ADVERTISEMENT
Blue Cross and Blue Shield of AlabamaLocal: 1-855-350-7437 | Toll Free: 1-855-350-7437 |
Toc - Plan #1 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Gold
(PPO) Blue Value Gold |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$638.53 $724.73 $816.04 $1,140.41 $1,732.97 |
$1,044.00 $1,130.20 $1,221.51 $1,545.88 |
$1,449.47 $1,535.67 $1,626.98 $1,951.35 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,277.06 $1,449.46 $1,632.08 $2,280.82 $3,465.94 |
$1,682.53 $1,854.93 $2,037.55 $2,686.29 |
$2,088.00 $2,260.40 $2,443.02 $3,091.76 |
Toc - Plan #2 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Silver
(PPO) Blue Value Silver |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$518.84 $588.88 $663.08 $926.65 $1,408.13 |
$848.30 $918.34 $992.54 $1,256.11 |
$1,177.76 $1,247.80 $1,322.00 $1,585.57 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,037.68 $1,177.76 $1,326.16 $1,853.30 $2,816.26 |
$1,367.14 $1,507.22 $1,655.62 $2,182.76 |
$1,696.60 $1,836.68 $1,985.08 $2,512.22 |
Toc - Plan #3 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Saver Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.21 $400.89 $451.40 $630.83 $958.61 |
$577.50 $625.18 $675.69 $855.12 |
$801.79 $849.47 $899.98 $1,079.41 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.42 $801.78 $902.80 $1,261.66 $1,917.22 |
$930.71 $1,026.07 $1,127.09 $1,485.95 |
$1,155.00 $1,250.36 $1,351.38 $1,710.24 |
Toc - Plan #4 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Catastrophic
(PPO) Blue Protect |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$263.62 $299.21 $336.91 $470.83 $715.46 |
$431.02 $466.61 $504.31 $638.23 |
$598.42 $634.01 $671.71 $805.63 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$527.24 $598.42 $673.82 $941.66 $1,430.92 |
$694.64 $765.82 $841.22 $1,109.06 |
$862.04 $933.22 $1,008.62 $1,276.46 |
Toc - Plan #5 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue HSA Bronze |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$362.88 $411.87 $463.76 $648.10 $984.86 |
$593.31 $642.30 $694.19 $878.53 |
$823.74 $872.73 $924.62 $1,108.96 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$725.76 $823.74 $927.52 $1,296.20 $1,969.72 |
$956.19 $1,054.17 $1,157.95 $1,526.63 |
$1,186.62 $1,284.60 $1,388.38 $1,757.06 |
Toc - Plan #6 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Gold
(PPO) Blue Cross Select Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$615.83 $698.97 $787.03 $1,099.87 $1,671.36 |
$1,006.88 $1,090.02 $1,178.08 $1,490.92 |
$1,397.93 $1,481.07 $1,569.13 $1,881.97 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,231.66 $1,397.94 $1,574.06 $2,199.74 $3,342.72 |
$1,622.71 $1,788.99 $1,965.11 $2,590.79 |
$2,013.76 $2,180.04 $2,356.16 $2,981.84 |
Toc - Plan #7 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Silver
(PPO) Blue Cross Select Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$482.91 $548.10 $617.16 $862.48 $1,310.62 |
$789.56 $854.75 $923.81 $1,169.13 |
$1,096.21 $1,161.40 $1,230.46 $1,475.78 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$965.82 $1,096.20 $1,234.32 $1,724.96 $2,621.24 |
$1,272.47 $1,402.85 $1,540.97 $2,031.61 |
$1,579.12 $1,709.50 $1,847.62 $2,338.26 |
Toc - Plan #8 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Silver
(EPO) Blue Saver Silver EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$445.60 $505.76 $569.48 $795.84 $1,209.36 |
$728.56 $788.72 $852.44 $1,078.80 |
$1,011.52 $1,071.68 $1,135.40 $1,361.76 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$891.20 $1,011.52 $1,138.96 $1,591.68 $2,418.72 |
$1,174.16 $1,294.48 $1,421.92 $1,874.64 |
$1,457.12 $1,577.44 $1,704.88 $2,157.60 |
Toc - Plan #9 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Gold
