Obamacare 2016 Rates and Health Insurance Providers for Brevard County,Suntree,FL

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 Suntree, FL.

Obamacare Providers, Plans and 2016 Rates for Brevard County

Brevard County is in “Rating Area 5” of Florida.

Currently, there are 6 providers offering 109 plans to Rating Area 5. †

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 Suntree, FL area accept this insurance coverage as within the plan's "network".

ADVERTISEMENT
Blue Cross and Blue Shield of Florida Local: 1-855-805-8175 \| Toll Free: 1-855-805-8175
Plan: (EPO) BlueOptions Everyday Health 1423 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$317.95 $360.87 $406.34 $567.86 $862.92	$635.90 $721.74 $812.68 $1135.72 $1725.84	$837.80 $923.64 $1014.58 $1337.62	$1039.70 $1125.54 $1216.48 $1539.52	$1241.60 $1327.44 $1418.38 $1741.42	$519.85 $562.77 $608.24 $769.76	$721.75 $764.67 $810.14 $971.66	$923.65 $966.57 $1012.04 $1173.56	$201.90
Plan: (EPO) BlueOptions Essential 1419 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$269.53 $305.92 $344.46 $481.38 $731.50	$539.06 $611.84 $688.92 $962.76 $1463.00	$710.21 $782.99 $860.07 $1133.91	$881.36 $954.14 $1031.22 $1305.06	$1052.51 $1125.29 $1202.37 $1476.21	$440.68 $477.07 $515.61 $652.53	$611.83 $648.22 $686.76 $823.68	$782.98 $819.37 $857.91 $994.83	$171.15
Plan: (EPO) BlueOptions Everyday Health 1431 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$349.68 $396.89 $446.89 $624.53 $949.03	$699.36 $793.78 $893.78 $1249.06 $1898.06	$921.41 $1015.83 $1115.83 $1471.11	$1143.46 $1237.88 $1337.88 $1693.16	$1365.51 $1459.93 $1559.93 $1915.21	$571.73 $618.94 $668.94 $846.58	$793.78 $840.99 $890.99 $1068.63	$1015.83 $1063.04 $1113.04 $1290.68	$222.05
Plan: (EPO) BlueOptions Everyday Health 1418 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$467.27 $530.35 $597.17 $834.54 $1268.17	$934.54 $1060.70 $1194.34 $1669.08 $2536.34	$1231.26 $1357.42 $1491.06 $1965.80	$1527.98 $1654.14 $1787.78 $2262.52	$1824.70 $1950.86 $2084.50 $2559.24	$763.99 $827.07 $893.89 $1131.26	$1060.71 $1123.79 $1190.61 $1427.98	$1357.43 $1420.51 $1487.33 $1724.70	$296.72
Plan: (EPO) BlueOptions Everyday Health Premier 1418V Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$504.00 $572.04 $644.11 $900.14 $1367.86	$1008.00 $1144.08 $1288.22 $1800.28 $2735.72	$1328.04 $1464.12 $1608.26 $2120.32	$1648.08 $1784.16 $1928.30 $2440.36	$1968.12 $2104.20 $2248.34 $2760.40	$824.04 $892.08 $964.15 $1220.18	$1144.08 $1212.12 $1284.19 $1540.22	$1464.12 $1532.16 $1604.23 $1860.26	$320.04
Plan: (EPO) BlueOptions Everyday Health 1416 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$298.90 $339.25 $381.99 $533.84 $811.21	$597.80 $678.50 $763.98 $1067.68 $1622.42	$787.60 $868.30 $953.78 $1257.48	$977.40 $1058.10 $1143.58 $1447.28	$1167.20 $1247.90 $1333.38 $1637.08	$488.70 $529.05 $571.79 $723.64	$678.50 $718.85 $761.59 $913.44	$868.30 $908.65 $951.39 $1103.24	$189.80
Plan: (EPO) BlueOptions All Copay 1424 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$485.58 $551.13 $620.57 $867.25 $1317.86	$971.16 $1102.26 $1241.14 $1734.50 $2635.72	$1279.50 $1410.60 $1549.48 $2042.84	$1587.84 $1718.94 $1857.82 $2351.18	$1896.18 $2027.28 $2166.16 $2659.52	$793.92 $859.47 $928.91 $1175.59	$1102.26 $1167.81 $1237.25 $1483.93	$1410.60 $1476.15 $1545.59 $1792.27	$308.34
Plan: (EPO) BlueOptions Everyday Health 1410 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,100 : Family: $12,200 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$295.93 $335.88 $378.20 $528.53 $803.15	$591.86 $671.76 $756.40 $1057.06 $1606.30	$779.78 $859.68 $944.32 $1244.98	$967.70 $1047.60 $1132.24 $1432.90	$1155.62 $1235.52 $1320.16 $1620.82	$483.85 $523.80 $566.12 $716.45	$671.77 $711.72 $754.04 $904.37	$859.69 $899.64 $941.96 $1092.29	$187.92
Plan: (EPO) BlueOptions All Copay 1505 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$414.26 $470.19 $529.42 $739.87 $1124.30	$828.52 $940.38 $1058.84 $1479.74 $2248.60	$1091.58 $1203.44 $1321.90 $1742.80	$1354.64 $1466.50 $1584.96 $2005.86	$1617.70 $1729.56 $1848.02 $2268.92	$677.32 $733.25 $792.48 $1002.93	$940.38 $996.31 $1055.54 $1265.99	$1203.44 $1259.37 $1318.60 $1529.05	$263.06
Plan: (EPO) BlueSelect Everyday Health 1456 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$235.21 $266.96 $300.60 $420.09 $638.36	$470.42 $533.92 $601.20 $840.18 $1276.72	$619.78 $683.28 $750.56 $989.54	$769.14 $832.64 $899.92 $1138.90	$918.50 $982.00 $1049.28 $1288.26	$384.57 $416.32 $449.96 $569.45	$533.93 $565.68 $599.32 $718.81	$683.29 $715.04 $748.68 $868.17	$149.36
Plan: (EPO) BlueSelect Essential 1452 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$198.39 $225.17 $253.54 $354.32 $538.43	$396.78 $450.34 $507.08 $708.64 $1076.86	$522.76 $576.32 $633.06 $834.62	$648.74 $702.30 $759.04 $960.60	$774.72 $828.28 $885.02 $1086.58	$324.37 $351.15 $379.52 $480.30	$450.35 $477.13 $505.50 $606.28	$576.33 $603.11 $631.48 $732.26	$125.98
Plan: (EPO) BlueSelect Everyday Health 1464 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$259.28 $294.28 $331.36 $463.07 $703.69	$518.56 $588.56 $662.72 $926.14 $1407.38	$683.20 $753.20 $827.36 $1090.78	$847.84 $917.84 $992.00 $1255.42	$1012.48 $1082.48 $1156.64 $1420.06	$423.92 $458.92 $496.00 $627.71	$588.56 $623.56 $660.64 $792.35	$753.20 $788.20 $825.28 $956.99	$164.64
Plan: (EPO) BlueSelect Everyday Health 1451 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$348.46 $395.50 $445.33 $622.35 $945.72	$696.92 $791.00 $890.66 $1244.70 $1891.44	$918.19 $1012.27 $1111.93 $1465.97	$1139.46 $1233.54 $1333.20 $1687.24	$1360.73 $1454.81 $1554.47 $1908.51	$569.73 $616.77 $666.60 $843.62	$791.00 $838.04 $887.87 $1064.89	$1012.27 $1059.31 $1109.14 $1286.16	$221.27
Plan: (EPO) BlueSelect Everyday Health Premier 1451V Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$375.85 $426.59 $480.34 $671.27 $1020.06	$751.70 $853.18 $960.68 $1342.54 $2040.12	$990.36 $1091.84 $1199.34 $1581.20	$1229.02 $1330.50 $1438.00 $1819.86	$1467.68 $1569.16 $1676.66 $2058.52	$614.51 $665.25 $719.00 $909.93	$853.17 $903.91 $957.66 $1148.59	$1091.83 $1142.57 $1196.32 $1387.25	$238.66
