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 Lorain, OH.
Obamacare Providers, Plans and 2016 Rates for Lorain County
Lorain County is in “Rating Area 11” of Ohio.
Currently, there are 8 providers offering 50 plans to Rating Area 11. †
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 Lorain, OH area accept this insurance coverage as within the plan's "network".
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Coordinated Health Mutual, Inc.Local: 1-614-212-6004 x4889 | Toll Free: 1-800-580-8502 TTY: 1-800-545-8279 |
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Plan: (PPO) 2016 Gold 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, 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 |
Gold | 21 30 40 50 60 |
$348.54 $395.59 $445.43 $622.48 $945.93 |
$697.08 $791.18 $890.86 $1244.96 $1891.86 |
$918.40 $1012.50 $1112.18 $1466.28 |
$1139.72 $1233.82 $1333.50 $1687.60 |
$1361.04 $1455.14 $1554.82 $1908.92 |
$569.86 $616.91 $666.75 $843.80 |
$791.18 $838.23 $888.07 $1065.12 |
$1012.50 $1059.55 $1109.39 $1286.44 |
$221.32 |
Plan: (PPO) 2016 Silver 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$315.10 $357.64 $402.70 $562.77 $855.19 |
$630.20 $715.28 $805.40 $1125.54 $1710.38 |
$830.29 $915.37 $1005.49 $1325.63 |
$1030.38 $1115.46 $1205.58 $1525.72 |
$1230.47 $1315.55 $1405.67 $1725.81 |
$515.19 $557.73 $602.79 $762.86 |
$715.28 $757.82 $802.88 $962.95 |
$915.37 $957.91 $1002.97 $1163.04 |
$200.09 |
Plan: (PPO) 2016 Bronze 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$6,300
: Family:
$12,600 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 |
$258.82 $293.77 $330.78 $462.26 $702.45 |
$517.64 $587.54 $661.56 $924.52 $1404.90 |
$681.99 $751.89 $825.91 $1088.87 |
$846.34 $916.24 $990.26 $1253.22 |
$1010.69 $1080.59 $1154.61 $1417.57 |
$423.17 $458.12 $495.13 $626.61 |
$587.52 $622.47 $659.48 $790.96 |
$751.87 $786.82 $823.83 $955.31 |
$164.35 |
Plan: (PPO) 2016 Gold 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$1,250
: Family:
$2,500 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 |
$360.63 $409.31 $460.88 $644.08 $978.74 |
$721.26 $818.62 $921.76 $1288.16 $1957.48 |
$950.26 $1047.62 $1150.76 $1517.16 |
$1179.26 $1276.62 $1379.76 $1746.16 |
$1408.26 $1505.62 $1608.76 $1975.16 |
$589.63 $638.31 $689.88 $873.08 |
$818.63 $867.31 $918.88 $1102.08 |
$1047.63 $1096.31 $1147.88 $1331.08 |
$229.00 |
Plan: (PPO) 2016 Gold 3 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 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 |
$342.62 $388.88 $437.87 $611.93 $929.88 |
$685.24 $777.76 $875.74 $1223.86 $1859.76 |
$902.81 $995.33 $1093.31 $1441.43 |
$1120.38 $1212.90 $1310.88 $1659.00 |
$1337.95 $1430.47 $1528.45 $1876.57 |
$560.19 $606.45 $655.44 $829.50 |
$777.76 $824.02 $873.01 $1047.07 |
$995.33 $1041.59 $1090.58 $1264.64 |
$217.57 |
Plan: (PPO) 2016 Silver 2 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$3,750
: Family:
$7,500 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 |
$291.45 $330.79 $372.47 $520.53 $790.99 |
$582.90 $661.58 $744.94 $1041.06 $1581.98 |
$767.97 $846.65 $930.01 $1226.13 |
$953.04 $1031.72 $1115.08 $1411.20 |
$1138.11 $1216.79 $1300.15 $1596.27 |
$476.52 $515.86 $557.54 $705.60 |
$661.59 $700.93 $742.61 $890.67 |
$846.66 $886.00 $927.68 $1075.74 |
$185.07 |
Plan: (PPO) 2016 Bronze 2 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$6,250
: Family:
$12,500 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 |
Bronze | 21 30 40 50 60 |
$244.15 $277.11 $312.03 $436.05 $662.63 |
$488.30 $554.22 $624.06 $872.10 $1325.26 |
$643.34 $709.26 $779.10 $1027.14 |
$798.38 $864.30 $934.14 $1182.18 |
$953.42 $1019.34 $1089.18 $1337.22 |
$399.19 $432.15 $467.07 $591.09 |
$554.23 $587.19 $622.11 $746.13 |
$709.27 $742.23 $777.15 $901.17 |
$155.04 |
Plan: (PPO) 2016 CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, 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 |
$184.81 $209.76 $236.19 $330.08 $501.59 |
$369.62 $419.52 $472.38 $660.16 $1003.18 |
$486.98 $536.88 $589.74 $777.52 |
$604.34 $654.24 $707.10 $894.88 |
$721.70 $771.60 $824.46 $1012.24 |
$302.17 $327.12 $353.55 $447.44 |
$419.53 $444.48 $470.91 $564.80 |
$536.89 $561.84 $588.27 $682.16 |
$117.36 |
Plan: (PPO) 2016 Silver 3 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-580-8502 - Provider Directory for This Plan: (Coordinated Health Mutual, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 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 |
$315.41 $357.99 $403.10 $563.33 $856.03 |
$630.82 $715.98 $806.20 $1126.66 $1712.06 |
$831.11 $916.27 $1006.49 $1326.95 |
$1031.40 $1116.56 $1206.78 $1527.24 |
$1231.69 $1316.85 $1407.07 $1727.53 |
$515.70 $558.28 $603.39 $763.62 |
$715.99 $758.57 $803.68 $963.91 |
$916.28 $958.86 $1003.97 $1164.20 |
$200.29 |
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HealthSpan Integrated CareLocal: 1-216-621-7100 | Toll Free: 1-800-686-7100 TTY: 1-877-676-6677 |
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Plan: (HMO) Select Gold 250-70Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
Deductible: Individual:
$250
: Family:
$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 |
$301.06 $341.71 $384.76 $537.69 $817.08 |
$602.12 $683.42 $769.52 $1075.38 $1634.16 |
$793.30 $874.60 $960.70 $1266.56 |
$984.48 $1065.78 $1151.88 $1457.74 |
$1175.66 $1256.96 $1343.06 $1648.92 |
$492.24 $532.89 $575.94 $728.87 |
$683.42 $724.07 $767.12 $920.05 |
$874.60 $915.25 $958.30 $1111.23 |
$191.18 |
Plan: (HMO) Select Gold 1000-80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
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 |
$299.83 $340.31 $383.19 $535.50 $813.74 |
$599.66 $680.62 $766.38 $1071.00 $1627.48 |
$790.06 $871.02 $956.78 $1261.40 |
$980.46 $1061.42 $1147.18 $1451.80 |
$1170.86 $1251.82 $1337.58 $1642.20 |
$490.23 $530.71 $573.59 $725.90 |
$680.63 $721.11 $763.99 $916.30 |
$871.03 $911.51 $954.39 $1106.70 |
$190.40 |
Plan: (HMO) Select Silver 2500-70Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
Deductible: Individual:
$2,500
: Family:
$5,000 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 |
$252.25 $286.30 $322.37 $450.51 $684.59 |
$504.50 $572.60 $644.74 $901.02 $1369.18 |
$664.68 $732.78 $804.92 $1061.20 |
$824.86 $892.96 $965.10 $1221.38 |
$985.04 $1053.14 $1125.28 $1381.56 |
$412.43 $446.48 $482.55 $610.69 |
$572.61 $606.66 $642.73 $770.87 |
$732.79 $766.84 $802.91 $931.05 |
$160.18 |
Plan: (HMO) Select Bronze 5500-80Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
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 |
$216.03 $245.19 $276.08 $385.83 $586.30 |
$432.06 $490.38 $552.16 $771.66 $1172.60 |
$569.24 $627.56 $689.34 $908.84 |
$706.42 $764.74 $826.52 $1046.02 |
$843.60 $901.92 $963.70 $1183.20 |
$353.21 $382.37 $413.26 $523.01 |
$490.39 $519.55 $550.44 $660.19 |
