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 Duncanville, TX.
Obamacare Providers, Plans and 2016 Rates for Dallas County
Dallas County is in “Rating Area 8” of Texas.
Currently, there are 5 providers offering 46 plans to Rating Area 8. †
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 Duncanville, TX area accept this insurance coverage as within the plan's "network".
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Oscar Insurance Company of TexasLocal: 1-855-672-2755 | Toll Free: 1-855-672-2755 |
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Plan: (EPO) Market SecureSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$188.08 $213.47 $240.36 $335.91 $510.44 |
$376.16 $426.94 $480.72 $671.82 $1020.88 |
$495.59 $546.37 $600.15 $791.25 |
$615.02 $665.80 $719.58 $910.68 |
$734.45 $785.23 $839.01 $1030.11 |
$307.51 $332.90 $359.79 $455.34 |
$426.94 $452.33 $479.22 $574.77 |
$546.37 $571.76 $598.65 $694.20 |
$119.43 |
Plan: (EPO) Market BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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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 |
$218.06 $247.50 $278.68 $389.45 $591.81 |
$436.12 $495.00 $557.36 $778.90 $1183.62 |
$574.59 $633.47 $695.83 $917.37 |
$713.06 $771.94 $834.30 $1055.84 |
$851.53 $910.41 $972.77 $1194.31 |
$356.53 $385.97 $417.15 $527.92 |
$495.00 $524.44 $555.62 $666.39 |
$633.47 $662.91 $694.09 $804.86 |
$138.47 |
Plan: (EPO) Market SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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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 |
$271.01 $307.60 $346.35 $484.03 $735.52 |
$542.02 $615.20 $692.70 $968.06 $1471.04 |
$714.11 $787.29 $864.79 $1140.15 |
$886.20 $959.38 $1036.88 $1312.24 |
$1058.29 $1131.47 $1208.97 $1484.33 |
$443.10 $479.69 $518.44 $656.12 |
$615.19 $651.78 $690.53 $828.21 |
$787.28 $823.87 $862.62 $1000.30 |
$172.09 |
Plan: (EPO) Market GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$600
: Family:
$1,200 Monthly Premiums: |
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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 |
$327.45 $371.65 $418.48 $584.82 $888.69 |
$654.90 $743.30 $836.96 $1169.64 $1777.38 |
$862.83 $951.23 $1044.89 $1377.57 |
$1070.76 $1159.16 $1252.82 $1585.50 |
$1278.69 $1367.09 $1460.75 $1793.43 |
$535.38 $579.58 $626.41 $792.75 |
$743.31 $787.51 $834.34 $1000.68 |
$951.24 $995.44 $1042.27 $1208.61 |
$207.93 |
Plan: (EPO) Classic BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$219.42 $249.04 $280.42 $391.89 $595.51 |
$438.84 $498.08 $560.84 $783.78 $1191.02 |
$578.17 $637.41 $700.17 $923.11 |
$717.50 $776.74 $839.50 $1062.44 |
$856.83 $916.07 $978.83 $1201.77 |
$358.75 $388.37 $419.75 $531.22 |
$498.08 $527.70 $559.08 $670.55 |
$637.41 $667.03 $698.41 $809.88 |
$139.33 |
Plan: (EPO) Classic SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
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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 |
$250.54 $284.37 $320.19 $447.47 $679.97 |
$501.08 $568.74 $640.38 $894.94 $1359.94 |
$660.17 $727.83 $799.47 $1054.03 |
$819.26 $886.92 $958.56 $1213.12 |
$978.35 $1046.01 $1117.65 $1372.21 |
$409.63 $443.46 $479.28 $606.56 |
$568.72 $602.55 $638.37 $765.65 |
$727.81 $761.64 $797.46 $924.74 |
$159.09 |
Plan: (EPO) Classic GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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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 |
$324.46 $368.26 $414.66 $579.48 $880.58 |
$648.92 $736.52 $829.32 $1158.96 $1761.16 |
$854.95 $942.55 $1035.35 $1364.99 |
$1060.98 $1148.58 $1241.38 $1571.02 |
$1267.01 $1354.61 $1447.41 $1777.05 |
$530.49 $574.29 $620.69 $785.51 |
$736.52 $780.32 $826.72 $991.54 |
$942.55 $986.35 $1032.75 $1197.57 |
$206.03 |
Plan: (EPO) Simple BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: 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 |
$221.00 $250.84 $282.44 $394.71 $599.80 |
$442.00 $501.68 $564.88 $789.42 $1199.60 |
$582.34 $642.02 $705.22 $929.76 |
$722.68 $782.36 $845.56 $1070.10 |
$863.02 $922.70 $985.90 $1210.44 |
$361.34 $391.18 $422.78 $535.05 |
$501.68 $531.52 $563.12 $675.39 |
$642.02 $671.86 $703.46 $815.73 |
$140.34 |
Plan: (EPO) Simple SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$5,900
: Family:
$11,800 Monthly Premiums: |
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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 |
