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 Lawrenceville, GA.
Obamacare Providers, Plans and 2016 Rates for Gwinnett County
Gwinnett County is in “Rating Area 3” of Georgia.
Currently, there are 6 providers offering 73 plans to Rating Area 3. †
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 Lawrenceville, GA area accept this insurance coverage as within the plan's "network".
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UnitedHealthcare of Georgia, Inc.Local: 1-877-604-0569 | Toll Free: 1-877-604-0569 |
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Plan: (HMO) Gold Compass 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
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 |
$329.21 $373.64 $420.72 $587.95 $893.45 |
$658.42 $747.28 $841.44 $1175.90 $1786.90 |
$867.46 $956.32 $1050.48 $1384.94 |
$1076.50 $1165.36 $1259.52 $1593.98 |
$1285.54 $1374.40 $1468.56 $1803.02 |
$538.25 $582.68 $629.76 $796.99 |
$747.29 $791.72 $838.80 $1006.03 |
$956.33 $1000.76 $1047.84 $1215.07 |
$209.04 |
Plan: (HMO) Gold Compass HSA 1600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
Deductible: Individual:
$1,600
: Family:
$4,800 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 |
$307.35 $348.83 $392.77 $548.90 $834.11 |
$614.70 $697.66 $785.54 $1097.80 $1668.22 |
$809.86 $892.82 $980.70 $1292.96 |
$1005.02 $1087.98 $1175.86 $1488.12 |
$1200.18 $1283.14 $1371.02 $1683.28 |
$502.51 $543.99 $587.93 $744.06 |
$697.67 $739.15 $783.09 $939.22 |
$892.83 $934.31 $978.25 $1134.38 |
$195.16 |
Plan: (HMO) Silver Compass 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
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 |
$283.83 $322.14 $362.72 $506.90 $770.29 |
$567.66 $644.28 $725.44 $1013.80 $1540.58 |
$747.89 $824.51 $905.67 $1194.03 |
$928.12 $1004.74 $1085.90 $1374.26 |
$1108.35 $1184.97 $1266.13 $1554.49 |
$464.06 $502.37 $542.95 $687.13 |
$644.29 $682.60 $723.18 $867.36 |
$824.52 $862.83 $903.41 $1047.59 |
$180.23 |
Plan: (HMO) Silver Compass HSA 3600Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
Deductible: Individual:
$3,600
: Family:
$7,200 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 |
Silver | 21 30 40 50 60 |
$283.83 $322.14 $362.72 $506.90 $770.29 |
$567.66 $644.28 $725.44 $1013.80 $1540.58 |
$747.89 $824.51 $905.67 $1194.03 |
$928.12 $1004.74 $1085.90 $1374.26 |
$1108.35 $1184.97 $1266.13 $1554.49 |
$464.06 $502.37 $542.95 $687.13 |
$644.29 $682.60 $723.18 $867.36 |
$824.52 $862.83 $903.41 $1047.59 |
$180.23 |
Plan: (HMO) Silver Compass 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
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 |
Silver | 21 30 40 50 60 |
$273.52 $310.43 $349.54 $488.48 $742.30 |
$547.04 $620.86 $699.08 $976.96 $1484.60 |
$720.72 $794.54 $872.76 $1150.64 |
$894.40 $968.22 $1046.44 $1324.32 |
$1068.08 $1141.90 $1220.12 $1498.00 |
$447.20 $484.11 $523.22 $662.16 |
$620.88 $657.79 $696.90 $835.84 |
$794.56 $831.47 $870.58 $1009.52 |
$173.68 |
Plan: (HMO) Bronze Compass 4200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
Deductible: Individual:
$4,200
: Family:
$8,400 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 |
$240.93 $273.44 $307.89 $430.28 $653.85 |
$481.86 $546.88 $615.78 $860.56 $1307.70 |
$634.84 $699.86 $768.76 $1013.54 |
$787.82 $852.84 $921.74 $1166.52 |
$940.80 $1005.82 $1074.72 $1319.50 |
$393.91 $426.42 $460.87 $583.26 |
$546.89 $579.40 $613.85 $736.24 |
$699.87 $732.38 $766.83 $889.22 |
$152.98 |
Plan: (HMO) Bronze Compass 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
Deductible: Individual:
$6,400
: Family:
$12,800 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 |
Bronze | 21 30 40 50 60 |
$247.53 $280.93 $316.33 $442.07 $671.76 |
$495.06 $561.86 $632.66 $884.14 $1343.52 |
$652.23 $719.03 $789.83 $1041.31 |
$809.40 $876.20 $947.00 $1198.48 |
$966.57 $1033.37 $1104.17 $1355.65 |
$404.70 $438.10 $473.50 $599.24 |
$561.87 $595.27 $630.67 $756.41 |
$719.04 $752.44 $787.84 $913.58 |
$157.17 |
Plan: (HMO) Bronze Compass HSA 5200Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$240.93 $273.44 $307.89 $430.28 $653.85 |
$481.86 $546.88 $615.78 $860.56 $1307.70 |
$634.84 $699.86 $768.76 $1013.54 |
$787.82 $852.84 $921.74 $1166.52 |
$940.80 $1005.82 $1074.72 $1319.50 |
$393.91 $426.42 $460.87 $583.26 |
$546.89 $579.40 $613.85 $736.24 |
$699.87 $732.38 $766.83 $889.22 |
$152.98 |
Plan: (HMO) Catastrophic Compass 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-604-0569 - Provider Directory for This Plan: (UnitedHealthcare of Georgia, Inc.)
