Obamacare FAQ
Help Topic:
Content Loading. Please wait...
Obamacare > Rates > Virginia > Prince William County
ADVERTISEMENT
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 2023.
Below, you’ll find a summary of the 93 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.
ADVERTISEMENT
CareFirst BlueChoiceLocal: 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 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.56 $411.51 $463.35 $647.53 $983.99 |
$639.92 $688.87 $740.71 $924.89 |
$917.28 $966.23 $1,018.07 $1,202.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.12 $823.02 $926.70 $1,295.06 $1,967.98 |
$1,002.48 $1,100.38 $1,204.06 $1,572.42 |
$1,279.84 $1,377.74 $1,481.42 $1,849.78 |
Toc - Plan #2 CareFirst BlueChoice | ||||||||||||||||||||
Gold
(HMO) BlueChoice HMO Gold 1750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$354.55 $402.41 $453.11 $633.23 $962.25 |
$625.78 $673.64 $724.34 $904.46 |
$897.01 $944.87 $995.57 $1,175.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$709.10 $804.82 $906.22 $1,266.46 $1,924.50 |
$980.33 $1,076.05 $1,177.45 $1,537.69 |
$1,251.56 $1,347.28 $1,448.68 $1,808.92 |
Toc - Plan #3 CareFirst BlueChoice | ||||||||||||||||||||
Catastrophic
(HMO) BlueChoice HMO Young Adult 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$127.70 $144.94 $163.20 $228.07 $346.58 |
$225.39 $242.63 $260.89 $325.76 |
$323.08 $340.32 $358.58 $423.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$255.40 $289.88 $326.40 $456.14 $693.16 |
$353.09 $387.57 $424.09 $553.83 |
$450.78 $485.26 $521.78 $651.52 |
Toc - Plan #4 CareFirst BlueChoice | ||||||||||||||||||||
Silver
(HMO) BlueChoice HMO Standard Silver $5,800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$343.31 $389.66 $438.75 $613.15 $931.74 |
$605.94 $652.29 $701.38 $875.78 |
$868.57 $914.92 $964.01 $1,138.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$686.62 $779.32 $877.50 $1,226.30 $1,863.48 |
$949.25 $1,041.95 $1,140.13 $1,488.93 |
$1,211.88 $1,304.58 $1,402.76 $1,751.56 |
Toc - Plan #5 CareFirst BlueChoice | ||||||||||||||||||||
Gold
(HMO) BlueChoice HMO Standard Gold $2,000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.90 $371.03 $417.78 $583.84 $887.21 |
$576.98 $621.11 $667.86 $833.92 |
$827.06 $871.19 $917.94 $1,084.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.80 $742.06 $835.56 $1,167.68 $1,774.42 |
$903.88 $992.14 $1,085.64 $1,417.76 |
$1,153.96 $1,242.22 $1,335.72 $1,667.84 |
ADVERTISEMENT
Optima Health PlanLocal: 1-866-946-6034 | Toll Free: 1-866-946-6034 | TTY: 1-800-828-1140 |
Toc - Plan #6 Optima Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) OptimaFit Bronze 6250 20% HSA Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$240.82 $273.33 $307.77 $430.11 $653.59 |
$425.05 $457.56 $492.00 $614.34 |
$609.28 $641.79 $676.23 $798.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$481.64 $546.66 $615.54 $860.22 $1,307.18 |
$665.87 $730.89 $799.77 $1,044.45 |
$850.10 $915.12 $984.00 $1,228.68 |
Toc - Plan #7 Optima Health Plan | ||||||||||||||||||||
Gold
(HMO) OptimaFit Gold 1300 20% Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.16 $327.06 $368.27 $514.66 $782.07 |
$508.60 $547.50 $588.71 $735.10 |
$729.04 $767.94 $809.15 $955.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$576.32 $654.12 $736.54 $1,029.32 $1,564.14 |
$796.76 $874.56 $956.98 $1,249.76 |
$1,017.20 $1,095.00 $1,177.42 $1,470.20 |
Toc - Plan #8 Optima Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) OptimaFit Bronze 7200 40% Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$220.09 $249.80 $281.28 $393.08 $597.33 |
$388.46 $418.17 $449.65 $561.45 |
$556.83 $586.54 $618.02 $729.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$440.18 $499.60 $562.56 $786.16 $1,194.66 |
$608.55 $667.97 $730.93 $954.53 |
$776.92 $836.34 $899.30 $1,122.90 |
Toc - Plan #9 Optima Health Plan | ||||||||||||||||||||
Silver
(HMO) OptimaFit Silver 3800 25% Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$290.39 $329.59 $371.11 $518.63 $788.11 |
$512.54 $551.74 $593.26 $740.78 |
$734.69 $773.89 $815.41 $962.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$580.78 $659.18 $742.22 $1,037.26 $1,576.22 |
$802.93 $881.33 $964.37 $1,259.41 |
$1,025.08 $1,103.48 $1,186.52 $1,481.56 |
Toc - Plan #10 Optima Health Plan | ||||||||||||||||||||
Silver
(HMO) OptimaFit Silver 6600 30% Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.48 $322.88 $363.56 $508.08 $772.07 |
$502.10 $540.50 $581.18 $725.70 |
$719.72 $758.12 $798.80 $943.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.96 $645.76 $727.12 $1,016.16 $1,544.14 |
$786.58 $863.38 $944.74 $1,233.78 |
$1,004.20 $1,081.00 $1,162.36 $1,451.40 |
Toc - Plan #11 Optima Health Plan | ||||||||||||||||||||
Gold
(HMO) OptimaFit Gold 2200 20% Direct M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.99 $331.41 $373.16 $521.49 $792.46 |
$515.36 $554.78 $596.53 $744.86 |
$738.73 $778.15 $819.90 $968.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.98 $662.82 $746.32 $1,042.98 $1,584.92 |
$807.35 $886.19 $969.69 $1,266.35 |
$1,030.72 $1,109.56 $1,193.06 $1,489.72 |
