expenses
Individual Family
$4,500 $9,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$372,13
$422,37
$475,59
$664,63
$1 009,97 		$656,81
$707,05
$760,27
$949,31 		$941,49
$991,73
$1 044,95
$1 233,99 		$1 226,17
$1 276,41
$1 329,63
$1 518,67 		$284,68
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$744,26
$844,74
$951,18
$1 329,26
$2 019,94 		$1 028,94
$1 129,42
$1 235,86
$1 613,94 		$1 313,62
$1 414,10
$1 520,54
$1 898,62 		$1 598,30
$1 698,78
$1 805,22
$2 183,30 		$284,68
Toc - Plan #16 Cigna Health and Life Insurance Company
Gold

(EPO) Cigna Connect 1500

Annual Out of Pocket Expenses
Individual Family
$1,500 $3,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$352,59
$400,19
$450,61
$629,72
$956,92 		$622,32
$669,92
$720,34
$899,45 		$892,05
$939,65
$990,07
$1 169,18 		$1 161,78
$1 209,38
$1 259,80
$1 438,91 		$269,73
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$705,18
$800,38
$901,22
$1 259,44
$1 913,84 		$974,91
$1 070,11
$1 170,95
$1 529,17 		$1 244,64
$1 339,84
$1 440,68
$1 798,90 		$1 514,37
$1 609,57
$1 710,41
$2 068,63 		$269,73
Toc - Plan #17 Cigna Health and Life Insurance Company
Silver

(EPO) Cigna Connect 6500

Annual Out of Pocket Expenses
Individual Family
$6,500 $13,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368,05
$417,73
$470,37
$657,33
$998,88 		$649,61
$699,29
$751,93
$938,89 		$931,17
$980,85
$1 033,49
$1 220,45 		$1 212,73
$1 262,41
$1 315,05
$1 502,01 		$281,56
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$736,10
$835,46
$940,74
$1 314,66
$1 997,76 		$1 017,66
$1 117,02
$1 222,30
$1 596,22 		$1 299,22
$1 398,58
$1 503,86
$1 877,78 		$1 580,78
$1 680,14
$1 785,42
$2 159,34 		$281,56
Toc - Plan #18 Cigna Health and Life Insurance Company
Expanded Bronze

(EPO) Cigna Connect 5500

Annual Out of Pocket Expenses
Individual Family
$5,500 $11,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$289,39
$328,46
$369,85
$516,86
$785,42 		$510,78
$549,85
$591,24
$738,25 		$732,17
$771,24
$812,63
$959,64 		$953,56
$992,63
$1 034,02
$1 181,03 		$221,39
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$578,78
$656,92
$739,70
$1 033,72
$1 570,84 		$800,17
$878,31
$961,09
$1 255,11 		$1 021,56
$1 099,70
$1 182,48
$1 476,50 		$1 242,95
$1 321,09
$1 403,87
$1 697,89 		$221,39
Toc - Plan #19 Cigna Health and Life Insurance Company
Silver

(EPO) Cigna Connect 3500

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$371,34
$421,47
$474,58
$663,22
$1 007,82 		$655,42
$705,55
$758,66
$947,30 		$939,50
$989,63
$1 042,74
$1 231,38 		$1 223,58
$1 273,71
$1 326,82
$1 515,46 		$284,08
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$742,68
$842,94
$949,16
$1 326,44
$2 015,64 		$1 026,76
$1 127,02
$1 233,24
$1 610,52 		$1 310,84
$1 411,10
$1 517,32
$1 894,60 		$1 594,92
$1 695,18
$1 801,40
$2 178,68 		$284,08
Toc - Plan #20 Cigna Health and Life Insurance Company
Silver

(EPO) Cigna Connect 3500 Diabetes Care

Annual Out of Pocket Expenses
Individual Family
$3,500 $7,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$372,44
$422,72
$475,98
$665,18
$1 010,80 		$657,36
$707,64
$760,90
$950,10 		$942,28
$992,56
$1 045,82
$1 235,02 		$1 227,20
$1 277,48
$1 330,74
$1 519,94 		$284,92
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$744,88
$845,44
$951,96
$1 330,36
$2 021,60 		$1 029,80
$1 130,36
$1 236,88
$1 615,28 		$1 314,72
$1 415,28
$1 521,80
$1 900,20 		$1 599,64
$1 700,20
$1 806,72
$2 185,12 		$284,92
Toc - Plan #21 Cigna Health and Life Insurance Company
Gold