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 |
$198.44 $225.21 $253.59 $354.39 $538.53 |
$396.88 $450.42 $507.18 $708.78 $1077.06 |
$522.88 $576.42 $633.18 $834.78 |
$648.88 $702.42 $759.18 $960.78 |
$774.88 $828.42 $885.18 $1086.78 |
$324.44 $351.21 $379.59 $480.39 |
$450.44 $477.21 $505.59 $606.39 |
$576.44 $603.21 $631.59 $732.39 |
$126.00 |
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Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.Local: 1-855-738-6652 | Toll Free: 1-855-738-6652 |
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Plan: (HMO) BCBSHP Catastrophic Pathway X HMO 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$147.67 $167.61 $188.72 $263.74 $400.78 |
$295.34 $335.22 $377.44 $527.48 $801.56 |
$389.11 $428.99 $471.21 $621.25 |
$482.88 $522.76 $564.98 $715.02 |
$576.65 $616.53 $658.75 $808.79 |
$241.44 $261.38 $282.49 $357.51 |
$335.21 $355.15 $376.26 $451.28 |
$428.98 $448.92 $470.03 $545.05 |
$93.77 |
Plan: (HMO) BCBSHP Bronze Pathway X HMO 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$6,400
: Family:
$12,800 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 |
Bronze | 21 30 40 50 60 |
$223.39 $253.55 $285.49 $398.97 $606.28 |
$446.78 $507.10 $570.98 $797.94 $1212.56 |
$588.63 $648.95 $712.83 $939.79 |
$730.48 $790.80 $854.68 $1081.64 |
$872.33 $932.65 $996.53 $1223.49 |
$365.24 $395.40 $427.34 $540.82 |
$507.09 $537.25 $569.19 $682.67 |
$648.94 $679.10 $711.04 $824.52 |
$141.85 |
Plan: (HMO) BCBSHP Bronze Pathway X HMO 20 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$4,700
: Family:
$9,400 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 |
$220.22 $249.95 $281.44 $393.31 $597.68 |
$440.44 $499.90 $562.88 $786.62 $1195.36 |
$580.28 $639.74 $702.72 $926.46 |
$720.12 $779.58 $842.56 $1066.30 |
$859.96 $919.42 $982.40 $1206.14 |
$360.06 $389.79 $421.28 $533.15 |
$499.90 $529.63 $561.12 $672.99 |
$639.74 $669.47 $700.96 $812.83 |
$139.84 |
Plan: (HMO) BCBSHP Bronze Pathway X HMO 5200 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
$217.79 $247.19 $278.34 $388.97 $591.08 |
$435.58 $494.38 $556.68 $777.94 $1182.16 |
$573.88 $632.68 $694.98 $916.24 |
$712.18 $770.98 $833.28 $1054.54 |
$850.48 $909.28 $971.58 $1192.84 |
$356.09 $385.49 $416.64 $527.27 |
$494.39 $523.79 $554.94 $665.57 |
$632.69 $662.09 $693.24 $803.87 |
$138.30 |
Plan: (HMO) BCBSHP Silver Pathway X HMO 3500 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$268.32 $304.54 $342.91 $479.22 $728.22 |
$536.64 $609.08 $685.82 $958.44 $1456.44 |
$707.02 $779.46 $856.20 $1128.82 |
$877.40 $949.84 $1026.58 $1299.20 |
$1047.78 $1120.22 $1196.96 $1469.58 |
$438.70 $474.92 $513.29 $649.60 |
$609.08 $645.30 $683.67 $819.98 |
$779.46 $815.68 $854.05 $990.36 |
$170.38 |
Plan: (HMO) BCBSHP Silver Pathway X HMO 10 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$3,200
: Family:
$6,400 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 |
$248.54 $282.09 $317.63 $443.89 $674.54 |
$497.08 $564.18 $635.26 $887.78 $1349.08 |
$654.90 $722.00 $793.08 $1045.60 |
$812.72 $879.82 $950.90 $1203.42 |
$970.54 $1037.64 $1108.72 $1361.24 |
$406.36 $439.91 $475.45 $601.71 |
$564.18 $597.73 $633.27 $759.53 |
$722.00 $755.55 $791.09 $917.35 |
$157.82 |
Plan: (HMO) BCBSHP Silver Pathway X HMO 3000 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
Silver | 21 30 40 50 60 |
$248.32 $281.84 $317.35 $443.50 $673.94 |
$496.64 $563.68 $634.70 $887.00 $1347.88 |
$654.32 $721.36 $792.38 $1044.68 |
$812.00 $879.04 $950.06 $1202.36 |
$969.68 $1036.72 $1107.74 $1360.04 |
$406.00 $439.52 $475.03 $601.18 |
$563.68 $597.20 $632.71 $758.86 |
$721.36 $754.88 $790.39 $916.54 |
$157.68 |
Plan: (HMO) BCBSHP Bronze Pathway X HMO 30 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$216.42 $245.64 $276.58 $386.53 $587.36 |
$432.84 $491.28 $553.16 $773.06 $1174.72 |
$570.27 $628.71 $690.59 $910.49 |
$707.70 $766.14 $828.02 $1047.92 |
$845.13 $903.57 $965.45 $1185.35 |
$353.85 $383.07 $414.01 $523.96 |
$491.28 $520.50 $551.44 $661.39 |
$628.71 $657.93 $688.87 $798.82 |
$137.43 |
Plan: (HMO) BCBSHP Bronze Pathway X HMO 5500 40Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 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 |
$209.33 $237.59 $267.52 $373.86 $568.12 |
$418.66 $475.18 $535.04 $747.72 $1136.24 |