Toc - Plan #12 Optima Health Plan | ||||||||||||||||||||
Gold
(HMO) OptimaFit Gold 2000 25% Standard M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.88 $331.28 $373.02 $521.29 $792.16 |
$515.17 $554.57 $596.31 $744.58 |
$738.46 $777.86 $819.60 $967.87 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.76 $662.56 $746.04 $1,042.58 $1,584.32 |
$807.05 $885.85 $969.33 $1,265.87 |
$1,030.34 $1,109.14 $1,192.62 $1,489.16 |
Toc - Plan #13 Optima Health Plan | ||||||||||||||||||||
Silver
(HMO) OptimaFit Silver 5800 40% Standard M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$285.21 $323.71 $364.50 $509.38 $774.06 |
$503.39 $541.89 $582.68 $727.56 |
$721.57 $760.07 $800.86 $945.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$570.42 $647.42 $729.00 $1,018.76 $1,548.12 |
$788.60 $865.60 $947.18 $1,236.94 |
$1,006.78 $1,083.78 $1,165.36 $1,455.12 |
Toc - Plan #14 Optima Health Plan | ||||||||||||||||||||
Bronze
(HMO) OptimaFit Bronze 9100 0% Standard M |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-946-6034
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$226.05 $256.57 $288.89 $403.72 $613.50 |
$398.98 $429.50 $461.82 $576.65 |
$571.91 $602.43 $634.75 $749.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$452.10 $513.14 $577.78 $807.44 $1,227.00 |
$625.03 $686.07 $750.71 $980.37 |
$797.96 $859.00 $923.64 $1,153.30 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-877-265-9199 | Toll Free: 1-877-265-9199 | TTY: 1-877-265-9199 |
Toc - Plan #15 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $2,950 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$329.94 $374.49 $421.67 $589.28 $895.47 |
$582.35 $626.90 $674.08 $841.69 |
$834.76 $879.31 $926.49 $1,094.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$659.88 $748.98 $843.34 $1,178.56 $1,790.94 |
$912.29 $1,001.39 $1,095.75 $1,430.97 |
$1,164.70 $1,253.80 $1,348.16 $1,683.38 |
Toc - Plan #16 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value $6,500 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$256.59 $291.23 $327.92 $458.26 $696.37 |
$452.88 $487.52 $524.21 $654.55 |
$649.17 $683.81 $720.50 $850.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$513.18 $582.46 $655.84 $916.52 $1,392.74 |
$709.47 $778.75 $852.13 $1,112.81 |
$905.76 $975.04 $1,048.42 $1,309.10 |
Toc - Plan #17 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value $3,600 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.27 $361.24 $406.75 $568.43 $863.78 |
$561.75 $604.72 $650.23 $811.91 |
$805.23 $848.20 $893.71 $1,055.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$636.54 $722.48 $813.50 $1,136.86 $1,727.56 |
$880.02 $965.96 $1,056.98 $1,380.34 |
$1,123.50 $1,209.44 $1,300.46 $1,623.82 |
Toc - Plan #18 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $1,800 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $2 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$310.33 $352.22 $396.60 $554.25 $842.24 |
$547.73 $589.62 $634.00 $791.65 |
$785.13 $827.02 $871.40 $1,029.05 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$620.66 $704.44 $793.20 $1,108.50 $1,684.48 |
$858.06 $941.84 $1,030.60 $1,345.90 |
$1,095.46 $1,179.24 $1,268.00 $1,583.30 |
Toc - Plan #19 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $2 T1 Preferred Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$339.94 $385.83 $434.44 $607.13 $922.60 |
$599.99 $645.88 $694.49 $867.18 |
$860.04 $905.93 $954.54 $1,127.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$679.88 $771.66 $868.88 $1,214.26 $1,845.20 |
$939.93 $1,031.71 $1,128.93 $1,474.31 |
$1,199.98 $1,291.76 $1,388.98 $1,734.36 |
Toc - Plan #20 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$314.95 $357.46 $402.50 $562.50 $854.77 |
$555.88 $598.39 $643.43 $803.43 |
$796.81 $839.32 $884.36 $1,044.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$629.90 $714.92 $805.00 $1,125.00 $1,709.54 |
$870.83 $955.85 $1,045.93 $1,365.93 |
$1,111.76 $1,196.78 $1,286.86 $1,606.86 |
Toc - Plan #21 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.33 $362.44 $408.11 $570.33 $866.67 |
$563.62 $606.73 $652.40 $814.62 |
$807.91 $851.02 $896.69 $1,058.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.66 $724.88 $816.22 $1,140.66 $1,733.34 |
$882.95 $969.17 $1,060.51 $1,384.95 |
$1,127.24 $1,213.46 $1,304.80 $1,629.24 |
Toc - Plan #22 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$251.47 $285.42 $321.38 $449.13 $682.50 |
$443.85 $477.80 $513.76 $641.51 |
$636.23 $670.18 $706.14 $833.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$502.94 $570.84 $642.76 $898.26 $1,365.00 |
$695.32 $763.22 $835.14 $1,090.64 |
$887.70 $955.60 $1,027.52 $1,283.02 |
Toc - Plan #23 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$239.69 $272.05 $306.33 $428.09 $650.53 |
$423.06 $455.42 $489.70 $611.46 |
$606.43 $638.79 $673.07 $794.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$479.38 $544.10 $612.66 $856.18 $1,301.06 |
$662.75 $727.47 $796.03 $1,039.55 |
$846.12 $910.84 $979.40 $1,222.92 |
Toc - Plan #24 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($3 T1 Preferred Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$242.36 $275.08 $309.74 $432.85 $657.76 |