(EPO) Cigna Connect 2000

Annual Out of Pocket Expenses
Individual Family
$2,000 $4,000 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$356,05
$404,12
$455,03
$635,91
$966,32 		$628,43
$676,50
$727,41
$908,29 		$900,81
$948,88
$999,79
$1 180,67 		$1 173,19
$1 221,26
$1 272,17
$1 453,05 		$272,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$712,10
$808,24
$910,06
$1 271,82
$1 932,64 		$984,48
$1 080,62
$1 182,44
$1 544,20 		$1 256,86
$1 353,00
$1 454,82
$1 816,58 		$1 529,24
$1 625,38
$1 727,20
$2 088,96 		$272,38

ADVERTISEMENT

Anthem HealthKeepers

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

Toc - Plan #22 Anthem HealthKeepers
Catastrophic

(HMO) Anthem HealthKeepers Catastrophic X 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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$224,13
$254,39
$286,44
$400,30
$608,29 		$395,59
$425,85
$457,90
$571,76 		$567,05
$597,31
$629,36
$743,22 		$738,51
$768,77
$800,82
$914,68 		$171,46
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$448,26
$508,78
$572,88
$800,60
$1 216,58 		$619,72
$680,24
$744,34
$972,06 		$791,18
$851,70
$915,80
$1 143,52 		$962,64
$1 023,16
$1 087,26
$1 314,98 		$171,46
Toc - Plan #23 Anthem HealthKeepers
Expanded Bronze

(HMO) Anthem HealthKeepers Bronze X 5500

Annual Out of Pocket Expenses
Individual Family
$5,500 $11,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$293,50
$333,12
$375,09
$524,19
$796,56 		$518,03
$557,65
$599,62
$748,72 		$742,56
$782,18
$824,15
$973,25 		$967,09
$1 006,71
$1 048,68
$1 197,78 		$224,53
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$587,00
$666,24
$750,18
$1 048,38
$1 593,12 		$811,53
$890,77
$974,71
$1 272,91 		$1 036,06
$1 115,30
$1 199,24
$1 497,44 		$1 260,59
$1 339,83
$1 423,77
$1 721,97 		$224,53
Toc - Plan #24 Anthem HealthKeepers
Expanded Bronze

(HMO) Anthem HealthKeepers Bronze X 5900 for HSA

Annual Out of Pocket Expenses
Individual Family
$5,900 $11,800 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$298,31
$338,58
$381,24
$532,78
$809,61 		$526,52
$566,79
$609,45
$760,99 		$754,73
$795,00
$837,66
$989,20 		$982,94
$1 023,21
$1 065,87
$1 217,41 		$228,21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$596,62
$677,16
$762,48
$1 065,56
$1 619,22 		$824,83
$905,37
$990,69
$1 293,77 		$1 053,04
$1 133,58
$1 218,90
$1 521,98 		$1 281,25
$1 361,79
$1 447,11
$1 750,19 		$228,21
Toc - Plan #25 Anthem HealthKeepers
Bronze

(HMO) Anthem HealthKeepers Bronze X 8200

Annual Out of Pocket Expenses
Individual Family
$8,200 $16,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$281,87
$319,92
$360,23
$503,42
$765,00 		$497,50
$535,55
$575,86
$719,05 		$713,13
$751,18
$791,49
$934,68 		$928,76
$966,81
$1 007,12
$1 150,31 		$215,63
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$563,74
$639,84
$720,46
$1 006,84
$1 530,00 		$779,37
$855,47
$936,09
$1 222,47 		$995,00
$1 071,10
$1 151,72
$1 438,10 		$1 210,63
$1 286,73
$1 367,35
$1 653,73 		$215,63
Toc - Plan #26 Anthem HealthKeepers
Gold