$253.93 $288.21 $324.52 $453.52 $689.17 |
$507.86 $576.42 $649.04 $907.04 $1378.34 |
$669.11 $737.67 $810.29 $1068.29 |
$830.36 $898.92 $971.54 $1229.54 |
$991.61 $1060.17 $1132.79 $1390.79 |
$415.18 $449.46 $485.77 $614.77 |
$576.43 $610.71 $647.02 $776.02 |
$737.68 $771.96 $808.27 $937.27 |
$161.25 |
Plan: (EPO) Simple GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$316.37 $359.07 $404.31 $565.03 $858.62 |
$632.74 $718.14 $808.62 $1130.06 $1717.24 |
$833.63 $919.03 $1009.51 $1330.95 |
$1034.52 $1119.92 $1210.40 $1531.84 |
$1235.41 $1320.81 $1411.29 $1732.73 |
$517.26 $559.96 $605.20 $765.92 |
$718.15 $760.85 $806.09 $966.81 |
$919.04 $961.74 $1006.98 $1167.70 |
$200.89 |
Plan: (EPO) Simple+ SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$5,900
: Family:
$11,800 Monthly Premiums: |
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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 |
$262.53 $297.97 $335.51 $468.88 $712.50 |
$525.06 $595.94 $671.02 $937.76 $1425.00 |
$691.77 $762.65 $837.73 $1104.47 |
$858.48 $929.36 $1004.44 $1271.18 |
$1025.19 $1096.07 $1171.15 $1437.89 |
$429.24 $464.68 $502.22 $635.59 |
$595.95 $631.39 $668.93 $802.30 |
$762.66 $798.10 $835.64 $969.01 |
$166.71 |
Plan: (EPO) Simple+ GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Texas)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$321.87 $365.32 $411.35 $574.86 $873.55 |
$643.74 $730.64 $822.70 $1149.72 $1747.10 |
$848.13 $935.03 $1027.09 $1354.11 |
$1052.52 $1139.42 $1231.48 $1558.50 |
$1256.91 $1343.81 $1435.87 $1762.89 |
$526.26 $569.71 $615.74 $779.25 |
$730.65 $774.10 $820.13 $983.64 |
$935.04 $978.49 $1024.52 $1188.03 |
$204.39 |
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Blue Cross Blue Shield of TexasLocal: 1-888-697-0683 | Toll Free: 1-888-697-0683 TTY: 1-800-735-2989 |
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Plan: (HMO) Blue Advantage Bronze HMO? 006Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$6,000
: Family:
$13,100 Monthly Premiums: |
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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 |
$204.93 $232.60 $261.91 $366.01 $556.19 |
$409.86 $465.20 $523.82 $732.02 $1112.38 |
$539.99 $595.33 $653.95 $862.15 |
$670.12 $725.46 $784.08 $992.28 |
$800.25 $855.59 $914.21 $1122.41 |
$335.06 $362.73 $392.04 $496.14 |
$465.19 $492.86 $522.17 $626.27 |
$595.32 $622.99 $652.30 $756.40 |
$130.13 |
Plan: (HMO) Blue Advantage Gold HMO? 101Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$500
: Family:
$1,500 Monthly Premiums: |
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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 |
$319.88 $363.06 $408.81 $571.31 $868.16 |
$639.76 $726.12 $817.62 $1142.62 $1736.32 |
$842.88 $929.24 $1020.74 $1345.74 |
$1046.00 $1132.36 $1223.86 $1548.86 |
$1249.12 $1335.48 $1426.98 $1751.98 |
$523.00 $566.18 $611.93 $774.43 |
$726.12 $769.30 $815.05 $977.55 |
$929.24 $972.42 $1018.17 $1180.67 |
$203.12 |
Plan: (HMO) Blue Advantage Silver HMO? 102Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$2,000
: Family:
$6,000 Monthly Premiums: |
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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 |
$276.17 $313.45 $352.94 $493.24 $749.52 |
$552.34 $626.90 $705.88 $986.48 $1499.04 |
$727.71 $802.27 $881.25 $1161.85 |
$903.08 $977.64 $1056.62 $1337.22 |
$1078.45 $1153.01 $1231.99 $1512.59 |
$451.54 $488.82 $528.31 $668.61 |
$626.91 $664.19 $703.68 $843.98 |
$802.28 $839.56 $879.05 $1019.35 |
$175.37 |
Plan: (HMO) Blue Advantage Silver HMO? 103Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$3,500
: Family:
$10,500 Monthly Premiums: |
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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 |
$261.23 $296.49 $333.85 $466.55 $708.97 |
$522.46 $592.98 $667.70 $933.10 $1417.94 |
$688.34 $758.86 $833.58 $1098.98 |
$854.22 $924.74 $999.46 $1264.86 |
$1020.10 $1090.62 $1165.34 $1430.74 |
$427.11 $462.37 $499.73 $632.43 |
$592.99 $628.25 $665.61 $798.31 |
$758.87 $794.13 $831.49 $964.19 |
$165.88 |
Plan: (HMO) Blue Advantage Bronze HMO? 105 - Two $40 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$6,750
: Family:
$13,700 Monthly Premiums: |
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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 |
$198.72 $225.54 $253.96 $354.91 $539.32 |
$397.44 $451.08 $507.92 $709.82 $1078.64 |
$523.63 $577.27 $634.11 $836.01 |
$649.82 $703.46 $760.30 $962.20 |