$551.58 $608.10 $667.96 $880.64 |
$684.50 $741.02 $800.88 $1013.56 |
$817.42 $873.94 $933.80 $1146.48 |
$342.25 $370.51 $400.44 $506.78 |
$475.17 $503.43 $533.36 $639.70 |
$608.09 $636.35 $666.28 $772.62 |
$132.92 |
Plan: (HMO) BCBSHP Silver Pathway X HMO 2000 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$247.55 $280.97 $316.37 $442.12 $671.85 |
$495.10 $561.94 $632.74 $884.24 $1343.70 |
$652.29 $719.13 $789.93 $1041.43 |
$809.48 $876.32 $947.12 $1198.62 |
$966.67 $1033.51 $1104.31 $1355.81 |
$404.74 $438.16 $473.56 $599.31 |
$561.93 $595.35 $630.75 $756.50 |
$719.12 $752.54 $787.94 $913.69 |
$157.19 |
Plan: (HMO) BCBSHP Silver Pathway X HMO 3500 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$238.34 $270.52 $304.60 $425.68 $646.85 |
$476.68 $541.04 $609.20 $851.36 $1293.70 |
$628.03 $692.39 $760.55 $1002.71 |
$779.38 $843.74 $911.90 $1154.06 |
$930.73 $995.09 $1063.25 $1305.41 |
$389.69 $421.87 $455.95 $577.03 |
$541.04 $573.22 $607.30 $728.38 |
$692.39 $724.57 $758.65 $879.73 |
$151.35 |
Plan: (HMO) Blue Cross and Blue Shield Healthcare Plan of Georgia Silver DirectAccess a Multi State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
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 |
$255.94 $290.49 $327.09 $457.11 $694.62 |
$511.88 $580.98 $654.18 $914.22 $1389.24 |
$674.40 $743.50 $816.70 $1076.74 |
$836.92 $906.02 $979.22 $1239.26 |
$999.44 $1068.54 $1141.74 $1401.78 |
$418.46 $453.01 $489.61 $619.63 |
$580.98 $615.53 $652.13 $782.15 |
$743.50 $778.05 $814.65 $944.67 |
$162.52 |
Plan: (HMO) Blue Cross and Blue Shield Healthcare Plan of Georgia Gold DirectAccess a Multi State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-738-6652 - Provider Directory for This Plan: (Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.)
Deductible: Individual:
$1,150
: Family:
$2,300 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 |
$356.59 $404.73 $455.72 $636.87 $967.79 |
$713.18 $809.46 $911.44 $1273.74 $1935.58 |
$939.61 $1035.89 $1137.87 $1500.17 |
$1166.04 $1262.32 $1364.30 $1726.60 |
$1392.47 $1488.75 $1590.73 $1953.03 |
$583.02 $631.16 $682.15 $863.30 |
$809.45 $857.59 $908.58 $1089.73 |
$1035.88 $1084.02 $1135.01 $1316.16 |
$226.43 |
ADVERTISEMENT
|
||||||||||
Cigna Health and Life Insurance CompanyLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 |
||||||||||
Plan: (PPO) Cigna Health Savings 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 |
$221.21 $251.07 $282.70 $395.08 $600.36 |
$442.42 $502.14 $565.40 $790.16 $1200.72 |
$582.89 $642.61 $705.87 $930.63 |
$723.36 $783.08 $846.34 $1071.10 |
$863.83 $923.55 $986.81 $1211.57 |
$361.68 $391.54 $423.17 $535.55 |
$502.15 $532.01 $563.64 $676.02 |
$642.62 $672.48 $704.11 $816.49 |
$140.47 |
Plan: (PPO) Cigna Health Flex 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 |
$229.10 $260.03 $292.79 $409.17 $621.77 |
$458.20 $520.06 $585.58 $818.34 $1243.54 |
$603.68 $665.54 $731.06 $963.82 |
$749.16 $811.02 $876.54 $1109.30 |
$894.64 $956.50 $1022.02 $1254.78 |
$374.58 $405.51 $438.27 $554.65 |
$520.06 $550.99 $583.75 $700.13 |
$665.54 $696.47 $729.23 $845.61 |
$145.48 |
Plan: (PPO) Cigna Health Savings 3000Summary 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:
$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 |
$262.36 $297.78 $335.29 $468.57 $712.04 |
$524.72 $595.56 $670.58 $937.14 $1424.08 |
$691.32 $762.16 $837.18 $1103.74 |
$857.92 $928.76 $1003.78 $1270.34 |
$1024.52 $1095.36 $1170.38 $1436.94 |
$428.96 $464.38 $501.89 $635.17 |
$595.56 $630.98 $668.49 $801.77 |
$762.16 $797.58 $835.09 $968.37 |
$166.60 |
Plan: (PPO) Cigna Health Flex 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 |
$288.62 $327.58 $368.86 $515.47 $783.31 |
$577.24 $655.16 $737.72 $1030.94 $1566.62 |
$760.51 $838.43 $920.99 $1214.21 |
$943.78 $1021.70 $1104.26 $1397.48 |
$1127.05 $1204.97 $1287.53 $1580.75 |
$471.89 $510.85 $552.13 $698.74 |
$655.16 $694.12 $735.40 $882.01 |
$838.43 $877.39 $918.67 $1065.28 |
$183.27 |
Plan: (PPO) Cigna Health Flex 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 |
$273.40 $310.31 $349.40 $488.29 $742.00 |
$546.80 $620.62 $698.80 $976.58 $1484.00 |
$720.41 $794.23 $872.41 $1150.19 |
$894.02 $967.84 $1046.02 $1323.80 |
$1067.63 $1141.45 $1219.63 $1497.41 |
