Graham County, Arizona 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 Graham County, AZ.

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, 41 Plans and 2024 Rates for Graham County, Arizona

Below, you’ll find a summary of the 41 plans for Graham County, Arizona 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 Blue Shield of Arizona

Local: 1-844-341-5837 | Toll Free: 1-844-341-5837 | TTY: 1-602-864-4823

Toc - Plan #1 Blue Cross Blue Shield of Arizona
Gold

(HMO) Blue EverydayHealth Gold - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$1,700 $3,400 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
$510.95
$579.93
$652.99
$912.56
$1,386.71
$901.83
$970.81
$1,043.87
$1,303.44
$1,292.71
$1,361.69
$1,434.75
$1,694.32
$1,683.59
$1,752.57
$1,825.63
$2,085.20
$390.88
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,021.90
$1,159.86
$1,305.98
$1,825.12
$2,773.42
$1,412.78
$1,550.74
$1,696.86
$2,216.00
$1,803.66
$1,941.62
$2,087.74
$2,606.88
$2,194.54
$2,332.50
$2,478.62
$2,997.76
$390.88
Toc - Plan #2 Blue Cross Blue Shield of Arizona
Silver

(HMO) Blue EverydayHealth Silver - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 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
$418.34
$474.82
$534.64
$747.16
$1,135.38
$738.37
$794.85
$854.67
$1,067.19
$1,058.40
$1,114.88
$1,174.70
$1,387.22
$1,378.43
$1,434.91
$1,494.73
$1,707.25
$320.03
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$836.68
$949.64
$1,069.28
$1,494.32
$2,270.76
$1,156.71
$1,269.67
$1,389.31
$1,814.35
$1,476.74
$1,589.70
$1,709.34
$2,134.38
$1,796.77
$1,909.73
$2,029.37
$2,454.41
$320.03
Toc - Plan #3 Blue Cross Blue Shield of Arizona
Expanded Bronze

(HMO) Blue EverydayHealth Bronze - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$8,000 $16,000 Annual Deductible
$9,300 $18,600 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
$341.05
$387.09
$435.86
$609.12
$925.61
$601.96
$648.00
$696.77
$870.03
$862.87
$908.91
$957.68
$1,130.94
$1,123.78
$1,169.82
$1,218.59
$1,391.85
$260.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$682.10
$774.18
$871.72
$1,218.24
$1,851.22
$943.01
$1,035.09
$1,132.63
$1,479.15
$1,203.92
$1,296.00
$1,393.54
$1,740.06
$1,464.83
$1,556.91
$1,654.45
$2,000.97
$260.91
Toc - Plan #4 Blue Cross Blue Shield of Arizona
Expanded Bronze

(HMO) Blue Portfolio HSA Bronze - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$7,050 $14,100 Annual Deductible
$7,050 $14,100 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
$367.76
$417.41
$470.00
$656.82
$998.09
$649.10
$698.75
$751.34
$938.16
$930.44
$980.09
$1,032.68
$1,219.50
$1,211.78
$1,261.43
$1,314.02
$1,500.84
$281.34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$735.52
$834.82
$940.00
$1,313.64
$1,996.18
$1,016.86
$1,116.16
$1,221.34
$1,594.98
$1,298.20
$1,397.50
$1,502.68
$1,876.32
$1,579.54
$1,678.84
$1,784.02
$2,157.66
$281.34
Toc - Plan #5 Blue Cross Blue Shield of Arizona
Expanded Bronze

(HMO) Blue AdvanceHealth Bronze - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$9,000 $18,000 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
$319.48
$362.61
$408.29
$570.59
$867.06
$563.88
$607.01
$652.69
$814.99
$808.28
$851.41
$897.09
$1,059.39
$1,052.68
$1,095.81
$1,141.49
$1,303.79
$244.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$638.96
$725.22
$816.58
$1,141.18
$1,734.12
$883.36
$969.62
$1,060.98
$1,385.58
$1,127.76
$1,214.02
$1,305.38
$1,629.98
$1,372.16
$1,458.42
$1,549.78
$1,874.38
$244.40
Toc - Plan #6 Blue Cross Blue Shield of Arizona
Silver