$776.01 $829.65 $886.49 $1088.39 |
$324.91 $351.73 $380.15 $481.10 |
$451.10 $477.92 $506.34 $607.29 |
$577.29 $604.11 $632.53 $733.48 |
$126.19 |
Plan: (HMO) Blue Advantage Security HMO? 100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$186.92 $212.15 $238.88 $333.84 $507.30 |
$373.84 $424.30 $477.76 $667.68 $1014.60 |
$492.53 $542.99 $596.45 $786.37 |
$611.22 $661.68 $715.14 $905.06 |
$729.91 $780.37 $833.83 $1023.75 |
$305.61 $330.84 $357.57 $452.53 |
$424.30 $449.53 $476.26 $571.22 |
$542.99 $568.22 $594.95 $689.91 |
$118.69 |
Plan: (HMO) Blue Advantage Plus Gold? 101Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$2,750
: Family:
$8,250 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 |
$369.75 $419.66 $472.54 $660.37 $1003.50 |
$739.50 $839.32 $945.08 $1320.74 $2007.00 |
$974.29 $1074.11 $1179.87 $1555.53 |
$1209.08 $1308.90 $1414.66 $1790.32 |
$1443.87 $1543.69 $1649.45 $2025.11 |
$604.54 $654.45 $707.33 $895.16 |
$839.33 $889.24 $942.12 $1129.95 |
$1074.12 $1124.03 $1176.91 $1364.74 |
$234.79 |
Plan: (HMO) Blue Advantage Plus Silver? 102 - Three $0 PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$3,250
: Family:
$9,750 Monthly Premiums: |
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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 |
$295.20 $335.05 $377.26 $527.22 $801.16 |
$590.40 $670.10 $754.52 $1054.44 $1602.32 |
$777.85 $857.55 $941.97 $1241.89 |
$965.30 $1045.00 $1129.42 $1429.34 |
$1152.75 $1232.45 $1316.87 $1616.79 |
$482.65 $522.50 $564.71 $714.67 |
$670.10 $709.95 $752.16 $902.12 |
$857.55 $897.40 $939.61 $1089.57 |
$187.45 |
Plan: (HMO) Blue Advantage Plus Bronze? 103 - One $0 PCP VisitSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$6,800
: 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 |
$227.32 $258.01 $290.51 $405.99 $616.94 |
$454.64 $516.02 $581.02 $811.98 $1233.88 |
$598.99 $660.37 $725.37 $956.33 |
$743.34 $804.72 $869.72 $1100.68 |
$887.69 $949.07 $1014.07 $1245.03 |
$371.67 $402.36 $434.86 $550.34 |
$516.02 $546.71 $579.21 $694.69 |
$660.37 $691.06 $723.56 $839.04 |
$144.35 |
Plan: (HMO) Blue Advantage Plus Bronze? 104Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$4,500
: 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 |
$234.20 $265.82 $299.31 $418.29 $635.63 |
$468.40 $531.64 $598.62 $836.58 $1271.26 |
$617.12 $680.36 $747.34 $985.30 |
$765.84 $829.08 $896.06 $1134.02 |
$914.56 $977.80 $1044.78 $1282.74 |
$382.92 $414.54 $448.03 $567.01 |
$531.64 $563.26 $596.75 $715.73 |
$680.36 $711.98 $745.47 $864.45 |
$148.72 |
Plan: (HMO) Blue Cross Blue Shield Premier? 101, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$1,000
: Family:
$3,000 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 |
$353.57 $401.30 $451.86 $631.48 $959.59 |
$707.14 $802.60 $903.72 $1262.96 $1919.18 |
$931.66 $1027.12 $1128.24 $1487.48 |
$1156.18 $1251.64 $1352.76 $1712.00 |
$1380.70 $1476.16 $1577.28 $1936.52 |
$578.09 $625.82 $676.38 $856.00 |
$802.61 $850.34 $900.90 $1080.52 |
$1027.13 $1074.86 $1125.42 $1305.04 |
$224.52 |
Plan: (HMO) Blue Cross Blue Shield Solution? 102, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$3,750
: Family:
$11,250 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 |
$288.76 $327.74 $369.04 $515.73 $783.70 |
$577.52 $655.48 $738.08 $1031.46 $1567.40 |
$760.88 $838.84 $921.44 $1214.82 |
$944.24 $1022.20 $1104.80 $1398.18 |
$1127.60 $1205.56 $1288.16 $1581.54 |
$472.12 $511.10 $552.40 $699.09 |
$655.48 $694.46 $735.76 $882.45 |
$838.84 $877.82 $919.12 $1065.81 |
$183.36 |
Plan: (HMO) Blue Cross Blue Shield Basic? 103, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-697-0683 - Provider Directory for This Plan: (Blue Cross Blue Shield of Texas)
Deductible: Individual:
$6,250
: 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 |
$222.66 $252.72 $284.56 $397.67 $604.30 |
$445.32 $505.44 $569.12 $795.34 $1208.60 |
$586.71 $646.83 $710.51 $936.73 |
$728.10 $788.22 $851.90 $1078.12 |
$869.49 $929.61 $993.29 $1219.51 |
$364.05 $394.11 $425.95 $539.06 |
$505.44 $535.50 $567.34 $680.45 |
$646.83 $676.89 $708.73 $821.84 |
$141.39 |
ADVERTISEMENT
|
||||||||||
Insurance Company of Scott & WhiteLocal: 1-254-298-3000 x20300 | Toll Free: 1-800-321-7947 TTY: 1-800-735-2989 |
||||||||||
Plan: (PPO) PPO Premier 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$358.06 $406.40 $457.60 $639.49 $971.77 |
$716.12 $812.80 $915.20 $1278.98 $1943.54 |
$943.49 $1040.17 $1142.57 $1506.35 |