$447.01 $483.92 $523.01 $661.90 |
$620.62 $657.53 $696.62 $835.51 |
$794.23 $831.14 $870.23 $1009.12 |
$173.61 |
Plan: (PPO) Cigna Health Flex 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 |
$332.92 $377.86 $425.47 $594.59 $903.53 |
$665.84 $755.72 $850.94 $1189.18 $1807.06 |
$877.24 $967.12 $1062.34 $1400.58 |
$1088.64 $1178.52 $1273.74 $1611.98 |
$1300.04 $1389.92 $1485.14 $1823.38 |
$544.32 $589.26 $636.87 $805.99 |
$755.72 $800.66 $848.27 $1017.39 |
$967.12 $1012.06 $1059.67 $1228.79 |
$211.40 |
ADVERTISEMENT
|
||||||||||
Ambetter of Peach State Inc.Local: 1-877-687-1180 | Toll Free: TTY: 1-877-941-9231 |
||||||||||
Plan: (HMO) Ambetter Secure Care 1 (2016) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
$258.17 $293.01 $329.93 $461.07 $700.64 |
$516.34 $586.02 $659.86 $922.14 $1401.28 |
$680.27 $749.95 $823.79 $1086.07 |
$844.20 $913.88 $987.72 $1250.00 |
$1008.13 $1077.81 $1151.65 $1413.93 |
$422.10 $456.94 $493.86 $625.00 |
$586.03 $620.87 $657.79 $788.93 |
$749.96 $784.80 $821.72 $952.86 |
$163.93 |
Plan: (HMO) Ambetter Balanced Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$198.91 $225.75 $254.19 $355.23 $539.81 |
$397.82 $451.50 $508.38 $710.46 $1079.62 |
$524.12 $577.80 $634.68 $836.76 |
$650.42 $704.10 $760.98 $963.06 |
$776.72 $830.40 $887.28 $1089.36 |
$325.21 $352.05 $380.49 $481.53 |
$451.51 $478.35 $506.79 $607.83 |
$577.81 $604.65 $633.09 $734.13 |
$126.30 |
Plan: (HMO) Ambetter Balanced Care 2 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$195.58 $221.98 $249.94 $349.30 $530.79 |
$391.16 $443.96 $499.88 $698.60 $1061.58 |
$515.35 $568.15 $624.07 $822.79 |
$639.54 $692.34 $748.26 $946.98 |
$763.73 $816.53 $872.45 $1071.17 |
$319.77 $346.17 $374.13 $473.49 |
$443.96 $470.36 $498.32 $597.68 |
$568.15 $594.55 $622.51 $721.87 |
$124.19 |
Plan: (HMO) Ambetter Balanced Care 10 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
$205.17 $232.85 $262.19 $366.41 $556.80 |
$410.34 $465.70 $524.38 $732.82 $1113.60 |
$540.61 $595.97 $654.65 $863.09 |
$670.88 $726.24 $784.92 $993.36 |
$801.15 $856.51 $915.19 $1123.63 |
$335.44 $363.12 $392.46 $496.68 |
$465.71 $493.39 $522.73 $626.95 |
$595.98 $623.66 $653.00 $757.22 |
$130.27 |
Plan: (HMO) Ambetter Essential Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$173.09 $196.45 $221.20 $309.13 $469.75 |
$346.18 $392.90 $442.40 $618.26 $939.50 |
$456.09 $502.81 $552.31 $728.17 |
$566.00 $612.72 $662.22 $838.08 |
$675.91 $722.63 $772.13 $947.99 |
$283.00 $306.36 $331.11 $419.04 |
$392.91 $416.27 $441.02 $528.95 |
$502.82 $526.18 $550.93 $638.86 |
$109.91 |
Plan: (HMO) Ambetter Essential Care 5 (2016) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$179.35 $203.55 $229.20 $320.30 $486.73 |
$358.70 $407.10 $458.40 $640.60 $973.46 |
$472.58 $520.98 $572.28 $754.48 |
$586.46 $634.86 $686.16 $868.36 |
$700.34 $748.74 $800.04 $982.24 |
$293.23 $317.43 $343.08 $434.18 |
$407.11 $431.31 $456.96 $548.06 |
$520.99 $545.19 $570.84 $661.94 |
$113.88 |
Plan: (HMO) Ambetter Balanced Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$203.85 $231.36 $260.50 $364.05 $553.21 |
$407.70 $462.72 $521.00 $728.10 $1106.42 |
$537.14 $592.16 $650.44 $857.54 |
$666.58 $721.60 $779.88 $986.98 |
$796.02 $851.04 $909.32 $1116.42 |
$333.29 $360.80 $389.94 $493.49 |
$462.73 $490.24 $519.38 $622.93 |
$592.17 $619.68 $648.82 $752.37 |
$129.44 |
Plan: (HMO) Ambetter Balanced Care 2 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$200.44 $227.49 $256.15 $357.97 $543.97 |
$400.88 $454.98 $512.30 $715.94 $1087.94 |
$528.15 $582.25 $639.57 $843.21 |
$655.42 $709.52 $766.84 $970.48 |
$782.69 $836.79 $894.11 $1097.75 |
$327.71 $354.76 $383.42 $485.24 |
$454.98 $482.03 $510.69 $612.51 |
$582.25 $609.30 $637.96 $739.78 |
$127.27 |
Plan: (HMO) Ambetter Balanced Care 10 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
$210.26 $238.64 $268.70 $375.51 $570.62 |
$420.52 $477.28 $537.40 $751.02 $1141.24 |
$554.03 $610.79 $670.91 $884.53 |
$687.54 $744.30 $804.42 $1018.04 |
$821.05 $877.81 $937.93 $1151.55 |
$343.77 $372.15 $402.21 $509.02 |
$477.28 $505.66 $535.72 $642.53 |
$610.79 $639.17 $669.23 $776.04 |
$133.51 |
Plan: (HMO) Ambetter Essential Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$177.39 $201.33 $226.69 $316.80 $481.41 |