Plan: (EPO) BlueSelect Everyday Health 1449 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$220.01 $249.71 $281.17 $392.94 $597.11	$440.02 $499.42 $562.34 $785.88 $1194.22	$579.73 $639.13 $702.05 $925.59	$719.44 $778.84 $841.76 $1065.30	$859.15 $918.55 $981.47 $1205.01	$359.72 $389.42 $420.88 $532.65	$499.43 $529.13 $560.59 $672.36	$639.14 $668.84 $700.30 $812.07	$139.71
Plan: (EPO) BlueSelect All Copay 1457 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$364.20 $413.37 $465.45 $650.46 $988.44	$728.40 $826.74 $930.90 $1300.92 $1976.88	$959.67 $1058.01 $1162.17 $1532.19	$1190.94 $1289.28 $1393.44 $1763.46	$1422.21 $1520.55 $1624.71 $1994.73	$595.47 $644.64 $696.72 $881.73	$826.74 $875.91 $927.99 $1113.00	$1058.01 $1107.18 $1159.26 $1344.27	$231.27
Plan: (EPO) BlueSelect Everyday Health 1443 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,100 : Family: $12,200 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$218.91 $248.46 $279.77 $390.97 $594.12	$437.82 $496.92 $559.54 $781.94 $1188.24	$576.83 $635.93 $698.55 $920.95	$715.84 $774.94 $837.56 $1059.96	$854.85 $913.95 $976.57 $1198.97	$357.92 $387.47 $418.78 $529.98	$496.93 $526.48 $557.79 $668.99	$635.94 $665.49 $696.80 $808.00	$139.01
Plan: (EPO) BlueSelect All Copay 1535 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$312.24 $354.39 $399.04 $557.66 $847.42	$624.48 $708.78 $798.08 $1115.32 $1694.84	$822.75 $907.05 $996.35 $1313.59	$1021.02 $1105.32 $1194.62 $1511.86	$1219.29 $1303.59 $1392.89 $1710.13	$510.51 $552.66 $597.31 $755.93	$708.78 $750.93 $795.58 $954.20	$907.05 $949.20 $993.85 $1152.47	$198.27
ADVERTISEMENT
Health First Health Plans, Inc. Local: 1-855-443-4735 \| Toll Free: 1-855-443-4735 TTY: 1-800-955-8771
Plan: (HMO) Health First Gold HMO 100 1002 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $2,800 : Family: $5,600 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
Gold	21 30 40 50 60	$307.02 $348.46 $392.36 $548.32 $833.23	$614.04 $696.92 $784.72 $1096.64 $1666.46	$808.99 $891.87 $979.67 $1291.59	$1003.94 $1086.82 $1174.62 $1486.54	$1198.89 $1281.77 $1369.57 $1681.49	$501.97 $543.41 $587.31 $743.27	$696.92 $738.36 $782.26 $938.22	$891.87 $933.31 $977.21 $1133.17	$194.95
Plan: (HMO) Health First Gold HMO 90 1005 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$297.02 $337.11 $379.58 $530.46 $806.09	$594.04 $674.22 $759.16 $1060.92 $1612.18	$782.64 $862.82 $947.76 $1249.52	$971.24 $1051.42 $1136.36 $1438.12	$1159.84 $1240.02 $1324.96 $1626.72	$485.62 $525.71 $568.18 $719.06	$674.22 $714.31 $756.78 $907.66	$862.82 $902.91 $945.38 $1096.26	$188.60
Plan: (HMO) Health First Gold HMO 80 1012 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$320.06 $363.26 $409.02 $571.61 $868.62	$640.12 $726.52 $818.04 $1143.22 $1737.24	$843.35 $929.75 $1021.27 $1346.45	$1046.58 $1132.98 $1224.50 $1549.68	$1249.81 $1336.21 $1427.73 $1752.91	$523.29 $566.49 $612.25 $774.84	$726.52 $769.72 $815.48 $978.07	$929.75 $972.95 $1018.71 $1181.30	$203.23
Plan: (HMO) Health First Gold HMO 80 1020 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$314.79 $357.28 $402.29 $562.20 $854.31	$629.58 $714.56 $804.58 $1124.40 $1708.62	$829.47 $914.45 $1004.47 $1324.29	$1029.36 $1114.34 $1204.36 $1524.18	$1229.25 $1314.23 $1404.25 $1724.07	$514.68 $557.17 $602.18 $762.09	$714.57 $757.06 $802.07 $961.98	$914.46 $956.95 $1001.96 $1161.87	$199.89
Plan: (HMO) Health First Gold HMO 80 1024 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$305.36 $346.57 $390.24 $545.36 $828.72	$610.72 $693.14 $780.48 $1090.72 $1657.44	$804.62 $887.04 $974.38 $1284.62	$998.52 $1080.94 $1168.28 $1478.52	$1192.42 $1274.84 $1362.18 $1672.42	$499.26 $540.47 $584.14 $739.26	$693.16 $734.37 $778.04 $933.16	$887.06 $928.27 $971.94 $1127.06	$193.90
Plan: (HMO) Health First Gold HMO 70 1035 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$312.68 $354.88 $399.59 $558.43 $848.59	$625.36 $709.76 $799.18 $1116.86 $1697.18	$823.91 $908.31 $997.73 $1315.41	$1022.46 $1106.86 $1196.28 $1513.96	$1221.01 $1305.41 $1394.83 $1712.51	$511.23 $553.43 $598.14 $756.98	$709.78 $751.98 $796.69 $955.53	$908.33 $950.53 $995.24 $1154.08	$198.55
Plan: (HMO) Health First Silver HMO 100 1046 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $4,400 : Family: $8,800 Out of Pocket Maximum per year: Individual: $4,600 : Family: $9,200 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	$261.27 $296.53 $333.89 $466.61 $709.06	$522.54 $593.06 $667.78 $933.22 $1418.12	$688.44 $758.96 $833.68 $1099.12	$854.34 $924.86 $999.58 $1265.02	$1020.24 $1090.76 $1165.48 $1430.92	$427.17 $462.43 $499.79 $632.51	$593.07 $628.33 $665.69 $798.41	$758.97 $794.23 $831.59 $964.31	$165.90
Plan: (HMO) Health First Silver HMO 100 1058 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $3,800 : Family: $7,600 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$262.63 $298.07 $335.63 $469.04 $712.75	$525.26 $596.14 $671.26 $938.08 $1425.50	$692.02 $762.90 $838.02 $1104.84	$858.78 $929.66 $1004.78 $1271.60	$1025.54 $1096.42 $1171.54 $1438.36	$429.39 $464.83 $502.39 $635.80	$596.15 $631.59 $669.15 $802.56	$762.91 $798.35 $835.91 $969.32	$166.76
Plan: (HMO) Health First Silver HMO 90 1070 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $3,900 : Family: $7,800 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$264.16 $299.81 $337.58 $471.77 $716.90	$528.32 $599.62 $675.16 $943.54 $1433.80	$696.06 $767.36 $842.90 $1111.28	$863.80 $935.10 $1010.64 $1279.02	$1031.54 $1102.84 $1178.38 $1446.76	$431.90 $467.55 $505.32 $639.51	$599.64 $635.29 $673.06 $807.25	$767.38 $803.03 $840.80 $974.99	$167.74
Plan: (HMO) Health First Silver HMO 80 1094 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$251.61 $285.57 $321.54 $449.36 $682.84	$503.22 $571.14 $643.08 $898.72 $1365.68	$662.99 $730.91 $802.85 $1058.49	$822.76 $890.68 $962.62 $1218.26	$982.53 $1050.45 $1122.39 $1378.03	$411.38 $445.34 $481.31 $609.13	$571.15 $605.11 $641.08 $768.90	$730.92 $764.88 $800.85 $928.67	$159.77