$1170.86 $1267.54 $1369.94 $1733.72 |
$1398.23 $1494.91 $1597.31 $1961.09 |
$585.43 $633.77 $684.97 $866.86 |
$812.80 $861.14 $912.34 $1094.23 |
$1040.17 $1088.51 $1139.71 $1321.60 |
$227.37 |
Plan: (PPO) PPO Premier 750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$750
: Family:
$1,500 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 |
$368.30 $418.02 $470.69 $657.78 $999.57 |
$736.60 $836.04 $941.38 $1315.56 $1999.14 |
$970.47 $1069.91 $1175.25 $1549.43 |
$1204.34 $1303.78 $1409.12 $1783.30 |
$1438.21 $1537.65 $1642.99 $2017.17 |
$602.17 $651.89 $704.56 $891.65 |
$836.04 $885.76 $938.43 $1125.52 |
$1069.91 $1119.63 $1172.30 $1359.39 |
$233.87 |
Plan: (PPO) PPO Premier 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$371.81 $422.00 $475.17 $664.05 $1009.08 |
$743.62 $844.00 $950.34 $1328.10 $2018.16 |
$979.72 $1080.10 $1186.44 $1564.20 |
$1215.82 $1316.20 $1422.54 $1800.30 |
$1451.92 $1552.30 $1658.64 $2036.40 |
$607.91 $658.10 $711.27 $900.15 |
$844.01 $894.20 $947.37 $1136.25 |
$1080.11 $1130.30 $1183.47 $1372.35 |
$236.10 |
Plan: (PPO) PPO 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$336.57 $382.00 $430.13 $601.11 $913.44 |
$673.14 $764.00 $860.26 $1202.22 $1826.88 |
$886.86 $977.72 $1073.98 $1415.94 |
$1100.58 $1191.44 $1287.70 $1629.66 |
$1314.30 $1405.16 $1501.42 $1843.38 |
$550.29 $595.72 $643.85 $814.83 |
$764.01 $809.44 $857.57 $1028.55 |
$977.73 $1023.16 $1071.29 $1242.27 |
$213.72 |
Plan: (PPO) PPO 5000 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$264.86 $300.61 $338.49 $473.03 $718.82 |
$529.72 $601.22 $676.98 $946.06 $1437.64 |
$697.90 $769.40 $845.16 $1114.24 |
$866.08 $937.58 $1013.34 $1282.42 |
$1034.26 $1105.76 $1181.52 $1450.60 |
$433.04 $468.79 $506.67 $641.21 |
$601.22 $636.97 $674.85 $809.39 |
$769.40 $805.15 $843.03 $977.57 |
$168.18 |
Plan: (PPO) PPO 6600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: 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 |
$276.64 $313.99 $353.55 $494.08 $750.81 |
$553.28 $627.98 $707.10 $988.16 $1501.62 |
$728.95 $803.65 $882.77 $1163.83 |
$904.62 $979.32 $1058.44 $1339.50 |
$1080.29 $1154.99 $1234.11 $1515.17 |
$452.31 $489.66 $529.22 $669.75 |
$627.98 $665.33 $704.89 $845.42 |
$803.65 $841.00 $880.56 $1021.09 |
$175.67 |
Plan: (PPO) PPO 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
Silver | 21 30 40 50 60 |
$265.90 $301.80 $339.82 $474.90 $721.66 |
$531.80 $603.60 $679.64 $949.80 $1443.32 |
$700.65 $772.45 $848.49 $1118.65 |
$869.50 $941.30 $1017.34 $1287.50 |
$1038.35 $1110.15 $1186.19 $1456.35 |
$434.75 $470.65 $508.67 $643.75 |
$603.60 $639.50 $677.52 $812.60 |
$772.45 $808.35 $846.37 $981.45 |
$168.85 |
Plan: (PPO) PPO 2500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$318.81 $361.85 $407.44 $569.39 $865.25 |
$637.62 $723.70 $814.88 $1138.78 $1730.50 |
$840.06 $926.14 $1017.32 $1341.22 |
$1042.50 $1128.58 $1219.76 $1543.66 |
$1244.94 $1331.02 $1422.20 $1746.10 |
$521.25 $564.29 $609.88 $771.83 |
$723.69 $766.73 $812.32 $974.27 |
$926.13 $969.17 $1014.76 $1176.71 |
$202.44 |
Plan: (PPO) PPO 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Insurance Company of Scott & White)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$305.33 $346.55 $390.21 $545.32 $828.67 |
$610.66 $693.10 $780.42 $1090.64 $1657.34 |
$804.55 $886.99 $974.31 $1284.53 |
$998.44 $1080.88 $1168.20 $1478.42 |
$1192.33 $1274.77 $1362.09 $1672.31 |
$499.22 $540.44 $584.10 $739.21 |
$693.11 $734.33 $777.99 $933.10 |
$887.00 $928.22 $971.88 $1126.99 |
$193.89 |
ADVERTISEMENT
|
||||||||||
Scott and White Health PlanLocal: 1-254-298-3000 x20300 | Toll Free: 1-800-321-7947 TTY: 1-800-735-2989 |
||||||||||
Plan: (HMO) Scott and White Health Plan Catastrophic 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: 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 |
$257.01 $291.70 $328.45 $459.01 $697.52 |
$514.02 $583.40 $656.90 $918.02 $1395.04 |
$677.22 $746.60 $820.10 $1081.22 |
$840.42 $909.80 $983.30 $1244.42 |
$1003.62 $1073.00 $1146.50 $1407.62 |
$420.21 $454.90 $491.65 $622.21 |
$583.41 $618.10 $654.85 $785.41 |
$746.61 $781.30 $818.05 $948.61 |
$163.20 |
Plan: (HMO) Scott and White Health Plan Bronze 6000/50OvSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$256.45 $291.07 $327.74 $458.02 $696.01 |
$512.90 $582.14 $655.48 $916.04 $1392.02 |
$675.75 $744.99 $818.33 $1078.89 |
$838.60 $907.84 $981.18 $1241.74 |
$1001.45 $1070.69 $1144.03 $1404.59 |
$419.30 $453.92 $490.59 $620.87 |
$582.15 $616.77 $653.44 $783.72 |