(HMO) Blue AdvanceHealth Silver - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$404.84
$459.50
$517.39
$723.05
$1,098.73
$714.55
$769.21
$827.10
$1,032.76
$1,024.26
$1,078.92
$1,136.81
$1,342.47
$1,333.97
$1,388.63
$1,446.52
$1,652.18
$309.71
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$809.68
$919.00
$1,034.78
$1,446.10
$2,197.46
$1,119.39
$1,228.71
$1,344.49
$1,755.81
$1,429.10
$1,538.42
$1,654.20
$2,065.52
$1,738.81
$1,848.13
$1,963.91
$2,375.23
$309.71
Toc - Plan #7 Blue Cross Blue Shield of Arizona
Gold

(HMO) Blue AdvanceHealth Gold - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$4,375 $8,750 Annual Deductible
$4,375 $8,750 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
$498.20
$565.46
$636.70
$889.79
$1,352.12
$879.33
$946.59
$1,017.83
$1,270.92
$1,260.46
$1,327.72
$1,398.96
$1,652.05
$1,641.59
$1,708.85
$1,780.09
$2,033.18
$381.13
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$996.40
$1,130.92
$1,273.40
$1,779.58
$2,704.24
$1,377.53
$1,512.05
$1,654.53
$2,160.71
$1,758.66
$1,893.18
$2,035.66
$2,541.84
$2,139.79
$2,274.31
$2,416.79
$2,922.97
$381.13
Toc - Plan #8 Blue Cross Blue Shield of Arizona
Gold

(HMO) Blue StandardHealth Gold - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

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
$510.58
$579.51
$652.52
$911.89
$1,385.70
$901.17
$970.10
$1,043.11
$1,302.48
$1,291.76
$1,360.69
$1,433.70
$1,693.07
$1,682.35
$1,751.28
$1,824.29
$2,083.66
$390.59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,021.16
$1,159.02
$1,305.04
$1,823.78
$2,771.40
$1,411.75
$1,549.61
$1,695.63
$2,214.37
$1,802.34
$1,940.20
$2,086.22
$2,604.96
$2,192.93
$2,330.79
$2,476.81
$2,995.55
$390.59
Toc - Plan #9 Blue Cross Blue Shield of Arizona
Silver

(HMO) Blue StandardHealth Silver - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

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
$412.97
$468.72
$527.78
$737.57
$1,120.80
$728.90
$784.65
$843.71
$1,053.50
$1,044.83
$1,100.58
$1,159.64
$1,369.43
$1,360.76
$1,416.51
$1,475.57
$1,685.36
$315.93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$825.94
$937.44
$1,055.56
$1,475.14
$2,241.60
$1,141.87
$1,253.37
$1,371.49
$1,791.07
$1,457.80
$1,569.30
$1,687.42
$2,107.00
$1,773.73
$1,885.23
$2,003.35
$2,422.93
$315.93
Toc - Plan #10 Blue Cross Blue Shield of Arizona
Expanded Bronze

(HMO) Blue StandardHealth Bronze - Neighborhood Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

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
$343.25
$389.59
$438.67
$613.04
$931.58
$605.84
$652.18
$701.26
$875.63
$868.43
$914.77
$963.85
$1,138.22
$1,131.02
$1,177.36
$1,226.44
$1,400.81
$262.59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$686.50
$779.18
$877.34
$1,226.08
$1,863.16
$949.09
$1,041.77
$1,139.93
$1,488.67
$1,211.68
$1,304.36
$1,402.52
$1,751.26
$1,474.27
$1,566.95
$1,665.11
$2,013.85
$262.59
Toc - Plan #11 Blue Cross Blue Shield of Arizona
Gold

(PPO) Blue PPO PremierHealth Gold - Statewide PPO Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$1,250 $2,500 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
$615.76
$698.89
$786.94
$1,099.75
$1,671.17
$1,086.82
$1,169.95
$1,258.00
$1,570.81
$1,557.88
$1,641.01
$1,729.06
$2,041.87
$2,028.94
$2,112.07
$2,200.12
$2,512.93
$471.06
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,231.52
$1,397.78
$1,573.88
$2,199.50
$3,342.34
$1,702.58
$1,868.84
$2,044.94
$2,670.56
$2,173.64
$2,339.90
$2,516.00
$3,141.62
$2,644.70
$2,810.96
$2,987.06
$3,612.68
$471.06
Toc - Plan #12 Blue Cross Blue Shield of Arizona
Silver