$627.57 $656.73 $687.62 $797.37 |
$137.18 |
Plan: (HMO) Select Silver 1500-70 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
Deductible: Individual:
$1,500
: Family:
$3,000 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 |
$249.96 $283.71 $319.45 $446.43 $678.39 |
$499.92 $567.42 $638.90 $892.86 $1356.78 |
$658.65 $726.15 $797.63 $1051.59 |
$817.38 $884.88 $956.36 $1210.32 |
$976.11 $1043.61 $1115.09 $1369.05 |
$408.69 $442.44 $478.18 $605.16 |
$567.42 $601.17 $636.91 $763.89 |
$726.15 $759.90 $795.64 $922.62 |
$158.73 |
Plan: (HMO) Select Bronze 4500-70 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
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 |
Bronze | 21 30 40 50 60 |
$208.52 $236.67 $266.48 $372.41 $565.91 |
$417.04 $473.34 $532.96 $744.82 $1131.82 |
$549.45 $605.75 $665.37 $877.23 |
$681.86 $738.16 $797.78 $1009.64 |
$814.27 $870.57 $930.19 $1142.05 |
$340.93 $369.08 $398.89 $504.82 |
$473.34 $501.49 $531.30 $637.23 |
$605.75 $633.90 $663.71 $769.64 |
$132.41 |
Plan: (HMO) Select Gold 2000-100Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
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 |
Gold | 21 30 40 50 60 |
$301.35 $342.03 $385.12 $538.20 $817.85 |
$602.70 $684.06 $770.24 $1076.40 $1635.70 |
$794.06 $875.42 $961.60 $1267.76 |
$985.42 $1066.78 $1152.96 $1459.12 |
$1176.78 $1258.14 $1344.32 $1650.48 |
$492.71 $533.39 $576.48 $729.56 |
$684.07 $724.75 $767.84 $920.92 |
$875.43 $916.11 $959.20 $1112.28 |
$191.36 |
Plan: (HMO) Select Silver 3500 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
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 |
$251.85 $285.85 $321.86 $449.80 $683.51 |
$503.70 $571.70 $643.72 $899.60 $1367.02 |
$663.63 $731.63 $803.65 $1059.53 |
$823.56 $891.56 $963.58 $1219.46 |
$983.49 $1051.49 $1123.51 $1379.39 |
$411.78 $445.78 $481.79 $609.73 |
$571.71 $605.71 $641.72 $769.66 |
$731.64 $765.64 $801.65 $929.59 |
$159.93 |
Plan: (HMO) Select Bronze 6000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-686-7100 - Provider Directory for This Plan: (HealthSpan Integrated Care)
Deductible: Individual:
$6,000
: Family:
$12,000 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 |
$208.66 $236.83 $266.67 $372.66 $566.30 |
$417.32 $473.66 $533.34 $745.32 $1132.60 |
$549.82 $606.16 $665.84 $877.82 |
$682.32 $738.66 $798.34 $1010.32 |
$814.82 $871.16 $930.84 $1142.82 |
$341.16 $369.33 $399.17 $505.16 |
$473.66 $501.83 $531.67 $637.66 |
$606.16 $634.33 $664.17 $770.16 |
$132.50 |
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|
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Community Insurance Company(Anthem BCBS)Local: 1-855-748-1808 | Toll Free: 1-855-748-1808 |
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Plan: (PPO) Anthem Catastrophic Pathway X PPO 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$203.30 $230.75 $259.82 $363.09 $551.76 |
$406.60 $461.50 $519.64 $726.18 $1103.52 |
$535.70 $590.60 $648.74 $855.28 |
$664.80 $719.70 $777.84 $984.38 |
$793.90 $848.80 $906.94 $1113.48 |
$332.40 $359.85 $388.92 $492.19 |
$461.50 $488.95 $518.02 $621.29 |
$590.60 $618.05 $647.12 $750.39 |
$129.10 |
Plan: (PPO) Anthem Bronze Pathway X PPO 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$6,550
: 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 |
$252.96 $287.11 $323.28 $451.79 $686.53 |
$505.92 $574.22 $646.56 $903.58 $1373.06 |
$666.55 $734.85 $807.19 $1064.21 |
$827.18 $895.48 $967.82 $1224.84 |
$987.81 $1056.11 $1128.45 $1385.47 |
$413.59 $447.74 $483.91 $612.42 |
$574.22 $608.37 $644.54 $773.05 |
$734.85 $769.00 $805.17 $933.68 |
$160.63 |
Plan: (PPO) Anthem Bronze Pathway X PPO 5000 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$243.87 $276.79 $311.67 $435.55 $661.86 |
$487.74 $553.58 $623.34 $871.10 $1323.72 |
$642.60 $708.44 $778.20 $1025.96 |
$797.46 $863.30 $933.06 $1180.82 |
$952.32 $1018.16 $1087.92 $1335.68 |
$398.73 $431.65 $466.53 $590.41 |
$553.59 $586.51 $621.39 $745.27 |
$708.45 $741.37 $776.25 $900.13 |
$154.86 |
Plan: (PPO) Anthem Bronze Pathway X PPO 5000 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$241.71 $274.34 $308.91 $431.69 $656.00 |
$483.42 $548.68 $617.82 $863.38 $1312.00 |
$636.91 $702.17 $771.31 $1016.87 |
$790.40 $855.66 $924.80 $1170.36 |
$943.89 $1009.15 $1078.29 $1323.85 |
$395.20 $427.83 $462.40 $585.18 |
$548.69 $581.32 $615.89 $738.67 |
$702.18 $734.81 $769.38 $892.16 |
$153.49 |
Plan: (PPO) Anthem Bronze Pathway X PPO 6500 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$250.58 $284.41 $320.24 $447.54 $680.07 |
$501.16 $568.82 $640.48 $895.08 $1360.14 |
$660.28 $727.94 $799.60 $1054.20 |
$819.40 $887.06 $958.72 $1213.32 |
$978.52 $1046.18 $1117.84 $1372.44 |
$409.70 $443.53 $479.36 $606.66 |
$568.82 $602.65 $638.48 $765.78 |
$727.94 $761.77 $797.60 $924.90 |
$159.12 |
Plan: (PPO) Anthem Bronze Pathway X PPO 5550 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$5,550
: Family:
$11,100 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 |
$251.94 $285.95 $321.98 $449.96 $683.77 |
$503.88 $571.90 $643.96 $899.92 $1367.54 |
$663.86 $731.88 $803.94 $1059.90 |
$823.84 $891.86 $963.92 $1219.88 |
$983.82 $1051.84 $1123.90 $1379.86 |
$411.92 $445.93 $481.96 $609.94 |
$571.90 $605.91 $641.94 $769.92 |
$731.88 $765.89 $801.92 $929.90 |
$159.98 |
Plan: (PPO) Anthem Silver Pathway X PPO 3000 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$290.66 $329.90 $371.46 $519.12 $788.85 |
$581.32 $659.80 $742.92 $1038.24 $1577.70 |
$765.89 $844.37 $927.49 $1222.81 |
$950.46 $1028.94 $1112.06 $1407.38 |
$1135.03 $1213.51 $1296.63 $1591.95 |
$475.23 $514.47 $556.03 $703.69 |
$659.80 $699.04 $740.60 $888.26 |
$844.37 $883.61 $925.17 $1072.83 |
$184.57 |
Plan: (PPO) Anthem Silver Pathway X PPO 10 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$2,600
: Family:
$5,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$304.93 $346.10 $389.70 $544.60 $827.58 |
$609.86 $692.20 $779.40 $1089.20 $1655.16 |
$803.49 $885.83 $973.03 $1282.83 |
$997.12 $1079.46 $1166.66 $1476.46 |
$1190.75 $1273.09 $1360.29 $1670.09 |
$498.56 $539.73 $583.33 $738.23 |
$692.19 $733.36 $776.96 $931.86 |
$885.82 $926.99 $970.59 $1125.49 |
$193.63 |
Plan: (PPO) Anthem Silver Pathway X PPO 3750 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$308.76 $350.44 $394.60 $551.45 $837.97 |
$617.52 $700.88 $789.20 $1102.90 $1675.94 |
$813.58 $896.94 $985.26 $1298.96 |
$1009.64 $1093.00 $1181.32 $1495.02 |
$1205.70 $1289.06 $1377.38 $1691.08 |
$504.82 $546.50 $590.66 $747.51 |
$700.88 $742.56 $786.72 $943.57 |
$896.94 $938.62 $982.78 $1139.63 |
$196.06 |
Plan: (PPO) Anthem Silver Pathway X PPO 2000 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$302.74 $343.61 $386.90 $540.69 $821.64 |
$605.48 $687.22 $773.80 $1081.38 $1643.28 |
$797.72 $879.46 $966.04 $1273.62 |