(PPO) Blue Standardized Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$596.77 $677.33 $762.67 $1,065.83 $1,619.63 |
$975.72 $1,056.28 $1,141.62 $1,444.78 |
$1,354.67 $1,435.23 $1,520.57 $1,823.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,193.54 $1,354.66 $1,525.34 $2,131.66 $3,239.26 |
$1,572.49 $1,733.61 $1,904.29 $2,510.61 |
$1,951.44 $2,112.56 $2,283.24 $2,889.56 |
Toc - Plan #10 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Silver
(PPO) Blue Standardized Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$471.99 $535.71 $603.20 $842.97 $1,280.98 |
$771.70 $835.42 $902.91 $1,142.68 |
$1,071.41 $1,135.13 $1,202.62 $1,442.39 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$943.98 $1,071.42 $1,206.40 $1,685.94 $2,561.96 |
$1,243.69 $1,371.13 $1,506.11 $1,985.65 |
$1,543.40 $1,670.84 $1,805.82 $2,285.36 |
Toc - Plan #11 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Silver
(EPO) Blue Standardized Silver EPO |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$448.62 $509.18 $573.34 $801.24 $1,217.55 |
$733.49 $794.05 $858.21 $1,086.11 |
$1,018.36 $1,078.92 $1,143.08 $1,370.98 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$897.24 $1,018.36 $1,146.68 $1,602.48 $2,435.10 |
$1,182.11 $1,303.23 $1,431.55 $1,887.35 |
$1,466.98 $1,588.10 $1,716.42 $2,172.22 |
Toc - Plan #12 Blue Cross and Blue Shield of Alabama | ||||||||||||||||||||
Expanded Bronze
(PPO) Blue Standardized Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-350-7437
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.68 $388.94 $437.95 $612.03 $930.03 |
$560.28 $606.54 $655.55 $829.63 |
$777.88 $824.14 $873.15 $1,047.23 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.36 $777.88 $875.90 $1,224.06 $1,860.06 |
$902.96 $995.48 $1,093.50 $1,441.66 |
$1,120.56 $1,213.08 $1,311.10 $1,659.26 |
ADVERTISEMENT
Ambetter of AlabamaLocal: 1-800-442-1623 | Toll Free: 1-800-442-1623 | TTY: 1-800-442-1623 |
Toc - Plan #13 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$484.01 $549.34 $618.56 $864.43 $1,313.58 |
$791.35 $856.68 $925.90 $1,171.77 |
$1,098.69 $1,164.02 $1,233.24 $1,479.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$968.02 $1,098.68 $1,237.12 $1,728.86 $2,627.16 |
$1,275.36 $1,406.02 $1,544.46 $2,036.20 |
$1,582.70 $1,713.36 $1,851.80 $2,343.54 |
Toc - Plan #14 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$476.86 $541.23 $609.42 $851.66 $1,294.18 |
$779.66 $844.03 $912.22 $1,154.46 |
$1,082.46 $1,146.83 $1,215.02 $1,457.26 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$953.72 $1,082.46 $1,218.84 $1,703.32 $2,588.36 |
$1,256.52 $1,385.26 $1,521.64 $2,006.12 |
$1,559.32 $1,688.06 $1,824.44 $2,308.92 |
Toc - Plan #15 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$577.49 $655.44 $738.02 $1,031.38 $1,567.29 |
$944.19 $1,022.14 $1,104.72 $1,398.08 |
$1,310.89 $1,388.84 $1,471.42 $1,764.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,154.98 $1,310.88 $1,476.04 $2,062.76 $3,134.58 |
$1,521.68 $1,677.58 $1,842.74 $2,429.46 |
$1,888.38 $2,044.28 $2,209.44 $2,796.16 |
Toc - Plan #16 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$588.33 $667.75 $751.88 $1,050.75 $1,596.71 |
$961.92 $1,041.34 $1,125.47 $1,424.34 |
$1,335.51 $1,414.93 $1,499.06 $1,797.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,176.66 $1,335.50 $1,503.76 $2,101.50 $3,193.42 |
$1,550.25 $1,709.09 $1,877.35 $2,475.09 |
$1,923.84 $2,082.68 $2,250.94 $2,848.68 |
Toc - Plan #17 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$592.77 $672.79 $757.55 $1,058.68 $1,608.76 |
$969.18 $1,049.20 $1,133.96 $1,435.09 |
$1,345.59 $1,425.61 $1,510.37 $1,811.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,185.54 $1,345.58 $1,515.10 $2,117.36 $3,217.52 |
$1,561.95 $1,721.99 $1,891.51 $2,493.77 |
$1,938.36 $2,098.40 $2,267.92 $2,870.18 |