$745.00 $779.62 $816.29 $946.57 |
$162.85 |
Plan: (HMO) Scott and White Health Plan Bronze 5500 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$293.28 $332.87 $374.81 $523.80 $795.96 |
$586.56 $665.74 $749.62 $1047.60 $1591.92 |
$772.79 $851.97 $935.85 $1233.83 |
$959.02 $1038.20 $1122.08 $1420.06 |
$1145.25 $1224.43 $1308.31 $1606.29 |
$479.51 $519.10 $561.04 $710.03 |
$665.74 $705.33 $747.27 $896.26 |
$851.97 $891.56 $933.50 $1082.49 |
$186.23 |
Plan: (HMO) Scott and White Health Plan Bronze 6600/60OVSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: 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 |
$285.34 $323.86 $364.66 $509.61 $774.41 |
$570.68 $647.72 $729.32 $1019.22 $1548.82 |
$751.87 $828.91 $910.51 $1200.41 |
$933.06 $1010.10 $1091.70 $1381.60 |
$1114.25 $1191.29 $1272.89 $1562.79 |
$466.53 $505.05 $545.85 $690.80 |
$647.72 $686.24 $727.04 $871.99 |
$828.91 $867.43 $908.23 $1053.18 |
$181.19 |
Plan: (HMO) Scott and White Health Plan Silver 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
Silver | 21 30 40 50 60 |
$303.38 $344.34 $387.72 $541.84 $823.38 |
$606.76 $688.68 $775.44 $1083.68 $1646.76 |
$799.41 $881.33 $968.09 $1276.33 |
$992.06 $1073.98 $1160.74 $1468.98 |
$1184.71 $1266.63 $1353.39 $1661.63 |
$496.03 $536.99 $580.37 $734.49 |
$688.68 $729.64 $773.02 $927.14 |
$881.33 $922.29 $965.67 $1119.79 |
$192.65 |
Plan: (HMO) Scott and White Health Plan Silver 2750 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$342.19 $388.39 $437.32 $611.16 $928.71 |
$684.38 $776.78 $874.64 $1222.32 $1857.42 |
$901.67 $994.07 $1091.93 $1439.61 |
$1118.96 $1211.36 $1309.22 $1656.90 |
$1336.25 $1428.65 $1526.51 $1874.19 |
$559.48 $605.68 $654.61 $828.45 |
$776.77 $822.97 $871.90 $1045.74 |
$994.06 $1040.26 $1089.19 $1263.03 |
$217.29 |
Plan: (HMO) Scott and White Health Plan Silver 2500/OV35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$307.64 $349.17 $393.16 $549.44 $834.93 |
$615.28 $698.34 $786.32 $1098.88 $1669.86 |
$810.63 $893.69 $981.67 $1294.23 |
$1005.98 $1089.04 $1177.02 $1489.58 |
$1201.33 $1284.39 $1372.37 $1684.93 |
$502.99 $544.52 $588.51 $744.79 |
$698.34 $739.87 $783.86 $940.14 |
$893.69 $935.22 $979.21 $1135.49 |
$195.35 |
Plan: (HMO) Scott and White Health Plan Silver 2500/30OVSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$299.87 $340.36 $383.24 $535.57 $813.85 |
$599.74 $680.72 $766.48 $1071.14 $1627.70 |
$790.16 $871.14 $956.90 $1261.56 |
$980.58 $1061.56 $1147.32 $1451.98 |
$1171.00 $1251.98 $1337.74 $1642.40 |
$490.29 $530.78 $573.66 $725.99 |
$680.71 $721.20 $764.08 $916.41 |
$871.13 $911.62 $954.50 $1106.83 |
$190.42 |
Plan: (HMO) Scott and White Health Plan Gold 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$376.95 $427.84 $481.74 $673.23 $1023.04 |
$753.90 $855.68 $963.48 $1346.46 $2046.08 |
$993.26 $1095.04 $1202.84 $1585.82 |
$1232.62 $1334.40 $1442.20 $1825.18 |
$1471.98 $1573.76 $1681.56 $2064.54 |
$616.31 $667.20 $721.10 $912.59 |
$855.67 $906.56 $960.46 $1151.95 |
$1095.03 $1145.92 $1199.82 $1391.31 |
$239.36 |
Plan: (HMO) Scott and White Health Plan Gold 1400 HDHPSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$1,400
: Family:
$2,800 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 |
$387.87 $440.23 $495.70 $692.74 $1052.68 |
$775.74 $880.46 $991.40 $1385.48 $2105.36 |
$1022.04 $1126.76 $1237.70 $1631.78 |
$1268.34 $1373.06 $1484.00 $1878.08 |
$1514.64 $1619.36 $1730.30 $2124.38 |
$634.17 $686.53 $742.00 $939.04 |
$880.47 $932.83 $988.30 $1185.34 |
$1126.77 $1179.13 $1234.60 $1431.64 |
$246.30 |
Plan: (HMO) Scott and White Health Plan Gold HMO 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-321-7947 - Provider Directory for This Plan: (Scott and White Health Plan)
Deductible: Individual:
$0
: Family:
$0 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 |
$418.65 $475.17 $535.03 $747.71 $1136.22 |
$837.30 $950.34 $1070.06 $1495.42 $2272.44 |
$1103.14 $1216.18 $1335.90 $1761.26 |
$1368.98 $1482.02 $1601.74 $2027.10 |
$1634.82 $1747.86 $1867.58 $2292.94 |
$684.49 $741.01 $800.87 $1013.55 |
$950.33 $1006.85 $1066.71 $1279.39 |
$1216.17 $1272.69 $1332.55 $1545.23 |
$265.84 |
ADVERTISEMENT
|
||||||||||
Molina Healthcare of TexasLocal: 1-888-560-2025 | Toll Free: 1-888-560-2025 |
||||||||||
Plan: (HMO) Molina Marketplace Gold PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2025 - Provider Directory for This Plan: (Molina Healthcare of Texas)
Deductible: Individual:
$0
: Family:
$0 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 |
$245.84 $279.03 $314.18 $439.07 $667.21 |
$491.68 $558.06 $628.36 $878.14 $1334.42 |
$647.79 $714.17 $784.47 $1034.25 |
$803.90 $870.28 $940.58 $1190.36 |
$960.01 $1026.39 $1096.69 $1346.47 |
$401.95 $435.14 $470.29 $595.18 |
$558.06 $591.25 $626.40 $751.29 |
$714.17 $747.36 $782.51 $907.40 |
$156.11 |
Plan: (HMO) Molina Marketplace Silver PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2025 - Provider Directory for This Plan: (Molina Healthcare of Texas)
Deductible: Individual:
$0
: Family:
See Plan Brochure 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 |
$206.47 $234.34 $263.87 $368.75 $560.36 |
$412.94 $468.68 $527.74 $737.50 $1120.72 |
$544.05 $599.79 $658.85 $868.61 |
$675.16 $730.90 $789.96 $999.72 |
$806.27 $862.01 $921.07 $1130.83 |
$337.58 $365.45 $394.98 $499.86 |
$468.69 $496.56 $526.09 $630.97 |
$599.80 $627.67 $657.20 $762.08 |
$131.11 |
Plan: (HMO) Molina Marketplace Choice Gold PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2025 - Provider Directory for This Plan: (Molina Healthcare of Texas)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$244.07 $277.02 $311.93 $435.91 $662.41 |
$488.14 $554.04 $623.86 $871.82 $1324.82 |
$643.13 $709.03 $778.85 $1026.81 |
$798.12 $864.02 $933.84 $1181.80 |
$953.11 $1019.01 $1088.83 $1336.79 |
$399.06 $432.01 $466.92 $590.90 |
$554.05 $587.00 $621.91 $745.89 |
$709.04 $741.99 $776.90 $900.88 |
$154.99 |
Plan: (HMO) Molina Marketplace Choice Silver PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2025 - Provider Directory for This Plan: (Molina Healthcare of Texas)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
Silver | 21 30 40 50 60 |
$203.76 $231.27 $260.40 $363.91 $553.00 |
$407.52 $462.54 $520.80 $727.82 $1106.00 |
$536.91 $591.93 $650.19 $857.21 |
$666.30 $721.32 $779.58 $986.60 |
$795.69 $850.71 $908.97 $1115.99 |
$333.15 $360.66 $389.79 $493.30 |
$462.54 $490.05 $519.18 $622.69 |
$591.93 $619.44 $648.57 $752.08 |
$129.39 |
Plan: (HMO) Molina Marketplace Choice Bronze PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-560-2025 - Provider Directory for This Plan: (Molina Healthcare of Texas)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
$171.61 $194.78 $219.32 $306.50 $465.76 |
$343.22 $389.56 $438.64 $613.00 $931.52 |
$452.19 $498.53 $547.61 $721.97 |
$561.16 $607.50 $656.58 $830.94 |
$670.13 $716.47 $765.55 $939.91 |
$280.58 $303.75 $328.29 $415.47 |
$389.55 $412.72 $437.26 $524.44 |
$498.52 $521.69 $546.23 $633.41 |
$108.97 |
ADVERTISEMENT
|
||||||||||
Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 |
||||||||||
Plan: (EPO) Cigna FocusIn HSA Bronze 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$244.74 $277.78 $312.78 $437.11 $664.22 |
$489.48 $555.56 $625.56 $874.22 $1328.44 |
$644.89 $710.97 $780.97 $1029.63 |
$800.30 $866.38 $936.38 $1185.04 |
$955.71 $1021.79 $1091.79 $1340.45 |
$400.15 $433.19 $468.19 $592.52 |
$555.56 $588.60 $623.60 $747.93 |
$710.97 $744.01 $779.01 $903.34 |
$155.41 |
Plan: (EPO) Cigna FocusIn Flex Bronze 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$6,400
: Family:
$12,800 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 |
Bronze | 21 30 40 50 60 |
$253.28 $287.47 $323.69 $452.35 $687.39 |
$506.56 $574.94 $647.38 $904.70 $1374.78 |
$667.39 $735.77 $808.21 $1065.53 |
$828.22 $896.60 $969.04 $1226.36 |
$989.05 $1057.43 $1129.87 $1387.19 |
$414.11 $448.30 $484.52 $613.18 |
$574.94 $609.13 $645.35 $774.01 |
$735.77 $769.96 $806.18 $934.84 |
$160.83 |
Plan: (EPO) Cigna FocusIn HSA Silver 2700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$2,700
: Family:
$5,400 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 |
$288.14 $327.04 $368.24 $514.61 $782.00 |
$576.28 $654.08 $736.48 $1029.22 $1564.00 |
$759.25 $837.05 $919.45 $1212.19 |
$942.22 $1020.02 $1102.42 $1395.16 |
$1125.19 $1202.99 $1285.39 $1578.13 |
$471.11 $510.01 $551.21 $697.58 |
$654.08 $692.98 $734.18 $880.55 |
$837.05 $875.95 $917.15 $1063.52 |
$182.97 |
Plan: (EPO) Cigna FocusIn Flex Silver 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: 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 |
Silver | 21 30 40 50 60 |
$304.08 $345.13 $388.62 $543.09 $825.28 |
$608.16 $690.26 $777.24 $1086.18 $1650.56 |
$801.25 $883.35 $970.33 $1279.27 |
$994.34 $1076.44 $1163.42 $1472.36 |
$1187.43 $1269.53 $1356.51 $1665.45 |
$497.17 $538.22 $581.71 $736.18 |
$690.26 $731.31 $774.80 $929.27 |
$883.35 $924.40 $967.89 $1122.36 |
$193.09 |