(PPO) Blue PPO PremierHealth Silver - Statewide PPO Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$4,100 $8,200 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
$501.00
$568.63
$640.27
$894.78
$1,359.70
$884.26
$951.89
$1,023.53
$1,278.04
$1,267.52
$1,335.15
$1,406.79
$1,661.30
$1,650.78
$1,718.41
$1,790.05
$2,044.56
$383.26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,002.00
$1,137.26
$1,280.54
$1,789.56
$2,719.40
$1,385.26
$1,520.52
$1,663.80
$2,172.82
$1,768.52
$1,903.78
$2,047.06
$2,556.08
$2,151.78
$2,287.04
$2,430.32
$2,939.34
$383.26
Toc - Plan #13 Blue Cross Blue Shield of Arizona
Gold

(PPO) Blue PPO StandardHealth Gold - Statewide PPO Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

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
$595.12
$675.46
$760.56
$1,062.88
$1,615.15
$1,050.39
$1,130.73
$1,215.83
$1,518.15
$1,505.66
$1,586.00
$1,671.10
$1,973.42
$1,960.93
$2,041.27
$2,126.37
$2,428.69
$455.27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,190.24
$1,350.92
$1,521.12
$2,125.76
$3,230.30
$1,645.51
$1,806.19
$1,976.39
$2,581.03
$2,100.78
$2,261.46
$2,431.66
$3,036.30
$2,556.05
$2,716.73
$2,886.93
$3,491.57
$455.27
Toc - Plan #14 Blue Cross Blue Shield of Arizona
Silver

(PPO) Blue PPO StandardHealth Silver - Statewide PPO Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

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
$484.03
$549.37
$618.59
$864.48
$1,313.65
$854.31
$919.65
$988.87
$1,234.76
$1,224.59
$1,289.93
$1,359.15
$1,605.04
$1,594.87
$1,660.21
$1,729.43
$1,975.32
$370.28
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$968.06
$1,098.74
$1,237.18
$1,728.96
$2,627.30
$1,338.34
$1,469.02
$1,607.46
$2,099.24
$1,708.62
$1,839.30
$1,977.74
$2,469.52
$2,078.90
$2,209.58
$2,348.02
$2,839.80
$370.28
Toc - Plan #15 Blue Cross Blue Shield of Arizona
Gold

(PPO) Blue Portfolio HSA Gold - Statewide PPO Network

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-341-5837

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$4,500 $9,000 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
$635.78
$721.61
$812.53
$1,135.51
$1,725.51
$1,122.16
$1,207.99
$1,298.91
$1,621.89
$1,608.54
$1,694.37
$1,785.29
$2,108.27
$2,094.92
$2,180.75
$2,271.67
$2,594.65
$486.38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,271.56
$1,443.22
$1,625.06
$2,271.02
$3,451.02
$1,757.94
$1,929.60
$2,111.44
$2,757.40
$2,244.32
$2,415.98
$2,597.82
$3,243.78
$2,730.70
$2,902.36
$3,084.20
$3,730.16
$486.38

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Ambetter from Arizona Complete Health

Local: 1-888-926-5057 | Toll Free: 1-888-926-5057 | TTY: 1-888-926-5180

Toc - Plan #16 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Choice Bronze HSA

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$341.49
$387.59
$436.43
$609.90
$926.81
$602.73
$648.83
$697.67
$871.14
$863.97
$910.07
$958.91
$1,132.38
$1,125.21
$1,171.31
$1,220.15
$1,393.62
$261.24
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$682.98
$775.18
$872.86
$1,219.80
$1,853.62
$944.22
$1,036.42
$1,134.10
$1,481.04
$1,205.46
$1,297.66
$1,395.34
$1,742.28
$1,466.70
$1,558.90
$1,656.58
$2,003.52
$261.24
Toc - Plan #17 Ambetter from Arizona Complete Health
Silver