$989.96 $1071.70 $1158.28 $1465.86 |
$1182.20 $1263.94 $1350.52 $1658.10 |
$494.98 $535.85 $579.14 $732.93 |
$687.22 $728.09 $771.38 $925.17 |
$879.46 $920.33 $963.62 $1117.41 |
$192.24 |
Plan: (PPO) Anthem Silver Pathway X PPO 2500 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$304.24 $345.31 $388.82 $543.37 $825.71 |
$608.48 $690.62 $777.64 $1086.74 $1651.42 |
$801.67 $883.81 $970.83 $1279.93 |
$994.86 $1077.00 $1164.02 $1473.12 |
$1188.05 $1270.19 $1357.21 $1666.31 |
$497.43 $538.50 $582.01 $736.56 |
$690.62 $731.69 $775.20 $929.75 |
$883.81 $924.88 $968.39 $1122.94 |
$193.19 |
Plan: (PPO) Anthem Gold Pathway X PPO 1250 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$1,250
: Family:
$2,500 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 |
$359.34 $407.85 $459.24 $641.78 $975.25 |
$718.68 $815.70 $918.48 $1283.56 $1950.50 |
$946.86 $1043.88 $1146.66 $1511.74 |
$1175.04 $1272.06 $1374.84 $1739.92 |
$1403.22 $1500.24 $1603.02 $1968.10 |
$587.52 $636.03 $687.42 $869.96 |
$815.70 $864.21 $915.60 $1098.14 |
$1043.88 $1092.39 $1143.78 $1326.32 |
$228.18 |
Plan: (PPO) Anthem Silver Pathway X PPO 3500 25Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$291.16 $330.47 $372.10 $520.01 $790.21 |
$582.32 $660.94 $744.20 $1040.02 $1580.42 |
$767.21 $845.83 $929.09 $1224.91 |
$952.10 $1030.72 $1113.98 $1409.80 |
$1136.99 $1215.61 $1298.87 $1594.69 |
$476.05 $515.36 $556.99 $704.90 |
$660.94 $700.25 $741.88 $889.79 |
$845.83 $885.14 $926.77 $1074.68 |
$184.89 |
Plan: (PPO) Anthem Silver Pathway X PPO 2200 15Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$2,200
: Family:
$4,400 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 |
$306.07 $347.39 $391.16 $546.64 $830.67 |
$612.14 $694.78 $782.32 $1093.28 $1661.34 |
$806.49 $889.13 $976.67 $1287.63 |
$1000.84 $1083.48 $1171.02 $1481.98 |
$1195.19 $1277.83 $1365.37 $1676.33 |
$500.42 $541.74 $585.51 $740.99 |
$694.77 $736.09 $779.86 $935.34 |
$889.12 $930.44 $974.21 $1129.69 |
$194.35 |
Plan: (PPO) Anthem Bronze Pathway X PPO 5850 35Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$5,850
: Family:
$11,700 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 |
$235.09 $266.83 $300.45 $419.87 $638.03 |
$470.18 $533.66 $600.90 $839.74 $1276.06 |
$619.46 $682.94 $750.18 $989.02 |
$768.74 $832.22 $899.46 $1138.30 |
$918.02 $981.50 $1048.74 $1287.58 |
$384.37 $416.11 $449.73 $569.15 |
$533.65 $565.39 $599.01 $718.43 |
$682.93 $714.67 $748.29 $867.71 |
$149.28 |
Plan: (HMO) Anthem Bronze Pathway X HMO 5000 40Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$208.62 $236.78 $266.62 $372.60 $566.19 |
$417.24 $473.56 $533.24 $745.20 $1132.38 |
$549.71 $606.03 $665.71 $877.67 |
$682.18 $738.50 $798.18 $1010.14 |
$814.65 $870.97 $930.65 $1142.61 |
$341.09 $369.25 $399.09 $505.07 |
$473.56 $501.72 $531.56 $637.54 |
$606.03 $634.19 $664.03 $770.01 |
$132.47 |
Plan: (HMO) Anthem Bronze Pathway X HMO 5200 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$5,200
: Family:
$10,400 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 |
Bronze | 21 30 40 50 60 |
$215.82 $244.96 $275.82 $385.45 $585.74 |
$431.64 $489.92 $551.64 $770.90 $1171.48 |
$568.69 $626.97 $688.69 $907.95 |
$705.74 $764.02 $825.74 $1045.00 |
$842.79 $901.07 $962.79 $1182.05 |
$352.87 $382.01 $412.87 $522.50 |
$489.92 $519.06 $549.92 $659.55 |
$626.97 $656.11 $686.97 $796.60 |
$137.05 |
Plan: (HMO) Anthem Bronze Pathway X HMO 6850 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$215.99 $245.15 $276.04 $385.76 $586.20 |
$431.98 $490.30 $552.08 $771.52 $1172.40 |
$569.13 $627.45 $689.23 $908.67 |
$706.28 $764.60 $826.38 $1045.82 |
$843.43 $901.75 $963.53 $1182.97 |
$353.14 $382.30 $413.19 $522.91 |
$490.29 $519.45 $550.34 $660.06 |
$627.44 $656.60 $687.49 $797.21 |
$137.15 |
Plan: (HMO) Anthem Silver Pathway X HMO 4250 30Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$4,250
: Family:
$8,500 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 |
$248.39 $281.92 $317.44 $443.62 $674.13 |
$496.78 $563.84 $634.88 $887.24 $1348.26 |
$654.51 $721.57 $792.61 $1044.97 |
$812.24 $879.30 $950.34 $1202.70 |
$969.97 $1037.03 $1108.07 $1360.43 |
$406.12 $439.65 $475.17 $601.35 |
$563.85 $597.38 $632.90 $759.08 |
$721.58 $755.11 $790.63 $916.81 |
$157.73 |
Plan: (HMO) Anthem Silver Pathway X HMO 3000 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$261.53 $296.84 $334.24 $467.09 $709.79 |
$523.06 $593.68 $668.48 $934.18 $1419.58 |
$689.13 $759.75 $834.55 $1100.25 |
$855.20 $925.82 $1000.62 $1266.32 |
$1021.27 $1091.89 $1166.69 $1432.39 |
$427.60 $462.91 $500.31 $633.16 |
$593.67 $628.98 $666.38 $799.23 |
$759.74 $795.05 $832.45 $965.30 |
$166.07 |
Plan: (HMO) Anthem Silver Pathway X HMO 2850 15Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$2,850
: Family:
$5,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$257.20 $291.92 $328.70 $459.36 $698.04 |
$514.40 $583.84 $657.40 $918.72 $1396.08 |
$677.72 $747.16 $820.72 $1082.04 |
$841.04 $910.48 $984.04 $1245.36 |
$1004.36 $1073.80 $1147.36 $1408.68 |
$420.52 $455.24 $492.02 $622.68 |
$583.84 $618.56 $655.34 $786.00 |
$747.16 $781.88 $818.66 $949.32 |
$163.32 |
Plan: (HMO) Anthem Gold Pathway X HMO 1450 20Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
Deductible: Individual:
$1,450
: Family:
$2,900 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 |
Gold | 21 30 40 50 60 |
$310.53 $352.45 $396.86 $554.61 $842.78 |
$621.06 $704.90 $793.72 $1109.22 $1685.56 |
$818.25 $902.09 $990.91 $1306.41 |
$1015.44 $1099.28 $1188.10 $1503.60 |
$1212.63 $1296.47 $1385.29 $1700.79 |
$507.72 $549.64 $594.05 $751.80 |
$704.91 $746.83 $791.24 $948.99 |
$902.10 $944.02 $988.43 $1146.18 |
$197.19 |
Plan: (HMO) Anthem Gold Pathway HMO X 1150 10Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-748-1808 - Provider Directory for This Plan: (Community Insurance Company(Anthem BCBS))
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 |
$322.61 $366.16 $412.30 $576.18 $875.56 |
$645.22 $732.32 $824.60 $1152.36 $1751.12 |
$850.08 $937.18 $1029.46 $1357.22 |
$1054.94 $1142.04 $1234.32 $1562.08 |
$1259.80 $1346.90 $1439.18 $1766.94 |
$527.47 $571.02 $617.16 $781.04 |
$732.33 $775.88 $822.02 $985.90 |
$937.19 $980.74 $1026.88 $1190.76 |
$204.86 |
ADVERTISEMENT
|
||||||||||
UnitedHealthcare of Ohio, Inc.Local: 1-877-760-3310 | Toll Free: 1-877-760-3310 |
||||||||||
Plan: (HMO) Gold Compass 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
$296.09 $336.06 $378.40 $528.81 $803.58 |
$592.18 $672.12 $756.80 $1057.62 $1607.16 |
$780.20 $860.14 $944.82 $1245.64 |
$968.22 $1048.16 $1132.84 $1433.66 |
$1156.24 $1236.18 $1320.86 $1621.68 |
$484.11 $524.08 $566.42 $716.83 |
$672.13 $712.10 $754.44 $904.85 |
$860.15 $900.12 $942.46 $1092.87 |
$188.02 |
Plan: (HMO) Silver Compass HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, Inc.)