$427.77 $460.49 $495.15 $618.26 |
$613.18 $645.90 $680.56 $803.67 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$484.72 $550.16 $619.48 $865.70 $1,315.52 |
$670.13 $735.57 $804.89 $1,051.11 |
$855.54 $920.98 $990.30 $1,236.52 |
Toc - Plan #25 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard $7,500 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.96 $283.71 $319.45 $446.44 $678.40 |
$441.18 $474.93 $510.67 $637.66 |
$632.40 $666.15 $701.89 $828.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.92 $567.42 $638.90 $892.88 $1,356.80 |
$691.14 $758.64 $830.12 $1,084.10 |
$882.36 $949.86 $1,021.34 $1,275.32 |
Toc - Plan #26 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Standard $9,100 Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.09 $267.96 $301.72 $421.66 $640.75 |
$416.70 $448.57 $482.33 $602.27 |
$597.31 $629.18 $662.94 $782.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.18 $535.92 $603.44 $843.32 $1,281.50 |
$652.79 $716.53 $784.05 $1,023.93 |
$833.40 $897.14 $964.66 $1,204.54 |
Toc - Plan #27 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value $2,100 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$318.68 $361.70 $407.27 $569.16 $864.90 |
$562.47 $605.49 $651.06 $812.95 |
$806.26 $849.28 $894.85 $1,056.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$637.36 $723.40 $814.54 $1,138.32 $1,729.80 |
$881.15 $967.19 $1,058.33 $1,382.11 |
$1,124.94 $1,210.98 $1,302.12 $1,625.90 |
Toc - Plan #28 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 T1 Preferred Rx) (Disponible en español) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-265-9199
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$312.57 $354.76 $399.46 $558.24 $848.30 |
$551.68 $593.87 $638.57 $797.35 |
$790.79 $832.98 $877.68 $1,036.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$625.14 $709.52 $798.92 $1,116.48 $1,696.60 |
$864.25 $948.63 $1,038.03 $1,355.59 |
$1,103.36 $1,187.74 $1,277.14 $1,594.70 |
ADVERTISEMENT
CareFirst BlueCross BlueShieldLocal: 1-855-444-3119 | Toll Free: 1-855-444-3119 | TTY: 1-202-479-3546 |
Toc - Plan #29 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Gold
(PPO) BluePreferred PPO Gold 1750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$663.29 $752.83 $847.68 $1,184.64 $1,800.17 |
$1,170.71 $1,260.25 $1,355.10 $1,692.06 |
$1,678.13 $1,767.67 $1,862.52 $2,199.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,326.58 $1,505.66 $1,695.36 $2,369.28 $3,600.34 |
$1,834.00 $2,013.08 $2,202.78 $2,876.70 |
$2,341.42 $2,520.50 $2,710.20 $3,384.12 |
Toc - Plan #30 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Silver
(PPO) BluePreferred PPO HSA Silver 3000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$666.84 $756.86 $852.22 $1,190.98 $1,809.80 |
$1,176.97 $1,266.99 $1,362.35 $1,701.11 |
$1,687.10 $1,777.12 $1,872.48 $2,211.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,333.68 $1,513.72 $1,704.44 $2,381.96 $3,619.60 |
$1,843.81 $2,023.85 $2,214.57 $2,892.09 |
$2,353.94 $2,533.98 $2,724.70 $3,402.22 |
Toc - Plan #31 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Silver
(PPO) BluePreferred PPO Standard Silver 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$645.91 $733.11 $825.47 $1,153.60 $1,753.00 |
$1,140.03 $1,227.23 $1,319.59 $1,647.72 |
$1,634.15 $1,721.35 $1,813.71 $2,141.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,291.82 $1,466.22 $1,650.94 $2,307.20 $3,506.00 |
$1,785.94 $1,960.34 $2,145.06 $2,801.32 |
$2,280.06 $2,454.46 $2,639.18 $3,295.44 |
Toc - Plan #32 CareFirst BlueCross BlueShield | ||||||||||||||||||||
Gold
(PPO) BluePreferred PPO Standard Gold 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-444-3119
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$646.57 $733.86 $826.32 $1,154.77 $1,754.79 |
$1,141.20 $1,228.49 $1,320.95 $1,649.40 |
$1,635.83 $1,723.12 $1,815.58 $2,144.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,293.14 $1,467.72 $1,652.64 $2,309.54 $3,509.58 |
$1,787.77 $1,962.35 $2,147.27 $2,804.17 |
$2,282.40 $2,456.98 $2,641.90 $3,298.80 |
ADVERTISEMENT
Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #33 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Cigna Connect 7800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$224.84 $255.19 $287.34 $401.56 $610.21 |
$396.84 $427.19 $459.34 $573.56 |
$568.84 $599.19 $631.34 $745.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$449.68 $510.38 $574.68 $803.12 $1,220.42 |
$621.68 $682.38 $746.68 $975.12 |
$793.68 $854.38 $918.68 $1,147.12 |
Toc - Plan #34 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6750 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.19 $268.08 $301.85 $421.84 $641.03 |
$416.88 $448.77 $482.54 $602.53 |
$597.57 $629.46 $663.23 $783.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.38 $536.16 $603.70 $843.68 $1,282.06 |
$653.07 $716.85 $784.39 $1,024.37 |
$833.76 $897.54 $965.08 $1,205.06 |
Toc - Plan #35 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 5000 + Acupuncture |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.93 $344.96 $388.42 $542.81 $824.86 |
