Obamacare 2024 Rates for Leon County, Florida
ADVERTISEMENT
Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Tallahassee, FL.
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, 112 Plans and 2024 Rates for Leon County, Florida
Below, you’ll find a summary of the 112 plans for Leon County, Florida and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.
Obamacare Rates and Providers for Other Years
2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
ADVERTISEMENT
Florida Blue (BlueCross BlueShield FL)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #1 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$607.40 $689.40 $776.26 $1,084.82 $1,648.48 |
$1,072.06 $1,154.06 $1,240.92 $1,549.48 |
$1,536.72 $1,618.72 $1,705.58 $2,014.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,214.80 $1,378.80 $1,552.52 $2,169.64 $3,296.96 |
$1,679.46 $1,843.46 $2,017.18 $2,634.30 |
$2,144.12 $2,308.12 $2,481.84 $3,098.96 |
Toc - Plan #2 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.14 $492.75 $554.83 $775.37 $1,178.26 |
$766.26 $824.87 $886.95 $1,107.49 |
$1,098.38 $1,156.99 $1,219.07 $1,439.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.28 $985.50 $1,109.66 $1,550.74 $2,356.52 |
$1,200.40 $1,317.62 $1,441.78 $1,882.86 |
$1,532.52 $1,649.74 $1,773.90 $2,214.98 |
Toc - Plan #3 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$819.58 $930.22 $1,047.42 $1,463.77 $2,224.34 |
$1,446.56 $1,557.20 $1,674.40 $2,090.75 |
$2,073.54 $2,184.18 $2,301.38 $2,717.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,639.16 $1,860.44 $2,094.84 $2,927.54 $4,448.68 |
$2,266.14 $2,487.42 $2,721.82 $3,554.52 |
$2,893.12 $3,114.40 $3,348.80 $4,181.50 |
Toc - Plan #4 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Bronze
(PPO) BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.17 $461.00 $519.09 $725.42 $1,102.35 |
$716.89 $771.72 $829.81 $1,036.14 |
$1,027.61 $1,082.44 $1,140.53 $1,346.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.34 $922.00 $1,038.18 $1,450.84 $2,204.70 |
$1,123.06 $1,232.72 $1,348.90 $1,761.56 |
$1,433.78 $1,543.44 $1,659.62 $2,072.28 |
Toc - Plan #5 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$649.75 $737.47 $830.38 $1,160.45 $1,763.42 |
$1,146.81 $1,234.53 $1,327.44 $1,657.51 |
$1,643.87 $1,731.59 $1,824.50 $2,154.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,299.50 $1,474.94 $1,660.76 $2,320.90 $3,526.84 |
$1,796.56 $1,972.00 $2,157.82 $2,817.96 |
$2,293.62 $2,469.06 $2,654.88 $3,315.02 |
Toc - Plan #6 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$852.45 $967.53 $1,089.43 $1,522.48 $2,313.55 |
$1,504.57 $1,619.65 $1,741.55 $2,174.60 |
$2,156.69 $2,271.77 $2,393.67 $2,826.72 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,704.90 $1,935.06 $2,178.86 $3,044.96 $4,627.10 |
$2,357.02 $2,587.18 $2,830.98 $3,697.08 |
$3,009.14 $3,239.30 $3,483.10 $4,349.20 |
Toc - Plan #7 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$699.44 $793.86 $893.88 $1,249.20 $1,898.28 |
$1,234.51 $1,328.93 $1,428.95 $1,784.27 |
$1,769.58 $1,864.00 $1,964.02 $2,319.34 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,398.88 $1,587.72 $1,787.76 $2,498.40 $3,796.56 |
$1,933.95 $2,122.79 $2,322.83 $3,033.47 |
$2,469.02 $2,657.86 $2,857.90 $3,568.54 |
Toc - Plan #8 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.29 $479.30 $539.69 $754.21 $1,146.10 |
$745.34 $802.35 $862.74 $1,077.26 |
$1,068.39 $1,125.40 $1,185.79 $1,400.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.58 $958.60 $1,079.38 $1,508.42 $2,292.20 |
$1,167.63 $1,281.65 $1,402.43 $1,831.47 |
$1,490.68 $1,604.70 $1,725.48 $2,154.52 |
Toc - Plan #9 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$678.77 $770.40 $867.47 $1,212.28 $1,842.18 |
$1,198.03 $1,289.66 $1,386.73 $1,731.54 |
$1,717.29 $1,808.92 $1,905.99 $2,250.80 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,357.54 $1,540.80 $1,734.94 $2,424.56 $3,684.36 |
$1,876.80 $2,060.06 $2,254.20 $2,943.82 |
$2,396.06 $2,579.32 $2,773.46 $3,463.08 |
Toc - Plan #10 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$454.57 $515.94 $580.94 $811.86 $1,233.70 |
$802.32 $863.69 $928.69 $1,159.61 |
$1,150.07 $1,211.44 $1,276.44 $1,507.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$909.14 $1,031.88 $1,161.88 $1,623.72 $2,467.40 |
$1,256.89 $1,379.63 $1,509.63 $1,971.47 |
$1,604.64 $1,727.38 $1,857.38 $2,319.22 |
Toc - Plan #11 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Expanded Bronze
(PPO) BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$425.54 $482.99 $543.84 $760.01 $1,154.92 |
$751.08 $808.53 $869.38 $1,085.55 |
$1,076.62 $1,134.07 $1,194.92 $1,411.09 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$851.08 $965.98 $1,087.68 $1,520.02 $2,309.84 |
$1,176.62 $1,291.52 $1,413.22 $1,845.56 |
$1,502.16 $1,617.06 $1,738.76 $2,171.10 |
Toc - Plan #12 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Silver
(PPO) BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$631.26 $716.48 $806.75 $1,127.43 $1,713.24 |
$1,114.17 $1,199.39 $1,289.66 $1,610.34 |
$1,597.08 $1,682.30 $1,772.57 $2,093.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,262.52 $1,432.96 $1,613.50 $2,254.86 $3,426.48 |
$1,745.43 $1,915.87 $2,096.41 $2,737.77 |
$2,228.34 $2,398.78 $2,579.32 $3,220.68 |
Toc - Plan #13 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Gold
(PPO) BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$662.01 $751.38 $846.05 $1,182.35 $1,796.70 |
$1,168.45 $1,257.82 $1,352.49 $1,688.79 |
$1,674.89 $1,764.26 $1,858.93 $2,195.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,324.02 $1,502.76 $1,692.10 $2,364.70 $3,593.40 |
$1,830.46 $2,009.20 $2,198.54 $2,871.14 |
$2,336.90 $2,515.64 $2,704.98 $3,377.58 |
Toc - Plan #14 Florida Blue (BlueCross BlueShield FL) | ||||||||||||||||||||
Platinum
(PPO) BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$847.12 $961.48 $1,082.62 $1,512.96 $2,299.08 |
$1,495.17 $1,609.53 $1,730.67 $2,161.01 |
$2,143.22 $2,257.58 $2,378.72 $2,809.06 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,694.24 $1,922.96 $2,165.24 $3,025.92 $4,598.16 |