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 |
$245.86 $279.06 $314.21 $439.11 $667.27 |
$491.72 $558.12 $628.42 $878.22 $1334.54 |
$647.84 $714.24 $784.54 $1034.34 |
$803.96 $870.36 $940.66 $1190.46 |
$960.08 $1026.48 $1096.78 $1346.58 |
$401.98 $435.18 $470.33 $595.23 |
$558.10 $591.30 $626.45 $751.35 |
$714.22 $747.42 $782.57 $907.47 |
$156.12 |
Plan: (HMO) Silver Compass 2000 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
$255.86 $290.40 $326.98 $456.96 $694.39 |
$511.72 $580.80 $653.96 $913.92 $1388.78 |
$674.19 $743.27 $816.43 $1076.39 |
$836.66 $905.74 $978.90 $1238.86 |
$999.13 $1068.21 $1141.37 $1401.33 |
$418.33 $452.87 $489.45 $619.43 |
$580.80 $615.34 $651.92 $781.90 |
$743.27 $777.81 $814.39 $944.37 |
$162.47 |
Plan: (HMO) Silver Compass 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
$257.96 $292.78 $329.67 $460.72 $700.10 |
$515.92 $585.56 $659.34 $921.44 $1400.20 |
$679.72 $749.36 $823.14 $1085.24 |
$843.52 $913.16 $986.94 $1249.04 |
$1007.32 $1076.96 $1150.74 $1412.84 |
$421.76 $456.58 $493.47 $624.52 |
$585.56 $620.38 $657.27 $788.32 |
$749.36 $784.18 $821.07 $952.12 |
$163.80 |
Plan: (HMO) Silver Compass 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
$259.80 $294.87 $332.02 $464.00 $705.10 |
$519.60 $589.74 $664.04 $928.00 $1410.20 |
$684.57 $754.71 $829.01 $1092.97 |
$849.54 $919.68 $993.98 $1257.94 |
$1014.51 $1084.65 $1158.95 $1422.91 |
$424.77 $459.84 $496.99 $628.97 |
$589.74 $624.81 $661.96 $793.94 |
$754.71 $789.78 $826.93 $958.91 |
$164.97 |
Plan: (HMO) Silver Compass 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
$265.59 $301.44 $339.42 $474.34 $720.80 |
$531.18 $602.88 $678.84 $948.68 $1441.60 |
$699.83 $771.53 $847.49 $1117.33 |
$868.48 $940.18 $1016.14 $1285.98 |
$1037.13 $1108.83 $1184.79 $1454.63 |
$434.24 $470.09 $508.07 $642.99 |
$602.89 $638.74 $676.72 $811.64 |
$771.54 $807.39 $845.37 $980.29 |
$168.65 |
Plan: (HMO) Bronze Compass HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
Bronze | 21 30 40 50 60 |
$214.57 $243.54 $274.22 $383.23 $582.35 |
$429.14 $487.08 $548.44 $766.46 $1164.70 |
$565.39 $623.33 $684.69 $902.71 |
$701.64 $759.58 $820.94 $1038.96 |
$837.89 $895.83 $957.19 $1175.21 |
$350.82 $379.79 $410.47 $519.48 |
$487.07 $516.04 $546.72 $655.73 |
$623.32 $652.29 $682.97 $791.98 |
$136.25 |
Plan: (HMO) Bronze Compass 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, 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 |
Bronze | 21 30 40 50 60 |
$226.14 $256.67 $289.01 $403.89 $613.75 |
$452.28 $513.34 $578.02 $807.78 $1227.50 |
$595.88 $656.94 $721.62 $951.38 |
$739.48 $800.54 $865.22 $1094.98 |
$883.08 $944.14 $1008.82 $1238.58 |
$369.74 $400.27 $432.61 $547.49 |
$513.34 $543.87 $576.21 $691.09 |
$656.94 $687.47 $719.81 $834.69 |
$143.60 |
Plan: (HMO) Gold Compass 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-760-3310 - Provider Directory for This Plan: (UnitedHealthcare of Ohio, Inc.)