$536.43 $577.46 $620.92 $775.31 |
$768.93 $809.96 $853.42 $1,007.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$607.86 $689.92 $776.84 $1,085.62 $1,649.72 |
$840.36 $922.42 $1,009.34 $1,318.12 |
$1,072.86 $1,154.92 $1,241.84 $1,550.62 |
Toc - Plan #36 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1600 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.02 $330.31 $371.92 $519.76 $789.83 |
$513.65 $552.94 $594.55 $742.39 |
$736.28 $775.57 $817.18 $965.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$582.04 $660.62 $743.84 $1,039.52 $1,579.66 |
$804.67 $883.25 $966.47 $1,262.15 |
$1,027.30 $1,105.88 $1,189.10 $1,484.78 |
Toc - Plan #37 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 6500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.36 $340.90 $383.85 $536.43 $815.16 |
$530.13 $570.67 $613.62 $766.20 |
$759.90 $800.44 $843.39 $995.97 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.72 $681.80 $767.70 $1,072.86 $1,630.32 |
$830.49 $911.57 $997.47 $1,302.63 |
$1,060.26 $1,141.34 $1,227.24 $1,532.40 |
Toc - Plan #38 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 3400 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$235.18 $266.93 $300.56 $420.04 $638.28 |
$415.09 $446.84 $480.47 $599.95 |
$595.00 $626.75 $660.38 $779.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$470.36 $533.86 $601.12 $840.08 $1,276.56 |
$650.27 $713.77 $781.03 $1,019.99 |
$830.18 $893.68 $960.94 $1,199.90 |
Toc - Plan #39 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.26 $341.94 $385.02 $538.06 $817.63 |
$531.73 $572.41 $615.49 $768.53 |
$762.20 $802.88 $845.96 $999.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$602.52 $683.88 $770.04 $1,076.12 $1,635.26 |
$832.99 $914.35 $1,000.51 $1,306.59 |
$1,063.46 $1,144.82 $1,230.98 $1,537.06 |
Toc - Plan #40 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1950 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.31 $326.10 $367.19 $513.14 $779.77 |
$507.11 $545.90 $586.99 $732.94 |
$726.91 $765.70 $806.79 $952.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$574.62 $652.20 $734.38 $1,026.28 $1,559.54 |
$794.42 $872.00 $954.18 $1,246.08 |
$1,014.22 $1,091.80 $1,173.98 $1,465.88 |
Toc - Plan #41 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 6800 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$235.35 $267.12 $300.78 $420.34 $638.74 |
$415.39 $447.16 $480.82 $600.38 |
$595.43 $627.20 $660.86 $780.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$470.70 $534.24 $601.56 $840.68 $1,277.48 |
$650.74 $714.28 $781.60 $1,020.72 |
$830.78 $894.32 $961.64 $1,200.76 |
Toc - Plan #42 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect HSA 7050 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$236.40 $268.31 $302.11 $422.20 $641.58 |
$417.24 $449.15 $482.95 $603.04 |
$598.08 $629.99 $663.79 $783.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$472.80 $536.62 $604.22 $844.40 $1,283.16 |
$653.64 $717.46 $785.06 $1,025.24 |
$834.48 $898.30 $965.90 $1,206.08 |
Toc - Plan #43 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 1900 Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$288.96 $327.98 $369.30 $516.09 $784.25 |
$510.02 $549.04 $590.36 $737.15 |
$731.08 $770.10 $811.42 $958.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$577.92 $655.96 $738.60 $1,032.18 $1,568.50 |
$798.98 $877.02 $959.66 $1,253.24 |
$1,020.04 $1,098.08 $1,180.72 $1,474.30 |
Toc - Plan #44 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 3250 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$294.76 $334.55 $376.70 $526.44 $799.98 |
$520.25 $560.04 $602.19 $751.93 |
$745.74 $785.53 $827.68 $977.42 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$589.52 $669.10 $753.40 $1,052.88 $1,599.96 |
$815.01 $894.59 $978.89 $1,278.37 |
$1,040.50 $1,120.08 $1,204.38 $1,503.86 |
Toc - Plan #45 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Connect 4200 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$302.38 $343.20 $386.44 $540.05 $820.65 |
$533.70 $574.52 $617.76 $771.37 |
$765.02 $805.84 $849.08 $1,002.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$604.76 $686.40 $772.88 $1,080.10 $1,641.30 |
$836.08 $917.72 $1,004.20 $1,311.42 |
$1,067.40 $1,149.04 $1,235.52 $1,542.74 |
Toc - Plan #46 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.82 $326.67 $367.83 $514.05 $781.14 |
$508.00 $546.85 $588.01 $734.23 |
$728.18 $767.03 $808.19 $954.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.64 $653.34 $735.66 $1,028.10 $1,562.28 |
$795.82 $873.52 $955.84 $1,248.28 |
$1,016.00 $1,093.70 $1,176.02 $1,468.46 |
Toc - Plan #47 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Simple Choice 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.88 $325.60 $366.63 $512.36 $778.58 |
$506.34 $545.06 $586.09 $731.82 |
$725.80 $764.52 $805.55 $951.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.76 $651.20 $733.26 $1,024.72 $1,557.16 |
$793.22 $870.66 $952.72 $1,244.18 |
$1,012.68 $1,090.12 $1,172.18 $1,463.64 |
Toc - Plan #48 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Silver