$2,342.29 $2,571.01 $2,813.29 $3,673.97 |
$2,990.34 $3,219.06 $3,461.34 $4,322.02 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #15 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$341.28 $387.35 $436.15 $609.52 $926.22 |
$602.36 $648.43 $697.23 $870.60 |
$863.44 $909.51 $958.31 $1,131.68 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$682.56 $774.70 $872.30 $1,219.04 $1,852.44 |
$943.64 $1,035.78 $1,133.38 $1,480.12 |
$1,204.72 $1,296.86 $1,394.46 $1,741.20 |
Toc - Plan #16 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.92 $319.97 $360.28 $503.49 $765.10 |
$497.58 $535.63 $575.94 $719.15 |
$713.24 $751.29 $791.60 $934.81 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$563.84 $639.94 $720.56 $1,006.98 $1,530.20 |
$779.50 $855.60 $936.22 $1,222.64 |
$995.16 $1,071.26 $1,151.88 $1,438.30 |
Toc - Plan #17 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.82 $403.85 $454.73 $635.48 $965.68 |
$628.02 $676.05 $726.93 $907.68 |
$900.22 $948.25 $999.13 $1,179.88 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.64 $807.70 $909.46 $1,270.96 $1,931.36 |
$983.84 $1,079.90 $1,181.66 $1,543.16 |
$1,256.04 $1,352.10 $1,453.86 $1,815.36 |
Toc - Plan #18 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$278.09 $315.62 $355.38 $496.64 $754.70 |
$490.82 $528.35 $568.11 $709.37 |
$703.55 $741.08 $780.84 $922.10 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$556.18 $631.24 $710.76 $993.28 $1,509.40 |
$768.91 $843.97 $923.49 $1,206.01 |
$981.64 $1,056.70 $1,136.22 $1,418.74 |
Toc - Plan #19 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$319.29 $362.38 $408.03 $570.23 $866.52 |
$563.54 $606.63 $652.28 $814.48 |
$807.79 $850.88 $896.53 $1,058.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$638.58 $724.76 $816.06 $1,140.46 $1,733.04 |
$882.83 $969.01 $1,060.31 $1,384.71 |
$1,127.08 $1,213.26 $1,304.56 $1,628.96 |
Toc - Plan #20 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$346.53 $393.30 $442.86 $618.89 $940.47 |
$611.62 $658.39 $707.95 $883.98 |
$876.71 $923.48 $973.04 $1,149.07 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$693.06 $786.60 $885.72 $1,237.78 $1,880.94 |
$958.15 $1,051.69 $1,150.81 $1,502.87 |
$1,223.24 $1,316.78 $1,415.90 $1,767.96 |
Toc - Plan #21 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$352.72 $400.32 $450.76 $629.93 $957.24 |
$622.54 $670.14 $720.58 $899.75 |
$892.36 $939.96 $990.40 $1,169.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$705.44 $800.64 $901.52 $1,259.86 $1,914.48 |
$975.26 $1,070.46 $1,171.34 $1,529.68 |
$1,245.08 $1,340.28 $1,441.16 $1,799.50 |
Toc - Plan #22 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$326.23 $370.26 $416.91 $582.62 $885.35 |
$575.79 $619.82 $666.47 $832.18 |
$825.35 $869.38 $916.03 $1,081.74 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$652.46 $740.52 $833.82 $1,165.24 $1,770.70 |
$902.02 $990.08 $1,083.38 $1,414.80 |
$1,151.58 $1,239.64 $1,332.94 $1,664.36 |
Toc - Plan #23 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$375.27 $425.92 $479.58 $670.21 $1,018.45 |
$662.34 $712.99 $766.65 $957.28 |
$949.41 $1,000.06 $1,053.72 $1,244.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$750.54 $851.84 $959.16 $1,340.42 $2,036.90 |
$1,037.61 $1,138.91 $1,246.23 $1,627.49 |
$1,324.68 $1,425.98 $1,533.30 $1,914.56 |
Toc - Plan #24 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$272.70 $309.50 $348.50 $487.02 $740.08 |
$481.31 $518.11 $557.11 $695.63 |
$689.92 $726.72 $765.72 $904.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$545.40 $619.00 $697.00 $974.04 $1,480.16 |
$754.01 $827.61 $905.61 $1,182.65 |
$962.62 $1,036.22 $1,114.22 $1,391.26 |
Toc - Plan #25 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$345.36 $391.97 $441.36 $616.80 $937.28 |
$609.55 $656.16 $705.55 $880.99 |
$873.74 $920.35 $969.74 $1,145.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$690.72 $783.94 $882.72 $1,233.60 $1,874.56 |
$954.91 $1,048.13 $1,146.91 $1,497.79 |
$1,219.10 $1,312.32 $1,411.10 $1,761.98 |
Toc - Plan #26 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$324.26 $368.02 $414.39 $579.11 $880.01 |
$572.31 $616.07 $662.44 $827.16 |
$820.36 $864.12 $910.49 $1,075.21 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$648.52 $736.04 $828.78 $1,158.22 $1,760.02 |
$896.57 $984.09 $1,076.83 $1,406.27 |
$1,144.62 $1,232.14 $1,324.88 $1,654.32 |
Toc - Plan #27 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Everyday Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.07 $417.75 $470.38 $657.36 $998.91 |
$649.64 $699.32 $751.95 $938.93 |
$931.21 $980.89 $1,033.52 $1,220.50 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.14 $835.50 $940.76 $1,314.72 $1,997.82 |
$1,017.71 $1,117.07 $1,222.33 $1,596.29 |
$1,299.28 $1,398.64 $1,503.90 $1,877.86 |
Toc - Plan #28 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Choice Bronze HSA + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$291.62 $330.98 $372.68 $520.82 $791.43 |
$514.70 $554.06 $595.76 $743.90 |
$737.78 $777.14 $818.84 $966.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$583.24 $661.96 $745.36 $1,041.64 $1,582.86 |
$806.32 $885.04 $968.44 $1,264.72 |
$1,029.40 $1,108.12 $1,191.52 $1,487.80 |
Toc - Plan #29 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Complete Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.03 $400.68 $451.16 $630.49 $958.10 |
$623.09 $670.74 $721.22 $900.55 |
$893.15 $940.80 $991.28 $1,170.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.06 $801.36 $902.32 $1,260.98 $1,916.20 |
$976.12 $1,071.42 $1,172.38 $1,531.04 |
$1,246.18 $1,341.48 $1,442.44 $1,801.10 |
Toc - Plan #30 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Clear Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$358.46 $406.84 $458.10 $640.19 $972.83 |
$632.67 $681.05 $732.31 $914.40 |
$906.88 $955.26 $1,006.52 $1,188.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$716.92 $813.68 $916.20 $1,280.38 $1,945.66 |
$991.13 $1,087.89 $1,190.41 $1,554.59 |
$1,265.34 $1,362.10 $1,464.62 $1,828.80 |