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 |
$291.62 $330.99 $372.69 $520.83 $791.45 |
$583.24 $661.98 $745.38 $1041.66 $1582.90 |
$768.42 $847.16 $930.56 $1226.84 |
$953.60 $1032.34 $1115.74 $1412.02 |
$1138.78 $1217.52 $1300.92 $1597.20 |
$476.80 $516.17 $557.87 $706.01 |
$661.98 $701.35 $743.05 $891.19 |
$847.16 $886.53 $928.23 $1076.37 |
$185.18 |
ADVERTISEMENT
|
||||||||||
Buckeye Community Health PlanLocal: 1-877-687-1189 | Toll Free: 1-877-687-1189 TTY: 1-877-941-9236 |
||||||||||
Plan: (HMO) Ambetter Secure Care 1 (2016) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community 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 |
$238.11 $270.24 $304.29 $425.25 $646.20 |
$476.22 $540.48 $608.58 $850.50 $1292.40 |
$627.41 $691.67 $759.77 $1001.69 |
$778.60 $842.86 $910.96 $1152.88 |
$929.79 $994.05 $1062.15 $1304.07 |
$389.30 $421.43 $455.48 $576.44 |
$540.49 $572.62 $606.67 $727.63 |
$691.68 $723.81 $757.86 $878.82 |
$151.19 |
Plan: (HMO) Ambetter Essential Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$160.06 $181.66 $204.55 $285.86 $434.39 |
$320.12 $363.32 $409.10 $571.72 $868.78 |
$421.75 $464.95 $510.73 $673.35 |
$523.38 $566.58 $612.36 $774.98 |
$625.01 $668.21 $713.99 $876.61 |
$261.69 $283.29 $306.18 $387.49 |
$363.32 $384.92 $407.81 $489.12 |
$464.95 $486.55 $509.44 $590.75 |
$101.63 |
Plan: (HMO) Ambetter Balanced Care 1 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community 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 |
Silver | 21 30 40 50 60 |
$183.32 $208.05 $234.26 $327.38 $497.49 |
$366.64 $416.10 $468.52 $654.76 $994.98 |
$483.04 $532.50 $584.92 $771.16 |
$599.44 $648.90 $701.32 $887.56 |
$715.84 $765.30 $817.72 $1003.96 |
$299.72 $324.45 $350.66 $443.78 |
$416.12 $440.85 $467.06 $560.18 |
$532.52 $557.25 $583.46 $676.58 |
$116.40 |
Plan: (HMO) Ambetter Balanced Care 2 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$180.25 $204.57 $230.35 $321.91 $489.18 |
$360.50 $409.14 $460.70 $643.82 $978.36 |
$474.95 $523.59 $575.15 $758.27 |
$589.40 $638.04 $689.60 $872.72 |
$703.85 $752.49 $804.05 $987.17 |
$294.70 $319.02 $344.80 $436.36 |
$409.15 $433.47 $459.25 $550.81 |
$523.60 $547.92 $573.70 $665.26 |
$114.45 |
Plan: (HMO) Ambetter Balanced Care 10 (2016)Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$188.90 $214.39 $241.41 $337.36 $512.66 |
$377.80 $428.78 $482.82 $674.72 $1025.32 |
$497.75 $548.73 $602.77 $794.67 |
$617.70 $668.68 $722.72 $914.62 |
$737.65 $788.63 $842.67 $1034.57 |
$308.85 $334.34 $361.36 $457.31 |
$428.80 $454.29 $481.31 $577.26 |
$548.75 $574.24 $601.26 $697.21 |
$119.95 |
Plan: (HMO) Ambetter Essential Care 5 (2016) with 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$166.19 $188.62 $212.38 $296.80 $451.02 |
$332.38 $377.24 $424.76 $593.60 $902.04 |
$437.91 $482.77 $530.29 $699.13 |
$543.44 $588.30 $635.82 $804.66 |
$648.97 $693.83 $741.35 $910.19 |
$271.72 $294.15 $317.91 $402.33 |
$377.25 $399.68 $423.44 $507.86 |
$482.78 $505.21 $528.97 $613.39 |
$105.53 |
Plan: (HMO) Ambetter Essential Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$163.82 $185.92 $209.34 $292.56 $444.57 |
$327.64 $371.84 $418.68 $585.12 $889.14 |
$431.66 $475.86 $522.70 $689.14 |
$535.68 $579.88 $626.72 $793.16 |
$639.70 $683.90 $730.74 $897.18 |
$267.84 $289.94 $313.36 $396.58 |
$371.86 $393.96 $417.38 $500.60 |
$475.88 $497.98 $521.40 $604.62 |
$104.02 |
Plan: (HMO) Ambetter Balanced Care 1 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community 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 |
Silver | 21 30 40 50 60 |
$187.61 $212.93 $239.75 $335.06 $509.15 |
$375.22 $425.86 $479.50 $670.12 $1018.30 |
$494.35 $544.99 $598.63 $789.25 |
$613.48 $664.12 $717.76 $908.38 |
$732.61 $783.25 $836.89 $1027.51 |
$306.74 $332.06 $358.88 $454.19 |
$425.87 $451.19 $478.01 $573.32 |
$545.00 $570.32 $597.14 $692.45 |
$119.13 |
Plan: (HMO) Ambetter Balanced Care 2 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$184.48 $209.37 $235.75 $329.46 $500.64 |
$368.96 $418.74 $471.50 $658.92 $1001.28 |
$486.10 $535.88 $588.64 $776.06 |
$603.24 $653.02 $705.78 $893.20 |
$720.38 $770.16 $822.92 $1010.34 |
$301.62 $326.51 $352.89 $446.60 |
$418.76 $443.65 $470.03 $563.74 |
$535.90 $560.79 $587.17 $680.88 |
$117.14 |
Plan: (HMO) Ambetter Balanced Care 10 (2016) + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$193.33 $219.42 $247.06 $345.27 $524.67 |
$386.66 $438.84 $494.12 $690.54 $1049.34 |
$509.42 $561.60 $616.88 $813.30 |
$632.18 $684.36 $739.64 $936.06 |
$754.94 $807.12 $862.40 $1058.82 |
$316.09 $342.18 $369.82 $468.03 |
$438.85 $464.94 $492.58 $590.79 |
$561.61 $587.70 $615.34 $713.55 |
$122.76 |
Plan: (HMO) Ambetter Essential Care 5 (2016) with 3 Free PCP Visits + VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1189 - Provider Directory for This Plan: (Buckeye Community Health Plan)
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 |
$170.09 $193.04 $217.36 $303.76 $461.59 |
$340.18 $386.08 $434.72 $607.52 $923.18 |
$448.18 $494.08 $542.72 $715.52 |
$556.18 $602.08 $650.72 $823.52 |
$664.18 $710.08 $758.72 $931.52 |
$278.09 $301.04 $325.36 $411.76 |
$386.09 $409.04 $433.36 $519.76 |
$494.09 $517.04 $541.36 $627.76 |
$108.00 |
ADVERTISEMENT
|
||||||||||
Summa Insurance Company, Inc.Local: 1-330-996-8675 x68675 | Toll Free: 1-888-996-8675 TTY: 1-800-750-0750 |
||||||||||
Plan: (PPO) SummaCare Silver 3000 with SCSelect Network and 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-996-8675 - Provider Directory for This Plan: (Summa Insurance Company, Inc.)
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 |
$290.84 $330.09 $371.68 $519.42 $789.30 |
$581.68 $660.18 $743.36 $1038.84 $1578.60 |
$766.35 $844.85 $928.03 $1223.51 |
$951.02 $1029.52 $1112.70 $1408.18 |
$1135.69 $1214.19 $1297.37 $1592.85 |
$475.51 $514.76 $556.35 $704.09 |
$660.18 $699.43 $741.02 $888.76 |
$844.85 $884.10 $925.69 $1073.43 |
$184.67 |
Plan: (PPO) SummaCare Silver 5000 with SCSelect Network and 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-996-8675 - Provider Directory for This Plan: (Summa Insurance Company, Inc.)
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 |
$318.36 $361.33 $406.85 $568.57 $864.00 |
$636.72 $722.66 $813.70 $1137.14 $1728.00 |
$838.87 $924.81 $1015.85 $1339.29 |
$1041.02 $1126.96 $1218.00 $1541.44 |
$1243.17 $1329.11 $1420.15 $1743.59 |
$520.51 $563.48 $609.00 $770.72 |
$722.66 $765.63 $811.15 $972.87 |
$924.81 $967.78 $1013.30 $1175.02 |
$202.15 |
Plan: (PPO) SummaCare Gold 750 with SCSelect Network and 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-996-8675 - Provider Directory for This Plan: (Summa Insurance Company, Inc.)