(EPO) Cigna Simple Choice 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$300.39 $340.94 $383.90 $536.49 $815.26 |
$530.19 $570.74 $613.70 $766.29 |
$759.99 $800.54 $843.50 $996.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$600.78 $681.88 $767.80 $1,072.98 $1,630.52 |
$830.58 $911.68 $997.60 $1,302.78 |
$1,060.38 $1,141.48 $1,227.40 $1,532.58 |
Toc - Plan #49 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Bronze
(EPO) Cigna Simple Choice 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$224.33 $254.62 $286.70 $400.66 $608.83 |
$395.94 $426.23 $458.31 $572.27 |
$567.55 $597.84 $629.92 $743.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$448.66 $509.24 $573.40 $801.32 $1,217.66 |
$620.27 $680.85 $745.01 $972.93 |
$791.88 $852.46 $916.62 $1,144.54 |
Toc - Plan #50 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Simple Choice 7500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$233.19 $264.68 $298.02 $416.48 $632.89 |
$411.58 $443.07 $476.41 $594.87 |
$589.97 $621.46 $654.80 $773.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$466.38 $529.36 $596.04 $832.96 $1,265.78 |
$644.77 $707.75 $774.43 $1,011.35 |
$823.16 $886.14 $952.82 $1,189.74 |
Toc - Plan #51 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 0 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$252.77 $286.90 $323.04 $451.45 $686.03 |
$446.14 $480.27 $516.41 $644.82 |
$639.51 $673.64 $709.78 $838.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$505.54 $573.80 $646.08 $902.90 $1,372.06 |
$698.91 $767.17 $839.45 $1,096.27 |
$892.28 $960.54 $1,032.82 $1,289.64 |
Toc - Plan #52 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Expanded Bronze
(EPO) Cigna Connect 7600 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$234.95 $266.66 $300.26 $419.61 $637.64 |
$414.68 $446.39 $479.99 $599.34 |
$594.41 $626.12 $659.72 $779.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$469.90 $533.32 $600.52 $839.22 $1,275.28 |
$649.63 $713.05 $780.25 $1,018.95 |
$829.36 $892.78 $959.98 $1,198.68 |
Toc - Plan #53 Cigna Health and Life Insurance Company | ||||||||||||||||||||
Gold
(EPO) Cigna Connect 2100 Enhanced Asthma COPD Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.98 $325.72 $366.76 $512.54 $778.85 |
$506.52 $545.26 $586.30 $732.08 |
$726.06 $764.80 $805.84 $951.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.96 $651.44 $733.52 $1,025.08 $1,557.70 |
$793.50 $870.98 $953.06 $1,244.62 |
$1,013.04 $1,090.52 $1,172.60 $1,464.16 |
ADVERTISEMENT
Innovation Health Plan, Inc.Local: 1-866-833-2957 | Toll Free: 1-866-833-2957 |
Toc - Plan #54 Innovation Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Innovation Health - Aetna Bronze (Low Premium + Telehealth + Low-Cost MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$219.43 $249.05 $280.43 $391.90 $595.53 |
$387.29 $416.91 $448.29 $559.76 |
$555.15 $584.77 $616.15 $727.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$438.86 $498.10 $560.86 $783.80 $1,191.06 |
$606.72 $665.96 $728.72 $951.66 |
$774.58 $833.82 $896.58 $1,119.52 |
Toc - Plan #55 Innovation Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Innovation Health - Aetna Bronze (Low Premium + Telehealth + $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$203.98 $231.51 $260.68 $364.30 $553.59 |
$360.02 $387.55 $416.72 $520.34 |
$516.06 $543.59 $572.76 $676.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$407.96 $463.02 $521.36 $728.60 $1,107.18 |
$564.00 $619.06 $677.40 $884.64 |
$720.04 $775.10 $833.44 $1,040.68 |
Toc - Plan #56 Innovation Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Innovation Health - Aetna Gold (Telehealth and $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$307.42 $348.92 $392.88 $549.05 $834.34 |
$542.60 $584.10 $628.06 $784.23 |
$777.78 $819.28 $863.24 $1,019.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$614.84 $697.84 $785.76 $1,098.10 $1,668.68 |
$850.02 $933.02 $1,020.94 $1,333.28 |
$1,085.20 $1,168.20 $1,256.12 $1,568.46 |
Toc - Plan #57 Innovation Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Innovation Health - Aetna Silver 2 (Telehealth and $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$280.05 $317.86 $357.91 $500.17 $760.06 |
$494.29 $532.10 $572.15 $714.41 |
$708.53 $746.34 $786.39 $928.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$560.10 $635.72 $715.82 $1,000.34 $1,520.12 |
$774.34 $849.96 $930.06 $1,214.58 |
$988.58 $1,064.20 $1,144.30 $1,428.82 |
Toc - Plan #58 Innovation Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Innovation Health - Aetna Silver 3 (Telehealth and $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.11 $315.66 $355.43 $496.71 $754.80 |
$490.87 $528.42 $568.19 $709.47 |
$703.63 $741.18 $780.95 $922.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.22 $631.32 $710.86 $993.42 $1,509.60 |
$768.98 $844.08 $923.62 $1,206.18 |
$981.74 $1,056.84 $1,136.38 $1,418.94 |
Toc - Plan #59 Innovation Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Innovation Health - Aetna Silver 4 ($0 Deductible + $0 MinuteClinic & Telehealth at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$338.47 $384.16 $432.56 $604.51 $918.61 |