(HMO) Complete Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 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
$400.35
$454.39
$511.64
$715.02
$1,086.54
$706.62
$760.66
$817.91
$1,021.29
$1,012.89
$1,066.93
$1,124.18
$1,327.56
$1,319.16
$1,373.20
$1,430.45
$1,633.83
$306.27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$800.70
$908.78
$1,023.28
$1,430.04
$2,173.08
$1,106.97
$1,215.05
$1,329.55
$1,736.31
$1,413.24
$1,521.32
$1,635.82
$2,042.58
$1,719.51
$1,827.59
$1,942.09
$2,348.85
$306.27
Toc - Plan #18 Ambetter from Arizona Complete Health
Silver

(HMO) Everyday Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$396.61
$450.15
$506.86
$708.34
$1,076.39
$700.01
$753.55
$810.26
$1,011.74
$1,003.41
$1,056.95
$1,113.66
$1,315.14
$1,306.81
$1,360.35
$1,417.06
$1,618.54
$303.40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$793.22
$900.30
$1,013.72
$1,416.68
$2,152.78
$1,096.62
$1,203.70
$1,317.12
$1,720.08
$1,400.02
$1,507.10
$1,620.52
$2,023.48
$1,703.42
$1,810.50
$1,923.92
$2,326.88
$303.40
Toc - Plan #19 Ambetter from Arizona Complete Health
Gold

(HMO) Complete Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 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
$447.65
$508.08
$572.09
$799.50
$1,214.91
$790.10
$850.53
$914.54
$1,141.95
$1,132.55
$1,192.98
$1,256.99
$1,484.40
$1,475.00
$1,535.43
$1,599.44
$1,826.85
$342.45
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$895.30
$1,016.16
$1,144.18
$1,599.00
$2,429.82
$1,237.75
$1,358.61
$1,486.63
$1,941.45
$1,580.20
$1,701.06
$1,829.08
$2,283.90
$1,922.65
$2,043.51
$2,171.53
$2,626.35
$342.45
Toc - Plan #20 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Elite Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$383.41
$435.17
$490.00
$684.77
$1,040.58
$676.72
$728.48
$783.31
$978.08
$970.03
$1,021.79
$1,076.62
$1,271.39
$1,263.34
$1,315.10
$1,369.93
$1,564.70
$293.31
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$766.82
$870.34
$980.00
$1,369.54
$2,081.16
$1,060.13
$1,163.65
$1,273.31
$1,662.85
$1,353.44
$1,456.96
$1,566.62
$1,956.16
$1,646.75
$1,750.27
$1,859.93
$2,249.47
$293.31
Toc - Plan #21 Ambetter from Arizona Complete Health
Silver

(HMO) Clear Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$385.53
$437.58
$492.71
$688.56
$1,046.33
$680.46
$732.51
$787.64
$983.49
$975.39
$1,027.44
$1,082.57
$1,278.42
$1,270.32
$1,322.37
$1,377.50
$1,573.35
$294.93
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$771.06
$875.16
$985.42
$1,377.12
$2,092.66
$1,065.99
$1,170.09
$1,280.35
$1,672.05
$1,360.92
$1,465.02
$1,575.28
$1,966.98
$1,655.85
$1,759.95
$1,870.21
$2,261.91
$294.93
Toc - Plan #22 Ambetter from Arizona Complete Health
Silver

(HMO) Focused Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$393.85
$447.02
$503.34
$703.42
$1,068.91
$695.15
$748.32
$804.64
$1,004.72
$996.45
$1,049.62
$1,105.94
$1,306.02
$1,297.75
$1,350.92
$1,407.24
$1,607.32
$301.30
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$787.70
$894.04
$1,006.68
$1,406.84
$2,137.82
$1,089.00
$1,195.34
$1,307.98
$1,708.14
$1,390.30
$1,496.64
$1,609.28
$2,009.44
$1,691.60
$1,797.94
$1,910.58
$2,310.74
$301.30
Toc - Plan #23 Ambetter from Arizona Complete Health
Gold