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 |
$371.22 $421.32 $474.40 $662.97 $1007.45 |
$742.44 $842.64 $948.80 $1325.94 $2014.90 |
$978.16 $1078.36 $1184.52 $1561.66 |
$1213.88 $1314.08 $1420.24 $1797.38 |
$1449.60 $1549.80 $1655.96 $2033.10 |
$606.94 $657.04 $710.12 $898.69 |
$842.66 $892.76 $945.84 $1134.41 |
$1078.38 $1128.48 $1181.56 $1370.13 |
$235.72 |
Plan: (PPO) SummaCare Bronze 6850 with SCSelect Network and 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-996-8675 - Provider Directory for This Plan: (Summa Insurance Company, 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 |
Bronze | 21 30 40 50 60 |
$243.58 $276.46 $311.29 $435.02 $661.06 |
$487.16 $552.92 $622.58 $870.04 $1322.12 |
$641.83 $707.59 $777.25 $1024.71 |
$796.50 $862.26 $931.92 $1179.38 |
$951.17 $1016.93 $1086.59 $1334.05 |
$398.25 $431.13 $465.96 $589.69 |
$552.92 $585.80 $620.63 $744.36 |
$707.59 $740.47 $775.30 $899.03 |
$154.67 |
Plan: (PPO) SummaCare Value with SCSelect Network and 3 Free PCP VisitsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-996-8675 - Provider Directory for This Plan: (Summa Insurance Company, 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 |
$217.28 $246.60 $277.67 $388.04 $589.66 |
$434.56 $493.20 $555.34 $776.08 $1179.32 |
$572.52 $631.16 $693.30 $914.04 |
$710.48 $769.12 $831.26 $1052.00 |
$848.44 $907.08 $969.22 $1189.96 |
$355.24 $384.56 $415.63 $526.00 |
$493.20 $522.52 $553.59 $663.96 |
$631.16 $660.48 $691.55 $801.92 |
$137.96 |
ADVERTISEMENT
|
||||||||||
MOLINA HEALTHCARE OF OHIOLocal: 1-888-296-7677 | Toll Free: 1-888-296-7677 |
||||||||||
Plan: (HMO) Molina Marketplace Gold PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-296-7677 - Provider Directory for This Plan: (MOLINA HEALTHCARE OF OHIO)
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 |
$262.42 $297.85 $335.37 $468.68 $712.21 |
$524.84 $595.70 $670.74 $937.36 $1424.42 |
$691.48 $762.34 $837.38 $1104.00 |
$858.12 $928.98 $1004.02 $1270.64 |
$1024.76 $1095.62 $1170.66 $1437.28 |
$429.06 $464.49 $502.01 $635.32 |
$595.70 $631.13 $668.65 $801.96 |
$762.34 $797.77 $835.29 $968.60 |
$166.64 |
Plan: (HMO) Molina Marketplace Silver PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-296-7677 - Provider Directory for This Plan: (MOLINA HEALTHCARE OF OHIO)
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 |
$207.18 $235.15 $264.78 $370.02 $562.29 |
$414.36 $470.30 $529.56 $740.04 $1124.58 |
$545.92 $601.86 $661.12 $871.60 |
$677.48 $733.42 $792.68 $1003.16 |
$809.04 $864.98 $924.24 $1134.72 |
$338.74 $366.71 $396.34 $501.58 |
$470.30 $498.27 $527.90 $633.14 |
$601.86 $629.83 $659.46 $764.70 |
$131.56 |
Plan: (HMO) Molina Marketplace Bronze PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-296-7677 - Provider Directory for This Plan: (MOLINA HEALTHCARE OF OHIO)
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 |
$172.26 $195.51 $220.14 $307.65 $467.51 |
$344.52 $391.02 $440.28 $615.30 $935.02 |
$453.90 $500.40 $549.66 $724.68 |
$563.28 $609.78 $659.04 $834.06 |
$672.66 $719.16 $768.42 $943.44 |
$281.64 $304.89 $329.52 $417.03 |
$391.02 $414.27 $438.90 $526.41 |
$500.40 $523.65 $548.28 $635.79 |
$109.38 |
ADVERTISEMENT
|
||||||||||
Aetna Life Insurance CompanyLocal: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
||||||||||
Plan: (POS) Aetna Bronze $15 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Life 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 |
$209.01 $237.22 $267.11 $373.29 $567.24 |
$418.02 $474.44 $534.22 $746.58 $1134.48 |
$550.74 $607.16 $666.94 $879.30 |
$683.46 $739.88 $799.66 $1012.02 |
$816.18 $872.60 $932.38 $1144.74 |
$341.73 $369.94 $399.83 $506.01 |
$474.45 $502.66 $532.55 $638.73 |
$607.17 $635.38 $665.27 $771.45 |
$132.72 |
Plan: (POS) Aetna Bronze Deductible Only HSA EligibleSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Life Insurance Company)
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 |
$191.45 $217.30 $244.68 $341.94 $519.61 |
$382.90 $434.60 $489.36 $683.88 $1039.22 |
$504.47 $556.17 $610.93 $805.45 |
$626.04 $677.74 $732.50 $927.02 |
$747.61 $799.31 $854.07 $1048.59 |
$313.02 $338.87 $366.25 $463.51 |
$434.59 $460.44 $487.82 $585.08 |
$556.16 $582.01 $609.39 $706.65 |
$121.57 |
Plan: (POS) Aetna Gold $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Life Insurance Company)
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 |
$317.41 $360.26 $405.65 $566.90 $861.46 |
$634.82 $720.52 $811.30 $1133.80 $1722.92 |
$836.38 $922.08 $1012.86 $1335.36 |
$1037.94 $1123.64 $1214.42 $1536.92 |
$1239.50 $1325.20 $1415.98 $1738.48 |
$518.97 $561.82 $607.21 $768.46 |
$720.53 $763.38 $808.77 $970.02 |
$922.09 $964.94 $1010.33 $1171.58 |
$201.56 |
Plan: (POS) Aetna Silver $10 CopaySummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Life 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 |
$260.65 $295.83 $333.11 $465.51 $707.39 |
$521.30 $591.66 $666.22 $931.02 $1414.78 |
$686.81 $757.17 $831.73 $1096.53 |
$852.32 $922.68 $997.24 $1262.04 |
$1017.83 $1088.19 $1162.75 $1427.55 |
$426.16 $461.34 $498.62 $631.02 |
$591.67 $626.85 $664.13 $796.53 |
$757.18 $792.36 $829.64 $962.04 |
$165.51 |
ADVERTISEMENT
|
||||||||||
Paramount Insurance CompanyLocal: 1-419-887-2525 | Toll Free: 1-800-462-3589 TTY: 1-888-740-5670 |
||||||||||
Plan: (HMO) Paramount Gold 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
$310.73 $352.67 $397.11 $554.96 $843.31 |
$621.46 $705.34 $794.22 $1109.92 $1686.62 |
$818.77 $902.65 $991.53 $1307.23 |
$1016.08 $1099.96 $1188.84 $1504.54 |
$1213.39 $1297.27 $1386.15 $1701.85 |
$508.04 $549.98 $594.42 $752.27 |
$705.35 $747.29 $791.73 $949.58 |
$902.66 $944.60 $989.04 $1146.89 |
$197.31 |
Plan: (HMO) Paramount Silver 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)
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 |
Silver | 21 30 40 50 60 |
$261.61 $296.93 $334.34 $467.23 $710.01 |
$523.22 $593.86 $668.68 $934.46 $1420.02 |
$689.34 $759.98 $834.80 $1100.58 |
$855.46 $926.10 $1000.92 $1266.70 |
$1021.58 $1092.22 $1167.04 $1432.82 |
$427.73 $463.05 $500.46 $633.35 |
$593.85 $629.17 $666.58 $799.47 |
$759.97 $795.29 $832.70 $965.59 |
$166.12 |
Plan: (HMO) Paramount CatastrophicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
Catastrophic | 21 30 40 50 60 |
$141.56 $160.67 $180.91 $252.82 $384.19 |
$283.12 $321.34 $361.82 $505.64 $768.38 |
$373.01 $411.23 $451.71 $595.53 |
$462.90 $501.12 $541.60 $685.42 |
$552.79 $591.01 $631.49 $775.31 |
$231.45 $250.56 $270.80 $342.71 |
$321.34 $340.45 $360.69 $432.60 |