$597.40 $643.09 $691.49 $863.44 |
$856.33 $902.02 $950.42 $1,122.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$676.94 $768.32 $865.12 $1,209.02 $1,837.22 |
$935.87 $1,027.25 $1,124.05 $1,467.95 |
$1,194.80 $1,286.18 $1,382.98 $1,726.88 |
Toc - Plan #60 Innovation Health Plan, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Innovation Health - Aetna Bronze S (Low Premium + Telehealth + $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$216.32 $245.52 $276.45 $386.34 $587.08 |
$381.80 $411.00 $441.93 $551.82 |
$547.28 $576.48 $607.41 $717.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$432.64 $491.04 $552.90 $772.68 $1,174.16 |
$598.12 $656.52 $718.38 $938.16 |
$763.60 $822.00 $883.86 $1,103.64 |
Toc - Plan #61 Innovation Health Plan, Inc. | ||||||||||||||||||||
Gold
(HMO) Innovation Health - Aetna Gold S (Telehealth and $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.42 $309.20 $348.15 $486.54 $739.35 |
$480.82 $517.60 $556.55 $694.94 |
$689.22 $726.00 $764.95 $903.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$544.84 $618.40 $696.30 $973.08 $1,478.70 |
$753.24 $826.80 $904.70 $1,181.48 |
$961.64 $1,035.20 $1,113.10 $1,389.88 |
Toc - Plan #62 Innovation Health Plan, Inc. | ||||||||||||||||||||
Silver
(HMO) Innovation Health - Aetna Silver S (Telehealth and $0 MinuteClinic Visits at CVS) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-866-833-2957
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$268.51 $304.76 $343.16 $479.56 $728.75 |
$473.92 $510.17 $548.57 $684.97 |
$679.33 $715.58 $753.98 $890.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$537.02 $609.52 $686.32 $959.12 $1,457.50 |
$742.43 $814.93 $891.73 $1,164.53 |
$947.84 $1,020.34 $1,097.14 $1,369.94 |
ADVERTISEMENT
HealthKeepers, Inc.Local: 1-855-748-1810 | Toll Free: 1-855-748-1810 |
Toc - Plan #63 HealthKeepers, Inc. | ||||||||||||||||||||
Catastrophic
(HMO) Anthem HealthKeepers Catastrophic X 9100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$194.18 $220.39 $248.16 $346.81 $527.00 |
$342.73 $368.94 $396.71 $495.36 |
$491.28 $517.49 $545.26 $643.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$388.36 $440.78 $496.32 $693.62 $1,054.00 |
$536.91 $589.33 $644.87 $842.17 |
$685.46 $737.88 $793.42 $990.72 |
Toc - Plan #64 HealthKeepers, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$257.76 $292.56 $329.42 $460.36 $699.56 |
$454.95 $489.75 $526.61 $657.55 |
$652.14 $686.94 $723.80 $854.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$515.52 $585.12 $658.84 $920.72 $1,399.12 |
$712.71 $782.31 $856.03 $1,117.91 |
$909.90 $979.50 $1,053.22 $1,315.10 |
Toc - Plan #65 HealthKeepers, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5900 for HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$260.77 $295.97 $333.26 $465.74 $707.73 |
$460.26 $495.46 $532.75 $665.23 |
$659.75 $694.95 $732.24 $864.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$521.54 $591.94 $666.52 $931.48 $1,415.46 |
$721.03 $791.43 $866.01 $1,130.97 |
$920.52 $990.92 $1,065.50 $1,330.46 |
Toc - Plan #66 HealthKeepers, Inc. | ||||||||||||||||||||
Bronze
(HMO) Anthem HealthKeepers Bronze X 8200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$246.58 $279.87 $315.13 $440.39 $669.22 |
$435.21 $468.50 $503.76 $629.02 |
$623.84 $657.13 $692.39 $817.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$493.16 $559.74 $630.26 $880.78 $1,338.44 |
$681.79 $748.37 $818.89 $1,069.41 |
$870.42 $937.00 $1,007.52 $1,258.04 |
Toc - Plan #67 HealthKeepers, Inc. | ||||||||||||||||||||
Gold
(HMO) Anthem HealthKeepers Gold X 1800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.80 $370.92 $417.65 $583.66 $886.94 |
$576.80 $620.92 $667.65 $833.66 |
$826.80 $870.92 $917.65 $1,083.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$653.60 $741.84 $835.30 $1,167.32 $1,773.88 |
$903.60 $991.84 $1,085.30 $1,417.32 |
$1,153.60 $1,241.84 $1,335.30 $1,667.32 |
Toc - Plan #68 HealthKeepers, Inc. | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 2400 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.11 $375.81 $423.16 $591.36 $898.63 |
$584.41 $629.11 $676.46 $844.66 |
$837.71 $882.41 $929.76 $1,097.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$662.22 $751.62 $846.32 $1,182.72 $1,797.26 |
$915.52 $1,004.92 $1,099.62 $1,436.02 |
$1,168.82 $1,258.22 $1,352.92 $1,689.32 |
Toc - Plan #69 HealthKeepers, Inc. | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 5000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$320.11 $363.32 $409.10 $571.72 $868.78 |
$564.99 $608.20 $653.98 $816.60 |
$809.87 $853.08 $898.86 $1,061.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$640.22 $726.64 $818.20 $1,143.44 $1,737.56 |
$885.10 $971.52 $1,063.08 $1,388.32 |
$1,129.98 $1,216.40 $1,307.96 $1,633.20 |
Toc - Plan #70 HealthKeepers, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 5800 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$265.23 $301.04 $338.96 $473.70 $719.83 |
$468.13 $503.94 $541.86 $676.60 |
$671.03 $706.84 $744.76 $879.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$530.46 $602.08 $677.92 $947.40 $1,439.66 |