Plan: (EPO) Cigna FocusIn Flex Silver 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$5,000
: Family:
$10,000 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 |
Silver | 21 30 40 50 60 |
$301.30 $341.98 $385.07 $538.13 $817.74 |
$602.60 $683.96 $770.14 $1076.26 $1635.48 |
$793.93 $875.29 $961.47 $1267.59 |
$985.26 $1066.62 $1152.80 $1458.92 |
$1176.59 $1257.95 $1344.13 $1650.25 |
$492.63 $533.31 $576.40 $729.46 |
$683.96 $724.64 $767.73 $920.79 |
$875.29 $915.97 $959.06 $1112.12 |
$191.33 |
Plan: (EPO) Cigna FocusIn Flex Silver 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
Silver | 21 30 40 50 60 |
$322.84 $366.42 $412.59 $576.59 $876.18 |
$645.68 $732.84 $825.18 $1153.18 $1752.36 |
$850.68 $937.84 $1030.18 $1358.18 |
$1055.68 $1142.84 $1235.18 $1563.18 |
$1260.68 $1347.84 $1440.18 $1768.18 |
$527.84 $571.42 $617.59 $781.59 |
$732.84 $776.42 $822.59 $986.59 |
$937.84 $981.42 $1027.59 $1191.59 |
$205.00 |
Plan: (EPO) Cigna FocusIn Flex Gold 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna Health and Life Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$385.20 $437.20 $492.28 $687.97 $1045.43 |
$770.40 $874.40 $984.56 $1375.94 $2090.86 |
$1015.00 $1119.00 $1229.16 $1620.54 |
$1259.60 $1363.60 $1473.76 $1865.14 |
$1504.20 $1608.20 $1718.36 $2109.74 |
$629.80 $681.80 $736.88 $932.57 |
$874.40 $926.40 $981.48 $1177.17 |
$1119.00 $1171.00 $1226.08 $1421.77 |
$244.60 |
ADVERTISEMENT
|
||||||||||
All Savers Insurance CompanyLocal: 1-877-887-0443 | Toll Free: 1-877-887-0443 |
||||||||||
Plan: (EPO) Gold Compass Balanced 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 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 |
$299.67 $340.11 $382.96 $535.19 $813.27 |
$599.34 $680.22 $765.92 $1070.38 $1626.54 |
$789.62 $870.50 $956.20 $1260.66 |
$979.90 $1060.78 $1146.48 $1450.94 |
$1170.18 $1251.06 $1336.76 $1641.22 |
$489.95 $530.39 $573.24 $725.47 |
$680.23 $720.67 $763.52 $915.75 |
$870.51 $910.95 $953.80 $1106.03 |
$190.28 |
Plan: (EPO) Gold Compass Balanced 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$500
: Family:
$1,000 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 |
$298.12 $338.35 $380.98 $532.42 $809.07 |
$596.24 $676.70 $761.96 $1064.84 $1618.14 |
$785.54 $866.00 $951.26 $1254.14 |
$974.84 $1055.30 $1140.56 $1443.44 |
$1164.14 $1244.60 $1329.86 $1632.74 |
$487.42 $527.65 $570.28 $721.72 |
$676.72 $716.95 $759.58 $911.02 |
$866.02 $906.25 $948.88 $1100.32 |
$189.30 |
Plan: (EPO) Silver Compass Balanced HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,000
: Family:
$6,000 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 |
Silver | 21 30 40 50 60 |
$248.78 $282.35 $317.93 $444.30 $675.16 |
$497.56 $564.70 $635.86 $888.60 $1350.32 |
$655.53 $722.67 $793.83 $1046.57 |
$813.50 $880.64 $951.80 $1204.54 |
$971.47 $1038.61 $1109.77 $1362.51 |
$406.75 $440.32 $475.90 $602.27 |
$564.72 $598.29 $633.87 $760.24 |
$722.69 $756.26 $791.84 $918.21 |
$157.97 |
Plan: (EPO) Silver Compass Balanced 2000 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
Silver | 21 30 40 50 60 |
$258.85 $293.79 $330.80 $462.29 $702.50 |
$517.70 $587.58 $661.60 $924.58 $1405.00 |
$682.07 $751.95 $825.97 $1088.95 |
$846.44 $916.32 $990.34 $1253.32 |
$1010.81 $1080.69 $1154.71 $1417.69 |
$423.22 $458.16 $495.17 $626.66 |
$587.59 $622.53 $659.54 $791.03 |
$751.96 $786.90 $823.91 $955.40 |
$164.37 |
Plan: (EPO) Silver Compass Balanced 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 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 |
Silver | 21 30 40 50 60 |
$260.92 $296.13 $333.44 $465.98 $708.11 |
$521.84 $592.26 $666.88 $931.96 $1416.22 |
$687.52 $757.94 $832.56 $1097.64 |
$853.20 $923.62 $998.24 $1263.32 |
$1018.88 $1089.30 $1163.92 $1429.00 |
$426.60 $461.81 $499.12 $631.66 |
$592.28 $627.49 $664.80 $797.34 |
$757.96 $793.17 $830.48 $963.02 |
$165.68 |
Plan: (EPO) Silver Compass Balanced 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,500
: Family:
$7,000 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 |
Silver | 21 30 40 50 60 |
$262.99 $298.48 $336.08 $469.68 $713.72 |
$525.98 $596.96 $672.16 $939.36 $1427.44 |
$692.97 $763.95 $839.15 $1106.35 |
$859.96 $930.94 $1006.14 $1273.34 |
$1026.95 $1097.93 $1173.13 $1440.33 |
$429.98 $465.47 $503.07 $636.67 |
$596.97 $632.46 $670.06 $803.66 |
$763.96 $799.45 $837.05 $970.65 |
$166.99 |
Plan: (EPO) Silver Compass Balanced 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 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 |
