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Providers for Zip Code 28201

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ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Charlotte, NC

Tuesday, April 16th, 2024


The health insurance rates listed below are for calendar year 2016.

2016 Rates and Providers

(click here for 2014)

(click here for 2015)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Charlotte, NC.

Obamacare Providers, Plans and 2016 Rates for Mecklenburg County

Mecklenburg County is in “Rating Area 4” of North Carolina.

Currently, there are 2 providers offering 31 plans to Rating Area 4. †

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Charlotte, NC area accept this insurance coverage as within the plan's "network".
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Blue Cross and Blue Shield of NC

Local: 1-888-234-2414 | Toll Free: 1-888-234-2414

Plan: (POS) Blue Value 500 (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Platinum 21
30
40
50
60		 $535.54
$607.84
$684.42
$956.47
$1453.46		 $1071.08
$1215.68
$1368.84
$1912.94
$2906.92		 $1411.15
$1555.75
$1708.91
$2253.01		 $1751.22
$1895.82
$2048.98
$2593.08		 $2091.29
$2235.89
$2389.05
$2933.15		 $875.61
$947.91
$1024.49
$1296.54		 $1215.68
$1287.98
$1364.56
$1636.61		 $1555.75
$1628.05
$1704.63
$1976.68		 $340.07

Plan: (POS) Blue Value 2500 (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $2,500 : Family: $5,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $367.57
$417.19
$469.75
$656.48
$997.58		 $735.14
$834.38
$939.50
$1312.96
$1995.16		 $968.55
$1067.79
$1172.91
$1546.37		 $1201.96
$1301.20
$1406.32
$1779.78		 $1435.37
$1534.61
$1639.73
$2013.19		 $600.98
$650.60
$703.16
$889.89		 $834.39
$884.01
$936.57
$1123.30		 $1067.80
$1117.42
$1169.98
$1356.71		 $233.41

Plan: (POS) Blue Value 3500 (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $362.63
$411.59
$463.44
$647.66
$984.18		 $725.26
$823.18
$926.88
$1295.32
$1968.36		 $955.53
$1053.45
$1157.15
$1525.59		 $1185.80
$1283.72
$1387.42
$1755.86		 $1416.07
$1513.99
$1617.69
$1986.13		 $592.90
$641.86
$693.71
$877.93		 $823.17
$872.13
$923.98
$1108.20		 $1053.44
$1102.40
$1154.25
$1338.47		 $230.27

Plan: (POS) Blue Value 5000 (limited network, HSA eligible)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $300.37
$340.92
$383.87
$536.46
$815.20		 $600.74
$681.84
$767.74
$1072.92
$1630.40		 $791.47
$872.57
$958.47
$1263.65		 $982.20
$1063.30
$1149.20
$1454.38		 $1172.93
$1254.03
$1339.93
$1645.11		 $491.10
$531.65
$574.60
$727.19		 $681.83
$722.38
$765.33
$917.92		 $872.56
$913.11
$956.06
$1108.65		 $190.73

Plan: (POS) Blue Value 6850 (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $292.50
$331.99
$373.82
$522.41
$793.85		 $585.00
$663.98
$747.64
$1044.82
$1587.70		 $770.74
$849.72
$933.38
$1230.56		 $956.48
$1035.46
$1119.12
$1416.30		 $1142.22
$1221.20
$1304.86
$1602.04		 $478.24
$517.73
$559.56
$708.15		 $663.98
$703.47
$745.30
$893.89		 $849.72
$889.21
$931.04
$1079.63		 $185.74

Plan: (POS) Blue Value Catastrophic (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $179.43
$203.65
$229.31
$320.46
$486.97		 $358.86
$407.30
$458.62
$640.92
$973.94		 $472.80
$521.24
$572.56
$754.86		 $586.74
$635.18
$686.50
$868.80		 $700.68
$749.12
$800.44
$982.74		 $293.37
$317.59
$343.25
$434.40		 $407.31
$431.53
$457.19
$548.34		 $521.25
$545.47
$571.13
$662.28		 $113.94

Plan: (POS) Blue Value 5000 (limited network)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $354.00
$401.79
$452.41
$632.24
$960.76		 $708.00
$803.58
$904.82
$1264.48
$1921.52		 $932.79
$1028.37
$1129.61
$1489.27		 $1157.58
$1253.16
$1354.40
$1714.06		 $1382.37
$1477.95
$1579.19
$1938.85		 $578.79
$626.58
$677.20
$857.03		 $803.58
$851.37
$901.99
$1081.82		 $1028.37
$1076.16
$1126.78
$1306.61		 $224.79