Toc - Plan #31 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Elite Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$388.18 $440.58 $496.08 $693.28 $1,053.50 |
$685.13 $737.53 $793.03 $990.23 |
$982.08 $1,034.48 $1,089.98 $1,287.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$776.36 $881.16 $992.16 $1,386.56 $2,107.00 |
$1,073.31 $1,178.11 $1,289.11 $1,683.51 |
$1,370.26 $1,475.06 $1,586.06 $1,980.46 |
Toc - Plan #32 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Standard Expanded Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$282.08 $320.15 $360.49 $503.78 $765.55 |
$497.87 $535.94 $576.28 $719.57 |
$713.66 $751.73 $792.07 $935.36 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$564.16 $640.30 $720.98 $1,007.56 $1,531.10 |
$779.95 $856.09 $936.77 $1,223.35 |
$995.74 $1,071.88 $1,152.56 $1,439.14 |
Toc - Plan #33 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Standard Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$357.25 $405.46 $456.55 $638.02 $969.54 |
$630.54 $678.75 $729.84 $911.31 |
$903.83 $952.04 $1,003.13 $1,184.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$714.50 $810.92 $913.10 $1,276.04 $1,939.08 |
$987.79 $1,084.21 $1,186.39 $1,549.33 |
$1,261.08 $1,357.50 $1,459.68 $1,822.62 |
Toc - Plan #34 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Standard Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$335.42 $380.69 $428.65 $599.04 $910.30 |
$592.01 $637.28 $685.24 $855.63 |
$848.60 $893.87 $941.83 $1,112.22 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$670.84 $761.38 $857.30 $1,198.08 $1,820.60 |
$927.43 $1,017.97 $1,113.89 $1,454.67 |
$1,184.02 $1,274.56 $1,370.48 $1,711.26 |
Toc - Plan #35 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Everyday Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$287.66 $326.48 $367.61 $513.74 $780.67 |
$507.71 $546.53 $587.66 $733.79 |
$727.76 $766.58 $807.71 $953.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$575.32 $652.96 $735.22 $1,027.48 $1,561.34 |
$795.37 $873.01 $955.27 $1,247.53 |
$1,015.42 $1,093.06 $1,175.32 $1,467.58 |
Toc - Plan #36 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(EPO) Elite Bronze + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.27 $374.85 $422.08 $589.85 $896.34 |
$582.92 $627.50 $674.73 $842.50 |
$835.57 $880.15 $927.38 $1,095.15 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.54 $749.70 $844.16 $1,179.70 $1,792.68 |
$913.19 $1,002.35 $1,096.81 $1,432.35 |
$1,165.84 $1,255.00 $1,349.46 $1,685.00 |
Toc - Plan #37 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(EPO) Focused Silver + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$364.85 $414.10 $466.27 $651.61 $990.19 |
$643.96 $693.21 $745.38 $930.72 |
$923.07 $972.32 $1,024.49 $1,209.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$729.70 $828.20 $932.54 $1,303.22 $1,980.38 |
$1,008.81 $1,107.31 $1,211.65 $1,582.33 |
$1,287.92 $1,386.42 $1,490.76 $1,861.44 |
Toc - Plan #38 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(EPO) Everyday Gold + Vision + Adult Dental |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$337.45 $383.00 $431.25 $602.68 $915.83 |
$595.60 $641.15 $689.40 $860.83 |
$853.75 $899.30 $947.55 $1,118.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$674.90 $766.00 $862.50 $1,205.36 $1,831.66 |
$933.05 $1,024.15 $1,120.65 $1,463.51 |
$1,191.20 $1,282.30 $1,378.80 $1,721.66 |
ADVERTISEMENT
Florida Blue HMO (a BlueCross BlueShield FL company)Local: 1-800-352-2583 | Toll Free: 1-800-352-2583 | TTY: 1-800-955-8771 |
Toc - Plan #39 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 1601 ($0 Virtual Visits / 3 PCP Visits for $0 then $45 / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$350.10 $397.36 $447.43 $625.28 $950.17 |
$617.93 $665.19 $715.26 $893.11 |
$885.76 $933.02 $983.09 $1,160.94 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$700.20 $794.72 $894.86 $1,250.56 $1,900.34 |
$968.03 $1,062.55 $1,162.69 $1,518.39 |
$1,235.86 $1,330.38 $1,430.52 $1,786.22 |
Toc - Plan #40 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 1605 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$474.46 $538.51 $606.36 $847.39 $1,287.68 |
$837.42 $901.47 $969.32 $1,210.35 |
$1,200.38 $1,264.43 $1,332.28 $1,573.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$948.92 $1,077.02 $1,212.72 $1,694.78 $2,575.36 |
$1,311.88 $1,439.98 $1,575.68 $2,057.74 |
$1,674.84 $1,802.94 $1,938.64 $2,420.70 |
Toc - Plan #41 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2017 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$405.81 $460.59 $518.63 $724.78 $1,101.37 |
$716.25 $771.03 $829.07 $1,035.22 |
$1,026.69 $1,081.47 $1,139.51 $1,345.66 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$811.62 $921.18 $1,037.26 $1,449.56 $2,202.74 |
$1,122.06 $1,231.62 $1,347.70 $1,760.00 |
$1,432.50 $1,542.06 $1,658.14 $2,070.44 |
Toc - Plan #42 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2129 ($0 Virtual Visits / $35 PCP Visit / $75 Specialist Visits / $30 Generic Meds / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$368.48 $418.22 $470.92 $658.11 $1,000.05 |
$650.37 $700.11 $752.81 $940.00 |
$932.26 $982.00 $1,034.70 $1,221.89 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$736.96 $836.44 $941.84 $1,316.22 $2,000.10 |
$1,018.85 $1,118.33 $1,223.73 $1,598.11 |
$1,300.74 $1,400.22 $1,505.62 $1,880.00 |
Toc - Plan #43 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237 ($0 Virtual Visits / $60 PCP Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.92 $436.88 $491.93 $687.47 $1,044.67 |
$679.38 $731.34 $786.39 $981.93 |
$973.84 $1,025.80 $1,080.85 $1,276.39 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$769.84 $873.76 $983.86 $1,374.94 $2,089.34 |
$1,064.30 $1,168.22 $1,278.32 $1,669.40 |
$1,358.76 $1,462.68 $1,572.78 $1,963.86 |
Toc - Plan #44 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2219 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$342.76 $389.03 $438.05 $612.17 $930.25 |
$604.97 $651.24 $700.26 $874.38 |
$867.18 $913.45 $962.47 $1,136.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$685.52 $778.06 $876.10 $1,224.34 $1,860.50 |