(HMO) Clear Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$900 $1,800 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
$422.80
$479.87
$540.33
$755.11
$1,147.47
$746.24
$803.31
$863.77
$1,078.55
$1,069.68
$1,126.75
$1,187.21
$1,401.99
$1,393.12
$1,450.19
$1,510.65
$1,725.43
$323.44
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$845.60
$959.74
$1,080.66
$1,510.22
$2,294.94
$1,169.04
$1,283.18
$1,404.10
$1,833.66
$1,492.48
$1,606.62
$1,727.54
$2,157.10
$1,815.92
$1,930.06
$2,050.98
$2,480.54
$323.44
Toc - Plan #24 Ambetter from Arizona Complete Health
Gold

(HMO) Elite Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$5,500 $11,000 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
$488.21
$554.12
$623.94
$871.95
$1,325.01
$861.69
$927.60
$997.42
$1,245.43
$1,235.17
$1,301.08
$1,370.90
$1,618.91
$1,608.65
$1,674.56
$1,744.38
$1,992.39
$373.48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$976.42
$1,108.24
$1,247.88
$1,743.90
$2,650.02
$1,349.90
$1,481.72
$1,621.36
$2,117.38
$1,723.38
$1,855.20
$1,994.84
$2,490.86
$2,096.86
$2,228.68
$2,368.32
$2,864.34
$373.48
Toc - Plan #25 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Everyday Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$335.53
$380.83
$428.81
$599.25
$910.63
$592.21
$637.51
$685.49
$855.93
$848.89
$894.19
$942.17
$1,112.61
$1,105.57
$1,150.87
$1,198.85
$1,369.29
$256.68
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$671.06
$761.66
$857.62
$1,198.50
$1,821.26
$927.74
$1,018.34
$1,114.30
$1,455.18
$1,184.42
$1,275.02
$1,370.98
$1,711.86
$1,441.10
$1,531.70
$1,627.66
$1,968.54
$256.68
Toc - Plan #26 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Standard Expanded Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$329.90
$374.44
$421.61
$589.20
$895.35
$582.27
$626.81
$673.98
$841.57
$834.64
$879.18
$926.35
$1,093.94
$1,087.01
$1,131.55
$1,178.72
$1,346.31
$252.37
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$659.80
$748.88
$843.22
$1,178.40
$1,790.70
$912.17
$1,001.25
$1,095.59
$1,430.77
$1,164.54
$1,253.62
$1,347.96
$1,683.14
$1,416.91
$1,505.99
$1,600.33
$1,935.51
$252.37
Toc - Plan #27 Ambetter from Arizona Complete Health
Silver

(HMO) Standard Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$386.80
$439.02
$494.34
$690.83
$1,049.79
$682.71
$734.93
$790.25
$986.74
$978.62
$1,030.84
$1,086.16
$1,282.65
$1,274.53
$1,326.75
$1,382.07
$1,578.56
$295.91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$773.60
$878.04
$988.68
$1,381.66
$2,099.58
$1,069.51
$1,173.95
$1,284.59
$1,677.57
$1,365.42
$1,469.86
$1,580.50
$1,973.48
$1,661.33
$1,765.77
$1,876.41
$2,269.39
$295.91
Toc - Plan #28 Ambetter from Arizona Complete Health
Gold

(HMO) Standard Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$430.50
$488.61
$550.18
$768.87
$1,168.37
$759.83
$817.94
$879.51
$1,098.20
$1,089.16
$1,147.27
$1,208.84
$1,427.53
$1,418.49
$1,476.60
$1,538.17
$1,756.86
$329.33
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$861.00
$977.22
$1,100.36
$1,537.74
$2,336.74
$1,190.33
$1,306.55
$1,429.69
$1,867.07
$1,519.66
$1,635.88
$1,759.02
$2,196.40
$1,848.99
$1,965.21
$2,088.35
$2,525.73
$329.33
Toc - Plan #29 Ambetter from Arizona Complete Health
Silver