Plan: (HMO) Health First Silver HMO 80 1110 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$253.49 $287.70 $323.95 $452.72 $687.94	$506.98 $575.40 $647.90 $905.44 $1375.88	$667.94 $736.36 $808.86 $1066.40	$828.90 $897.32 $969.82 $1227.36	$989.86 $1058.28 $1130.78 $1388.32	$414.45 $448.66 $484.91 $613.68	$575.41 $609.62 $645.87 $774.64	$736.37 $770.58 $806.83 $935.60	$160.96
Plan: (HMO) Health First Silver HMO 70 1126 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$256.08 $290.64 $327.26 $457.34 $694.97	$512.16 $581.28 $654.52 $914.68 $1389.94	$674.76 $743.88 $817.12 $1077.28	$837.36 $906.48 $979.72 $1239.88	$999.96 $1069.08 $1142.32 $1402.48	$418.68 $453.24 $489.86 $619.94	$581.28 $615.84 $652.46 $782.54	$743.88 $778.44 $815.06 $945.14	$162.60
Plan: (HMO) Health First Silver HMO 70 1158 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$253.05 $287.20 $323.39 $451.93 $686.75	$506.10 $574.40 $646.78 $903.86 $1373.50	$666.78 $735.08 $807.46 $1064.54	$827.46 $895.76 $968.14 $1225.22	$988.14 $1056.44 $1128.82 $1385.90	$413.73 $447.88 $484.07 $612.61	$574.41 $608.56 $644.75 $773.29	$735.09 $769.24 $805.43 $933.97	$160.68
Plan: (HMO) Health First Bronze HMO 100 1251 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: 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	$211.17 $239.67 $269.86 $377.13 $573.09	$422.34 $479.34 $539.72 $754.26 $1146.18	$556.43 $613.43 $673.81 $888.35	$690.52 $747.52 $807.90 $1022.44	$824.61 $881.61 $941.99 $1156.53	$345.26 $373.76 $403.95 $511.22	$479.35 $507.85 $538.04 $645.31	$613.44 $641.94 $672.13 $779.40	$134.09
Plan: (HMO) Health First Bronze HMO 90 1254 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$225.78 $256.25 $288.53 $403.23 $612.74	$451.56 $512.50 $577.06 $806.46 $1225.48	$594.92 $655.86 $720.42 $949.82	$738.28 $799.22 $863.78 $1093.18	$881.64 $942.58 $1007.14 $1236.54	$369.14 $399.61 $431.89 $546.59	$512.50 $542.97 $575.25 $689.95	$655.86 $686.33 $718.61 $833.31	$143.36
Plan: (HMO) Health First Bronze HMO 70 1261 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$211.35 $239.87 $270.09 $377.45 $573.58	$422.70 $479.74 $540.18 $754.90 $1147.16	$556.90 $613.94 $674.38 $889.10	$691.10 $748.14 $808.58 $1023.30	$825.30 $882.34 $942.78 $1157.50	$345.55 $374.07 $404.29 $511.65	$479.75 $508.27 $538.49 $645.85	$613.95 $642.47 $672.69 $780.05	$134.20
Plan: (HMO) Health First Bronze HMO 70 1265 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $5,300 : Family: $10,600 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$208.58 $236.73 $266.55 $372.51 $566.06	$417.16 $473.46 $533.10 $745.02 $1132.12	$549.60 $605.90 $665.54 $877.46	$682.04 $738.34 $797.98 $1009.90	$814.48 $870.78 $930.42 $1142.34	$341.02 $369.17 $398.99 $504.95	$473.46 $501.61 $531.43 $637.39	$605.90 $634.05 $663.87 $769.83	$132.44
Plan: (HMO) Health First Catastrophic HMO 1268 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$197.79 $224.48 $252.76 $353.24 $536.77	$395.58 $448.96 $505.52 $706.48 $1073.54	$521.17 $574.55 $631.11 $832.07	$646.76 $700.14 $756.70 $957.66	$772.35 $825.73 $882.29 $1083.25	$323.38 $350.07 $378.35 $478.83	$448.97 $475.66 $503.94 $604.42	$574.56 $601.25 $629.53 $730.01	$125.59
Plan: (HMO) Health First Platinum HMO 100 1300 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$360.30 $408.93 $460.45 $643.48 $977.83	$720.60 $817.86 $920.90 $1286.96 $1955.66	$949.38 $1046.64 $1149.68 $1515.74	$1178.16 $1275.42 $1378.46 $1744.52	$1406.94 $1504.20 $1607.24 $1973.30	$589.08 $637.71 $689.23 $872.26	$817.86 $866.49 $918.01 $1101.04	$1046.64 $1095.27 $1146.79 $1329.82	$228.78
Plan: (HMO) Health First Platinum HMO 90 1301 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $750 : Family: $1,500 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$360.53 $409.19 $460.74 $643.89 $978.45	$721.06 $818.38 $921.48 $1287.78 $1956.90	$949.99 $1047.31 $1150.41 $1516.71	$1178.92 $1276.24 $1379.34 $1745.64	$1407.85 $1505.17 $1608.27 $1974.57	$589.46 $638.12 $689.67 $872.82	$818.39 $867.05 $918.60 $1101.75	$1047.32 $1095.98 $1147.53 $1330.68	$228.93
Plan: (HMO) Health First Platinum HMO 80 1302 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $450 : Family: $900 Out of Pocket Maximum per year: Individual: $1,700 : Family: $3,400 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
Platinum	21 30 40 50 60	$360.06 $408.66 $460.14 $643.05 $977.18	$720.12 $817.32 $920.28 $1286.10 $1954.36	$948.75 $1045.95 $1148.91 $1514.73	$1177.38 $1274.58 $1377.54 $1743.36	$1406.01 $1503.21 $1606.17 $1971.99	$588.69 $637.29 $688.77 $871.68	$817.32 $865.92 $917.40 $1100.31	$1045.95 $1094.55 $1146.03 $1328.94	$228.63
Plan: (POS) Health First Gold POS 100 1003 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $2,800 : Family: $5,600 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
Gold	21 30 40 50 60	$315.70 $358.31 $403.45 $563.82 $856.78	$631.40 $716.62 $806.90 $1127.64 $1713.56	$831.86 $917.08 $1007.36 $1328.10	$1032.32 $1117.54 $1207.82 $1528.56	$1232.78 $1318.00 $1408.28 $1729.02	$516.16 $558.77 $603.91 $764.28	$716.62 $759.23 $804.37 $964.74	$917.08 $959.69 $1004.83 $1165.20	$200.46
Plan: (POS) Health First Gold POS 90 1006 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$306.80 $348.21 $392.08 $547.93 $832.63	$613.60 $696.42 $784.16 $1095.86 $1665.26	$808.41 $891.23 $978.97 $1290.67	$1003.22 $1086.04 $1173.78 $1485.48	$1198.03 $1280.85 $1368.59 $1680.29	$501.61 $543.02 $586.89 $742.74	$696.42 $737.83 $781.70 $937.55	$891.23 $932.64 $976.51 $1132.36	$194.81
Plan: (POS) Health First Gold POS 80 1013 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$328.35 $372.67 $419.62 $586.42 $891.11	$656.70 $745.34 $839.24 $1172.84 $1782.22	$865.20 $953.84 $1047.74 $1381.34	$1073.70 $1162.34 $1256.24 $1589.84	$1282.20 $1370.84 $1464.74 $1798.34	$536.85 $581.17 $628.12 $794.92	$745.35 $789.67 $836.62 $1003.42	$953.85 $998.17 $1045.12 $1211.92	$208.50
Plan: (POS) Health First Gold POS 80 1025 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$312.58 $354.77 $399.46 $558.25 $848.31	$625.16 $709.54 $798.92 $1116.50 $1696.62	$823.64 $908.02 $997.40 $1314.98	$1022.12 $1106.50 $1195.88 $1513.46	$1220.60 $1304.98 $1394.36 $1711.94	$511.06 $553.25 $597.94 $756.73	$709.54 $751.73 $796.42 $955.21	$908.02 $950.21 $994.90 $1153.69	$198.48