$947.73 $1,040.27 $1,138.31 $1,486.55 |
$1,209.94 $1,302.48 $1,400.52 $1,748.76 |
Toc - Plan #45 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2312S (Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$331.90 $376.71 $424.17 $592.77 $900.78 |
$585.80 $630.61 $678.07 $846.67 |
$839.70 $884.51 $931.97 $1,100.57 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$663.80 $753.42 $848.34 $1,185.54 $1,801.56 |
$917.70 $1,007.32 $1,102.24 $1,439.44 |
$1,171.60 $1,261.22 $1,356.14 $1,693.34 |
Toc - Plan #46 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Expanded Bronze
(HMO) myBlue Bronze 2329 ($0 Virtual Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$359.89 $408.48 $459.94 $642.76 $976.74 |
$635.21 $683.80 $735.26 $918.08 |
$910.53 $959.12 $1,010.58 $1,193.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$719.78 $816.96 $919.88 $1,285.52 $1,953.48 |
$995.10 $1,092.28 $1,195.20 $1,560.84 |
$1,270.42 $1,367.60 $1,470.52 $1,836.16 |
Toc - Plan #47 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$380.21 $431.54 $485.91 $679.06 $1,031.89 |
$671.07 $722.40 $776.77 $969.92 |
$961.93 $1,013.26 $1,067.63 $1,260.78 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$760.42 $863.08 $971.82 $1,358.12 $2,063.78 |
$1,051.28 $1,153.94 $1,262.68 $1,648.98 |
$1,342.14 $1,444.80 $1,553.54 $1,939.84 |
Toc - Plan #48 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$406.20 $461.04 $519.12 $725.47 $1,102.43 |
$716.94 $771.78 $829.86 $1,036.21 |
$1,027.68 $1,082.52 $1,140.60 $1,346.95 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$812.40 $922.08 $1,038.24 $1,450.94 $2,204.86 |
$1,123.14 $1,232.82 $1,348.98 $1,761.68 |
$1,433.88 $1,543.56 $1,659.72 $2,072.42 |
Toc - Plan #49 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$467.81 $530.96 $597.86 $835.51 $1,269.64 |
$825.68 $888.83 $955.73 $1,193.38 |
$1,183.55 $1,246.70 $1,313.60 $1,551.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$935.62 $1,061.92 $1,195.72 $1,671.02 $2,539.28 |
$1,293.49 $1,419.79 $1,553.59 $2,028.89 |
$1,651.36 $1,777.66 $1,911.46 $2,386.76 |
Toc - Plan #50 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 24M03-70 ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$371.74 $421.92 $475.08 $663.93 $1,008.90 |
$656.12 $706.30 $759.46 $948.31 |
$940.50 $990.68 $1,043.84 $1,232.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$743.48 $843.84 $950.16 $1,327.86 $2,017.80 |
$1,027.86 $1,128.22 $1,234.54 $1,612.24 |
$1,312.24 $1,412.60 $1,518.92 $1,896.62 |
Toc - Plan #51 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Gold
(HMO) myBlue Gold 24M05-74 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$491.74 $558.12 $628.44 $878.25 $1,334.58 |
$867.92 $934.30 $1,004.62 $1,254.43 |
$1,244.10 $1,310.48 $1,380.80 $1,630.61 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$983.48 $1,116.24 $1,256.88 $1,756.50 $2,669.16 |
$1,359.66 $1,492.42 $1,633.06 $2,132.68 |
$1,735.84 $1,868.60 $2,009.24 $2,508.86 |
Toc - Plan #52 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-75 ($0 Virtual Visits / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$603.03 $684.44 $770.67 $1,077.01 $1,636.62 |
$1,064.35 $1,145.76 $1,231.99 $1,538.33 |
$1,525.67 $1,607.08 $1,693.31 $1,999.65 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,206.06 $1,368.88 $1,541.34 $2,154.02 $3,273.24 |
$1,667.38 $1,830.20 $2,002.66 $2,615.34 |
$2,128.70 $2,291.52 $2,463.98 $3,076.66 |
Toc - Plan #53 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Platinum
(HMO) myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards $$$ ) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$600.52 $681.59 $767.46 $1,072.53 $1,629.81 |
$1,059.92 $1,140.99 $1,226.86 $1,531.93 |
$1,519.32 $1,600.39 $1,686.26 $1,991.33 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,201.04 $1,363.18 $1,534.92 $2,145.06 $3,259.62 |
$1,660.44 $1,822.58 $1,994.32 $2,604.46 |
$2,119.84 $2,281.98 $2,453.72 $3,063.86 |
Toc - Plan #54 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Silver 2237D ($0 Virtual Visits / $60 PCP Visits / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$392.62 $445.62 $501.77 $701.22 $1,065.57 |
$692.97 $745.97 $802.12 $1,001.57 |
$993.32 $1,046.32 $1,102.47 $1,301.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$785.24 $891.24 $1,003.54 $1,402.44 $2,131.14 |
$1,085.59 $1,191.59 $1,303.89 $1,702.79 |
$1,385.94 $1,491.94 $1,604.24 $2,003.14 |
Toc - Plan #55 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 2332D ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$387.92 $440.29 $495.76 $692.83 $1,052.81 |
$684.68 $737.05 $792.52 $989.59 |
$981.44 $1,033.81 $1,089.28 $1,286.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$775.84 $880.58 $991.52 $1,385.66 $2,105.62 |
$1,072.60 $1,177.34 $1,288.28 $1,682.42 |
$1,369.36 $1,474.10 $1,585.04 $1,979.18 |
Toc - Plan #56 Florida Blue HMO (a BlueCross BlueShield FL company) | ||||||||||||||||||||
Silver
(HMO) myBlue Connected Care Silver 24M03-70D ($0 Virtual Visits / $0 Primary Care Visits with Select Providers / Adult Dental / Rewards $$$) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-800-352-2583
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$379.48 $430.71 $484.98 $677.75 $1,029.91 |
$669.78 $721.01 $775.28 $968.05 |
$960.08 $1,011.31 $1,065.58 $1,258.35 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$758.96 $861.42 $969.96 $1,355.50 $2,059.82 |
$1,049.26 $1,151.72 $1,260.26 $1,645.80 |
$1,339.56 $1,442.02 $1,550.56 $1,936.10 |
ADVERTISEMENT
Oscar Insurance Company of FloridaLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
Toc - Plan #57 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + PCP Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$384.18 $436.03 $490.97 $686.13 $1,042.64 |
$678.07 $729.92 $784.86 $980.02 |
$971.96 $1,023.81 $1,078.75 $1,273.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$768.36 $872.06 $981.94 $1,372.26 $2,085.28 |
$1,062.25 $1,165.95 $1,275.83 $1,666.15 |
$1,356.14 $1,459.84 $1,569.72 $1,960.04 |
Toc - Plan #58 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$423.37 $480.51 $541.05 $756.12 $1,148.99 |