$411.23 $430.34 $450.58 $522.49 |
$89.89 |
Plan: (HMO) Paramount Gold 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount Insurance Company)
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 |
$311.49 $353.54 $398.09 $556.32 $845.39 |
$622.98 $707.08 $796.18 $1112.64 $1690.78 |
$820.78 $904.88 $993.98 $1310.44 |
$1018.58 $1102.68 $1191.78 $1508.24 |
$1216.38 $1300.48 $1389.58 $1706.04 |
$509.29 $551.34 $595.89 $754.12 |
$707.09 $749.14 $793.69 $951.92 |
$904.89 $946.94 $991.49 $1149.72 |
$197.80 |
Plan: (HMO) Paramount Silver 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
$266.54 $302.53 $340.64 $476.04 $723.40 |
$533.08 $605.06 $681.28 $952.08 $1446.80 |
$702.33 $774.31 $850.53 $1121.33 |
$871.58 $943.56 $1019.78 $1290.58 |
$1040.83 $1112.81 $1189.03 $1459.83 |
$435.79 $471.78 $509.89 $645.29 |
$605.04 $641.03 $679.14 $814.54 |
$774.29 $810.28 $848.39 $983.79 |
$169.25 |
Plan: (HMO) Paramount Silver 3Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
$266.59 $302.58 $340.71 $476.13 $723.53 |
$533.18 $605.16 $681.42 $952.26 $1447.06 |
$702.47 $774.45 $850.71 $1121.55 |
$871.76 $943.74 $1020.00 $1290.84 |
$1041.05 $1113.03 $1189.29 $1460.13 |
$435.88 $471.87 $510.00 $645.42 |
$605.17 $641.16 $679.29 $814.71 |
$774.46 $810.45 $848.58 $984.00 |
$169.29 |
Plan: (HMO) Paramount Bronze 1 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
$227.98 $258.76 $291.36 $407.17 $618.74 |
$455.96 $517.52 $582.72 $814.34 $1237.48 |
$600.73 $662.29 $727.49 $959.11 |
$745.50 $807.06 $872.26 $1103.88 |
$890.27 $951.83 $1017.03 $1248.65 |
$372.75 $403.53 $436.13 $551.94 |
$517.52 $548.30 $580.90 $696.71 |
$662.29 $693.07 $725.67 $841.48 |
$144.77 |
Plan: (HMO) Paramount Bronze 2Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-462-3589 - Provider Directory for This Plan: (Paramount 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 |
$229.86 $260.89 $293.76 $410.53 $623.85 |
$459.72 $521.78 $587.52 $821.06 $1247.70 |
$605.68 $667.74 $733.48 $967.02 |
$751.64 $813.70 $879.44 $1112.98 |
$897.60 $959.66 $1025.40 $1258.94 |
$375.82 $406.85 $439.72 $556.49 |
$521.78 $552.81 $585.68 $702.45 |
$667.74 $698.77 $731.64 $848.41 |
$145.96 |
ADVERTISEMENT
|
||||||||||
CareSourceLocal: 1-800-479-9502 | Toll Free: 1-800-479-9502 TTY: 1-800-750-0750 |
||||||||||
Plan: (HMO) CareSource Just4Me GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
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 |
$246.83 $280.15 $315.44 $440.83 $669.89 |
$493.66 $560.30 $630.88 $881.66 $1339.78 |
$650.39 $717.03 $787.61 $1038.39 |
$807.12 $873.76 $944.34 $1195.12 |
$963.85 $1030.49 $1101.07 $1351.85 |
$403.56 $436.88 $472.17 $597.56 |
$560.29 $593.61 $628.90 $754.29 |
$717.02 $750.34 $785.63 $911.02 |
$156.73 |
Plan: (HMO) CareSource Just4Me SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
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 |
$197.07 $223.67 $251.85 $351.96 $534.84 |
$394.14 $447.34 $503.70 $703.92 $1069.68 |
$519.27 $572.47 $628.83 $829.05 |
$644.40 $697.60 $753.96 $954.18 |
$769.53 $822.73 $879.09 $1079.31 |
$322.20 $348.80 $376.98 $477.09 |
$447.33 $473.93 $502.11 $602.22 |
$572.46 $599.06 $627.24 $727.35 |
$125.13 |
Plan: (HMO) CareSource Just4Me BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Bronze | 21 30 40 50 60 |
$163.78 $185.89 $209.31 $292.51 $444.49 |
$327.56 $371.78 $418.62 $585.02 $888.98 |
$431.56 $475.78 $522.62 $689.02 |
$535.56 $579.78 $626.62 $793.02 |
$639.56 $683.78 $730.62 $897.02 |
$267.78 $289.89 $313.31 $396.51 |
$371.78 $393.89 $417.31 $500.51 |
$475.78 $497.89 $521.31 $604.51 |
$104.00 |
Plan: (HMO) CareSource Just4Me Gold with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
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 |
$263.17 $298.69 $336.33 $470.02 $714.24 |
$526.34 $597.38 $672.66 $940.04 $1428.48 |
$693.45 $764.49 $839.77 $1107.15 |
$860.56 $931.60 $1006.88 $1274.26 |
$1027.67 $1098.71 $1173.99 $1441.37 |
$430.28 $465.80 $503.44 $637.13 |
$597.39 $632.91 $670.55 $804.24 |
$764.50 $800.02 $837.66 $971.35 |
$167.11 |
Plan: (HMO) CareSource Just4Me Silver with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
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 |
$213.40 $242.20 $272.72 $381.13 $579.16 |
$426.80 $484.40 $545.44 $762.26 $1158.32 |
$562.30 $619.90 $680.94 $897.76 |
$697.80 $755.40 $816.44 $1033.26 |
$833.30 $890.90 $951.94 $1168.76 |
$348.90 $377.70 $408.22 $516.63 |
$484.40 $513.20 $543.72 $652.13 |
$619.90 $648.70 $679.22 $787.63 |
$135.50 |
Plan: (HMO) CareSource Just4Me Bronze with Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-479-9502 - Provider Directory for This Plan: (CareSource)
Deductible: Individual:
$6,650
: Family:
$13,300 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 |
Bronze | 21 30 40 50 60 |
$180.11 $204.42 $230.18 $321.67 $488.81 |
$360.22 $408.84 $460.36 $643.34 $977.62 |
$474.58 $523.20 $574.72 $757.70 |
$588.94 $637.56 $689.08 $872.06 |
$703.30 $751.92 $803.44 $986.42 |
$294.47 $318.78 $344.54 $436.03 |
$408.83 $433.14 $458.90 $550.39 |
$523.19 $547.50 $573.26 $664.75 |
$114.36 |
ADVERTISEMENT
|
||||||||||
All Savers Insurance CompanyLocal: 1-920-661-1111 | Toll Free: 1-800-232-5432 |
||||||||||
Plan: (POS) Gold Navigate Plus 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$325.20 $369.10 $415.61 $580.81 $882.59 |
$650.40 $738.20 $831.22 $1161.62 $1765.18 |
$856.90 $944.70 $1037.72 $1368.12 |
$1063.40 $1151.20 $1244.22 $1574.62 |
$1269.90 $1357.70 $1450.72 $1781.12 |
$531.70 $575.60 $622.11 $787.31 |
$738.20 $782.10 $828.61 $993.81 |
$944.70 $988.60 $1035.11 $1200.31 |
$206.50 |
Plan: (POS) Gold Navigate Plus 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$320.52 $363.79 $409.62 $572.44 $869.88 |
$641.04 $727.58 $819.24 $1144.88 $1739.76 |
$844.57 $931.11 $1022.77 $1348.41 |
$1048.10 $1134.64 $1226.30 $1551.94 |
$1251.63 $1338.17 $1429.83 $1755.47 |
$524.05 $567.32 $613.15 $775.97 |
$727.58 $770.85 $816.68 $979.50 |
$931.11 $974.38 $1020.21 $1183.03 |
$203.53 |
Plan: (POS) Silver Navigate Plus HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$270.08 $306.54 $345.16 $482.37 $733.00 |
$540.16 $613.08 $690.32 $964.74 $1466.00 |
$711.66 $784.58 $861.82 $1136.24 |
$883.16 $956.08 $1033.32 $1307.74 |
$1054.66 $1127.58 $1204.82 $1479.24 |
$441.58 $478.04 $516.66 $653.87 |
$613.08 $649.54 $688.16 $825.37 |
$784.58 $821.04 $859.66 $996.87 |
$171.50 |
Plan: (POS) Silver Navigate Plus 2000 1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$281.38 $319.37 $359.61 $502.55 $763.67 |
$562.76 $638.74 $719.22 $1005.10 $1527.34 |