$354.78 $402.66 $453.38 $633.60 $962.82 |
$467.42 $515.30 $566.02 $746.24 |
$580.06 $627.94 $678.66 $858.88 |
$692.70 $740.58 $791.30 $971.52 |
$290.03 $313.97 $339.33 $429.44 |
$402.67 $426.61 $451.97 $542.08 |
$515.31 $539.25 $564.61 $654.72 |
$112.64 |
Plan: (HMO) Ambetter Essential Care 5 (2016) with 3 Free PCP Visits + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$183.80 $208.61 $234.89 $328.26 $498.82 |
$367.60 $417.22 $469.78 $656.52 $997.64 |
$484.31 $533.93 $586.49 $773.23 |
$601.02 $650.64 $703.20 $889.94 |
$717.73 $767.35 $819.91 $1006.65 |
$300.51 $325.32 $351.60 $444.97 |
$417.22 $442.03 $468.31 $561.68 |
$533.93 $558.74 $585.02 $678.39 |
$116.71 |
Plan: (HMO) Ambetter Balanced Care 1 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$216.65 $245.88 $276.86 $386.91 $587.95 |
$433.30 $491.76 $553.72 $773.82 $1175.90 |
$570.86 $629.32 $691.28 $911.38 |
$708.42 $766.88 $828.84 $1048.94 |
$845.98 $904.44 $966.40 $1186.50 |
$354.21 $383.44 $414.42 $524.47 |
$491.77 $521.00 $551.98 $662.03 |
$629.33 $658.56 $689.54 $799.59 |
$137.56 |
Plan: (HMO) Ambetter Balanced Care 2 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
Silver | 21 30 40 50 60 |
$213.02 $241.77 $272.23 $380.44 $578.12 |
$426.04 $483.54 $544.46 $760.88 $1156.24 |
$561.30 $618.80 $679.72 $896.14 |
$696.56 $754.06 $814.98 $1031.40 |
$831.82 $889.32 $950.24 $1166.66 |
$348.28 $377.03 $407.49 $515.70 |
$483.54 $512.29 $542.75 $650.96 |
$618.80 $647.55 $678.01 $786.22 |
$135.26 |
Plan: (HMO) Ambetter Balanced Care 10 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
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 |
$223.46 $253.62 $285.57 $399.09 $606.45 |
$446.92 $507.24 $571.14 $798.18 $1212.90 |
$588.81 $649.13 $713.03 $940.07 |
$730.70 $791.02 $854.92 $1081.96 |
$872.59 $932.91 $996.81 $1223.85 |
$365.35 $395.51 $427.46 $540.98 |
$507.24 $537.40 $569.35 $682.87 |
$649.13 $679.29 $711.24 $824.76 |
$141.89 |
Plan: (HMO) Ambetter Essential Care 1 (2016) + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$188.53 $213.97 $240.93 $336.69 $511.64 |
$377.06 $427.94 $481.86 $673.38 $1023.28 |
$496.77 $547.65 $601.57 $793.09 |
$616.48 $667.36 $721.28 $912.80 |
$736.19 $787.07 $840.99 $1032.51 |
$308.24 $333.68 $360.64 $456.40 |
$427.95 $453.39 $480.35 $576.11 |
$547.66 $573.10 $600.06 $695.82 |
$119.71 |
Plan: (HMO) Ambetter Essential Care 5 (2016) with 3 Free PCP Visits + Vision + Adult DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Ambetter of Peach State Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 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 |
Bronze | 21 30 40 50 60 |
$195.34 $221.70 $249.64 $348.87 $530.14 |
$390.68 $443.40 $499.28 $697.74 $1060.28 |
$514.72 $567.44 $623.32 $821.78 |
$638.76 $691.48 $747.36 $945.82 |
$762.80 $815.52 $871.40 $1069.86 |
$319.38 $345.74 $373.68 $472.91 |
$443.42 $469.78 $497.72 $596.95 |
$567.46 $593.82 $621.76 $720.99 |
$124.04 |
ADVERTISEMENT
|
||||||||||
Aetna Health Inc. (a GA corp.)Local: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
||||||||||
Plan: (HMO) Coventry Gold $10 Copay HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
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 |
$292.82 $332.35 $374.22 $522.97 $794.71 |
$585.64 $664.70 $748.44 $1045.94 $1589.42 |
$771.58 $850.64 $934.38 $1231.88 |
$957.52 $1036.58 $1120.32 $1417.82 |
$1143.46 $1222.52 $1306.26 $1603.76 |
$478.76 $518.29 $560.16 $708.91 |
$664.70 $704.23 $746.10 $894.85 |
$850.64 $890.17 $932.04 $1080.79 |
$185.94 |
Plan: (HMO) Coventry Silver $10 Copay HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
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 |
$234.23 $265.85 $299.34 $418.33 $635.70 |
$468.46 $531.70 $598.68 $836.66 $1271.40 |
$617.20 $680.44 $747.42 $985.40 |
$765.94 $829.18 $896.16 $1134.14 |
$914.68 $977.92 $1044.90 $1282.88 |
$382.97 $414.59 $448.08 $567.07 |
$531.71 $563.33 $596.82 $715.81 |
$680.45 $712.07 $745.56 $864.55 |
$148.74 |
Plan: (HMO) Coventry Silver $10 Copay 2750 HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
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 |
$221.78 $251.72 $283.43 $396.10 $601.91 |
$443.56 $503.44 $566.86 $792.20 $1203.82 |
$584.39 $644.27 $707.69 $933.03 |
$725.22 $785.10 $848.52 $1073.86 |