Toc - Plan #18 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$468.10 $531.28 $598.21 $836.00 $1,270.39 |
$765.34 $828.52 $895.45 $1,133.24 |
$1,062.58 $1,125.76 $1,192.69 $1,430.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$936.20 $1,062.56 $1,196.42 $1,672.00 $2,540.78 |
$1,233.44 $1,359.80 $1,493.66 $1,969.24 |
$1,530.68 $1,657.04 $1,790.90 $2,266.48 |
Toc - Plan #19 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$576.68 $654.53 $736.99 $1,029.94 $1,565.10 |
$942.87 $1,020.72 $1,103.18 $1,396.13 |
$1,309.06 $1,386.91 $1,469.37 $1,762.32 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,153.36 $1,309.06 $1,473.98 $2,059.88 $3,130.20 |
$1,519.55 $1,675.25 $1,840.17 $2,426.07 |
$1,885.74 $2,041.44 $2,206.36 $2,792.26 |
Toc - Plan #20 Ambetter of Alabama | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$715.03 $811.55 $913.79 $1,277.02 $1,940.56 |
$1,169.07 $1,265.59 $1,367.83 $1,731.06 |
$1,623.11 $1,719.63 $1,821.87 $2,185.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,430.06 $1,623.10 $1,827.58 $2,554.04 $3,881.12 |
$1,884.10 $2,077.14 $2,281.62 $3,008.08 |
$2,338.14 $2,531.18 $2,735.66 $3,462.12 |
Toc - Plan #21 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$546.81 $620.62 $698.81 $976.59 $1,484.02 |
$894.03 $967.84 $1,046.03 $1,323.81 |
$1,241.25 $1,315.06 $1,393.25 $1,671.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,093.62 $1,241.24 $1,397.62 $1,953.18 $2,968.04 |
$1,440.84 $1,588.46 $1,744.84 $2,300.40 |
$1,788.06 $1,935.68 $2,092.06 $2,647.62 |
Toc - Plan #22 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.43 $567.98 $639.54 $893.75 $1,358.14 |
$818.20 $885.75 $957.31 $1,211.52 |
$1,135.97 $1,203.52 $1,275.08 $1,529.29 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,000.86 $1,135.96 $1,279.08 $1,787.50 $2,716.28 |
$1,318.63 $1,453.73 $1,596.85 $2,105.27 |
$1,636.40 $1,771.50 $1,914.62 $2,423.04 |
Toc - Plan #23 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$493.04 $559.59 $630.09 $880.55 $1,338.07 |
$806.11 $872.66 $943.16 $1,193.62 |
$1,119.18 $1,185.73 $1,256.23 $1,506.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$986.08 $1,119.18 $1,260.18 $1,761.10 $2,676.14 |
$1,299.15 $1,432.25 $1,573.25 $2,074.17 |
$1,612.22 $1,745.32 $1,886.32 $2,387.24 |
Toc - Plan #24 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$597.08 $677.67 $763.05 $1,066.37 $1,620.45 |
$976.22 $1,056.81 $1,142.19 $1,445.51 |
$1,355.36 $1,435.95 $1,521.33 $1,824.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,194.16 $1,355.34 $1,526.10 $2,132.74 $3,240.90 |
$1,573.30 $1,734.48 $1,905.24 $2,511.88 |
$1,952.44 $2,113.62 $2,284.38 $2,891.02 |
Toc - Plan #25 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$608.29 $690.40 $777.38 $1,086.39 $1,650.87 |
$994.55 $1,076.66 $1,163.64 $1,472.65 |
$1,380.81 $1,462.92 $1,549.90 $1,858.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,216.58 $1,380.80 $1,554.76 $2,172.78 $3,301.74 |
$1,602.84 $1,767.06 $1,941.02 $2,559.04 |
$1,989.10 $2,153.32 $2,327.28 $2,945.30 |
Toc - Plan #26 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$612.88 $695.61 $783.25 $1,094.59 $1,663.33 |
$1,002.05 $1,084.78 $1,172.42 $1,483.76 |
$1,391.22 $1,473.95 $1,561.59 $1,872.93 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,225.76 $1,391.22 $1,566.50 $2,189.18 $3,326.66 |
$1,614.93 $1,780.39 $1,955.67 $2,578.35 |
$2,004.10 $2,169.56 $2,344.84 $2,967.52 |
Toc - Plan #27 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$483.97 $549.30 $618.51 $864.36 $1,313.48 |
$791.29 $856.62 $925.83 $1,171.68 |
$1,098.61 $1,163.94 $1,233.15 $1,479.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$967.94 $1,098.60 $1,237.02 $1,728.72 $2,626.96 |
$1,275.26 $1,405.92 $1,544.34 $2,036.04 |
$1,582.58 $1,713.24 $1,851.66 $2,343.36 |