(HMO) Anthem HealthKeepers Gold X 2000

Annual Out of Pocket Expenses
Individual Family
$2,000 $6,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$371,67
$421,85
$474,99
$663,80
$1 008,71 		$656,00
$706,18
$759,32
$948,13 		$940,33
$990,51
$1 043,65
$1 232,46 		$1 224,66
$1 274,84
$1 327,98
$1 516,79 		$284,33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$743,34
$843,70
$949,98
$1 327,60
$2 017,42 		$1 027,67
$1 128,03
$1 234,31
$1 611,93 		$1 312,00
$1 412,36
$1 518,64
$1 896,26 		$1 596,33
$1 696,69
$1 802,97
$2 180,59 		$284,33
Toc - Plan #27 Anthem HealthKeepers
Silver

(HMO) Anthem HealthKeepers Silver X 2200

Annual Out of Pocket Expenses
Individual Family
$2,200 $4,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$395,10
$448,44
$504,94
$705,65
$1 072,30 		$697,35
$750,69
$807,19
$1 007,90 		$999,60
$1 052,94
$1 109,44
$1 310,15 		$1 301,85
$1 355,19
$1 411,69
$1 612,40 		$302,25
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$790,20
$896,88
$1 009,88
$1 411,30
$2 144,60 		$1 092,45
$1 199,13
$1 312,13
$1 713,55 		$1 394,70
$1 501,38
$1 614,38
$2 015,80 		$1 696,95
$1 803,63
$1 916,63
$2 318,05 		$302,25
Toc - Plan #28 Anthem HealthKeepers
Silver

(HMO) Anthem HealthKeepers Silver X 6250

Annual Out of Pocket Expenses
Individual Family
$6,250 $12,500 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368,45
$418,19
$470,88
$658,05
$999,97 		$650,31
$700,05
$752,74
$939,91 		$932,17
$981,91
$1 034,60
$1 221,77 		$1 214,03
$1 263,77
$1 316,46
$1 503,63 		$281,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$736,90
$836,38
$941,76
$1 316,10
$1 999,94 		$1 018,76
$1 118,24
$1 223,62
$1 597,96 		$1 300,62
$1 400,10
$1 505,48
$1 879,82 		$1 582,48
$1 681,96
$1 787,34
$2 161,68 		$281,86
Toc - Plan #29 Anthem HealthKeepers
Expanded Bronze

(HMO) Anthem HealthKeepers Bronze X 5800 Online Plus

Annual Out of Pocket Expenses
Individual Family
$5,800 $11,600 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$302,27
$343,08
$386,30
$539,85
$820,36 		$533,51
$574,32
$617,54
$771,09 		$764,75
$805,56
$848,78
$1 002,33 		$995,99
$1 036,80
$1 080,02
$1 233,57 		$231,24
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$604,54
$686,16
$772,60
$1 079,70
$1 640,72 		$835,78
$917,40
$1 003,84
$1 310,94 		$1 067,02
$1 148,64
$1 235,08
$1 542,18 		$1 298,26
$1 379,88
$1 466,32
$1 773,42 		$231,24
Toc - Plan #30 Anthem HealthKeepers
Silver

(HMO) Anthem HealthKeepers Silver X 5300 Online Plus

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$374,02
$424,51
$478,00
$668,00
$1 015,09 		$660,15
$710,64
$764,13
$954,13 		$946,28
$996,77
$1 050,26
$1 240,26 		$1 232,41
$1 282,90
$1 336,39
$1 526,39 		$286,13
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$748,04
$849,02
$956,00
$1 336,00
$2 030,18 		$1 034,17
$1 135,15
$1 242,13
$1 622,13 		$1 320,30
$1 421,28
$1 528,26
$1 908,26 		$1 606,43
$1 707,41
$1 814,39
$2 194,39 		$286,13

ADVERTISEMENT

Kaiser Permanente

Local: 1-800-807-1140 | Toll Free: 1-800-807-1140 | TTY: 1-703-359-7616
Toc - Plan #31 Kaiser Permanente
Gold