$866.05 $925.93 $989.35 $1214.69 |
$362.61 $392.55 $424.26 $536.93 |
$503.44 $533.38 $565.09 $677.76 |
$644.27 $674.21 $705.92 $818.59 |
$140.83 |
Plan: (HMO) Coventry Bronze $15 Copay HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
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 |
$196.14 $222.62 $250.67 $350.31 $532.34 |
$392.28 $445.24 $501.34 $700.62 $1064.68 |
$516.83 $569.79 $625.89 $825.17 |
$641.38 $694.34 $750.44 $949.72 |
$765.93 $818.89 $874.99 $1074.27 |
$320.69 $347.17 $375.22 $474.86 |
$445.24 $471.72 $499.77 $599.41 |
$569.79 $596.27 $624.32 $723.96 |
$124.55 |
Plan: (HMO) Coventry Bronze Deductible Only HSA Eligible HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
Deductible: Individual:
$6,450
: Family:
$12,900 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 |
$190.52 $216.24 $243.48 $340.27 $517.07 |
$381.04 $432.48 $486.96 $680.54 $1034.14 |
$502.02 $553.46 $607.94 $801.52 |
$623.00 $674.44 $728.92 $922.50 |
$743.98 $795.42 $849.90 $1043.48 |
$311.50 $337.22 $364.46 $461.25 |
$432.48 $458.20 $485.44 $582.23 |
$553.46 $579.18 $606.42 $703.21 |
$120.98 |
Plan: (HMO) Coventry Catastrophic HMO AtlantaSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a GA corp.))
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 |
$151.90 $172.41 $194.13 $271.30 $412.26 |
$303.80 $344.82 $388.26 $542.60 $824.52 |
$400.26 $441.28 $484.72 $639.06 |
$496.72 $537.74 $581.18 $735.52 |
$593.18 $634.20 $677.64 $831.98 |
$248.36 $268.87 $290.59 $367.76 |
$344.82 $365.33 $387.05 $464.22 |
$441.28 $461.79 $483.51 $560.68 |
$96.46 |
ADVERTISEMENT
|
||||||||||
Kaiser Foundation Health Plan of GeorgiaLocal: 1-800-494-5314 | Toll Free: 1-800-494-5314 |
||||||||||
Plan: (HMO) KP GA Gold 500/20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$309.65 $351.30 $395.65 $552.59 $839.88 |
$619.30 $702.60 $791.30 $1105.18 $1679.76 |
$815.97 $899.27 $987.97 $1301.85 |
$1012.64 $1095.94 $1184.64 $1498.52 |
$1209.31 $1292.61 $1381.31 $1695.19 |
$506.32 $547.97 $592.32 $749.26 |
$702.99 $744.64 $788.99 $945.93 |
$899.66 $941.31 $985.66 $1142.60 |
$196.67 |
Plan: (HMO) KP GA Gold 1000/20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$301.25 $341.77 $384.91 $537.60 $817.10 |
$602.50 $683.54 $769.82 $1075.20 $1634.20 |
$793.83 $874.87 $961.15 $1266.53 |
$985.16 $1066.20 $1152.48 $1457.86 |
$1176.49 $1257.53 $1343.81 $1649.19 |
$492.58 $533.10 $576.24 $728.93 |
$683.91 $724.43 $767.57 $920.26 |
$875.24 $915.76 $958.90 $1111.59 |
$191.33 |
Plan: (HMO) KP GA Silver 1500/30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
Silver | 21 30 40 50 60 |
$264.01 $299.52 $337.33 $471.14 $716.08 |
$528.02 $599.04 $674.66 $942.28 $1432.16 |
$695.70 $766.72 $842.34 $1109.96 |
$863.38 $934.40 $1010.02 $1277.64 |
$1031.06 $1102.08 $1177.70 $1445.32 |
$431.69 $467.20 $505.01 $638.82 |
$599.37 $634.88 $672.69 $806.50 |
$767.05 $802.56 $840.37 $974.18 |
$167.68 |
Plan: (HMO) KP GA Silver 2500/30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$251.60 $285.43 $321.47 $448.99 $682.41 |
$503.20 $570.86 $642.94 $897.98 $1364.82 |
$662.99 $730.65 $802.73 $1057.77 |
$822.78 $890.44 $962.52 $1217.56 |
$982.57 $1050.23 $1122.31 $1377.35 |
$411.39 $445.22 $481.26 $608.78 |
$571.18 $605.01 $641.05 $768.57 |
$730.97 $764.80 $800.84 $928.36 |
$159.79 |
Plan: (HMO) KP GA Silver 2750/20%/HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$250.87 $284.61 $320.53 $447.68 $680.43 |
$501.74 $569.22 $641.06 $895.36 $1360.86 |
$661.07 $728.55 $800.39 $1054.69 |
$820.40 $887.88 $959.72 $1214.02 |
$979.73 $1047.21 $1119.05 $1373.35 |
$410.20 $443.94 $479.86 $607.01 |
$569.53 $603.27 $639.19 $766.34 |
$728.86 $762.60 $798.52 $925.67 |
$159.33 |
Plan: (HMO) KP GA Bronze 4000/20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
Bronze | 21 30 40 50 60 |
$211.43 $239.87 $270.15 $377.31 $573.47 |
$422.86 $479.74 $540.30 $754.62 $1146.94 |
$557.14 $614.02 $674.58 $888.90 |
$691.42 $748.30 $808.86 $1023.18 |
$825.70 $882.58 $943.14 $1157.46 |
$345.71 $374.15 $404.43 $511.59 |
$479.99 $508.43 $538.71 $645.87 |
$614.27 $642.71 $672.99 $780.15 |
$134.28 |
Plan: (HMO) KP GA Bronze 6000/40%/HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$194.63 $220.81 $248.68 $347.33 $527.90 |
$389.26 $441.62 $497.36 $694.66 $1055.80 |