Plan: (POS) Blue Local 500 (local network with Carolinas HealthCare System)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Platinum 21
30
40
50
60		 $541.84
$614.99
$692.47
$967.73
$1470.55		 $1083.68
$1229.98
$1384.94
$1935.46
$2941.10		 $1427.75
$1574.05
$1729.01
$2279.53		 $1771.82
$1918.12
$2073.08
$2623.60		 $2115.89
$2262.19
$2417.15
$2967.67		 $885.91
$959.06
$1036.54
$1311.80		 $1229.98
$1303.13
$1380.61
$1655.87		 $1574.05
$1647.20
$1724.68
$1999.94		 $344.07

Plan: (POS) Blue Local 1000 (local network with Carolinas HealthCare System)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $464.43
$527.13
$593.54
$829.47
$1260.46		 $928.86
$1054.26
$1187.08
$1658.94
$2520.92		 $1223.77
$1349.17
$1481.99
$1953.85		 $1518.68
$1644.08
$1776.90
$2248.76		 $1813.59
$1938.99
$2071.81
$2543.67		 $759.34
$822.04
$888.45
$1124.38		 $1054.25
$1116.95
$1183.36
$1419.29		 $1349.16
$1411.86
$1478.27
$1714.20		 $294.91

Plan: (POS) Blue Local 3500 (local network with Carolinas HealthCare System)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $366.90
$416.43
$468.90
$655.28
$995.77		 $733.80
$832.86
$937.80
$1310.56
$1991.54		 $966.78
$1065.84
$1170.78
$1543.54		 $1199.76
$1298.82
$1403.76
$1776.52		 $1432.74
$1531.80
$1636.74
$2009.50		 $599.88
$649.41
$701.88
$888.26		 $832.86
$882.39
$934.86
$1121.24		 $1065.84
$1115.37
$1167.84
$1354.22		 $232.98

Plan: (POS) Blue Local 5000 (local network with Carolinas HealthCare System)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $358.15
$406.50
$457.72
$639.66
$972.02		 $716.30
$813.00
$915.44
$1279.32
$1944.04		 $943.73
$1040.43
$1142.87
$1506.75		 $1171.16
$1267.86
$1370.30
$1734.18		 $1398.59
$1495.29
$1597.73
$1961.61		 $585.58
$633.93
$685.15
$867.09		 $813.01
$861.36
$912.58
$1094.52		 $1040.44
$1088.79
$1140.01
$1321.95		 $227.43

Plan: (POS) Blue Local 5000 (local network with Carolinas HealthCare System, HSA eligible)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $303.90
$344.93
$388.38
$542.77
$824.78		 $607.80
$689.86
$776.76
$1085.54
$1649.56		 $800.78
$882.84
$969.74
$1278.52		 $993.76
$1075.82
$1162.72
$1471.50		 $1186.74
$1268.80
$1355.70
$1664.48		 $496.88
$537.91
$581.36
$735.75		 $689.86
$730.89
$774.34
$928.73		 $882.84
$923.87
$967.32
$1121.71		 $192.98

Plan: (POS) Blue Local 6850 (local network with Carolinas HealthCare System)

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-234-2414 - Provider Directory for This Plan: (Blue Cross and Blue Shield of NC)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $295.94
$335.89
$378.21
$528.55
$803.18		 $591.88
$671.78
$756.42
$1057.10
$1606.36		 $779.80
$859.70
$944.34
$1245.02		 $967.72
$1047.62
$1132.26
$1432.94		 $1155.64
$1235.54
$1320.18
$1620.86		 $483.86
$523.81
$566.13
$716.47		 $671.78
$711.73
$754.05
$904.39		 $859.70
$899.65
$941.97
$1092.31		 $187.92
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UnitedHealthcare of North Carolina, Inc

Local: 1-888-834-3711 | Toll Free: 1-888-834-3711

Plan: (HMO) Gold Compass 1000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $1,000 : Family: $2,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $384.74
$436.67
$491.69
$687.13
$1044.17		 $769.48
$873.34
$983.38
$1374.26
$2088.34		 $1013.79
$1117.65
$1227.69
$1618.57		 $1258.10
$1361.96
$1472.00
$1862.88		 $1502.41
$1606.27
$1716.31
$2107.19		 $629.05
$680.98
$736.00
$931.44		 $873.36
$925.29
$980.31
$1175.75		 $1117.67
$1169.60
$1224.62
$1420.06		 $244.31

Plan: (HMO) Gold Compass HSA 1600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $1,600 : Family: $4,800
Out of Pocket Maximum per year: Individual: $3,500 : Family: $6,850

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $359.50
$408.02
$459.43
$642.05
$975.65		 $719.00
$816.04
$918.86
$1284.10
$1951.30		 $947.28
$1044.32
$1147.14
$1512.38		 $1175.56
$1272.60
$1375.42
$1740.66		 $1403.84
$1500.88
$1603.70
$1968.94		 $587.78
$636.30
$687.71
$870.33		 $816.06
$864.58
$915.99
$1098.61		 $1044.34
$1092.86
$1144.27
$1326.89		 $228.28