Plan: (POS) Health First Gold POS 70 1036 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$322.48 $366.00 $412.12 $575.93 $875.18	$644.96 $732.00 $824.24 $1151.86 $1750.36	$849.73 $936.77 $1029.01 $1356.63	$1054.50 $1141.54 $1233.78 $1561.40	$1259.27 $1346.31 $1438.55 $1766.17	$527.25 $570.77 $616.89 $780.70	$732.02 $775.54 $821.66 $985.47	$936.79 $980.31 $1026.43 $1190.24	$204.77
Plan: (POS) Health First Silver POS 100 1050 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $4,400 : Family: $8,800 Out of Pocket Maximum per year: Individual: $4,600 : Family: $9,200 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	$267.49 $303.59 $341.84 $477.72 $725.94	$534.98 $607.18 $683.68 $955.44 $1451.88	$704.83 $777.03 $853.53 $1125.29	$874.68 $946.88 $1023.38 $1295.14	$1044.53 $1116.73 $1193.23 $1464.99	$437.34 $473.44 $511.69 $647.57	$607.19 $643.29 $681.54 $817.42	$777.04 $813.14 $851.39 $987.27	$169.85
Plan: (POS) Health First Silver POS 90 1074 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $3,900 : Family: $7,800 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$269.54 $305.92 $344.46 $481.38 $731.50	$539.08 $611.84 $688.92 $962.76 $1463.00	$710.23 $782.99 $860.07 $1133.91	$881.38 $954.14 $1031.22 $1305.06	$1052.53 $1125.29 $1202.37 $1476.21	$440.69 $477.07 $515.61 $652.53	$611.84 $648.22 $686.76 $823.68	$782.99 $819.37 $857.91 $994.83	$171.15
Plan: (POS) Health First Silver POS 80 1098 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$258.81 $293.74 $330.75 $462.22 $702.38	$517.62 $587.48 $661.50 $924.44 $1404.76	$681.96 $751.82 $825.84 $1088.78	$846.30 $916.16 $990.18 $1253.12	$1010.64 $1080.50 $1154.52 $1417.46	$423.15 $458.08 $495.09 $626.56	$587.49 $622.42 $659.43 $790.90	$751.83 $786.76 $823.77 $955.24	$164.34
Plan: (POS) Health First Silver POS 70 1130 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$261.03 $296.26 $333.58 $466.18 $708.41	$522.06 $592.52 $667.16 $932.36 $1416.82	$687.81 $758.27 $832.91 $1098.11	$853.56 $924.02 $998.66 $1263.86	$1019.31 $1089.77 $1164.41 $1429.61	$426.78 $462.01 $499.33 $631.93	$592.53 $627.76 $665.08 $797.68	$758.28 $793.51 $830.83 $963.43	$165.75
Plan: (POS) Health First Silver POS 70 1162 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$259.88 $294.95 $332.11 $464.13 $705.29	$519.76 $589.90 $664.22 $928.26 $1410.58	$684.78 $754.92 $829.24 $1093.28	$849.80 $919.94 $994.26 $1258.30	$1014.82 $1084.96 $1159.28 $1423.32	$424.90 $459.97 $497.13 $629.15	$589.92 $624.99 $662.15 $794.17	$754.94 $790.01 $827.17 $959.19	$165.02
Plan: (POS) Health First Bronze POS 100 1252 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: 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	$216.47 $245.68 $276.64 $386.60 $587.47	$432.94 $491.36 $553.28 $773.20 $1174.94	$570.39 $628.81 $690.73 $910.65	$707.84 $766.26 $828.18 $1048.10	$845.29 $903.71 $965.63 $1185.55	$353.92 $383.13 $414.09 $524.05	$491.37 $520.58 $551.54 $661.50	$628.82 $658.03 $688.99 $798.95	$137.45
Plan: (POS) Health First Bronze POS 70 1262 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$216.98 $246.26 $277.29 $387.51 $588.86	$433.96 $492.52 $554.58 $775.02 $1177.72	$571.74 $630.30 $692.36 $912.80	$709.52 $768.08 $830.14 $1050.58	$847.30 $905.86 $967.92 $1188.36	$354.76 $384.04 $415.07 $525.29	$492.54 $521.82 $552.85 $663.07	$630.32 $659.60 $690.63 $800.85	$137.78
Plan: (POS) Health First Bronze POS 70 1266 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $5,300 : Family: $10,600 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$213.79 $242.64 $273.21 $381.81 $580.20	$427.58 $485.28 $546.42 $763.62 $1160.40	$563.33 $621.03 $682.17 $899.37	$699.08 $756.78 $817.92 $1035.12	$834.83 $892.53 $953.67 $1170.87	$349.54 $378.39 $408.96 $517.56	$485.29 $514.14 $544.71 $653.31	$621.04 $649.89 $680.46 $789.06	$135.75
Plan: (POS) Health First Catastrophic POS 1269 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Health Plans, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$202.27 $229.57 $258.49 $361.24 $548.93	$404.54 $459.14 $516.98 $722.48 $1097.86	$532.98 $587.58 $645.42 $850.92	$661.42 $716.02 $773.86 $979.36	$789.86 $844.46 $902.30 $1107.80	$330.71 $358.01 $386.93 $489.68	$459.15 $486.45 $515.37 $618.12	$587.59 $614.89 $643.81 $746.56	$128.44
ADVERTISEMENT
Health Options, Inc. Local: 1-855-805-8175 \| Toll Free: 1-855-805-8175
Plan: (HMO) BlueCare Everyday Health 1490 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$270.31 $306.80 $345.46 $482.77 $733.62	$540.62 $613.60 $690.92 $965.54 $1467.24	$712.27 $785.25 $862.57 $1137.19	$883.92 $956.90 $1034.22 $1308.84	$1055.57 $1128.55 $1205.87 $1480.49	$441.96 $478.45 $517.11 $654.42	$613.61 $650.10 $688.76 $826.07	$785.26 $821.75 $860.41 $997.72	$171.65
Plan: (HMO) BlueCare Essential 1486 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$230.31 $261.40 $294.34 $411.33 $625.06	$460.62 $522.80 $588.68 $822.66 $1250.12	$606.87 $669.05 $734.93 $968.91	$753.12 $815.30 $881.18 $1115.16	$899.37 $961.55 $1027.43 $1261.41	$376.56 $407.65 $440.59 $557.58	$522.81 $553.90 $586.84 $703.83	$669.06 $700.15 $733.09 $850.08	$146.25
Plan: (HMO) BlueCare Everyday Health 1498 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 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	$305.45 $346.69 $390.37 $545.53 $828.99	$610.90 $693.38 $780.74 $1091.06 $1657.98	$804.86 $887.34 $974.70 $1285.02	$998.82 $1081.30 $1168.66 $1478.98	$1192.78 $1275.26 $1362.62 $1672.94	$499.41 $540.65 $584.33 $739.49	$693.37 $734.61 $778.29 $933.45	$887.33 $928.57 $972.25 $1127.41	$193.96
Plan: (HMO) BlueCare Everyday Health 1485 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$396.26 $449.76 $506.42 $707.72 $1075.45	$792.52 $899.52 $1012.84 $1415.44 $2150.90	$1044.15 $1151.15 $1264.47 $1667.07	$1295.78 $1402.78 $1516.10 $1918.70	$1547.41 $1654.41 $1767.73 $2170.33	$647.89 $701.39 $758.05 $959.35	$899.52 $953.02 $1009.68 $1210.98	$1151.15 $1204.65 $1261.31 $1462.61	$251.63