$747.24 $804.38 $864.92 $1,079.99 |
$1,071.11 $1,128.25 $1,188.79 $1,403.86 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$846.74 $961.02 $1,082.10 $1,512.24 $2,297.98 |
$1,170.61 $1,284.89 $1,405.97 $1,836.11 |
$1,494.48 $1,608.76 $1,729.84 $2,159.98 |
Toc - Plan #59 Oscar Insurance Company of Florida | ||||||||||||||||||||
Catastrophic
(EPO) Secure |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$255.99 $290.54 $327.14 $457.18 $694.72 |
$451.81 $486.36 $522.96 $653.00 |
$647.63 $682.18 $718.78 $848.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$511.98 $581.08 $654.28 $914.36 $1,389.44 |
$707.80 $776.90 $850.10 $1,110.18 |
$903.62 $972.72 $1,045.92 $1,306.00 |
Toc - Plan #60 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite + Specialist Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$386.51 $438.67 $493.94 $690.28 $1,048.95 |
$682.18 $734.34 $789.61 $985.95 |
$977.85 $1,030.01 $1,085.28 $1,281.62 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$773.02 $877.34 $987.88 $1,380.56 $2,097.90 |
$1,068.69 $1,173.01 $1,283.55 $1,676.23 |
$1,364.36 $1,468.68 $1,579.22 $1,971.90 |
Toc - Plan #61 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$449.36 $510.01 $574.27 $802.54 $1,219.53 |
$793.11 $853.76 $918.02 $1,146.29 |
$1,136.86 $1,197.51 $1,261.77 $1,490.04 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$898.72 $1,020.02 $1,148.54 $1,605.08 $2,439.06 |
$1,242.47 $1,363.77 $1,492.29 $1,948.83 |
$1,586.22 $1,707.52 $1,836.04 $2,292.58 |
Toc - Plan #62 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$422.28 $479.27 $539.66 $754.17 $1,146.03 |
$745.31 $802.30 $862.69 $1,077.20 |
$1,068.34 $1,125.33 $1,185.72 $1,400.23 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$844.56 $958.54 $1,079.32 $1,508.34 $2,292.06 |
$1,167.59 $1,281.57 $1,402.35 $1,831.37 |
$1,490.62 $1,604.60 $1,725.38 $2,154.40 |
Toc - Plan #63 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$430.95 $489.12 $550.74 $769.66 $1,169.57 |
$760.62 $818.79 $880.41 $1,099.33 |
$1,090.29 $1,148.46 $1,210.08 $1,429.00 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$861.90 $978.24 $1,101.48 $1,539.32 $2,339.14 |
$1,191.57 $1,307.91 $1,431.15 $1,868.99 |
$1,521.24 $1,637.58 $1,760.82 $2,198.66 |
Toc - Plan #64 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic 4700 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$347.77 $394.71 $444.44 $621.10 $943.82 |
$613.81 $660.75 $710.48 $887.14 |
$879.85 $926.79 $976.52 $1,153.18 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$695.54 $789.42 $888.88 $1,242.20 $1,887.64 |
$961.58 $1,055.46 $1,154.92 $1,508.24 |
$1,227.62 $1,321.50 $1,420.96 $1,774.28 |
Toc - Plan #65 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Simple PCP Saver |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$419.20 $475.78 $535.72 $748.67 $1,137.68 |
$739.88 $796.46 $856.40 $1,069.35 |
$1,060.56 $1,117.14 $1,177.08 $1,390.03 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$838.40 $951.56 $1,071.44 $1,497.34 $2,275.36 |
$1,159.08 $1,272.24 $1,392.12 $1,818.02 |
$1,479.76 $1,592.92 $1,712.80 $2,138.70 |
Toc - Plan #66 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$490.64 $556.86 $627.02 $876.26 $1,331.56 |
$865.97 $932.19 $1,002.35 $1,251.59 |
$1,241.30 $1,307.52 $1,377.68 $1,626.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$981.28 $1,113.72 $1,254.04 $1,752.52 $2,663.12 |
$1,356.61 $1,489.05 $1,629.37 $2,127.85 |
$1,731.94 $1,864.38 $2,004.70 $2,503.18 |
Toc - Plan #67 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Elite |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.88 $528.76 $595.38 $832.04 $1,264.37 |
$822.27 $885.15 $951.77 $1,188.43 |
$1,178.66 $1,241.54 $1,308.16 $1,544.82 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.76 $1,057.52 $1,190.76 $1,664.08 $2,528.74 |
$1,288.15 $1,413.91 $1,547.15 $2,020.47 |
$1,644.54 $1,770.30 $1,903.54 $2,376.86 |
Toc - Plan #68 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Elite Saver Plus |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$377.31 $428.23 $482.19 $673.85 $1,023.99 |
$665.94 $716.86 $770.82 $962.48 |
$954.57 $1,005.49 $1,059.45 $1,251.11 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$754.62 $856.46 $964.38 $1,347.70 $2,047.98 |
$1,043.25 $1,145.09 $1,253.01 $1,636.33 |
$1,331.88 $1,433.72 $1,541.64 $1,924.96 |
Toc - Plan #69 Oscar Insurance Company of Florida | ||||||||||||||||||||
Expanded Bronze
(EPO) Bronze Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$344.69 $391.21 $440.50 $615.60 $935.46 |
$608.37 $654.89 $704.18 $879.28 |
$872.05 $918.57 $967.86 $1,142.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$689.38 $782.42 $881.00 $1,231.20 $1,870.92 |
$953.06 $1,046.10 $1,144.68 $1,494.88 |
$1,216.74 $1,309.78 $1,408.36 $1,758.56 |
Toc - Plan #70 Oscar Insurance Company of Florida | ||||||||||||||||||||
Silver
(EPO) Silver Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$420.06 $476.76 $536.83 $750.22 $1,140.03 |
$741.40 $798.10 $858.17 $1,071.56 |
$1,062.74 $1,119.44 $1,179.51 $1,392.90 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$840.12 $953.52 $1,073.66 $1,500.44 $2,280.06 |
$1,161.46 $1,274.86 $1,395.00 $1,821.78 |
$1,482.80 $1,596.20 $1,716.34 $2,143.12 |
Toc - Plan #71 Oscar Insurance Company of Florida | ||||||||||||||||||||
Gold
(EPO) Gold Classic Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-855-672-2755
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$434.33 $492.95 $555.06 $775.69 $1,178.74 |
$766.58 $825.20 $887.31 $1,107.94 |
$1,098.83 $1,157.45 $1,219.56 $1,440.19 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$868.66 $985.90 $1,110.12 $1,551.38 $2,357.48 |
$1,200.91 $1,318.15 $1,442.37 $1,883.63 |
$1,533.16 $1,650.40 $1,774.62 $2,215.88 |
ADVERTISEMENT
Cigna HealthcareLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 | TTY: 1-800-676-3777 |
Toc - Plan #72 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 8500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.49 $520.39 $585.95 $818.87 $1,244.35 |
$809.24 $871.14 $936.70 $1,169.62 |