$733.36 $804.98 $880.82 $1,150.30 |
$936.26 $1,007.88 $1,083.72 $1,353.20 |
Toc - Plan #71 HealthKeepers, Inc. | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 4200 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$321.81 $365.25 $411.27 $574.75 $873.39 |
$567.99 $611.43 $657.45 $820.93 |
$814.17 $857.61 $903.63 $1,067.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$643.62 $730.50 $822.54 $1,149.50 $1,746.78 |
$889.80 $976.68 $1,068.72 $1,395.68 |
$1,135.98 $1,222.86 $1,314.90 $1,641.86 |
Toc - Plan #72 HealthKeepers, Inc. | ||||||||||||||||||||
Gold
(HMO) Anthem HealthKeepers Gold X 1500 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.82 $369.81 $416.40 $581.91 $884.28 |
$575.07 $619.06 $665.65 $831.16 |
$824.32 $868.31 $914.90 $1,080.41 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.64 $739.62 $832.80 $1,163.82 $1,768.56 |
$900.89 $988.87 $1,082.05 $1,413.07 |
$1,150.14 $1,238.12 $1,331.30 $1,662.32 |
Toc - Plan #73 HealthKeepers, Inc. | ||||||||||||||||||||
Expanded Bronze
(HMO) Anthem HealthKeepers Bronze X 7500 Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$270.69 $307.23 $345.94 $483.45 $734.65 |
$477.77 $514.31 $553.02 $690.53 |
$684.85 $721.39 $760.10 $897.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$541.38 $614.46 $691.88 $966.90 $1,469.30 |
$748.46 $821.54 $898.96 $1,173.98 |
$955.54 $1,028.62 $1,106.04 $1,381.06 |
Toc - Plan #74 HealthKeepers, Inc. | ||||||||||||||||||||
Bronze
(HMO) Anthem HealthKeepers Bronze X 9100 Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$248.28 $281.80 $317.30 $443.43 $673.83 |
$438.21 $471.73 $507.23 $633.36 |
$628.14 $661.66 $697.16 $823.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$496.56 $563.60 $634.60 $886.86 $1,347.66 |
$686.49 $753.53 $824.53 $1,076.79 |
$876.42 $943.46 $1,014.46 $1,266.72 |
Toc - Plan #75 HealthKeepers, Inc. | ||||||||||||||||||||
Silver
(HMO) Anthem HealthKeepers Silver X 5800 Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$322.53 $366.07 $412.19 $576.04 $875.35 |
$569.27 $612.81 $658.93 $822.78 |
$816.01 $859.55 $905.67 $1,069.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$645.06 $732.14 $824.38 $1,152.08 $1,750.70 |
$891.80 $978.88 $1,071.12 $1,398.82 |
$1,138.54 $1,225.62 $1,317.86 $1,645.56 |
Toc - Plan #76 HealthKeepers, Inc. | ||||||||||||||||||||
Gold
(HMO) Anthem HealthKeepers Gold X 2000 Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-748-1810
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.74 $381.06 $429.08 $599.63 $911.20 |
$592.58 $637.90 $685.92 $856.47 |
$849.42 $894.74 $942.76 $1,113.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$671.48 $762.12 $858.16 $1,199.26 $1,822.40 |
$928.32 $1,018.96 $1,115.00 $1,456.10 |
$1,185.16 $1,275.80 $1,371.84 $1,712.94 |
ADVERTISEMENT
Kaiser PermanenteLocal: 1-800-807-1140 | Toll Free: 1-800-807-1140 | TTY: 1-703-359-7616 |
Toc - Plan #77 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 0/20/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$328.49 $372.84 $419.81 $586.68 $891.52 |
$579.78 $624.13 $671.10 $837.97 |
$831.07 $875.42 $922.39 $1,089.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$656.98 $745.68 $839.62 $1,173.36 $1,783.04 |
$908.27 $996.97 $1,090.91 $1,424.65 |
$1,159.56 $1,248.26 $1,342.20 $1,675.94 |
Toc - Plan #78 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 2500/35/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.24 $374.82 $422.05 $589.81 $896.27 |
$582.87 $627.45 $674.68 $842.44 |
$835.50 $880.08 $927.31 $1,095.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.48 $749.64 $844.10 $1,179.62 $1,792.54 |
$913.11 $1,002.27 $1,096.73 $1,432.25 |
$1,165.74 $1,254.90 $1,349.36 $1,684.88 |
Toc - Plan #79 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP VA Bronze 6000/55/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$238.82 $271.06 $305.21 $426.53 $648.16 |
$421.52 $453.76 $487.91 $609.23 |
$604.22 $636.46 $670.61 $791.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$477.64 $542.12 $610.42 $853.06 $1,296.32 |
$660.34 $724.82 $793.12 $1,035.76 |
$843.04 $907.52 $975.82 $1,218.46 |
Toc - Plan #80 Kaiser Permanente | ||||||||||||||||||||
Catastrophic
(HMO) KP VA Catastrophic 9100/0/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$150.51 $170.83 $192.35 $268.81 $408.48 |
$265.65 $285.97 $307.49 $383.95 |
$380.79 $401.11 $422.63 $499.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$301.02 $341.66 $384.70 $537.62 $816.96 |
$416.16 $456.80 $499.84 $652.76 |
$531.30 $571.94 $614.98 $767.90 |
Toc - Plan #81 Kaiser Permanente | ||||||||||||||||||||
Platinum
(HMO) KP VA Platinum 0/15/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.51 $418.26 $470.96 $658.16 $1,000.14 |
$650.42 $700.17 $752.87 $940.07 |
$932.33 $982.08 $1,034.78 $1,221.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$737.02 $836.52 $941.92 $1,316.32 $2,000.28 |
$1,018.93 $1,118.43 $1,223.83 $1,598.23 |
$1,300.84 $1,400.34 $1,505.74 $1,880.14 |
Toc - Plan #82 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 5000/40/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.49 $362.62 $408.31 $570.61 $867.10 |