Plan: (HMO) BlueCare Everyday Health 1483 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$262.91 $298.40 $336.00 $469.56 $713.54	$525.82 $596.80 $672.00 $939.12 $1427.08	$692.77 $763.75 $838.95 $1106.07	$859.72 $930.70 $1005.90 $1273.02	$1026.67 $1097.65 $1172.85 $1439.97	$429.86 $465.35 $502.95 $636.51	$596.81 $632.30 $669.90 $803.46	$763.76 $799.25 $836.85 $970.41	$166.95
Plan: (HMO) BlueCare All Copay 1491 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$412.55 $468.24 $527.24 $736.81 $1119.66	$825.10 $936.48 $1054.48 $1473.62 $2239.32	$1087.07 $1198.45 $1316.45 $1735.59	$1349.04 $1460.42 $1578.42 $1997.56	$1611.01 $1722.39 $1840.39 $2259.53	$674.52 $730.21 $789.21 $998.78	$936.49 $992.18 $1051.18 $1260.75	$1198.46 $1254.15 $1313.15 $1522.72	$261.97
Plan: (HMO) BlueCare Everyday Health 1477 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,100 : Family: $12,200 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$259.17 $294.16 $331.22 $462.88 $703.39	$518.34 $588.32 $662.44 $925.76 $1406.78	$682.91 $752.89 $827.01 $1090.33	$847.48 $917.46 $991.58 $1254.90	$1012.05 $1082.03 $1156.15 $1419.47	$423.74 $458.73 $495.79 $627.45	$588.31 $623.30 $660.36 $792.02	$752.88 $787.87 $824.93 $956.59	$164.57
Plan: (HMO) BlueCare All Copay 1565 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-805-8175 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$359.78 $408.35 $459.80 $642.57 $976.44	$719.56 $816.70 $919.60 $1285.14 $1952.88	$948.02 $1045.16 $1148.06 $1513.60	$1176.48 $1273.62 $1376.52 $1742.06	$1404.94 $1502.08 $1604.98 $1970.52	$588.24 $636.81 $688.26 $871.03	$816.70 $865.27 $916.72 $1099.49	$1045.16 $1093.73 $1145.18 $1327.95	$228.46
ADVERTISEMENT
Florida Health Care Plan, Inc. Local: 1-386-676-7110 \| Toll Free: 1-800-232-0578 TTY: 1-800-955-8771
Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$169.08 $191.90 $216.08 $301.97 $458.87	$338.16 $383.80 $432.16 $603.94 $917.74	$445.52 $491.16 $539.52 $711.30	$552.88 $598.52 $646.88 $818.66	$660.24 $705.88 $754.24 $926.02	$276.44 $299.26 $323.44 $409.33	$383.80 $406.62 $430.80 $516.69	$491.16 $513.98 $538.16 $624.05	$107.36
Plan: (HMO) IND Essential Plus Catastrophic HMO 36 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$166.75 $189.27 $213.11 $297.82 $452.57	$333.50 $378.54 $426.22 $595.64 $905.14	$439.39 $484.43 $532.11 $701.53	$545.28 $590.32 $638.00 $807.42	$651.17 $696.21 $743.89 $913.31	$272.64 $295.16 $319.00 $403.71	$378.53 $401.05 $424.89 $509.60	$484.42 $506.94 $530.78 $615.49	$105.89
Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$187.74 $213.08 $239.93 $335.30 $509.51	$375.48 $426.16 $479.86 $670.60 $1019.02	$494.69 $545.37 $599.07 $789.81	$613.90 $664.58 $718.28 $909.02	$733.11 $783.79 $837.49 $1028.23	$306.95 $332.29 $359.14 $454.51	$426.16 $451.50 $478.35 $573.72	$545.37 $570.71 $597.56 $692.93	$119.21
Plan: (POS) IND Essential Plus Catastrophic POS 37 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$185.18 $210.18 $236.66 $330.73 $502.58	$370.36 $420.36 $473.32 $661.46 $1005.16	$487.95 $537.95 $590.91 $779.05	$605.54 $655.54 $708.50 $896.64	$723.13 $773.13 $826.09 $1014.23	$302.77 $327.77 $354.25 $448.32	$420.36 $445.36 $471.84 $565.91	$537.95 $562.95 $589.43 $683.50	$117.59
Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,700 : Family: $3,400 Out of Pocket Maximum per year: Individual: $4,300 : Family: $8,600 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	$244.30 $277.28 $312.22 $436.32 $663.04	$488.60 $554.56 $624.44 $872.64 $1326.08	$643.73 $709.69 $779.57 $1027.77	$798.86 $864.82 $934.70 $1182.90	$953.99 $1019.95 $1089.83 $1338.03	$399.43 $432.41 $467.35 $591.45	$554.56 $587.54 $622.48 $746.58	$709.69 $742.67 $777.61 $901.71	$155.13
Plan: (HMO) IND Essential Plus Silver HMO 53 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,700 : Family: $3,400 Out of Pocket Maximum per year: Individual: $4,300 : Family: $8,600 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	$241.05 $273.59 $308.06 $430.51 $654.20	$482.10 $547.18 $616.12 $861.02 $1308.40	$635.16 $700.24 $769.18 $1014.08	$788.22 $853.30 $922.24 $1167.14	$941.28 $1006.36 $1075.30 $1320.20	$394.11 $426.65 $461.12 $583.57	$547.17 $579.71 $614.18 $736.63	$700.23 $732.77 $767.24 $889.69	$153.06
Plan: (HMO) Gym Access IND Essential Plus Bronze HMO 41 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: 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	$185.47 $210.51 $237.04 $331.26 $503.38	$370.94 $421.02 $474.08 $662.52 $1006.76	$488.72 $538.80 $591.86 $780.30	$606.50 $656.58 $709.64 $898.08	$724.28 $774.36 $827.42 $1015.86	$303.25 $328.29 $354.82 $449.04	$421.03 $446.07 $472.60 $566.82	$538.81 $563.85 $590.38 $684.60	$117.78
Plan: (HMO) IND Essential Plus Bronze HMO 41 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: 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	$182.95 $207.65 $233.81 $326.74 $496.52	$365.90 $415.30 $467.62 $653.48 $993.04	$482.07 $531.47 $583.79 $769.65	$598.24 $647.64 $699.96 $885.82	$714.41 $763.81 $816.13 $1001.99	$299.12 $323.82 $349.98 $442.91	$415.29 $439.99 $466.15 $559.08	$531.46 $556.16 $582.32 $675.25	$116.17
Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$287.88 $326.75 $367.91 $514.16 $781.32	$575.76 $653.50 $735.82 $1028.32 $1562.64	$758.57 $836.31 $918.63 $1211.13	$941.38 $1019.12 $1101.44 $1393.94	$1124.19 $1201.93 $1284.25 $1576.75	$470.69 $509.56 $550.72 $696.97	$653.50 $692.37 $733.53 $879.78	$836.31 $875.18 $916.34 $1062.59	$182.81
Plan: (HMO) IND Essential Plus Gold HMO 63 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$284.08 $322.43 $363.06 $507.37 $771.00	$568.16 $644.86 $726.12 $1014.74 $1542.00	$748.55 $825.25 $906.51 $1195.13	$928.94 $1005.64 $1086.90 $1375.52	$1109.33 $1186.03 $1267.29 $1555.91	$464.47 $502.82 $543.45 $687.76	$644.86 $683.21 $723.84 $868.15	$825.25 $863.60 $904.23 $1048.54	$180.39
Plan: (HMO) Gym Access IND Essential Plus Platinum HMO 65 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$343.45 $389.82 $438.93 $613.41 $932.13	$686.90 $779.64 $877.86 $1226.82 $1864.26	$904.99 $997.73 $1095.95 $1444.91	$1123.08 $1215.82 $1314.04 $1663.00	$1341.17 $1433.91 $1532.13 $1881.09	$561.54 $607.91 $657.02 $831.50	$779.63 $826.00 $875.11 $1049.59	$997.72 $1044.09 $1093.20 $1267.68	$218.09
