Henry County, Alabama Obamacare 2024 Rates

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Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Henry County, AL.

The health insurance rates listed below are for calendar year 2024.

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

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

Obamacare Providers, 42 Plans and 2024 Rates for Henry County, Alabama

Below, you’ll find a summary of the 42 plans for Henry County, Alabama and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.


Obamacare Rates and Providers for Other Years

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Blue Cross and Blue Shield of Alabama

Local: 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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-350-7437

Annual Out of Pocket Expenses:

Individual Family
$750 $1,500 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$606.60
$688.49
$775.24
$1,083.39
$1,646.32
$991.79
$1,073.68
$1,160.43
$1,468.58
$1,376.98
$1,458.87
$1,545.62
$1,853.77
$1,762.17
$1,844.06
$1,930.81
$2,238.96
$385.19
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,213.20
$1,376.98
$1,550.48
$2,166.78
$3,292.64
$1,598.39
$1,762.17
$1,935.67
$2,551.97
$1,983.58
$2,147.36
$2,320.86
$2,937.16
$2,368.77
$2,532.55
$2,706.05
$3,322.35
$385.19
Toc - Plan #2 Blue Cross and Blue Shield of Alabama
Silver

(PPO) Blue Value Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-350-7437

Annual Out of Pocket Expenses:

Individual Family
$4,000 $8,000 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$492.90
$559.44
$629.92
$880.32
$1,337.73
$805.89
$872.43
$942.91
$1,193.31
$1,118.88
$1,185.42
$1,255.90
$1,506.30
$1,431.87
$1,498.41
$1,568.89
$1,819.29
$312.99
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$985.80
$1,118.88
$1,259.84
$1,760.64
$2,675.46
$1,298.79
$1,431.87
$1,572.83
$2,073.63
$1,611.78
$1,744.86
$1,885.82
$2,386.62
$1,924.77
$2,057.85
$2,198.81
$2,699.61
$312.99
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:

Individual Family
$8,450 $16,900 Annual Deductible
$8,450 $16,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335.55
$380.85
$428.83
$599.29
$910.68
$548.62
$593.92
$641.90
$812.36
$761.69
$806.99
$854.97
$1,025.43
$974.76
$1,020.06
$1,068.04
$1,238.50
$213.07
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$671.10
$761.70
$857.66
$1,198.58
$1,821.36
$884.17
$974.77
$1,070.73
$1,411.65
$1,097.24
$1,187.84
$1,283.80
$1,624.72
$1,310.31
$1,400.91
$1,496.87
$1,837.79
$213.07
Toc - Plan #4 Blue Cross and Blue Shield of Alabama
Catastrophic

(PPO) Blue Protect

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-350-7437

Annual Out of Pocket Expenses:

Individual Family
$9,450 $18,900 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$250.44
$284.25
$320.06
$447.28
$679.69
$409.47
$443.28
$479.09
$606.31
$568.50
$602.31
$638.12
$765.34
$727.53
$761.34
$797.15
$924.37
$159.03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$500.88
$568.50
$640.12
$894.56
$1,359.38
$659.91
$727.53
$799.15
$1,053.59
$818.94
$886.56
$958.18
$1,212.62
$977.97
$1,045.59
$1,117.21
$1,371.65
$159.03
Toc - Plan #5 Blue Cross and Blue Shield of Alabama
Expanded Bronze

(PPO) Blue HSA Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-855-350-7437

Annual Out of Pocket Expenses:

Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$344.74
$391.28
$440.57
$615.70
$935.61
$563.65
$610.19
$659.48
$834.61
$782.56
$829.10
$878.39
$1,053.52
$1,001.47
$1,048.01
$1,097.30
$1,272.43
$218.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$689.48
$782.56
$881.14
$1,231.40
$1,871.22
$908.39
$1,001.47
$1,100.05
$1,450.31
$1,127.30
$1,220.38
$1,318.96
$1,669.22
$1,346.21
$1,439.29
$1,537.87
$1,888.13
$218.91
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:

Individual Family
$850 $1,700 Annual Deductible
$6,000 $12,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$585.04
$664.02
$747.68
$1,044.88
$1,587.79
$956.54
$1,035.52
$1,119.18
$1,416.38
$1,328.04
$1,407.02
$1,490.68
$1,787.88
$1,699.54
$1,778.52
$1,862.18
$2,159.38
$371.50
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,170.08
$1,328.04
$1,495.36
$2,089.76
$3,175.58
$1,541.58
$1,699.54
$1,866.86
$2,461.26
$1,913.08
$2,071.04
$2,238.36
$2,832.76
$2,284.58
$2,442.54
$2,609.86
$3,204.26
$371.50
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:

Individual Family
$4,700 $9,400 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$458.76
$520.70
$586.30
$819.35
$1,245.09
$750.08
$812.02
$877.62
$1,110.67
$1,041.40
$1,103.34
$1,168.94
$1,401.99
$1,332.72
$1,394.66
$1,460.26
$1,693.31
$291.32
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$917.52
$1,041.40
$1,172.60
$1,638.70
$2,490.18
$1,208.84
$1,332.72
$1,463.92
$1,930.02
$1,500.16
$1,624.04
$1,755.24
$2,221.34
$1,791.48
$1,915.36
$2,046.56
$2,512.66
$291.32
Toc - Plan #8 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:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$566.93
$643.47
$724.54
$1,012.54
$1,538.65
$926.93
$1,003.47
$1,084.54
$1,372.54
$1,286.93
$1,363.47
$1,444.54
$1,732.54
$1,646.93
$1,723.47
$1,804.54
$2,092.54
$360.00
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,133.86
$1,286.94
$1,449.08
$2,025.08
$3,077.30
$1,493.86
$1,646.94
$1,809.08
$2,385.08
$1,853.86
$2,006.94
$2,169.08
$2,745.08
$2,213.86
$2,366.94
$2,529.08
$3,105.08
$360.00
Toc - Plan #9 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:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$448.39
$508.92
$573.04
$800.83
$1,216.93
$733.12
$793.65
$857.77
$1,085.56
$1,017.85
$1,078.38
$1,142.50
$1,370.29
$1,302.58
$1,363.11
$1,427.23
$1,655.02
$284.73
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$896.78
$1,017.84
$1,146.08
$1,601.66
$2,433.86
$1,181.51
$1,302.57
$1,430.81
$1,886.39
$1,466.24
$1,587.30
$1,715.54
$2,171.12
$1,750.97
$1,872.03
$2,000.27
$2,455.85
$284.73
Toc - Plan #10 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:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$325.55
$369.49
$416.05
$581.43
$883.53
$532.27
$576.21
$622.77
$788.15
$738.99
$782.93
$829.49
$994.87
$945.71
$989.65
$1,036.21
$1,201.59
$206.72
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$651.10
$738.98
$832.10
$1,162.86
$1,767.06
$857.82
$945.70
$1,038.82
$1,369.58
$1,064.54
$1,152.42
$1,245.54
$1,576.30
$1,271.26
$1,359.14
$1,452.26
$1,783.02
$206.72

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Ambetter of Alabama

Local: 1-800-442-1623 | Toll Free: 1-800-442-1623 | TTY: 1-800-442-1623

Toc - Plan #11 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:

Individual Family
$7,250 $14,500 Annual Deductible
$7,250 $14,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$367.11
$416.66
$469.16
$655.65
$996.32
$600.22
$649.77
$702.27
$888.76
$833.33
$882.88
$935.38
$1,121.87
$1,066.44
$1,115.99
$1,168.49
$1,354.98
$233.11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$734.22
$833.32
$938.32
$1,311.30
$1,992.64
$967.33
$1,066.43
$1,171.43
$1,544.41
$1,200.44
$1,299.54
$1,404.54
$1,777.52
$1,433.55
$1,532.65
$1,637.65
$2,010.63
$233.11
Toc - Plan #12 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:

Individual Family
$8,450 $16,900 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361.69
$410.51
$462.23
$645.96
$981.60
$591.36
$640.18
$691.90
$875.63
$821.03
$869.85
$921.57
$1,105.30
$1,050.70
$1,099.52
$1,151.24
$1,334.97
$229.67
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$723.38
$821.02
$924.46
$1,291.92
$1,963.20
$953.05
$1,050.69
$1,154.13
$1,521.59
$1,182.72
$1,280.36
$1,383.80
$1,751.26
$1,412.39
$1,510.03
$1,613.47
$1,980.93
$229.67
Toc - Plan #13 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:

Individual Family
$5,400 $10,800 Annual Deductible
$5,400 $10,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$438.02
$497.14
$559.77
$782.28
$1,188.75
$716.15
$775.27
$837.90
$1,060.41
$994.28
$1,053.40
$1,116.03
$1,338.54
$1,272.41
$1,331.53
$1,394.16
$1,616.67
$278.13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$876.04
$994.28
$1,119.54
$1,564.56
$2,377.50
$1,154.17
$1,272.41
$1,397.67
$1,842.69
$1,432.30
$1,550.54
$1,675.80
$2,120.82
$1,710.43
$1,828.67
$1,953.93
$2,398.95
$278.13
Toc - Plan #14 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:

Individual Family
$6,300 $12,600 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$446.24
$506.47
$570.28
$796.97
$1,211.07
$729.60
$789.83
$853.64
$1,080.33
$1,012.96
$1,073.19
$1,137.00
$1,363.69
$1,296.32
$1,356.55
$1,420.36
$1,647.05
$283.36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$892.48
$1,012.94
$1,140.56
$1,593.94
$2,422.14
$1,175.84
$1,296.30
$1,423.92
$1,877.30
$1,459.20
$1,579.66
$1,707.28
$2,160.66
$1,742.56
$1,863.02
$1,990.64
$2,444.02
$283.36
Toc - Plan #15 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:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$449.61
$510.29
$574.58
$802.98
$1,220.21
$735.10
$795.78
$860.07
$1,088.47
$1,020.59
$1,081.27
$1,145.56
$1,373.96
$1,306.08
$1,366.76
$1,431.05
$1,659.45
$285.49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$899.22
$1,020.58
$1,149.16
$1,605.96
$2,440.42
$1,184.71
$1,306.07
$1,434.65
$1,891.45
$1,470.20
$1,591.56
$1,720.14
$2,176.94
$1,755.69
$1,877.05
$2,005.63
$2,462.43
$285.49
Toc - Plan #16 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:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$355.04
$402.96
$453.73
$634.09
$963.56
$580.49
$628.41
$679.18
$859.54
$805.94
$853.86
$904.63
$1,084.99
$1,031.39
$1,079.31
$1,130.08
$1,310.44
$225.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$710.08
$805.92
$907.46
$1,268.18
$1,927.12
$935.53
$1,031.37
$1,132.91
$1,493.63
$1,160.98
$1,256.82
$1,358.36
$1,719.08
$1,386.43
$1,482.27
$1,583.81
$1,944.53
$225.45
Toc - Plan #17 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:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$437.40
$496.44
$558.99
$781.19
$1,187.09
$715.14
$774.18
$836.73
$1,058.93
$992.88
$1,051.92
$1,114.47
$1,336.67
$1,270.62
$1,329.66
$1,392.21
$1,614.41
$277.74
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$874.80
$992.88
$1,117.98
$1,562.38
$2,374.18
$1,152.54
$1,270.62
$1,395.72
$1,840.12
$1,430.28
$1,548.36
$1,673.46
$2,117.86
$1,708.02
$1,826.10
$1,951.20
$2,395.60
$277.74
Toc - Plan #18 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:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$542.33
$615.54
$693.09
$968.59
$1,471.87
$886.71
$959.92
$1,037.47
$1,312.97
$1,231.09
$1,304.30
$1,381.85
$1,657.35
$1,575.47
$1,648.68
$1,726.23
$2,001.73
$344.38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,084.66
$1,231.08
$1,386.18
$1,937.18
$2,943.74
$1,429.04
$1,575.46
$1,730.56
$2,281.56
$1,773.42
$1,919.84
$2,074.94
$2,625.94
$2,117.80
$2,264.22
$2,419.32
$2,970.32
$344.38
Toc - Plan #19 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:

Individual Family
$0 $0 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$414.75
$470.73
$530.03
$740.72
$1,125.60
$678.11
$734.09
$793.39
$1,004.08
$941.47
$997.45
$1,056.75
$1,267.44
$1,204.83
$1,260.81
$1,320.11
$1,530.80
$263.36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$829.50
$941.46
$1,060.06
$1,481.44
$2,251.20
$1,092.86
$1,204.82
$1,323.42
$1,744.80
$1,356.22
$1,468.18
$1,586.78
$2,008.16
$1,619.58
$1,731.54
$1,850.14
$2,271.52
$263.36
Toc - Plan #20 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:

Individual Family
$7,250 $14,500 Annual Deductible
$7,250 $14,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$379.57
$430.80
$485.07
$677.89
$1,030.12
$620.59
$671.82
$726.09
$918.91
$861.61
$912.84
$967.11
$1,159.93
$1,102.63
$1,153.86
$1,208.13
$1,400.95
$241.02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$759.14
$861.60
$970.14
$1,355.78
$2,060.24
$1,000.16
$1,102.62
$1,211.16
$1,596.80
$1,241.18
$1,343.64
$1,452.18
$1,837.82
$1,482.20
$1,584.66
$1,693.20
$2,078.84
$241.02
Toc - Plan #21 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:

Individual Family
$8,450 $16,900 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$373.96
$424.43
$477.91
$667.87
$1,014.90
$611.42
$661.89
$715.37
$905.33
$848.88
$899.35
$952.83
$1,142.79
$1,086.34
$1,136.81
$1,190.29
$1,380.25
$237.46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$747.92
$848.86
$955.82
$1,335.74
$2,029.80
$985.38
$1,086.32
$1,193.28
$1,573.20
$1,222.84
$1,323.78
$1,430.74
$1,810.66
$1,460.30
$1,561.24
$1,668.20
$2,048.12
$237.46
Toc - Plan #22 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:

Individual Family
$5,400 $10,800 Annual Deductible
$5,400 $10,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$452.87
$514.00
$578.76
$808.81
$1,229.07
$740.44
$801.57
$866.33
$1,096.38
$1,028.01
$1,089.14
$1,153.90
$1,383.95
$1,315.58
$1,376.71
$1,441.47
$1,671.52
$287.57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$905.74
$1,028.00
$1,157.52
$1,617.62
$2,458.14
$1,193.31
$1,315.57
$1,445.09
$1,905.19
$1,480.88
$1,603.14
$1,732.66
$2,192.76
$1,768.45
$1,890.71
$2,020.23
$2,480.33
$287.57
Toc - Plan #23 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:

Individual Family
$6,300 $12,600 Annual Deductible
$8,000 $16,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$461.37
$523.65
$589.62
$824.00
$1,252.14
$754.34
$816.62
$882.59
$1,116.97
$1,047.31
$1,109.59
$1,175.56
$1,409.94
$1,340.28
$1,402.56
$1,468.53
$1,702.91
$292.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$922.74
$1,047.30
$1,179.24
$1,648.00
$2,504.28
$1,215.71
$1,340.27
$1,472.21
$1,940.97
$1,508.68
$1,633.24
$1,765.18
$2,233.94
$1,801.65
$1,926.21
$2,058.15
$2,526.91
$292.97
Toc - Plan #24 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:

Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$464.86
$527.60
$594.07
$830.22
$1,261.59
$760.04
$822.78
$889.25
$1,125.40
$1,055.22
$1,117.96
$1,184.43
$1,420.58
$1,350.40
$1,413.14
$1,479.61
$1,715.76
$295.18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$929.72
$1,055.20
$1,188.14
$1,660.44
$2,523.18
$1,224.90
$1,350.38
$1,483.32
$1,955.62
$1,520.08
$1,645.56
$1,778.50
$2,250.80
$1,815.26
$1,940.74
$2,073.68
$2,545.98
$295.18
Toc - Plan #25 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:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$367.08
$416.63
$469.12
$655.60
$996.24
$600.17
$649.72
$702.21
$888.69
$833.26
$882.81
$935.30
$1,121.78
$1,066.35
$1,115.90
$1,168.39
$1,354.87
$233.09
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$734.16
$833.26
$938.24
$1,311.20
$1,992.48
$967.25
$1,066.35
$1,171.33
$1,544.29
$1,200.34
$1,299.44
$1,404.42
$1,777.38
$1,433.43
$1,532.53
$1,637.51
$2,010.47
$233.09
Toc - Plan #26 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:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$452.24
$513.28
$577.95
$807.68
$1,227.35
$739.41
$800.45
$865.12
$1,094.85
$1,026.58
$1,087.62
$1,152.29
$1,382.02
$1,313.75
$1,374.79
$1,439.46
$1,669.19
$287.17
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$904.48
$1,026.56
$1,155.90
$1,615.36
$2,454.70
$1,191.65
$1,313.73
$1,443.07
$1,902.53
$1,478.82
$1,600.90
$1,730.24
$2,189.70
$1,765.99
$1,888.07
$2,017.41
$2,476.87
$287.17
Toc - Plan #27 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:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$560.73
$636.42
$716.60
$1,001.44
$1,521.79
$916.79
$992.48
$1,072.66
$1,357.50
$1,272.85
$1,348.54
$1,428.72
$1,713.56
$1,628.91
$1,704.60
$1,784.78
$2,069.62
$356.06
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,121.46
$1,272.84
$1,433.20
$2,002.88
$3,043.58
$1,477.52
$1,628.90
$1,789.26
$2,358.94
$1,833.58
$1,984.96
$2,145.32
$2,715.00
$2,189.64
$2,341.02
$2,501.38
$3,071.06
$356.06
Toc - Plan #28 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:

Individual Family
$0 $0 Annual Deductible
$9,250 $18,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$428.81
$486.69
$548.01
$765.84
$1,163.77
$701.10
$758.98
$820.30
$1,038.13
$973.39
$1,031.27
$1,092.59
$1,310.42
$1,245.68
$1,303.56
$1,364.88
$1,582.71
$272.29
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$857.62
$973.38
$1,096.02
$1,531.68
$2,327.54
$1,129.91
$1,245.67
$1,368.31
$1,803.97
$1,402.20
$1,517.96
$1,640.60
$2,076.26
$1,674.49
$1,790.25
$1,912.89
$2,348.55
$272.29

ADVERTISEMENT

UnitedHealthcare

Local: 1-888-200-0327 | Toll Free: 1-888-200-0327

Toc - Plan #29 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:

Individual Family
$3,600 $7,200 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436.46
$495.38
$557.79
$779.51
$1,184.54
$713.61
$772.53
$834.94
$1,056.66
$990.76
$1,049.68
$1,112.09
$1,333.81
$1,267.91
$1,326.83
$1,389.24
$1,610.96
$277.15
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$872.92
$990.76
$1,115.58
$1,559.02
$2,369.08
$1,150.07
$1,267.91
$1,392.73
$1,836.17
$1,427.22
$1,545.06
$1,669.88
$2,113.32
$1,704.37
$1,822.21
$1,947.03
$2,390.47
$277.15
Toc - Plan #30 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:

Individual Family
$8,300 $16,600 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$321.21
$364.57
$410.51
$573.68
$871.76
$525.18
$568.54
$614.48
$777.65
$729.15
$772.51
$818.45
$981.62
$933.12
$976.48
$1,022.42
$1,185.59
$203.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$642.42
$729.14
$821.02
$1,147.36
$1,743.52
$846.39
$933.11
$1,024.99
$1,351.33
$1,050.36
$1,137.08
$1,228.96
$1,555.30
$1,254.33
$1,341.05
$1,432.93
$1,759.27
$203.97
Toc - Plan #31 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:

Individual Family
$1,500 $3,000 Annual Deductible
$8,700 $17,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$502.96
$570.86
$642.78
$898.28
$1,365.03
$822.34
$890.24
$962.16
$1,217.66
$1,141.72
$1,209.62
$1,281.54
$1,537.04
$1,461.10
$1,529.00
$1,600.92
$1,856.42
$319.38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,005.92
$1,141.72
$1,285.56
$1,796.56
$2,730.06
$1,325.30
$1,461.10
$1,604.94
$2,115.94
$1,644.68
$1,780.48
$1,924.32
$2,435.32
$1,964.06
$2,099.86
$2,243.70
$2,754.70
$319.38
Toc - Plan #32 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:

Individual Family
$0 $0 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$440.83
$500.34
$563.38
$787.32
$1,196.41
$720.76
$780.27
$843.31
$1,067.25
$1,000.69
$1,060.20
$1,123.24
$1,347.18
$1,280.62
$1,340.13
$1,403.17
$1,627.11
$279.93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$881.66
$1,000.68
$1,126.76
$1,574.64
$2,392.82
$1,161.59
$1,280.61
$1,406.69
$1,854.57
$1,441.52
$1,560.54
$1,686.62
$2,134.50
$1,721.45
$1,840.47
$1,966.55
$2,414.43
$279.93
Toc - Plan #33 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:

Individual Family
$5,900 $11,800 Annual Deductible
$9,100 $18,200 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436.16
$495.05
$557.42
$778.99
$1,183.74
$713.13
$772.02
$834.39
$1,055.96
$990.10
$1,048.99
$1,111.36
$1,332.93
$1,267.07
$1,325.96
$1,388.33
$1,609.90
$276.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$872.32
$990.10
$1,114.84
$1,557.98
$2,367.48
$1,149.29
$1,267.07
$1,391.81
$1,834.95
$1,426.26
$1,544.04
$1,668.78
$2,111.92
$1,703.23
$1,821.01
$1,945.75
$2,388.89
$276.97
Toc - Plan #34 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:

Individual Family
$8,050 $16,100 Annual Deductible
$8,050 $16,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$329.30
$373.75
$420.84
$588.13
$893.71
$538.41
$582.86
$629.95
$797.24
$747.52
$791.97
$839.06
$1,006.35
$956.63
$1,001.08
$1,048.17
$1,215.46
$209.11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$658.60
$747.50
$841.68
$1,176.26
$1,787.42
$867.71
$956.61
$1,050.79
$1,385.37
$1,076.82
$1,165.72
$1,259.90
$1,594.48
$1,285.93
$1,374.83
$1,469.01
$1,803.59
$209.11
Toc - Plan #35 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:

Individual Family
$7,500 $15,000 Annual Deductible
$9,400 $18,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$327.76
$372.01
$418.88
$585.38
$889.54
$535.89
$580.14
$627.01
$793.51
$744.02
$788.27
$835.14
$1,001.64
$952.15
$996.40
$1,043.27
$1,209.77
$208.13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$655.52
$744.02
$837.76
$1,170.76
$1,779.08
$863.65
$952.15
$1,045.89
$1,378.89
$1,071.78
$1,160.28
$1,254.02
$1,587.02
$1,279.91
$1,368.41
$1,462.15
$1,795.15
$208.13
Toc - Plan #36 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:

Individual Family
$6,450 $12,900 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$312.29
$354.45
$399.10
$557.75
$847.55
$510.60
$552.76
$597.41
$756.06
$708.91
$751.07
$795.72
$954.37
$907.22
$949.38
$994.03
$1,152.68
$198.31
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$624.58
$708.90
$798.20
$1,115.50
$1,695.10
$822.89
$907.21
$996.51
$1,313.81
$1,021.20
$1,105.52
$1,194.82
$1,512.12
$1,219.51
$1,303.83
$1,393.13
$1,710.43
$198.31
Toc - Plan #37 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:

Individual Family
$0 $0 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335.52
$380.82
$428.80
$599.24
$910.60
$548.58
$593.88
$641.86
$812.30
$761.64
$806.94
$854.92
$1,025.36
$974.70
$1,020.00
$1,067.98
$1,238.42
$213.06
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$671.04
$761.64
$857.60
$1,198.48
$1,821.20
$884.10
$974.70
$1,070.66
$1,411.54
$1,097.16
$1,187.76
$1,283.72
$1,624.60
$1,310.22
$1,400.82
$1,496.78
$1,837.66
$213.06
Toc - Plan #38 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:

Individual Family
$2,750 $5,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436.94
$495.92
$558.40
$780.37
$1,185.84
$714.40
$773.38
$835.86
$1,057.83
$991.86
$1,050.84
$1,113.32
$1,335.29
$1,269.32
$1,328.30
$1,390.78
$1,612.75
$277.46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$873.88
$991.84
$1,116.80
$1,560.74
$2,371.68
$1,151.34
$1,269.30
$1,394.26
$1,838.20
$1,428.80
$1,546.76
$1,671.72
$2,115.66
$1,706.26
$1,824.22
$1,949.18
$2,393.12
$277.46
Toc - Plan #39 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:

Individual Family
$2,000 $4,000 Annual Deductible
$9,000 $18,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$480.24
$545.07
$613.75
$857.71
$1,303.36
$785.19
$850.02
$918.70
$1,162.66
$1,090.14
$1,154.97
$1,223.65
$1,467.61
$1,395.09
$1,459.92
$1,528.60
$1,772.56
$304.95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$960.48
$1,090.14
$1,227.50
$1,715.42
$2,606.72
$1,265.43
$1,395.09
$1,532.45
$2,020.37
$1,570.38
$1,700.04
$1,837.40
$2,325.32
$1,875.33
$2,004.99
$2,142.35
$2,630.27
$304.95
Toc - Plan #40 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:

Individual Family
$0 $0 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$509.74
$578.55
$651.44
$910.39
$1,383.42
$833.42
$902.23
$975.12
$1,234.07
$1,157.10
$1,225.91
$1,298.80
$1,557.75
$1,480.78
$1,549.59
$1,622.48
$1,881.43
$323.68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,019.48
$1,157.10
$1,302.88
$1,820.78
$2,766.84
$1,343.16
$1,480.78
$1,626.56
$2,144.46
$1,666.84
$1,804.46
$1,950.24
$2,468.14
$1,990.52
$2,128.14
$2,273.92
$2,791.82
$323.68
Toc - Plan #41 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:

Individual Family
$2,750 $5,500 Annual Deductible
$9,450 $18,900 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$451.14
$512.04
$576.55
$805.73
$1,224.38
$737.61
$798.51
$863.02
$1,092.20
$1,024.08
$1,084.98
$1,149.49
$1,378.67
$1,310.55
$1,371.45
$1,435.96
$1,665.14
$286.47
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$902.28
$1,024.08
$1,153.10
$1,611.46
$2,448.76
$1,188.75
$1,310.55
$1,439.57
$1,897.93
$1,475.22
$1,597.02
$1,726.04
$2,184.40
$1,761.69
$1,883.49
$2,012.51
$2,470.87
$286.47
Toc - Plan #42 UnitedHealthcare
Gold

(EPO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 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:

Individual Family
$500 $1,000 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$514.77
$584.26
$657.87
$919.37
$1,397.07
$841.65
$911.14
$984.75
$1,246.25
$1,168.53
$1,238.02
$1,311.63
$1,573.13
$1,495.41
$1,564.90
$1,638.51
$1,900.01
$326.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,029.54
$1,168.52
$1,315.74
$1,838.74
$2,794.14
$1,356.42
$1,495.40
$1,642.62
$2,165.62
$1,683.30
$1,822.28
$1,969.50
$2,492.50
$2,010.18
$2,149.16
$2,296.38
$2,819.38
$326.88

‡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 Henry County here.

Henry County is in “Rating Area 6” of Alabama.

Currently, there are 42 plans offered in Rating Area 6.

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