Toc - Plan #28 Ambetter of Alabama | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$596.24 $676.73 $761.99 $1,064.88 $1,618.18 |
$974.85 $1,055.34 $1,140.60 $1,443.49 |
$1,353.46 $1,433.95 $1,519.21 $1,822.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,192.48 $1,353.46 $1,523.98 $2,129.76 $3,236.36 |
$1,571.09 $1,732.07 $1,902.59 $2,508.37 |
$1,949.70 $2,110.68 $2,281.20 $2,886.98 |
Toc - Plan #29 Ambetter of Alabama | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$739.28 $839.07 $944.79 $1,320.34 $2,006.38 |
$1,208.72 $1,308.51 $1,414.23 $1,789.78 |
$1,678.16 $1,777.95 $1,883.67 $2,259.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,478.56 $1,678.14 $1,889.58 $2,640.68 $4,012.76 |
$1,948.00 $2,147.58 $2,359.02 $3,110.12 |
$2,417.44 $2,617.02 $2,828.46 $3,579.56 |
Toc - Plan #30 Ambetter of Alabama | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-442-1623
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$565.36 $641.67 $722.52 $1,009.71 $1,534.36 |
$924.36 $1,000.67 $1,081.52 $1,368.71 |
$1,283.36 $1,359.67 $1,440.52 $1,727.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,130.72 $1,283.34 $1,445.04 $2,019.42 $3,068.72 |
$1,489.72 $1,642.34 $1,804.04 $2,378.42 |
$1,848.72 $2,001.34 $2,163.04 $2,737.42 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0327 | Toll Free: 1-888-200-0327 |
Toc - Plan #31 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.91 $502.70 $566.03 $791.03 $1,202.04 |
$724.16 $783.95 $847.28 $1,072.28 |
$1,005.41 $1,065.20 $1,128.53 $1,353.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.82 $1,005.40 $1,132.06 $1,582.06 $2,404.08 |
$1,167.07 $1,286.65 $1,413.31 $1,863.31 |
$1,448.32 $1,567.90 $1,694.56 $2,144.56 |
Toc - Plan #32 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$325.96 $369.96 $416.57 $582.16 $884.64 |
$532.95 $576.95 $623.56 $789.15 |
$739.94 $783.94 $830.55 $996.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$651.92 $739.92 $833.14 $1,164.32 $1,769.28 |
$858.91 $946.91 $1,040.13 $1,371.31 |
$1,065.90 $1,153.90 $1,247.12 $1,578.30 |
Toc - Plan #33 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$510.39 $579.29 $652.28 $911.56 $1,385.20 |
$834.49 $903.39 $976.38 $1,235.66 |
$1,158.59 $1,227.49 $1,300.48 $1,559.76 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,020.78 $1,158.58 $1,304.56 $1,823.12 $2,770.40 |
$1,344.88 $1,482.68 $1,628.66 $2,147.22 |
$1,668.98 $1,806.78 $1,952.76 $2,471.32 |
Toc - Plan #34 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$447.35 $507.74 $571.71 $798.96 $1,214.09 |
$731.42 $791.81 $855.78 $1,083.03 |
$1,015.49 $1,075.88 $1,139.85 $1,367.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$894.70 $1,015.48 $1,143.42 $1,597.92 $2,428.18 |
$1,178.77 $1,299.55 $1,427.49 $1,881.99 |
$1,462.84 $1,583.62 $1,711.56 $2,166.06 |
Toc - Plan #35 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.61 $502.36 $565.65 $790.50 $1,201.23 |
$723.67 $783.42 $846.71 $1,071.56 |
$1,004.73 $1,064.48 $1,127.77 $1,352.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.22 $1,004.72 $1,131.30 $1,581.00 $2,402.46 |
$1,166.28 $1,285.78 $1,412.36 $1,862.06 |
$1,447.34 $1,566.84 $1,693.42 $2,143.12 |
Toc - Plan #36 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Value HSA (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$334.17 $379.28 $427.06 $596.82 $906.92 |
$546.37 $591.48 $639.26 $809.02 |
$758.57 $803.68 $851.46 $1,021.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$668.34 $758.56 $854.12 $1,193.64 $1,813.84 |
$880.54 $970.76 $1,066.32 $1,405.84 |
$1,092.74 $1,182.96 $1,278.52 $1,618.04 |
Toc - Plan #37 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Standard (No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$332.61 $377.51 $425.07 $594.03 $902.68 |
$543.82 $588.72 $636.28 $805.24 |