Plan: (HMO) IND Essential Plus Platinum HMO 65 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$338.96 $384.72 $433.20 $605.39 $919.95	$677.92 $769.44 $866.40 $1210.78 $1839.90	$893.16 $984.68 $1081.64 $1426.02	$1108.40 $1199.92 $1296.88 $1641.26	$1323.64 $1415.16 $1512.12 $1856.50	$554.20 $599.96 $648.44 $820.63	$769.44 $815.20 $863.68 $1035.87	$984.68 $1030.44 $1078.92 $1251.11	$215.24
Plan: (POS) Gym Access IND Essential Plus Silver POS 54 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $4,300 : Family: $8,600 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	$271.83 $308.53 $347.40 $485.49 $737.74	$543.66 $617.06 $694.80 $970.98 $1475.48	$716.27 $789.67 $867.41 $1143.59	$888.88 $962.28 $1040.02 $1316.20	$1061.49 $1134.89 $1212.63 $1488.81	$444.44 $481.14 $520.01 $658.10	$617.05 $653.75 $692.62 $830.71	$789.66 $826.36 $865.23 $1003.32	$172.61
Plan: (POS) IND Essential Plus Silver POS 54 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $4,300 : Family: $8,600 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	$268.23 $304.44 $342.79 $479.05 $727.97	$536.46 $608.88 $685.58 $958.10 $1455.94	$706.78 $779.20 $855.90 $1128.42	$877.10 $949.52 $1026.22 $1298.74	$1047.42 $1119.84 $1196.54 $1469.06	$438.55 $474.76 $513.11 $649.37	$608.87 $645.08 $683.43 $819.69	$779.19 $815.40 $853.75 $990.01	$170.32
Plan: (POS) Gym Access IND Essential Plus Bronze POS 42 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: 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	$206.61 $234.50 $264.05 $369.01 $560.74	$413.22 $469.00 $528.10 $738.02 $1121.48	$544.42 $600.20 $659.30 $869.22	$675.62 $731.40 $790.50 $1000.42	$806.82 $862.60 $921.70 $1131.62	$337.81 $365.70 $395.25 $500.21	$469.01 $496.90 $526.45 $631.41	$600.21 $628.10 $657.65 $762.61	$131.20
Plan: (POS) IND Essential Plus Bronze POS 42 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: 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	$203.82 $231.34 $260.48 $364.02 $553.17	$407.64 $462.68 $520.96 $728.04 $1106.34	$537.07 $592.11 $650.39 $857.47	$666.50 $721.54 $779.82 $986.90	$795.93 $850.97 $909.25 $1116.33	$333.25 $360.77 $389.91 $493.45	$462.68 $490.20 $519.34 $622.88	$592.11 $619.63 $648.77 $752.31	$129.43
Plan: (POS) Gym Access IND Essential Plus Gold POS 64 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,600 : Family: $3,200 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$328.65 $373.02 $420.02 $586.98 $891.97	$657.30 $746.04 $840.04 $1173.96 $1783.94	$865.99 $954.73 $1048.73 $1382.65	$1074.68 $1163.42 $1257.42 $1591.34	$1283.37 $1372.11 $1466.11 $1800.03	$537.34 $581.71 $628.71 $795.67	$746.03 $790.40 $837.40 $1004.36	$954.72 $999.09 $1046.09 $1213.05	$208.69
Plan: (POS) IND Essential Plus Gold POS 64 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,600 : Family: $3,200 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$324.35 $368.14 $414.52 $579.29 $880.28	$648.70 $736.28 $829.04 $1158.58 $1760.56	$854.66 $942.24 $1035.00 $1364.54	$1060.62 $1148.20 $1240.96 $1570.50	$1266.58 $1354.16 $1446.92 $1776.46	$530.31 $574.10 $620.48 $785.25	$736.27 $780.06 $826.44 $991.21	$942.23 $986.02 $1032.40 $1197.17	$205.96
Plan: (POS) Gym Access IND Essential Plus Platinum POS 66 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$379.81 $431.09 $485.40 $678.34 $1030.81	$759.62 $862.18 $970.80 $1356.68 $2061.62	$1000.80 $1103.36 $1211.98 $1597.86	$1241.98 $1344.54 $1453.16 $1839.04	$1483.16 $1585.72 $1694.34 $2080.22	$620.99 $672.27 $726.58 $919.52	$862.17 $913.45 $967.76 $1160.70	$1103.35 $1154.63 $1208.94 $1401.88	$241.18
Plan: (POS) IND Essential Plus Platinum POS 66 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$374.87 $425.48 $479.08 $669.52 $1017.40	$749.74 $850.96 $958.16 $1339.04 $2034.80	$987.78 $1089.00 $1196.20 $1577.08	$1225.82 $1327.04 $1434.24 $1815.12	$1463.86 $1565.08 $1672.28 $2053.16	$612.91 $663.52 $717.12 $907.56	$850.95 $901.56 $955.16 $1145.60	$1088.99 $1139.60 $1193.20 $1383.64	$238.04
Plan: (HMO) Gym Access IND Platinum HMO 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$336.84 $382.32 $430.48 $601.60 $914.19	$673.68 $764.64 $860.96 $1203.20 $1828.38	$887.57 $978.53 $1074.85 $1417.09	$1101.46 $1192.42 $1288.74 $1630.98	$1315.35 $1406.31 $1502.63 $1844.87	$550.73 $596.21 $644.37 $815.49	$764.62 $810.10 $858.26 $1029.38	$978.51 $1023.99 $1072.15 $1243.27	$213.89
Plan: (HMO) IND Platinum HMO 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$332.43 $377.31 $424.85 $593.73 $902.23	$664.86 $754.62 $849.70 $1187.46 $1804.46	$875.96 $965.72 $1060.80 $1398.56	$1087.06 $1176.82 $1271.90 $1609.66	$1298.16 $1387.92 $1483.00 $1820.76	$543.53 $588.41 $635.95 $804.83	$754.63 $799.51 $847.05 $1015.93	$965.73 $1010.61 $1058.15 $1227.03	$211.10
Plan: (POS) Gym Access Platinum POS 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$372.28 $422.54 $475.77 $664.89 $1010.37	$744.56 $845.08 $951.54 $1329.78 $2020.74	$980.96 $1081.48 $1187.94 $1566.18	$1217.36 $1317.88 $1424.34 $1802.58	$1453.76 $1554.28 $1660.74 $2038.98	$608.68 $658.94 $712.17 $901.29	$845.08 $895.34 $948.57 $1137.69	$1081.48 $1131.74 $1184.97 $1374.09	$236.40
Plan: (POS) IND Platinum POS 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$367.43 $417.03 $469.58 $656.23 $997.21	$734.86 $834.06 $939.16 $1312.46 $1994.42	$968.18 $1067.38 $1172.48 $1545.78	$1201.50 $1300.70 $1405.80 $1779.10	$1434.82 $1534.02 $1639.12 $2012.42	$600.75 $650.35 $702.90 $889.55	$834.07 $883.67 $936.22 $1122.87	$1067.39 $1116.99 $1169.54 $1356.19	$233.32
Plan: (HMO) Gym Access IND Gold HMO 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$295.11 $334.95 $377.15 $527.07 $800.93	$590.22 $669.90 $754.30 $1054.14 $1601.86	$777.62 $857.30 $941.70 $1241.54	$965.02 $1044.70 $1129.10 $1428.94	$1152.42 $1232.10 $1316.50 $1616.34	$482.51 $522.35 $564.55 $714.47	$669.91 $709.75 $751.95 $901.87	$857.31 $897.15 $939.35 $1089.27	$187.40