$741.44 $817.42 $897.90 $1183.78 |
$920.12 $996.10 $1076.58 $1362.46 |
$1098.80 $1174.78 $1255.26 $1541.14 |
$460.06 $498.05 $538.29 $681.23 |
$638.74 $676.73 $716.97 $859.91 |
$817.42 $855.41 $895.65 $1038.59 |
$178.68 |
Plan: (POS) Silver Navigate Plus 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$282.48 $320.62 $361.01 $504.52 $766.66 |
$564.96 $641.24 $722.02 $1009.04 $1533.32 |
$744.34 $820.62 $901.40 $1188.42 |
$923.72 $1000.00 $1080.78 $1367.80 |
$1103.10 $1179.38 $1260.16 $1547.18 |
$461.86 $500.00 $540.39 $683.90 |
$641.24 $679.38 $719.77 $863.28 |
$820.62 $858.76 $899.15 $1042.66 |
$179.38 |
Plan: (POS) Silver Navigate Plus 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$284.69 $323.12 $363.83 $508.45 $772.64 |
$569.38 $646.24 $727.66 $1016.90 $1545.28 |
$750.16 $827.02 $908.44 $1197.68 |
$930.94 $1007.80 $1089.22 $1378.46 |
$1111.72 $1188.58 $1270.00 $1559.24 |
$465.47 $503.90 $544.61 $689.23 |
$646.25 $684.68 $725.39 $870.01 |
$827.03 $865.46 $906.17 $1050.79 |
$180.78 |
Plan: (POS) Silver Navigate Plus 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$291.30 $330.63 $372.28 $520.27 $790.60 |
$582.60 $661.26 $744.56 $1040.54 $1581.20 |
$767.58 $846.24 $929.54 $1225.52 |
$952.56 $1031.22 $1114.52 $1410.50 |
$1137.54 $1216.20 $1299.50 $1595.48 |
$476.28 $515.61 $557.26 $705.25 |
$661.26 $700.59 $742.24 $890.23 |
$846.24 $885.57 $927.22 $1075.21 |
$184.98 |
Plan: (POS) Bronze Navigate Plus HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$235.08 $266.82 $300.43 $419.86 $638.01 |
$470.16 $533.64 $600.86 $839.72 $1276.02 |
$619.44 $682.92 $750.14 $989.00 |
$768.72 $832.20 $899.42 $1138.28 |
$918.00 $981.48 $1048.70 $1287.56 |
$384.36 $416.10 $449.71 $569.14 |
$533.64 $565.38 $598.99 $718.42 |
$682.92 $714.66 $748.27 $867.70 |
$149.28 |
Plan: (POS) Bronze Navigate Plus 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-5432 - 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 |
$245.83 $279.02 $314.17 $439.05 $667.18 |
$491.66 $558.04 $628.34 $878.10 $1334.36 |
$647.76 $714.14 $784.44 $1034.20 |
$803.86 $870.24 $940.54 $1190.30 |
$959.96 $1026.34 $1096.64 $1346.40 |
$401.93 $435.12 $470.27 $595.15 |
$558.03 $591.22 $626.37 $751.25 |
$714.13 $747.32 $782.47 $907.35 |
$156.10 |
ADVERTISEMENT
|
||||||||||
Medical Health Insuring Corp. of OhioLocal: 1-888-308-0357 | Toll Free: 1-888-308-0357 |
||||||||||
Plan: (PPO) Market 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
$329.72 $374.23 $421.38 $588.87 $894.85 |
$659.44 $748.46 $842.76 $1177.74 $1789.70 |
$868.81 $957.83 $1052.13 $1387.11 |
$1078.18 $1167.20 $1261.50 $1596.48 |
$1287.55 $1376.57 $1470.87 $1805.85 |
$539.09 $583.60 $630.75 $798.24 |
$748.46 $792.97 $840.12 $1007.61 |
$957.83 $1002.34 $1049.49 $1216.98 |
++ |
Plan: (PPO) Market Child Only 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$1,000
: 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 |
Gold | 21 30 40 50 60 |
|
|
|
|
|
|
$209.37 | ||
Plan: (PPO) Market 6000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
$209.54 $237.83 $267.80 $374.25 $568.70 |
$419.08 $475.66 $535.60 $748.50 $1137.40 |
$552.14 $608.72 $668.66 $881.56 |
$685.20 $741.78 $801.72 $1014.62 |
$818.26 $874.84 $934.78 $1147.68 |
$342.60 $370.89 $400.86 $507.31 |
$475.66 $503.95 $533.92 $640.37 |
$608.72 $637.01 $666.98 $773.43 |
++ |
Plan: (PPO) Market Child Only 6000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$6,000
: 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 |
Bronze | 21 30 40 50 60 |
|
|
|
|
|
|
$133.06 | ||
Plan: (PPO) Market Young Adult EssentialsSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
$150.22 $170.49 $191.98 $268.29 $407.69 |
$300.44 $340.98 $383.96 $536.58 $815.38 |
$395.83 $436.37 $479.35 $631.97 |
$491.22 $531.76 $574.74 $727.36 |
$586.61 $627.15 $670.13 $822.75 |
$245.61 $265.88 $287.37 $363.68 |
$341.00 $361.27 $382.76 $459.07 |
$436.39 $456.66 $478.15 $554.46 |
$95.39 |
Plan: (PPO) Market 2400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$2,400
: Family:
$4,800 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 |
Silver | 21 30 40 50 60 |
$265.59 $301.45 $339.43 $474.35 $720.81 |
$531.18 $602.90 $678.86 $948.70 $1441.62 |
$699.83 $771.55 $847.51 $1117.35 |
$868.48 $940.20 $1016.16 $1286.00 |
$1037.13 $1108.85 $1184.81 $1454.65 |
$434.24 $470.10 $508.08 $643.00 |
$602.89 $638.75 $676.73 $811.65 |
$771.54 $807.40 $845.38 $980.30 |
++ |
Plan: (PPO) Market Child Only 2400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$2,400
: 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 |
|
|
|
|
|
|
$168.65 | ||
Plan: (PPO) Market 4000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
$265.09 $300.87 $338.78 $473.44 $719.44 |
$530.18 $601.74 $677.56 $946.88 $1438.88 |
$698.51 $770.07 $845.89 $1115.21 |
$866.84 $938.40 $1014.22 $1283.54 |
$1035.17 $1106.73 $1182.55 $1451.87 |
$433.42 $469.20 $507.11 $641.77 |
$601.75 $637.53 $675.44 $810.10 |
$770.08 $805.86 $843.77 $978.43 |
++ |
Plan: (PPO) Market Child Only 4000 HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$4,000
: 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 |
|
|
|
|
|
|
$168.33 | ||
Plan: (PPO) Market 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
$221.41 $251.30 $282.96 $395.44 $600.91 |
$442.82 $502.60 $565.92 $790.88 $1201.82 |
$583.42 $643.20 $706.52 $931.48 |
$724.02 $783.80 $847.12 $1072.08 |
$864.62 $924.40 $987.72 $1212.68 |
$362.01 $391.90 $423.56 $536.04 |
$502.61 $532.50 $564.16 $676.64 |
$643.21 $673.10 $704.76 $817.24 |
++ |
Plan: (PPO) Market Child Only 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$5,000
: 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 |
Bronze | 21 30 40 50 60 |
|
|
|
|
|
|
$140.60 | ||
Plan: (PPO) Market 1750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
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 |
Silver | 21 30 40 50 60 |
$271.15 $307.75 $346.52 $484.27 $735.89 |
$542.30 $615.50 $693.04 $968.54 $1471.78 |
$714.48 $787.68 $865.22 $1140.72 |
$886.66 $959.86 $1037.40 $1312.90 |
$1058.84 $1132.04 $1209.58 $1485.08 |
$443.33 $479.93 $518.70 $656.45 |
$615.51 $652.11 $690.88 $828.63 |
$787.69 $824.29 $863.06 $1000.81 |
++ |
Plan: (PPO) Market Child Only 1750Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-888-308-0357 - Provider Directory for This Plan: (Medical Health Insuring Corp. of Ohio)
Deductible: Individual:
$1,750
: 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 |
|
|
|
|
|
|
$172.18 |
†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 Lorain County here.