$512.87 $565.23 $620.97 $818.27 |
$636.48 $688.84 $744.58 $941.88 |
$760.09 $812.45 $868.19 $1065.49 |
$318.24 $344.42 $372.29 $470.94 |
$441.85 $468.03 $495.90 $594.55 |
$565.46 $591.64 $619.51 $718.16 |
$123.61 |
Plan: (HMO) KP GA Catastrophic 6850/0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$166.04 $188.37 $212.15 $296.30 $450.35 |
$332.08 $376.74 $424.30 $592.60 $900.70 |
$437.53 $482.19 $529.75 $698.05 |
$542.98 $587.64 $635.20 $803.50 |
$648.43 $693.09 $740.65 $908.95 |
$271.49 $293.82 $317.60 $401.75 |
$376.94 $399.27 $423.05 $507.20 |
$482.39 $504.72 $528.50 $612.65 |
$105.45 |
Plan: (HMO) KP GA Gold 1500/20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$298.70 $338.87 $381.65 $533.05 $810.17 |
$597.40 $677.74 $763.30 $1066.10 $1620.34 |
$787.11 $867.45 $953.01 $1255.81 |
$976.82 $1057.16 $1142.72 $1445.52 |
$1166.53 $1246.87 $1332.43 $1635.23 |
$488.41 $528.58 $571.36 $722.76 |
$678.12 $718.29 $761.07 $912.47 |
$867.83 $908.00 $950.78 $1102.18 |
$189.71 |
Plan: (HMO) KP GA Bronze 5000/50Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-494-5314 - Provider Directory for This Plan: (Kaiser Foundation Health Plan of Georgia)
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 |
$205.95 $233.65 $263.15 $367.54 $558.61 |
$411.90 $467.30 $526.30 $735.08 $1117.22 |
$542.70 $598.10 $657.10 $865.88 |
$673.50 $728.90 $787.90 $996.68 |
$804.30 $859.70 $918.70 $1127.48 |
$336.75 $364.45 $393.95 $498.34 |
$467.55 $495.25 $524.75 $629.14 |
$598.35 $626.05 $655.55 $759.94 |
$130.80 |
ADVERTISEMENT
|
||||||||||
Humana Employers Health Plan of Georgia, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
||||||||||
Plan: (HMO) Humana Basic 6850/Atlanta HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
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 |
$153.75 $174.51 $196.49 $274.60 $417.28 |
$307.50 $349.02 $392.98 $549.20 $834.56 |
$405.13 $446.65 $490.61 $646.83 |
$502.76 $544.28 $588.24 $744.46 |
$600.39 $641.91 $685.87 $842.09 |
$251.38 $272.14 $294.12 $372.23 |
$349.01 $369.77 $391.75 $469.86 |
$446.64 $467.40 $489.38 $567.49 |
$97.63 |
Plan: (HMO) Humana Bronze 6450/Atlanta HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 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 |
$206.50 $234.38 $263.91 $368.81 $560.44 |
$413.00 $468.76 $527.82 $737.62 $1120.88 |
$544.13 $599.89 $658.95 $868.75 |
$675.26 $731.02 $790.08 $999.88 |
$806.39 $862.15 $921.21 $1131.01 |
$337.63 $365.51 $395.04 $499.94 |
$468.76 $496.64 $526.17 $631.07 |
$599.89 $627.77 $657.30 $762.20 |
$131.13 |
Plan: (HMO) Humana Bronze 4850/Atlanta HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$4,850
: Family:
$9,700 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 |
$224.87 $255.23 $287.38 $401.62 $610.30 |
$449.74 $510.46 $574.76 $803.24 $1220.60 |
$592.53 $653.25 $717.55 $946.03 |
$735.32 $796.04 $860.34 $1088.82 |
$878.11 $938.83 $1003.13 $1231.61 |
$367.66 $398.02 $430.17 $544.41 |
$510.45 $540.81 $572.96 $687.20 |
$653.24 $683.60 $715.75 $829.99 |
$142.79 |
Plan: (HMO) Humana Silver 3800/Atlanta HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 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 |
$243.50 $276.37 $311.19 $434.89 $660.86 |
$487.00 $552.74 $622.38 $869.78 $1321.72 |
$641.62 $707.36 $777.00 $1024.40 |
$796.24 $861.98 $931.62 $1179.02 |
$950.86 $1016.60 $1086.24 $1333.64 |
$398.12 $430.99 $465.81 $589.51 |
$552.74 $585.61 $620.43 $744.13 |
$707.36 $740.23 $775.05 $898.75 |
$154.62 |
Plan: (HMO) Humana Gold 2250/Atlanta HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$287.51 $326.32 $367.44 $513.49 $780.30 |
$575.02 $652.64 $734.88 $1026.98 $1560.60 |
$757.59 $835.21 $917.45 $1209.55 |
$940.16 $1017.78 $1100.02 $1392.12 |
$1122.73 $1200.35 $1282.59 $1574.69 |
$470.08 $508.89 $550.01 $696.06 |
$652.65 $691.46 $732.58 $878.63 |
$835.22 $874.03 $915.15 $1061.20 |
$182.57 |
Plan: (POS) Humana Basic 6850/National POS - OpenAccessSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
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 |
$164.91 $187.17 $210.75 $294.53 $447.57 |
$329.82 $374.34 $421.50 $589.06 $895.14 |
$434.54 $479.06 $526.22 $693.78 |
$539.26 $583.78 $630.94 $798.50 |
$643.98 $688.50 $735.66 $903.22 |
$269.63 $291.89 $315.47 $399.25 |