(HMO) KP VA Gold 0/20/Vision

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$6,950 $13,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$413,56
$469,40
$528,54
$738,63
$1 122,41 		$729,94
$785,78
$844,92
$1 055,01 		$1 046,32
$1 102,16
$1 161,30
$1 371,39 		$1 362,70
$1 418,54
$1 477,68
$1 687,77 		$316,38
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$827,12
$938,80
$1 057,08
$1 477,26
$2 244,82 		$1 143,50
$1 255,18
$1 373,46
$1 793,64 		$1 459,88
$1 571,56
$1 689,84
$2 110,02 		$1 776,26
$1 887,94
$2 006,22
$2 426,40 		$316,38
Toc - Plan #32 Kaiser Permanente
Silver

(HMO) KP VA Silver 2500/35/Vision

Annual Out of Pocket Expenses
Individual Family
$2,500 $5,000 Annual Deductible
$8,250 $16,500 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$432,90
$491,34
$553,25
$773,16
$1 174,90 		$764,07
$822,51
$884,42
$1 104,33 		$1 095,24
$1 153,68
$1 215,59
$1 435,50 		$1 426,41
$1 484,85
$1 546,76
$1 766,67 		$331,17
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$865,80
$982,68
$1 106,50
$1 546,32
$2 349,80 		$1 196,97
$1 313,85
$1 437,67
$1 877,49 		$1 528,14
$1 645,02
$1 768,84
$2 208,66 		$1 859,31
$1 976,19
$2 100,01
$2 539,83 		$331,17
Toc - Plan #33 Kaiser Permanente
Expanded Bronze

(HMO) KP VA Bronze 6000/55/Vision

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$326,92
$371,06
$417,81
$583,89
$887,27 		$577,02
$621,16
$667,91
$833,99 		$827,12
$871,26
$918,01
$1 084,09 		$1 077,22
$1 121,36
$1 168,11
$1 334,19 		$250,10
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$653,84
$742,12
$835,62
$1 167,78
$1 774,54 		$903,94
$992,22
$1 085,72
$1 417,88 		$1 154,04
$1 242,32
$1 335,82
$1 667,98 		$1 404,14
$1 492,42
$1 585,92
$1 918,08 		$250,10
Toc - Plan #34 Kaiser Permanente
Catastrophic

(HMO) KP VA Catastrophic 8550/0/Vision

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$227,15
$257,82
$290,30
$405,69
$616,49 		$400,92
$431,59
$464,07
$579,46 		$574,69
$605,36
$637,84
$753,23 		$748,46
$779,13
$811,61
$927,00 		$173,77
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$454,30
$515,64
$580,60
$811,38
$1 232,98 		$628,07
$689,41
$754,37
$985,15 		$801,84
$863,18
$928,14
$1 158,92 		$975,61
$1 036,95
$1 101,91
$1 332,69 		$173,77
Toc - Plan #35 Kaiser Permanente
Platinum

(HMO) KP VA Platinum 0/15/Vision

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$4,000 $8,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$477,88
$542,39
$610,73
$853,49
$1 296,97 		$843,46
$907,97
$976,31
$1 219,07 		$1 209,04
$1 273,55
$1 341,89
$1 584,65 		$1 574,62
$1 639,13
$1 707,47
$1 950,23 		$365,58
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$955,76
$1 084,78
$1 221,46
$1 706,98
$2 593,94 		$1 321,34
$1 450,36
$1 587,04
$2 072,56 		$1 686,92
$1 815,94
$1 952,62
$2 438,14 		$2 052,50
$2 181,52
$2 318,20
$2 803,72 		$365,58
Toc - Plan #36 Kaiser Permanente
Silver

(HMO) KP VA Silver 5000/40/Vision

Annual Out of Pocket Expenses
Individual Family
$5,000 $10,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$419,82
$476,49
$536,53
$749,79
$1 139,38 		$740,98
$797,65
$857,69
$1 070,95 		$1 062,14
$1 118,81
$1 178,85
$1 392,11 		$1 383,30
$1 439,97
$1 500,01
$1 713,27 		$321,16
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$839,64
$952,98
$1 073,06
$1 499,58
$2 278,76 		$1 160,80
$1 274,14
$1 394,22
$1 820,74 		$1 481,96
$1 595,30
$1 715,38
$2 141,90 		$1 803,12
$1 916,46
$2 036,54
$2 463,06 		$321,16
Toc - Plan #37 Kaiser Permanente
Gold