$1,159.99 $1,221.89 $1,287.45 $1,520.37 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$916.98 $1,040.78 $1,171.90 $1,637.74 $2,488.70 |
$1,267.73 $1,391.53 $1,522.65 $1,988.49 |
$1,618.48 $1,742.28 $1,873.40 $2,339.24 |
Toc - Plan #73 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 4000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$618.07 $701.51 $789.90 $1,103.88 $1,677.45 |
$1,090.90 $1,174.34 $1,262.73 $1,576.71 |
$1,563.73 $1,647.17 $1,735.56 $2,049.54 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,236.14 $1,403.02 $1,579.80 $2,207.76 $3,354.90 |
$1,708.97 $1,875.85 $2,052.63 $2,680.59 |
$2,181.80 $2,348.68 $2,525.46 $3,153.42 |
Toc - Plan #74 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 5000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$613.14 $695.92 $783.60 $1,095.08 $1,664.07 |
$1,082.20 $1,164.98 $1,252.66 $1,564.14 |
$1,551.26 $1,634.04 $1,721.72 $2,033.20 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,226.28 $1,391.84 $1,567.20 $2,190.16 $3,328.14 |
$1,695.34 $1,860.90 $2,036.26 $2,659.22 |
$2,164.40 $2,329.96 $2,505.32 $3,128.28 |
Toc - Plan #75 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 9100 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$625.30 $709.71 $799.13 $1,116.78 $1,697.05 |
$1,103.65 $1,188.06 $1,277.48 $1,595.13 |
$1,582.00 $1,666.41 $1,755.83 $2,073.48 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,250.60 $1,419.42 $1,598.26 $2,233.56 $3,394.10 |
$1,728.95 $1,897.77 $2,076.61 $2,711.91 |
$2,207.30 $2,376.12 $2,554.96 $3,190.26 |
Toc - Plan #76 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold 2500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$636.70 $722.66 $813.71 $1,137.15 $1,728.01 |
$1,123.78 $1,209.74 $1,300.79 $1,624.23 |
$1,610.86 $1,696.82 $1,787.87 $2,111.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,273.40 $1,445.32 $1,627.42 $2,274.30 $3,456.02 |
$1,760.48 $1,932.40 $2,114.50 $2,761.38 |
$2,247.56 $2,419.48 $2,601.58 $3,248.46 |
Toc - Plan #77 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$458.56 $520.46 $586.04 $818.99 $1,244.53 |
$809.36 $871.26 $936.84 $1,169.79 |
$1,160.16 $1,222.06 $1,287.64 $1,520.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$917.12 $1,040.92 $1,172.08 $1,637.98 $2,489.06 |
$1,267.92 $1,391.72 $1,522.88 $1,988.78 |
$1,618.72 $1,742.52 $1,873.68 $2,339.58 |
Toc - Plan #78 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver 3000 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$611.79 $694.39 $781.87 $1,092.66 $1,660.41 |
$1,079.81 $1,162.41 $1,249.89 $1,560.68 |
$1,547.83 $1,630.43 $1,717.91 $2,028.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,223.58 $1,388.78 $1,563.74 $2,185.32 $3,320.82 |
$1,691.60 $1,856.80 $2,031.76 $2,653.34 |
$2,159.62 $2,324.82 $2,499.78 $3,121.36 |
Toc - Plan #79 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold 500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$663.57 $753.15 $848.04 $1,185.14 $1,800.93 |
$1,171.20 $1,260.78 $1,355.67 $1,692.77 |
$1,678.83 $1,768.41 $1,863.30 $2,200.40 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,327.14 $1,506.30 $1,696.08 $2,370.28 $3,601.86 |
$1,834.77 $2,013.93 $2,203.71 $2,877.91 |
$2,342.40 $2,521.56 $2,711.34 $3,385.54 |
Toc - Plan #80 Cigna Healthcare | ||||||||||||||||||||
Gold
(EPO) Connect Gold CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$643.72 $730.63 $822.68 $1,149.69 $1,747.07 |
$1,136.17 $1,223.08 $1,315.13 $1,642.14 |
$1,628.62 $1,715.53 $1,807.58 $2,134.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,287.44 $1,461.26 $1,645.36 $2,299.38 $3,494.14 |
$1,779.89 $1,953.71 $2,137.81 $2,791.83 |
$2,272.34 $2,446.16 $2,630.26 $3,284.28 |
Toc - Plan #81 Cigna Healthcare | ||||||||||||||||||||
Silver
(EPO) Connect Silver CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$616.92 $700.21 $788.43 $1,101.83 $1,674.33 |
$1,088.87 $1,172.16 $1,260.38 $1,573.78 |
$1,560.82 $1,644.11 $1,732.33 $2,045.73 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,233.84 $1,400.42 $1,576.86 $2,203.66 $3,348.66 |
$1,705.79 $1,872.37 $2,048.81 $2,675.61 |
$2,177.74 $2,344.32 $2,520.76 $3,147.56 |
Toc - Plan #82 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze CMS Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.79 $522.99 $588.88 $822.96 $1,250.57 |
$813.29 $875.49 $941.38 $1,175.46 |
$1,165.79 $1,227.99 $1,293.88 $1,527.96 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$921.58 $1,045.98 $1,177.76 $1,645.92 $2,501.14 |
$1,274.08 $1,398.48 $1,530.26 $1,998.42 |
$1,626.58 $1,750.98 $1,882.76 $2,350.92 |
Toc - Plan #83 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 0 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$504.12 $572.18 $644.27 $900.37 $1,368.19 |
$889.78 $957.84 $1,029.93 $1,286.03 |
$1,275.44 $1,343.50 $1,415.59 $1,671.69 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,008.24 $1,144.36 $1,288.54 $1,800.74 $2,736.38 |
$1,393.90 $1,530.02 $1,674.20 $2,186.40 |
$1,779.56 $1,915.68 $2,059.86 $2,572.06 |
Toc - Plan #84 Cigna Healthcare | ||||||||||||||||||||
Expanded Bronze
(EPO) Connect Bronze 5500 Indiv Med Deductible |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-900-1237
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$465.71 $528.59 $595.18 $831.77 $1,263.95 |
$821.98 $884.86 $951.45 $1,188.04 |
$1,178.25 $1,241.13 $1,307.72 $1,544.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$931.42 $1,057.18 $1,190.36 $1,663.54 $2,527.90 |
$1,287.69 $1,413.45 $1,546.63 $2,019.81 |
$1,643.96 $1,769.72 $1,902.90 $2,376.08 |
ADVERTISEMENT
Capital Health PlanLocal: 1-850-383-3311 | Toll Free: 1-877-247-6512 | TTY: 1-877-870-8943 |
Toc - Plan #85 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) Capital Health Plan HMO Silver 2100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.67 $410.50 $462.22 $645.95 $981.59 |
$638.35 $687.18 $738.90 $922.63 |
$915.03 $963.86 $1,015.58 $1,199.31 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.34 $821.00 $924.44 $1,291.90 $1,963.18 |
$1,000.02 $1,097.68 $1,201.12 $1,568.58 |
$1,276.70 $1,374.36 $1,477.80 $1,845.26 |