$374.35 $396.61 $420.19 $503.97 |
$479.07 $501.33 $524.91 $608.69 |
$104.72 |
Plan: (POS) Humana Bronze 6450/National POS - OpenAccessSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 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 |
$221.45 $251.35 $283.01 $395.51 $601.02 |
$442.90 $502.70 $566.02 $791.02 $1202.04 |
$583.52 $643.32 $706.64 $931.64 |
$724.14 $783.94 $847.26 $1072.26 |
$864.76 $924.56 $987.88 $1212.88 |
$362.07 $391.97 $423.63 $536.13 |
$502.69 $532.59 $564.25 $676.75 |
$643.31 $673.21 $704.87 $817.37 |
$140.62 |
Plan: (POS) Humana Silver 3800/National POS - OpenAccessSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 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 |
$261.16 $296.42 $333.76 $466.43 $708.79 |
$522.32 $592.84 $667.52 $932.86 $1417.58 |
$688.16 $758.68 $833.36 $1098.70 |
$854.00 $924.52 $999.20 $1264.54 |
$1019.84 $1090.36 $1165.04 $1430.38 |
$427.00 $462.26 $499.60 $632.27 |
$592.84 $628.10 $665.44 $798.11 |
$758.68 $793.94 $831.28 $963.95 |
$165.84 |
Plan: (POS) Humana Gold 2250/National POS - OpenAccessSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Employers Health Plan of Georgia, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$308.34 $349.97 $394.06 $550.70 $836.83 |
$616.68 $699.94 $788.12 $1101.40 $1673.66 |
$812.48 $895.74 $983.92 $1297.20 |
$1008.28 $1091.54 $1179.72 $1493.00 |
$1204.08 $1287.34 $1375.52 $1688.80 |
$504.14 $545.77 $589.86 $746.50 |
$699.94 $741.57 $785.66 $942.30 |
$895.74 $937.37 $981.46 $1138.10 |
$195.80 |
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Harken Health Insurance CompanyLocal: | Toll Free: |
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Plan: (PPO) Care Gold ISummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Harken Health Insurance Company)
Deductible: Individual:
$1,750
: Family:
$3,500 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 |
$284.79 $323.24 $363.96 $508.63 $772.92 |
$569.58 $646.48 $727.92 $1017.26 $1545.84 |
$750.42 $827.32 $908.76 $1198.10 |
$931.26 $1008.16 $1089.60 $1378.94 |
$1112.10 $1189.00 $1270.44 $1559.78 |
$465.63 $504.08 $544.80 $689.47 |
$646.47 $684.92 $725.64 $870.31 |
$827.31 $865.76 $906.48 $1051.15 |
$180.84 |
Plan: (PPO) Care Gold IISummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Harken Health Insurance Company)
Deductible: Individual:
$1,375
: Family:
$2,750 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 |
$293.20 $332.78 $374.71 $523.66 $795.75 |
$586.40 $665.56 $749.42 $1047.32 $1591.50 |
$772.58 $851.74 $935.60 $1233.50 |
$958.76 $1037.92 $1121.78 $1419.68 |
$1144.94 $1224.10 $1307.96 $1605.86 |
$479.38 $518.96 $560.89 $709.84 |
$665.56 $705.14 $747.07 $896.02 |
$851.74 $891.32 $933.25 $1082.20 |
$186.18 |
Plan: (PPO) Care Silver ISummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Harken Health Insurance Company)
Deductible: Individual:
$3,750
: Family:
$7,500 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 |
$240.25 $272.69 $307.04 $429.09 $652.04 |
$480.50 $545.38 $614.08 $858.18 $1304.08 |
$633.06 $697.94 $766.64 $1010.74 |
$785.62 $850.50 $919.20 $1163.30 |
$938.18 $1003.06 $1071.76 $1315.86 |
$392.81 $425.25 $459.60 $581.65 |
$545.37 $577.81 $612.16 $734.21 |
$697.93 $730.37 $764.72 $886.77 |
$152.56 |
Plan: (PPO) Care Silver IISummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Harken Health 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 |
$246.93 $280.27 $315.58 $441.02 $670.17 |
$493.86 $560.54 $631.16 $882.04 $1340.34 |
$650.66 $717.34 $787.96 $1038.84 |
$807.46 $874.14 $944.76 $1195.64 |
$964.26 $1030.94 $1101.56 $1352.44 |
$403.73 $437.07 $472.38 $597.82 |
$560.53 $593.87 $629.18 $754.62 |
$717.33 $750.67 $785.98 $911.42 |
$156.80 |
Plan: (PPO) Care BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: - Provider Directory for This Plan: (Harken Health Insurance Company)
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 |
$208.58 $236.74 $266.57 $372.53 $566.09 |
$417.16 $473.48 $533.14 $745.06 $1132.18 |
$549.61 $605.93 $665.59 $877.51 |
$682.06 $738.38 $798.04 $1009.96 |
$814.51 $870.83 $930.49 $1142.41 |
$341.03 $369.19 $399.02 $504.98 |
$473.48 $501.64 $531.47 $637.43 |
$605.93 $634.09 $663.92 $769.88 |
$132.45 |
†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 Gwinnett County here.