Plan: (HMO) Silver Compass 2000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $331.45
$376.19
$423.58
$591.95
$899.53		 $662.90
$752.38
$847.16
$1183.90
$1799.06		 $873.36
$962.84
$1057.62
$1394.36		 $1083.82
$1173.30
$1268.08
$1604.82		 $1294.28
$1383.76
$1478.54
$1815.28		 $541.91
$586.65
$634.04
$802.41		 $752.37
$797.11
$844.50
$1012.87		 $962.83
$1007.57
$1054.96
$1223.33		 $210.46

Plan: (HMO) Silver Compass HSA 3600

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $3,600 : Family: $7,200
Out of Pocket Maximum per year: Individual: $3,600 : Family: $7,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $331.45
$376.19
$423.58
$591.95
$899.53		 $662.90
$752.38
$847.16
$1183.90
$1799.06		 $873.36
$962.84
$1057.62
$1394.36		 $1083.82
$1173.30
$1268.08
$1604.82		 $1294.28
$1383.76
$1478.54
$1815.28		 $541.91
$586.65
$634.04
$802.41		 $752.37
$797.11
$844.50
$1012.87		 $962.83
$1007.57
$1054.96
$1223.33		 $210.46

Plan: (HMO) Silver Compass 5000

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $5,000 : Family: $10,000
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $319.76
$362.92
$408.65
$571.08
$867.81		 $639.52
$725.84
$817.30
$1142.16
$1735.62		 $842.56
$928.88
$1020.34
$1345.20		 $1045.60
$1131.92
$1223.38
$1548.24		 $1248.64
$1334.96
$1426.42
$1751.28		 $522.80
$565.96
$611.69
$774.12		 $725.84
$769.00
$814.73
$977.16		 $928.88
$972.04
$1017.77
$1180.20		 $203.04

Plan: (HMO) Bronze Compass 4200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $4,200 : Family: $8,400
Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $280.50
$318.35
$358.46
$500.95
$761.24		 $561.00
$636.70
$716.92
$1001.90
$1522.48		 $739.11
$814.81
$895.03
$1180.01		 $917.22
$992.92
$1073.14
$1358.12		 $1095.33
$1171.03
$1251.25
$1536.23		 $458.61
$496.46
$536.57
$679.06		 $636.72
$674.57
$714.68
$857.17		 $814.83
$852.68
$892.79
$1035.28		 $178.11

Plan: (HMO) Bronze Compass HSA 5200

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $5,200 : Family: $10,400
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $280.50
$318.35
$358.46
$500.95
$761.24		 $561.00
$636.70
$716.92
$1001.90
$1522.48		 $739.11
$814.81
$895.03
$1180.01		 $917.22
$992.92
$1073.14
$1358.12		 $1095.33
$1171.03
$1251.25
$1536.23		 $458.61
$496.46
$536.57
$679.06		 $636.72
$674.57
$714.68
$857.17		 $814.83
$852.68
$892.79
$1035.28		 $178.11

Plan: (HMO) Bronze Compass 6400

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $6,400 : Family: $12,800
Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $288.44
$327.37
$368.62
$515.14
$782.81		 $576.88
$654.74
$737.24
$1030.28
$1565.62		 $760.03
$837.89
$920.39
$1213.43		 $943.18
$1021.04
$1103.54
$1396.58		 $1126.33
$1204.19
$1286.69
$1579.73		 $471.59
$510.52
$551.77
$698.29		 $654.74
$693.67
$734.92
$881.44		 $837.89
$876.82
$918.07
$1064.59		 $183.15

Plan: (HMO) Catastrophic Compass 6850

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-834-3711 - Provider Directory for This Plan: (UnitedHealthcare of North Carolina, Inc)

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $231.88
$263.17
$296.33
$414.12
$629.29		 $463.76
$526.34
$592.66
$828.24
$1258.58		 $611.00
$673.58
$739.90
$975.48		 $758.24
$820.82
$887.14
$1122.72		 $905.48
$968.06
$1034.38
$1269.96		 $379.12
$410.41
$443.57
$561.36		 $526.36
$557.65
$590.81
$708.60		 $673.60
$704.89
$738.05
$855.84		 $147.24
ADVERTISEMENT

Aetna Health Inc. (a PA corp.)