(HMO) KP VA Gold 1250/20/Vision

Annual Out of Pocket Expenses
Individual Family
$1,250 $2,500 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$405,32
$460,04
$518,00
$723,91
$1 100,05 		$715,39
$770,11
$828,07
$1 033,98 		$1 025,46
$1 080,18
$1 138,14
$1 344,05 		$1 335,53
$1 390,25
$1 448,21
$1 654,12 		$310,07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$810,64
$920,08
$1 036,00
$1 447,82
$2 200,10 		$1 120,71
$1 230,15
$1 346,07
$1 757,89 		$1 430,78
$1 540,22
$1 656,14
$2 067,96 		$1 740,85
$1 850,29
$1 966,21
$2 378,03 		$310,07
Toc - Plan #38 Kaiser Permanente
Gold

(HMO) KP VA Gold 1700/25/Vision

Annual Out of Pocket Expenses
Individual Family
$1,700 $3,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$396,40
$449,91
$506,60
$707,97
$1 075,83 		$699,65
$753,16
$809,85
$1 011,22 		$1 002,90
$1 056,41
$1 113,10
$1 314,47 		$1 306,15
$1 359,66
$1 416,35
$1 617,72 		$303,25
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$792,80
$899,82
$1 013,20
$1 415,94
$2 151,66 		$1 096,05
$1 203,07
$1 316,45
$1 719,19 		$1 399,30
$1 506,32
$1 619,70
$2 022,44 		$1 702,55
$1 809,57
$1 922,95
$2 325,69 		$303,25
Toc - Plan #39 Kaiser Permanente
Silver

(HMO) KP VA Silver 6500/40/Vision

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$413,00
$468,76
$527,82
$737,63
$1 120,89 		$728,95
$784,71
$843,77
$1 053,58 		$1 044,90
$1 100,66
$1 159,72
$1 369,53 		$1 360,85
$1 416,61
$1 475,67
$1 685,48 		$315,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$826,00
$937,52
$1 055,64
$1 475,26
$2 241,78 		$1 141,95
$1 253,47
$1 371,59
$1 791,21 		$1 457,90
$1 569,42
$1 687,54
$2 107,16 		$1 773,85
$1 885,37
$2 003,49
$2 423,11 		$315,95
Toc - Plan #40 Kaiser Permanente
Bronze

(HMO) KP VA Bronze 7500/40%/Vision

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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$312,23
$354,38
$399,03
$557,65
$847,40 		$551,09
$593,24
$637,89
$796,51 		$789,95
$832,10
$876,75
$1 035,37 		$1 028,81
$1 070,96
$1 115,61
$1 274,23 		$238,86
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$624,46
$708,76
$798,06
$1 115,30
$1 694,80 		$863,32
$947,62
$1 036,92
$1 354,16 		$1 102,18
$1 186,48
$1 275,78
$1 593,02 		$1 341,04
$1 425,34
$1 514,64
$1 831,88 		$238,86
Toc - Plan #41 Kaiser Permanente
Expanded Bronze

(HMO) KP VA Bronze 6900/0%/HSA/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
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$329,17
$373,61
$420,68
$587,90
$893,37 		$580,99
$625,43
$672,50
$839,72 		$832,81
$877,25
$924,32
$1 091,54 		$1 084,63
$1 129,07
$1 176,14
$1 343,36 		$251,82
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$658,34
$747,22
$841,36
$1 175,80
$1 786,74 		$910,16
$999,04
$1 093,18
$1 427,62 		$1 161,98
$1 250,86
$1 345,00
$1 679,44 		$1 413,80
$1 502,68
$1 596,82
$1 931,26 		$251,82

‡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 Prince William County here.

Prince William County is in “Rating Area 10” of Virginia.

Currently, there are 41 plans offered in Rating Area 10.

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2022 Obamacare Rates for Prince William County

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