Plan: (HMO) IND Gold HMO 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$291.22 $330.53 $372.18 $520.11 $790.36	$582.44 $661.06 $744.36 $1040.22 $1580.72	$767.36 $845.98 $929.28 $1225.14	$952.28 $1030.90 $1114.20 $1410.06	$1137.20 $1215.82 $1299.12 $1594.98	$476.14 $515.45 $557.10 $705.03	$661.06 $700.37 $742.02 $889.95	$845.98 $885.29 $926.94 $1074.87	$184.92
Plan: (POS) Gym Access IND Gold POS 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$326.38 $370.44 $417.11 $582.91 $885.79	$652.76 $740.88 $834.22 $1165.82 $1771.58	$860.01 $948.13 $1041.47 $1373.07	$1067.26 $1155.38 $1248.72 $1580.32	$1274.51 $1362.63 $1455.97 $1787.57	$533.63 $577.69 $624.36 $790.16	$740.88 $784.94 $831.61 $997.41	$948.13 $992.19 $1038.86 $1204.66	$207.25
Plan: (POS) IND Gold POS 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$322.10 $365.58 $411.64 $575.27 $874.17	$644.20 $731.16 $823.28 $1150.54 $1748.34	$848.73 $935.69 $1027.81 $1355.07	$1053.26 $1140.22 $1232.34 $1559.60	$1257.79 $1344.75 $1436.87 $1764.13	$526.63 $570.11 $616.17 $779.80	$731.16 $774.64 $820.70 $984.33	$935.69 $979.17 $1025.23 $1188.86	$204.53
Plan: (HMO) Gym Access IND Silver HMO 6400 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$264.95 $300.72 $338.61 $473.20 $719.07	$529.90 $601.44 $677.22 $946.40 $1438.14	$698.14 $769.68 $845.46 $1114.64	$866.38 $937.92 $1013.70 $1282.88	$1034.62 $1106.16 $1181.94 $1451.12	$433.19 $468.96 $506.85 $641.44	$601.43 $637.20 $675.09 $809.68	$769.67 $805.44 $843.33 $977.92	$168.24
Plan: (HMO) IND Silver HMO 6400 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: 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
Silver	21 30 40 50 60	$261.44 $296.73 $334.12 $466.92 $709.54	$522.88 $593.46 $668.24 $933.84 $1419.08	$688.89 $759.47 $834.25 $1099.85	$854.90 $925.48 $1000.26 $1265.86	$1020.91 $1091.49 $1166.27 $1431.87	$427.45 $462.74 $500.13 $632.93	$593.46 $628.75 $666.14 $798.94	$759.47 $794.76 $832.15 $964.95	$166.01
Plan: (HMO) Gym Access IND Silver HMO 6600 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$244.45 $277.45 $312.41 $436.59 $663.44	$488.90 $554.90 $624.82 $873.18 $1326.88	$644.13 $710.13 $780.05 $1028.41	$799.36 $865.36 $935.28 $1183.64	$954.59 $1020.59 $1090.51 $1338.87	$399.68 $432.68 $467.64 $591.82	$554.91 $587.91 $622.87 $747.05	$710.14 $743.14 $778.10 $902.28	$155.23
Plan: (HMO) IND Silver HMO 6600 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$241.19 $273.75 $308.24 $430.76 $654.59	$482.38 $547.50 $616.48 $861.52 $1309.18	$635.54 $700.66 $769.64 $1014.68	$788.70 $853.82 $922.80 $1167.84	$941.86 $1006.98 $1075.96 $1321.00	$394.35 $426.91 $461.40 $583.92	$547.51 $580.07 $614.56 $737.08	$700.67 $733.23 $767.72 $890.24	$153.16
Plan: (HMO) Gym Access IND Bronze HMO 6850 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$190.13 $215.80 $242.99 $339.57 $516.01	$380.26 $431.60 $485.98 $679.14 $1032.02	$500.99 $552.33 $606.71 $799.87	$621.72 $673.06 $727.44 $920.60	$742.45 $793.79 $848.17 $1041.33	$310.86 $336.53 $363.72 $460.30	$431.59 $457.26 $484.45 $581.03	$552.32 $577.99 $605.18 $701.76	$120.73
Plan: (HMO) IND Bronze HMO 6850 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$187.55 $212.86 $239.68 $334.96 $509.00	$375.10 $425.72 $479.36 $669.92 $1018.00	$494.19 $544.81 $598.45 $789.01	$613.28 $663.90 $717.54 $908.10	$732.37 $782.99 $836.63 $1027.19	$306.64 $331.95 $358.77 $454.05	$425.73 $451.04 $477.86 $573.14	$544.82 $570.13 $596.95 $692.23	$119.09
Plan: (HMO) Gym Access IND Bronze HMO HSA 4700/6450 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,700 : Family: $9,400 Out of Pocket Maximum per year: 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	$191.49 $217.34 $244.73 $342.00 $519.71	$382.98 $434.68 $489.46 $684.00 $1039.42	$504.58 $556.28 $611.06 $805.60	$626.18 $677.88 $732.66 $927.20	$747.78 $799.48 $854.26 $1048.80	$313.09 $338.94 $366.33 $463.60	$434.69 $460.54 $487.93 $585.20	$556.29 $582.14 $609.53 $706.80	$121.60
Plan: (HMO) IND Bronze HMO HSA 4700/6450 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,700 : Family: $9,400 Out of Pocket Maximum per year: 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	$188.89 $214.39 $241.40 $337.36 $512.65	$377.78 $428.78 $482.80 $674.72 $1025.30	$497.73 $548.73 $602.75 $794.67	$617.68 $668.68 $722.70 $914.62	$737.63 $788.63 $842.65 $1034.57	$308.84 $334.34 $361.35 $457.31	$428.79 $454.29 $481.30 $577.26	$548.74 $574.24 $601.25 $697.21	$119.95
Plan: (HMO) Gym Access IND Bronze HMO HSA 6000/6450 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: 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	$188.90 $214.40 $241.42 $337.38 $512.68	$377.80 $428.80 $482.84 $674.76 $1025.36	$497.75 $548.75 $602.79 $794.71	$617.70 $668.70 $722.74 $914.66	$737.65 $788.65 $842.69 $1034.61	$308.85 $334.35 $361.37 $457.33	$428.80 $454.30 $481.32 $577.28	$548.75 $574.25 $601.27 $697.23	$119.95
Plan: (HMO) IND Bronze HMO HSA 6000/6450 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: 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	$186.33 $211.49 $238.13 $332.79 $505.71	$372.66 $422.98 $476.26 $665.58 $1011.42	$490.98 $541.30 $594.58 $783.90	$609.30 $659.62 $712.90 $902.22	$727.62 $777.94 $831.22 $1020.54	$304.65 $329.81 $356.45 $451.11	$422.97 $448.13 $474.77 $569.43	$541.29 $566.45 $593.09 $687.75	$118.32
Plan: (HMO) IND Bronze HMO BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$194.91 $221.22 $249.09 $348.10 $528.98	$389.82 $442.44 $498.18 $696.20 $1057.96	$513.59 $566.21 $621.95 $819.97	$637.36 $689.98 $745.72 $943.74	$761.13 $813.75 $869.49 $1067.51	$318.68 $344.99 $372.86 $471.87	$442.45 $468.76 $496.63 $595.64	$566.22 $592.53 $620.40 $719.41	$123.77
Plan: (HMO) Gym Access IND Bronze HMO BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$197.58 $224.26 $252.51 $352.88 $536.24	$395.16 $448.52 $505.02 $705.76 $1072.48	$520.63 $573.99 $630.49 $831.23	$646.10 $699.46 $755.96 $956.70	$771.57 $824.93 $881.43 $1082.17	$323.05 $349.73 $377.98 $478.35	$448.52 $475.20 $503.45 $603.82	$573.99 $600.67 $628.92 $729.29	$125.47
Plan: (POS) IND Bronze POS BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$216.15 $245.33 $276.24 $386.04 $586.63	$432.30 $490.66 $552.48 $772.08 $1173.26	$569.56 $627.92 $689.74 $909.34	$706.82 $765.18 $827.00 $1046.60	$844.08 $902.44 $964.26 $1183.86	$353.41 $382.59 $413.50 $523.30	$490.67 $519.85 $550.76 $660.56	$627.93 $657.11 $688.02 $797.82	$137.26