Local: 1-877-336-3915 | Toll Free: 1-877-336-3915

Plan: (HMO) Aetna Leap Everyday ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $4,800 : Family: $9,600
Out of Pocket Maximum per year: Individual: $4,800 : Family: $9,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $294.27
$334.00
$376.08
$525.57
$798.66		 $588.54
$668.00
$752.16
$1051.14
$1597.32		 $775.40
$854.86
$939.02
$1238.00		 $962.26
$1041.72
$1125.88
$1424.86		 $1149.12
$1228.58
$1312.74
$1611.72		 $481.13
$520.86
$562.94
$712.43		 $667.99
$707.72
$749.80
$899.29		 $854.85
$894.58
$936.66
$1086.15		 $186.86

Plan: (HMO) Aetna Leap Everyday Plus ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $4,010 : Family: $8,020
Out of Pocket Maximum per year: Individual: $4,010 : Family: $8,020

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Silver 21
30
40
50
60		 $334.66
$379.84
$427.70
$597.71
$908.28		 $669.32
$759.68
$855.40
$1195.42
$1816.56		 $881.83
$972.19
$1067.91
$1407.93		 $1094.34
$1184.70
$1280.42
$1620.44		 $1306.85
$1397.21
$1492.93
$1832.95		 $547.17
$592.35
$640.21
$810.22		 $759.68
$804.86
$852.72
$1022.73		 $972.19
$1017.37
$1065.23
$1235.24		 $212.51

Plan: (HMO) Aetna Leap Basic Plus ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $6,335 : Family: $12,670
Out of Pocket Maximum per year: Individual: $6,335 : Family: $12,670

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $241.45
$274.05
$308.58
$431.24
$655.31		 $482.90
$548.10
$617.16
$862.48
$1310.62		 $636.22
$701.42
$770.48
$1015.80		 $789.54
$854.74
$923.80
$1169.12		 $942.86
$1008.06
$1077.12
$1322.44		 $394.77
$427.37
$461.90
$584.56		 $548.09
$580.69
$615.22
$737.88		 $701.41
$734.01
$768.54
$891.20		 $153.32

Plan: (HMO) Aetna Leap Basic HSA ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $5,825 : Family: $11,650
Out of Pocket Maximum per year: Individual: $5,825 : Family: $11,650

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $238.79
$271.03
$305.18
$426.48
$648.08		 $477.58
$542.06
$610.36
$852.96
$1296.16		 $629.21
$693.69
$761.99
$1004.59		 $780.84
$845.32
$913.62
$1156.22		 $932.47
$996.95
$1065.25
$1307.85		 $390.42
$422.66
$456.81
$578.11		 $542.05
$574.29
$608.44
$729.74		 $693.68
$725.92
$760.07
$881.37		 $151.63

Plan: (HMO) Aetna Leap Specialty ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $2,750 : Family: $5,500
Out of Pocket Maximum per year: Individual: $2,750 : Family: $5,500

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $379.05
$430.22
$484.42
$676.98
$1028.74		 $758.10
$860.44
$968.84
$1353.96
$2057.48		 $998.80
$1101.14
$1209.54
$1594.66		 $1239.50
$1341.84
$1450.24
$1835.36		 $1480.20
$1582.54
$1690.94
$2076.06		 $619.75
$670.92
$725.12
$917.68		 $860.45
$911.62
$965.82
$1158.38		 $1101.15
$1152.32
$1206.52
$1399.08		 $240.70

Plan: (HMO) Aetna Leap Diabetes ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $2,900 : Family: $5,800
Out of Pocket Maximum per year: Individual: $2,900 : Family: $5,800

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Gold 21
30
40
50
60		 $387.04
$439.29
$494.63
$691.25
$1050.42		 $774.08
$878.58
$989.26
$1382.50
$2100.84		 $1019.85
$1124.35
$1235.03
$1628.27		 $1265.62
$1370.12
$1480.80
$1874.04		 $1511.39
$1615.89
$1726.57
$2119.81		 $632.81
$685.06
$740.40
$937.02		 $878.58
$930.83
$986.17
$1182.79		 $1124.35
$1176.60
$1231.94
$1428.56		 $245.77

Plan: (HMO) Aetna Leap Catastrophic ‚Ä́ Carolinas HealthCare System

Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))

Deductible: Individual: $6,850 : Family: $13,700
Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Catastrophic 21
30
40
50
60		 $164.67
$186.90
$210.45
$294.10
$446.91		 $329.34
$373.80
$420.90
$588.20
$893.82		 $433.90
$478.36
$525.46
$692.76		 $538.46
$582.92
$630.02
$797.32		 $643.02
$687.48
$734.58
$901.88		 $269.23
$291.46
$315.01
$398.66		 $373.79
$396.02
$419.57
$503.22		 $478.35
$500.58
$524.13
$607.78		 $104.56

†Source: Our summary of lowest costs and numbers of providers is based on a government report released September 25, 2013. For more detailed information about specific plans and providers, see HealthCare.gov.

‡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 Mecklenburg County here.

 

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