Toc - Plan #86 Capital Health Plan | ||||||||||||||||||||
Gold
(HMO) Capital Health Plan HMO Gold 3000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$396.72 $450.27 $507.01 $708.54 $1,076.69 |
$700.21 $753.76 $810.50 $1,012.03 |
$1,003.70 $1,057.25 $1,113.99 $1,315.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$793.44 $900.54 $1,014.02 $1,417.08 $2,153.38 |
$1,096.93 $1,204.03 $1,317.51 $1,720.57 |
$1,400.42 $1,507.52 $1,621.00 $2,024.06 |
Toc - Plan #87 Capital Health Plan | ||||||||||||||||||||
Expanded Bronze
(HMO) Capital Health Plan HMO Bronze 1000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$284.20 $322.57 $363.21 $507.59 $771.33 |
$501.62 $539.99 $580.63 $725.01 |
$719.04 $757.41 $798.05 $942.43 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$568.40 $645.14 $726.42 $1,015.18 $1,542.66 |
$785.82 $862.56 $943.84 $1,232.60 |
$1,003.24 $1,079.98 $1,161.26 $1,450.02 |
Toc - Plan #88 Capital Health Plan | ||||||||||||||||||||
Silver
(HMO) Capital Health Plan HMO Silver 2300 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$353.39 $401.10 $451.63 $631.16 $959.10 |
$623.73 $671.44 $721.97 $901.50 |
$894.07 $941.78 $992.31 $1,171.84 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$706.78 $802.20 $903.26 $1,262.32 $1,918.20 |
$977.12 $1,072.54 $1,173.60 $1,532.66 |
$1,247.46 $1,342.88 $1,443.94 $1,803.00 |
Toc - Plan #89 Capital Health Plan | ||||||||||||||||||||
Gold
(HMO) Capital Health Plan HMO Gold 3100 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$361.52 $410.32 $462.02 $645.67 $981.15 |
$638.08 $686.88 $738.58 $922.23 |
$914.64 $963.44 $1,015.14 $1,198.79 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$723.04 $820.64 $924.04 $1,291.34 $1,962.30 |
$999.60 $1,097.20 $1,200.60 $1,567.90 |
$1,276.16 $1,373.76 $1,477.16 $1,844.46 |
Toc - Plan #90 Capital Health Plan | ||||||||||||||||||||
Platinum
(HMO) Capital Health Plan HMO Platinum 4000 |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-247-6512
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$544.21 $617.68 $695.50 $971.96 $1,476.98 |
$960.53 $1,034.00 $1,111.82 $1,388.28 |
$1,376.85 $1,450.32 $1,528.14 $1,804.60 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,088.42 $1,235.36 $1,391.00 $1,943.92 $2,953.96 |
$1,504.74 $1,651.68 $1,807.32 $2,360.24 |
$1,921.06 $2,068.00 $2,223.64 $2,776.56 |
ADVERTISEMENT
UnitedHealthcareLocal: 1-888-200-0405 | Toll Free: 1-888-200-0405 | TTY: 1-888-200-0405 |
Toc - Plan #91 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$442.95 $502.75 $566.09 $791.11 $1,202.18 |
$781.81 $841.61 $904.95 $1,129.97 |
$1,120.67 $1,180.47 $1,243.81 $1,468.83 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$885.90 $1,005.50 $1,132.18 $1,582.22 $2,404.36 |
$1,224.76 $1,344.36 $1,471.04 $1,921.08 |
$1,563.62 $1,683.22 $1,809.90 $2,259.94 |
Toc - Plan #92 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.00 $402.92 $453.69 $634.02 $963.46 |
$626.57 $674.49 $725.26 $905.59 |
$898.14 $946.06 $996.83 $1,177.16 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$710.00 $805.84 $907.38 $1,268.04 $1,926.92 |
$981.57 $1,077.41 $1,178.95 $1,539.61 |
$1,253.14 $1,348.98 $1,450.52 $1,811.18 |
Toc - Plan #93 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$355.54 $403.54 $454.38 $635.00 $964.94 |
$627.53 $675.53 $726.37 $906.99 |
$899.52 $947.52 $998.36 $1,178.98 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$711.08 $807.08 $908.76 $1,270.00 $1,929.88 |
$983.07 $1,079.07 $1,180.75 $1,541.99 |
$1,255.06 $1,351.06 $1,452.74 $1,813.98 |
Toc - Plan #94 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$509.12 $577.85 $650.65 $909.29 $1,381.75 |
$898.60 $967.33 $1,040.13 $1,298.77 |
$1,288.08 $1,356.81 $1,429.61 $1,688.25 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,018.24 $1,155.70 $1,301.30 $1,818.58 $2,763.50 |
$1,407.72 $1,545.18 $1,690.78 $2,208.06 |
$1,797.20 $1,934.66 $2,080.26 $2,597.54 |
Toc - Plan #95 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$500.46 $568.02 $639.59 $893.82 $1,358.24 |
$883.31 $950.87 $1,022.44 $1,276.67 |
$1,266.16 $1,333.72 $1,405.29 $1,659.52 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,000.92 $1,136.04 $1,279.18 $1,787.64 $2,716.48 |
$1,383.77 $1,518.89 $1,662.03 $2,170.49 |
$1,766.62 $1,901.74 $2,044.88 $2,553.34 |
Toc - Plan #96 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$460.77 $522.98 $588.87 $822.94 $1,250.53 |
$813.26 $875.47 $941.36 $1,175.43 |
$1,165.75 $1,227.96 $1,293.85 $1,527.92 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$921.54 $1,045.96 $1,177.74 $1,645.88 $2,501.06 |
$1,274.03 $1,398.45 $1,530.23 $1,998.37 |
$1,626.52 $1,750.94 $1,882.72 $2,350.86 |
Toc - Plan #97 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$438.04 $497.17 $559.81 $782.33 $1,188.83 |
$773.14 $832.27 $894.91 $1,117.43 |
$1,108.24 $1,167.37 $1,230.01 $1,452.53 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$876.08 $994.34 $1,119.62 $1,564.66 $2,377.66 |
$1,211.18 $1,329.44 $1,454.72 $1,899.76 |
$1,546.28 $1,664.54 $1,789.82 $2,234.86 |
Toc - Plan #98 UnitedHealthcare | ||||||||||||||||||||
Bronze
(HMO) UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$349.79 $397.01 $447.03 $624.73 $949.33 |
$617.38 $664.60 $714.62 $892.32 |
$884.97 $932.19 $982.21 $1,159.91 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$699.58 $794.02 $894.06 $1,249.46 $1,898.66 |
$967.17 $1,061.61 $1,161.65 $1,517.05 |
$1,234.76 $1,329.20 $1,429.24 $1,784.64 |
Toc - Plan #99 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Standard |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$356.06 $404.13 $455.05 $635.93 $966.35 |
$628.45 $676.52 $727.44 $908.32 |
$900.84 $948.91 $999.83 $1,180.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$712.12 $808.26 $910.10 $1,271.86 $1,932.70 |
$984.51 $1,080.65 $1,182.49 $1,544.25 |
$1,256.90 $1,353.04 $1,454.88 $1,816.64 |
Toc - Plan #100 UnitedHealthcare | ||||||||||||||||||||
Expanded Bronze
(HMO) UHC Bronze Copay Focus $0 Indiv Med Ded |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$373.38 $423.79 $477.18 $666.86 $1,013.36 |