(HMO) Everyday Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$411.83
$467.43
$526.32
$735.53
$1,117.72
$726.88
$782.48
$841.37
$1,050.58
$1,041.93
$1,097.53
$1,156.42
$1,365.63
$1,356.98
$1,412.58
$1,471.47
$1,680.68
$315.05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$823.66
$934.86
$1,052.64
$1,471.06
$2,235.44
$1,138.71
$1,249.91
$1,367.69
$1,786.11
$1,453.76
$1,564.96
$1,682.74
$2,101.16
$1,768.81
$1,880.01
$1,997.79
$2,416.21
$315.05
Toc - Plan #30 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Choice Bronze HSA + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$354.60
$402.47
$453.18
$633.32
$962.39
$625.87
$673.74
$724.45
$904.59
$897.14
$945.01
$995.72
$1,175.86
$1,168.41
$1,216.28
$1,266.99
$1,447.13
$271.27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$709.20
$804.94
$906.36
$1,266.64
$1,924.78
$980.47
$1,076.21
$1,177.63
$1,537.91
$1,251.74
$1,347.48
$1,448.90
$1,809.18
$1,523.01
$1,618.75
$1,720.17
$2,080.45
$271.27
Toc - Plan #31 Ambetter from Arizona Complete Health
Silver

(HMO) Complete Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 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
$415.72
$471.84
$531.29
$742.47
$1,128.26
$733.74
$789.86
$849.31
$1,060.49
$1,051.76
$1,107.88
$1,167.33
$1,378.51
$1,369.78
$1,425.90
$1,485.35
$1,696.53
$318.02
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$831.44
$943.68
$1,062.58
$1,484.94
$2,256.52
$1,149.46
$1,261.70
$1,380.60
$1,802.96
$1,467.48
$1,579.72
$1,698.62
$2,120.98
$1,785.50
$1,897.74
$2,016.64
$2,439.00
$318.02
Toc - Plan #32 Ambetter from Arizona Complete Health
Gold

(HMO) Complete Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$1,450 $2,900 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
$464.83
$527.58
$594.05
$830.19
$1,261.55
$820.43
$883.18
$949.65
$1,185.79
$1,176.03
$1,238.78
$1,305.25
$1,541.39
$1,531.63
$1,594.38
$1,660.85
$1,896.99
$355.60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$929.66
$1,055.16
$1,188.10
$1,660.38
$2,523.10
$1,285.26
$1,410.76
$1,543.70
$2,015.98
$1,640.86
$1,766.36
$1,899.30
$2,371.58
$1,996.46
$2,121.96
$2,254.90
$2,727.18
$355.60
Toc - Plan #33 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Elite Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$398.13
$451.88
$508.81
$711.06
$1,080.53
$702.70
$756.45
$813.38
$1,015.63
$1,007.27
$1,061.02
$1,117.95
$1,320.20
$1,311.84
$1,365.59
$1,422.52
$1,624.77
$304.57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$796.26
$903.76
$1,017.62
$1,422.12
$2,161.06
$1,100.83
$1,208.33
$1,322.19
$1,726.69
$1,405.40
$1,512.90
$1,626.76
$2,031.26
$1,709.97
$1,817.47
$1,931.33
$2,335.83
$304.57
Toc - Plan #34 Ambetter from Arizona Complete Health
Silver

(HMO) Clear Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$400.33
$454.38
$511.62
$714.99
$1,086.50
$706.58
$760.63
$817.87
$1,021.24
$1,012.83
$1,066.88
$1,124.12
$1,327.49
$1,319.08
$1,373.13
$1,430.37
$1,633.74
$306.25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$800.66
$908.76
$1,023.24
$1,429.98
$2,173.00
$1,106.91
$1,215.01
$1,329.49
$1,736.23
$1,413.16
$1,521.26
$1,635.74
$2,042.48
$1,719.41
$1,827.51
$1,941.99
$2,348.73
$306.25
Toc - Plan #35 Ambetter from Arizona Complete Health
Silver

(HMO) Focused Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$408.97
$464.18
$522.66
$730.42
$1,109.95
$721.83
$777.04
$835.52
$1,043.28
$1,034.69
$1,089.90
$1,148.38
$1,356.14
$1,347.55
$1,402.76
$1,461.24
$1,669.00
$312.86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$817.94
$928.36
$1,045.32
$1,460.84
$2,219.90
$1,130.80
$1,241.22
$1,358.18
$1,773.70
$1,443.66
$1,554.08
$1,671.04
$2,086.56
$1,756.52
$1,866.94
$1,983.90
$2,399.42
$312.86
Toc - Plan #36 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Standard Expanded Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$342.57
$388.81
$437.80
$611.82
$929.73
$604.63
$650.87
$699.86
$873.88
$866.69
$912.93
$961.92
$1,135.94
$1,128.75
$1,174.99
$1,223.98
$1,398.00
$262.06
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$685.14
$777.62
$875.60
$1,223.64
$1,859.46
$947.20
$1,039.68
$1,137.66
$1,485.70
$1,209.26
$1,301.74
$1,399.72
$1,747.76
$1,471.32
$1,563.80
$1,661.78
$2,009.82
$262.06
Toc - Plan #37 Ambetter from Arizona Complete Health
Silver