$563.90 $607.03 $652.72 $815.02 |
$808.31 $851.44 $897.13 $1,059.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.98 $725.24 $816.62 $1,141.22 $1,734.20 |
$883.39 $969.65 $1,061.03 $1,385.63 |
$1,127.80 $1,214.06 $1,305.44 $1,630.04 |
Toc - Plan #83 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 1250/20/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$301.93 $342.69 $385.87 $539.25 $819.44 |
$532.91 $573.67 $616.85 $770.23 |
$763.89 $804.65 $847.83 $1,001.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$603.86 $685.38 $771.74 $1,078.50 $1,638.88 |
$834.84 $916.36 $1,002.72 $1,309.48 |
$1,065.82 $1,147.34 $1,233.70 $1,540.46 |
Toc - Plan #84 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold 1700/25/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.77 $326.62 $367.77 $513.96 $781.01 |
$507.91 $546.76 $587.91 $734.10 |
$728.05 $766.90 $808.05 $954.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.54 $653.24 $735.54 $1,027.92 $1,562.02 |
$795.68 $873.38 $955.68 $1,248.06 |
$1,015.82 $1,093.52 $1,175.82 $1,468.20 |
Toc - Plan #85 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver 6000/40/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$303.06 $343.97 $387.31 $541.27 $822.50 |
$534.90 $575.81 $619.15 $773.11 |
$766.74 $807.65 $850.99 $1,004.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$606.12 $687.94 $774.62 $1,082.54 $1,645.00 |
$837.96 $919.78 $1,006.46 $1,314.38 |
$1,069.80 $1,151.62 $1,238.30 $1,546.22 |
Toc - Plan #86 Kaiser Permanente | ||||||||||||||||||||
Bronze
(HMO) KP VA Bronze 7500/40% |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$221.04 $250.88 $282.49 $394.78 $599.90 |
$390.14 $419.98 $451.59 $563.88 |
$559.24 $589.08 $620.69 $732.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$442.08 $501.76 $564.98 $789.56 $1,199.80 |
$611.18 $670.86 $734.08 $958.66 |
$780.28 $839.96 $903.18 $1,127.76 |
Toc - Plan #87 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP VA Bronze 6900/0%/HSA/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$228.10 $258.89 $291.51 $407.39 $619.06 |
$402.60 $433.39 $466.01 $581.89 |
$577.10 $607.89 $640.51 $756.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$456.20 $517.78 $583.02 $814.78 $1,238.12 |
$630.70 $692.28 $757.52 $989.28 |
$805.20 $866.78 $932.02 $1,163.78 |
Toc - Plan #88 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Gold Virtual Forward 2000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$293.38 $332.99 $374.94 $523.98 $796.23 |
$517.82 $557.43 $599.38 $748.42 |
$742.26 $781.87 $823.82 $972.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$586.76 $665.98 $749.88 $1,047.96 $1,592.46 |
$811.20 $890.42 $974.32 $1,272.40 |
$1,035.64 $1,114.86 $1,198.76 $1,496.84 |
Toc - Plan #89 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Silver Virtual Forward 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$286.83 $325.55 $366.57 $512.28 $778.46 |
$506.25 $544.97 $585.99 $731.70 |
$725.67 $764.39 $805.41 $951.12 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$573.66 $651.10 $733.14 $1,024.56 $1,556.92 |
$793.08 $870.52 $952.56 $1,243.98 |
$1,012.50 $1,089.94 $1,171.98 $1,463.40 |
Toc - Plan #90 Kaiser Permanente | ||||||||||||||||||||
Platinum
(HMO) KP VA Standard Platinum 0/10/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$378.56 $429.67 $483.80 $676.11 $1,027.41 |
$668.16 $719.27 $773.40 $965.71 |
$957.76 $1,008.87 $1,063.00 $1,255.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$757.12 $859.34 $967.60 $1,352.22 $2,054.82 |
$1,046.72 $1,148.94 $1,257.20 $1,641.82 |
$1,336.32 $1,438.54 $1,546.80 $1,931.42 |
Toc - Plan #91 Kaiser Permanente | ||||||||||||||||||||
Gold
(HMO) KP VA Standard Gold 2000/30/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$292.69 $332.20 $374.06 $522.74 $794.36 |
$516.60 $556.11 $597.97 $746.65 |
$740.51 $780.02 $821.88 $970.56 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$585.38 $664.40 $748.12 $1,045.48 $1,588.72 |
$809.29 $888.31 $972.03 $1,269.39 |
$1,033.20 $1,112.22 $1,195.94 $1,493.30 |
Toc - Plan #92 Kaiser Permanente | ||||||||||||||||||||
Silver
(HMO) KP VA Standard Silver 5800/40/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$305.06 $346.24 $389.87 $544.84 $827.93 |
$538.43 $579.61 $623.24 $778.21 |
$771.80 $812.98 $856.61 $1,011.58 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$610.12 $692.48 $779.74 $1,089.68 $1,655.86 |
$843.49 $925.85 $1,013.11 $1,323.05 |
$1,076.86 $1,159.22 $1,246.48 $1,556.42 |
Toc - Plan #93 Kaiser Permanente | ||||||||||||||||||||
Expanded Bronze
(HMO) KP VA Standard Expanded Bronze 7500/50/Vision |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-807-1140
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$249.76 $283.48 $319.19 $446.07 $677.85 |
$440.83 $474.55 $510.26 $637.14 |
$631.90 $665.62 $701.33 $828.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$499.52 $566.96 $638.38 $892.14 $1,355.70 |
$690.59 $758.03 $829.45 $1,083.21 |
$881.66 $949.10 $1,020.52 $1,274.28 |
‡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 93 plans offered in Rating Area 10.