$755.03 $799.93 $847.49 $1,016.45 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$665.22 $755.02 $850.14 $1,188.06 $1,805.36 |
$876.43 $966.23 $1,061.35 $1,399.27 |
$1,087.64 $1,177.44 $1,272.56 $1,610.48 |
Toc - Plan #38 UnitedHealthcare | ||||||||||||||||||||
Bronze
(EPO) UHC Bronze Essential ($0 Virtual Urgent Care, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$316.90 $359.69 $405.00 $565.99 $860.07 |
$518.14 $560.93 $606.24 $767.23 |
$719.38 $762.17 $807.48 $968.47 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$633.80 $719.38 $810.00 $1,131.98 $1,720.14 |
$835.04 $920.62 $1,011.24 $1,333.22 |
$1,036.28 $1,121.86 $1,212.48 $1,534.46 |
Toc - Plan #39 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$340.48 $386.44 $435.13 $608.09 $924.05 |
$556.69 $602.65 $651.34 $824.30 |
$772.90 $818.86 $867.55 $1,040.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$680.96 $772.88 $870.26 $1,216.18 $1,848.10 |
$897.17 $989.09 $1,086.47 $1,432.39 |
$1,113.38 $1,205.30 $1,302.68 $1,648.60 |
Toc - Plan #40 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$443.39 $503.25 $566.66 $791.90 $1,203.36 |
$724.95 $784.81 $848.22 $1,073.46 |
$1,006.51 $1,066.37 $1,129.78 $1,355.02 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$886.78 $1,006.50 $1,133.32 $1,583.80 $2,406.72 |
$1,168.34 $1,288.06 $1,414.88 $1,865.36 |
$1,449.90 $1,569.62 $1,696.44 $2,146.92 |
Toc - Plan #41 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$487.34 $553.13 $622.82 $870.38 $1,322.62 |
$796.80 $862.59 $932.28 $1,179.84 |
$1,106.26 $1,172.05 $1,241.74 $1,489.30 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$974.68 $1,106.26 $1,245.64 $1,740.76 $2,645.24 |
$1,284.14 $1,415.72 $1,555.10 $2,050.22 |
$1,593.60 $1,725.18 $1,864.56 $2,359.68 |
Toc - Plan #42 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$517.27 $587.10 $661.07 $923.84 $1,403.86 |
$845.74 $915.57 $989.54 $1,252.31 |
$1,174.21 $1,244.04 $1,318.01 $1,580.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,034.54 $1,174.20 $1,322.14 $1,847.68 $2,807.72 |
$1,363.01 $1,502.67 $1,650.61 $2,176.15 |
$1,691.48 $1,831.14 $1,979.08 $2,504.62 |
Toc - Plan #43 UnitedHealthcare | ||||||||||||||||||||
Silver
(EPO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$457.80 $519.61 $585.07 $817.63 $1,242.47 |
$748.51 $810.32 $875.78 $1,108.34 |
$1,039.22 $1,101.03 $1,166.49 $1,399.05 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
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21 30 40 50 60 |
$915.60 $1,039.22 $1,170.14 $1,635.26 $2,484.94 |
$1,206.31 $1,329.93 $1,460.85 $1,925.97 |
$1,497.02 $1,620.64 $1,751.56 $2,216.68 |
Toc - Plan #44 UnitedHealthcare | ||||||||||||||||||||
Gold
(EPO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
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Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0327
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
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Age | Individual |
Individual 1 Child |
Individual 2 Children |
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21 30 40 50 60 |
$522.37 $592.89 $667.59 $932.95 $1,417.71 |
$854.08 $924.60 $999.30 $1,264.66 |
$1,185.79 $1,256.31 $1,331.01 $1,596.37 |
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Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,044.74 $1,185.78 $1,335.18 $1,865.90 $2,835.42 |
$1,376.45 $1,517.49 $1,666.89 $2,197.61 |
$1,708.16 $1,849.20 $1,998.60 $2,529.32 |
‡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 Jefferson County here.
Jefferson County is in “Rating Area 3” of Alabama.
Currently, there are 44 plans offered in Rating Area 3.
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2024 Obamacare Plans for Jefferson County, AL
Plan Browser: 44 Plans
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