Silver | 21 30 40 50 60 |
$268.93 $305.22 $343.68 $480.29 $729.84 |
$537.86 $610.44 $687.36 $960.58 $1459.68 |
$708.62 $781.20 $858.12 $1131.34 |
$879.38 $951.96 $1028.88 $1302.10 |
$1050.14 $1122.72 $1199.64 $1472.86 |
$439.69 $475.98 $514.44 $651.05 |
$610.45 $646.74 $685.20 $821.81 |
$781.21 $817.50 $855.96 $992.57 |
$170.76 |
Plan: (EPO) Bronze Compass Balanced HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$217.00 $246.29 $277.32 $387.55 $588.92 |
$434.00 $492.58 $554.64 $775.10 $1177.84 |
$571.79 $630.37 $692.43 $912.89 |
$709.58 $768.16 $830.22 $1050.68 |
$847.37 $905.95 $968.01 $1188.47 |
$354.79 $384.08 $415.11 $525.34 |
$492.58 $521.87 $552.90 $663.13 |
$630.37 $659.66 $690.69 $800.92 |
$137.79 |
Plan: (EPO) Bronze Compass Balanced 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: 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 |
$228.63 $259.48 $292.18 $408.31 $620.47 |
$457.26 $518.96 $584.36 $816.62 $1240.94 |
$602.43 $664.13 $729.53 $961.79 |
$747.60 $809.30 $874.70 $1106.96 |
$892.77 $954.47 $1019.87 $1252.13 |
$373.80 $404.65 $437.35 $553.48 |
$518.97 $549.82 $582.52 $698.65 |
$664.14 $694.99 $727.69 $843.82 |
$145.17 |
Plan: (EPO) Gold Compass Balanced 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0443 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$0
: Family:
$0 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 |
$295.02 $334.84 $377.02 $526.89 $800.65 |
$590.04 $669.68 $754.04 $1053.78 $1601.30 |
$777.37 $857.01 $941.37 $1241.11 |
$964.70 $1044.34 $1128.70 $1428.44 |
$1152.03 $1231.67 $1316.03 $1615.77 |
$482.35 $522.17 $564.35 $714.22 |
$669.68 $709.50 $751.68 $901.55 |
$857.01 $896.83 $939.01 $1088.88 |
$187.33 |
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Aetna Life Insurance CompanyLocal: 1-855-632-6274 | Toll Free: 1-855-632-6274 TTY: 1-855-632-6274 |
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Plan: (EPO) Aetna Gold $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6274 - Provider Directory for This Plan: (Aetna Life Insurance Company)
Deductible: Individual:
$1,400
: Family:
$2,800 Monthly Premiums: |
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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 |
$327.85 $372.11 $418.99 $585.54 $889.78 |
$655.70 $744.22 $837.98 $1171.08 $1779.56 |
$863.88 $952.40 $1046.16 $1379.26 |
$1072.06 $1160.58 $1254.34 $1587.44 |
$1280.24 $1368.76 $1462.52 $1795.62 |
$536.03 $580.29 $627.17 $793.72 |
$744.21 $788.47 $835.35 $1001.90 |
$952.39 $996.65 $1043.53 $1210.08 |
$208.18 |
Plan: (EPO) Aetna Silver $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6274 - Provider Directory for This Plan: (Aetna Life Insurance Company)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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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 |
$283.02 $321.23 $361.70 $505.48 $768.12 |
$566.04 $642.46 $723.40 $1010.96 $1536.24 |
$745.76 $822.18 $903.12 $1190.68 |
$925.48 $1001.90 $1082.84 $1370.40 |
$1105.20 $1181.62 $1262.56 $1550.12 |
$462.74 $500.95 $541.42 $685.20 |
$642.46 $680.67 $721.14 $864.92 |
$822.18 $860.39 $900.86 $1044.64 |
$179.72 |
Plan: (EPO) Aetna Bronze $15 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6274 - Provider Directory for This Plan: (Aetna Life Insurance Company)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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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 |
$225.18 $255.58 $287.78 $402.17 $611.14 |
$450.36 $511.16 $575.56 $804.34 $1222.28 |
$593.35 $654.15 $718.55 $947.33 |
$736.34 $797.14 $861.54 $1090.32 |
$879.33 $940.13 $1004.53 $1233.31 |
$368.17 $398.57 $430.77 $545.16 |
$511.16 $541.56 $573.76 $688.15 |
$654.15 $684.55 $716.75 $831.14 |
$142.99 |
Plan: (EPO) Aetna Bronze HSA EligibleSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-632-6274 - Provider Directory for This Plan: (Aetna Life Insurance Company)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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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 |
$210.48 $238.90 $268.99 $375.92 $571.25 |
$420.96 $477.80 $537.98 $751.84 $1142.50 |
$554.62 $611.46 $671.64 $885.50 |
$688.28 $745.12 $805.30 $1019.16 |
$821.94 $878.78 $938.96 $1152.82 |
$344.14 $372.56 $402.65 $509.58 |
$477.80 $506.22 $536.31 $643.24 |
$611.46 $639.88 $669.97 $776.90 |
$133.66 |
†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 Dallas County here.