(HMO) Standard Silver + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$401.65
$455.88
$513.31
$717.35
$1,090.09
$708.92
$763.15
$820.58
$1,024.62
$1,016.19
$1,070.42
$1,127.85
$1,331.89
$1,323.46
$1,377.69
$1,435.12
$1,639.16
$307.27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$803.30
$911.76
$1,026.62
$1,434.70
$2,180.18
$1,110.57
$1,219.03
$1,333.89
$1,741.97
$1,417.84
$1,526.30
$1,641.16
$2,049.24
$1,725.11
$1,833.57
$1,948.43
$2,356.51
$307.27
Toc - Plan #38 Ambetter from Arizona Complete Health
Gold

(HMO) Standard Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$447.02
$507.37
$571.30
$798.39
$1,213.22
$788.99
$849.34
$913.27
$1,140.36
$1,130.96
$1,191.31
$1,255.24
$1,482.33
$1,472.93
$1,533.28
$1,597.21
$1,824.30
$341.97
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$894.04
$1,014.74
$1,142.60
$1,596.78
$2,426.44
$1,236.01
$1,356.71
$1,484.57
$1,938.75
$1,577.98
$1,698.68
$1,826.54
$2,280.72
$1,919.95
$2,040.65
$2,168.51
$2,622.69
$341.97
Toc - Plan #39 Ambetter from Arizona Complete Health
Gold

(HMO) Clear Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$900 $1,800 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
$439.03
$498.30
$561.08
$784.10
$1,191.52
$774.89
$834.16
$896.94
$1,119.96
$1,110.75
$1,170.02
$1,232.80
$1,455.82
$1,446.61
$1,505.88
$1,568.66
$1,791.68
$335.86
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$878.06
$996.60
$1,122.16
$1,568.20
$2,383.04
$1,213.92
$1,332.46
$1,458.02
$1,904.06
$1,549.78
$1,668.32
$1,793.88
$2,239.92
$1,885.64
$2,004.18
$2,129.74
$2,575.78
$335.86
Toc - Plan #40 Ambetter from Arizona Complete Health
Gold

(HMO) Elite Gold + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$5,500 $11,000 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
$506.96
$575.39
$647.89
$905.42
$1,375.88
$894.78
$963.21
$1,035.71
$1,293.24
$1,282.60
$1,351.03
$1,423.53
$1,681.06
$1,670.42
$1,738.85
$1,811.35
$2,068.88
$387.82
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1,013.92
$1,150.78
$1,295.78
$1,810.84
$2,751.76
$1,401.74
$1,538.60
$1,683.60
$2,198.66
$1,789.56
$1,926.42
$2,071.42
$2,586.48
$2,177.38
$2,314.24
$2,459.24
$2,974.30
$387.82
Toc - Plan #41 Ambetter from Arizona Complete Health
Expanded Bronze

(HMO) Everyday Bronze + Vision + Adult Dental

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-888-926-5057

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
$348.41
$395.45
$445.27
$622.26
$945.59
$614.94
$661.98
$711.80
$888.79
$881.47
$928.51
$978.33
$1,155.32
$1,148.00
$1,195.04
$1,244.86
$1,421.85
$266.53
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$696.82
$790.90
$890.54
$1,244.52
$1,891.18
$963.35
$1,057.43
$1,157.07
$1,511.05
$1,229.88
$1,323.96
$1,423.60
$1,777.58
$1,496.41
$1,590.49
$1,690.13
$2,044.11
$266.53

‡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 Graham County here.

Graham County is in “Rating Area 7” of Arizona.

Currently, there are 41 plans offered in Rating Area 7.

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2024 Obamacare Plans for Graham County, AZ

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