$659.02 $709.43 $762.82 $952.50 |
$944.66 $995.07 $1,048.46 $1,238.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$746.76 $847.58 $954.36 $1,333.72 $2,026.72 |
$1,032.40 $1,133.22 $1,240.00 $1,619.36 |
$1,318.04 $1,418.86 $1,525.64 $1,905.00 |
Toc - Plan #101 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$441.98 $501.65 $564.85 $789.37 $1,199.53 |
$780.09 $839.76 $902.96 $1,127.48 |
$1,118.20 $1,177.87 $1,241.07 $1,465.59 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$883.96 $1,003.30 $1,129.70 $1,578.74 $2,399.06 |
$1,222.07 $1,341.41 $1,467.81 $1,916.85 |
$1,560.18 $1,679.52 $1,805.92 $2,254.96 |
Toc - Plan #102 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$446.97 $507.31 $571.22 $798.28 $1,213.07 |
$788.90 $849.24 $913.15 $1,140.21 |
$1,130.83 $1,191.17 $1,255.08 $1,482.14 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$893.94 $1,014.62 $1,142.44 $1,596.56 $2,426.14 |
$1,235.87 $1,356.55 $1,484.37 $1,938.49 |
$1,577.80 $1,698.48 $1,826.30 $2,280.42 |
Toc - Plan #103 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$497.66 $564.84 $636.01 $888.82 $1,350.65 |
$878.37 $945.55 $1,016.72 $1,269.53 |
$1,259.08 $1,326.26 $1,397.43 $1,650.24 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$995.32 $1,129.68 $1,272.02 $1,777.64 $2,701.30 |
$1,376.03 $1,510.39 $1,652.73 $2,158.35 |
$1,756.74 $1,891.10 $2,033.44 $2,539.06 |
Toc - Plan #104 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$499.00 $566.37 $637.72 $891.22 $1,354.29 |
$880.74 $948.11 $1,019.46 $1,272.96 |
$1,262.48 $1,329.85 $1,401.20 $1,654.70 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$998.00 $1,132.74 $1,275.44 $1,782.44 $2,708.58 |
$1,379.74 $1,514.48 $1,657.18 $2,164.18 |
$1,761.48 $1,896.22 $2,038.92 $2,545.92 |
Toc - Plan #105 UnitedHealthcare | ||||||||||||||||||||
Gold
(HMO) UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$527.59 $598.81 $674.26 $942.27 $1,431.88 |
$931.20 $1,002.42 $1,077.87 $1,345.88 |
$1,334.81 $1,406.03 $1,481.48 $1,749.49 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$1,055.18 $1,197.62 $1,348.52 $1,884.54 $2,863.76 |
$1,458.79 $1,601.23 $1,752.13 $2,288.15 |
$1,862.40 $2,004.84 $2,155.74 $2,691.76 |
Toc - Plan #106 UnitedHealthcare | ||||||||||||||||||||
Silver
(HMO) UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, $0 Insulin) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-888-200-0405
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$466.61 $529.60 $596.33 $833.36 $1,266.38 |
$823.57 $886.56 $953.29 $1,190.32 |
$1,180.53 $1,243.52 $1,310.25 $1,547.28 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$933.22 $1,059.20 $1,192.66 $1,666.72 $2,532.76 |
$1,290.18 $1,416.16 $1,549.62 $2,023.68 |
$1,647.14 $1,773.12 $1,906.58 $2,380.64 |
ADVERTISEMENT
Ambetter from Sunshine HealthLocal: 1-877-687-1169 | Toll Free: 1-877-687-1169 | TTY: 1-800-955-8770 |
Toc - Plan #107 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Ambetter Virtual Access Bronze (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$281.23 $319.19 $359.41 $502.27 $763.24 |
$496.37 $534.33 $574.55 $717.41 |
$711.51 $749.47 $789.69 $932.55 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$562.46 $638.38 $718.82 $1,004.54 $1,526.48 |
$777.60 $853.52 $933.96 $1,219.68 |
$992.74 $1,068.66 $1,149.10 $1,434.82 |
Toc - Plan #108 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Ambetter Virtual Access Silver (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.79 $399.27 $449.58 $628.29 $954.74 |
$620.90 $668.38 $718.69 $897.40 |
$890.01 $937.49 $987.80 $1,166.51 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.58 $798.54 $899.16 $1,256.58 $1,909.48 |
$972.69 $1,067.65 $1,168.27 $1,525.69 |
$1,241.80 $1,336.76 $1,437.38 $1,794.80 |
Toc - Plan #109 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Ambetter Virtual Access Gold (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$336.01 $381.35 $429.40 $600.09 $911.89 |
$593.05 $638.39 $686.44 $857.13 |
$850.09 $895.43 $943.48 $1,114.17 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$672.02 $762.70 $858.80 $1,200.18 $1,823.78 |
$929.06 $1,019.74 $1,115.84 $1,457.22 |
$1,186.10 $1,276.78 $1,372.88 $1,714.26 |
Toc - Plan #110 Ambetter from Sunshine Health | ||||||||||||||||||||
Expanded Bronze
(HMO) Standard Ambetter Virtual Access Expanded Bronze (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$277.57 $315.03 $354.72 $495.72 $753.29 |
$489.90 $527.36 $567.05 $708.05 |
$702.23 $739.69 $779.38 $920.38 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$555.14 $630.06 $709.44 $991.44 $1,506.58 |
$767.47 $842.39 $921.77 $1,203.77 |
$979.80 $1,054.72 $1,134.10 $1,416.10 |
Toc - Plan #111 Ambetter from Sunshine Health | ||||||||||||||||||||
Silver
(HMO) Standard Ambetter Virtual Access Silver (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$351.55 $399.00 $449.27 $627.85 $954.08 |
$620.48 $667.93 $718.20 $896.78 |
$889.41 $936.86 $987.13 $1,165.71 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$703.10 $798.00 $898.54 $1,255.70 $1,908.16 |
$972.03 $1,066.93 $1,167.47 $1,524.63 |
$1,240.96 $1,335.86 $1,436.40 $1,793.56 |
Toc - Plan #112 Ambetter from Sunshine Health | ||||||||||||||||||||
Gold
(HMO) Standard Ambetter Virtual Access Gold (Virtual PCP selection required) |
||||||||||||||||||||
Benefits & Coverage
Plan Brochure
Provider Directory
Customer Service Phone: 1-877-687-1169
Annual Out of Pocket Expenses:
Monthly Premiums:
[show premiums]
|
||||||||||||||||||||
Age | Individual |
Individual 1 Child |
Individual 2 Children |
|||||||||||||||||
21 30 40 50 60 |
$330.07 $374.62 $421.81 $589.48 $895.78 |
$582.56 $627.11 $674.30 $841.97 |
$835.05 $879.60 $926.79 $1,094.46 |
|||||||||||||||||
Age | Couple |
Couple 1 Child |
Couple 2 Chidren |
|||||||||||||||||
21 30 40 50 60 |
$660.14 $749.24 $843.62 $1,178.96 $1,791.56 |
$912.63 $1,001.73 $1,096.11 $1,431.45 |
$1,165.12 $1,254.22 $1,348.60 $1,683.94 |
‡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 Leon County here.
Leon County is in “Rating Area 36” of Florida.
Currently, there are 112 plans offered in Rating Area 36.