Plan: (POS) Gym Access IND Bronze POS BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$219.09 $248.67 $280.00 $391.30 $594.62	$438.18 $497.34 $560.00 $782.60 $1189.24	$577.30 $636.46 $699.12 $921.72	$716.42 $775.58 $838.24 $1060.84	$855.54 $914.70 $977.36 $1199.96	$358.21 $387.79 $419.12 $530.42	$497.33 $526.91 $558.24 $669.54	$636.45 $666.03 $697.36 $808.66	$139.12
Plan: (HMO) IND Silver HMO BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$232.61 $264.01 $297.27 $415.43 $631.29	$465.22 $528.02 $594.54 $830.86 $1262.58	$612.92 $675.72 $742.24 $978.56	$760.62 $823.42 $889.94 $1126.26	$908.32 $971.12 $1037.64 $1273.96	$380.31 $411.71 $444.97 $563.13	$528.01 $559.41 $592.67 $710.83	$675.71 $707.11 $740.37 $858.53	$147.70
Plan: (HMO) Gym Access IND Silver HMO BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$235.75 $267.58 $301.29 $421.06 $639.84	$471.50 $535.16 $602.58 $842.12 $1279.68	$621.20 $684.86 $752.28 $991.82	$770.90 $834.56 $901.98 $1141.52	$920.60 $984.26 $1051.68 $1291.22	$385.45 $417.28 $450.99 $570.76	$535.15 $566.98 $600.69 $720.46	$684.85 $716.68 $750.39 $870.16	$149.70
Plan: (POS) IND Silver POS BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$257.62 $292.40 $329.24 $460.11 $699.18	$515.24 $584.80 $658.48 $920.22 $1398.36	$678.83 $748.39 $822.07 $1083.81	$842.42 $911.98 $985.66 $1247.40	$1006.01 $1075.57 $1149.25 $1410.99	$421.21 $455.99 $492.83 $623.70	$584.80 $619.58 $656.42 $787.29	$748.39 $783.17 $820.01 $950.88	$163.59
Plan: (POS) Gym Access IND Silver POS BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$261.09 $296.33 $333.67 $466.30 $708.59	$522.18 $592.66 $667.34 $932.60 $1417.18	$687.97 $758.45 $833.13 $1098.39	$853.76 $924.24 $998.92 $1264.18	$1019.55 $1090.03 $1164.71 $1429.97	$426.88 $462.12 $499.46 $632.09	$592.67 $627.91 $665.25 $797.88	$758.46 $793.70 $831.04 $963.67	$165.79
Plan: (HMO) IND Silver HMO BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,200 : Family: $10,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$240.11 $272.53 $306.86 $428.84 $651.66	$480.22 $545.06 $613.72 $857.68 $1303.32	$632.69 $697.53 $766.19 $1010.15	$785.16 $850.00 $918.66 $1162.62	$937.63 $1002.47 $1071.13 $1315.09	$392.58 $425.00 $459.33 $581.31	$545.05 $577.47 $611.80 $733.78	$697.52 $729.94 $764.27 $886.25	$152.47
Plan: (HMO) Gym Access IND Silver HMO BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,200 : Family: $10,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$243.36 $276.21 $311.01 $434.64 $660.47	$486.72 $552.42 $622.02 $869.28 $1320.94	$641.25 $706.95 $776.55 $1023.81	$795.78 $861.48 $931.08 $1178.34	$950.31 $1016.01 $1085.61 $1332.87	$397.89 $430.74 $465.54 $589.17	$552.42 $585.27 $620.07 $743.70	$706.95 $739.80 $774.60 $898.23	$154.53
Plan: (POS) IND Silver POS BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,200 : Family: $10,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$265.87 $301.77 $339.79 $474.85 $721.58	$531.74 $603.54 $679.58 $949.70 $1443.16	$700.57 $772.37 $848.41 $1118.53	$869.40 $941.20 $1017.24 $1287.36	$1038.23 $1110.03 $1186.07 $1456.19	$434.70 $470.60 $508.62 $643.68	$603.53 $639.43 $677.45 $812.51	$772.36 $808.26 $846.28 $981.34	$168.83
Plan: (POS) Gym Access IND Silver POS BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,200 : Family: $10,400 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$269.45 $305.82 $344.35 $481.23 $731.27	$538.90 $611.64 $688.70 $962.46 $1462.54	$710.00 $782.74 $859.80 $1133.56	$881.10 $953.84 $1030.90 $1304.66	$1052.20 $1124.94 $1202.00 $1475.76	$440.55 $476.92 $515.45 $652.33	$611.65 $648.02 $686.55 $823.43	$782.75 $819.12 $857.65 $994.53	$171.10
Plan: (HMO) IND Gold HMO BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$320.70 $363.99 $409.85 $572.76 $870.37	$641.40 $727.98 $819.70 $1145.52 $1740.74	$845.04 $931.62 $1023.34 $1349.16	$1048.68 $1135.26 $1226.98 $1552.80	$1252.32 $1338.90 $1430.62 $1756.44	$524.34 $567.63 $613.49 $776.40	$727.98 $771.27 $817.13 $980.04	$931.62 $974.91 $1020.77 $1183.68	$203.64
Plan: (HMO) Gym Access IND Gold HMO BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$324.95 $368.82 $415.29 $580.37 $881.93	$649.90 $737.64 $830.58 $1160.74 $1763.86	$856.25 $943.99 $1036.93 $1367.09	$1062.60 $1150.34 $1243.28 $1573.44	$1268.95 $1356.69 $1449.63 $1779.79	$531.30 $575.17 $621.64 $786.72	$737.65 $781.52 $827.99 $993.07	$944.00 $987.87 $1034.34 $1199.42	$206.35
Plan: (POS) IND Gold POS BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$355.98 $404.04 $454.94 $635.78 $966.13	$711.96 $808.08 $909.88 $1271.56 $1932.26	$938.01 $1034.13 $1135.93 $1497.61	$1164.06 $1260.18 $1361.98 $1723.66	$1390.11 $1486.23 $1588.03 $1949.71	$582.03 $630.09 $680.99 $861.83	$808.08 $856.14 $907.04 $1087.88	$1034.13 $1082.19 $1133.09 $1313.93	$226.05
Plan: (POS) Gym Access IND Gold POS BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Gold	21 30 40 50 60	$360.69 $409.38 $460.96 $644.18 $978.90	$721.38 $818.76 $921.92 $1288.36 $1957.80	$950.42 $1047.80 $1150.96 $1517.40	$1179.46 $1276.84 $1380.00 $1746.44	$1408.50 $1505.88 $1609.04 $1975.48	$589.73 $638.42 $690.00 $873.22	$818.77 $867.46 $919.04 $1102.26	$1047.81 $1096.50 $1148.08 $1331.30	$229.04
Plan: (HMO) IND Platinum HMO BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$321.06 $364.40 $410.31 $573.40 $871.34	$642.12 $728.80 $820.62 $1146.80 $1742.68	$845.99 $932.67 $1024.49 $1350.67	$1049.86 $1136.54 $1228.36 $1554.54	$1253.73 $1340.41 $1432.23 $1758.41	$524.93 $568.27 $614.18 $777.27	$728.80 $772.14 $818.05 $981.14	$932.67 $976.01 $1021.92 $1185.01	$203.87
Plan: (HMO) Gym Access IND Platinum HMO BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$325.32 $369.24 $415.76 $581.02 $882.92	$650.64 $738.48 $831.52 $1162.04 $1765.84	$857.22 $945.06 $1038.10 $1368.62	$1063.80 $1151.64 $1244.68 $1575.20	$1270.38 $1358.22 $1451.26 $1781.78	$531.90 $575.82 $622.34 $787.60	$738.48 $782.40 $828.92 $994.18	$945.06 $988.98 $1035.50 $1200.76	$206.58
Plan: (POS) IND Platinum POS BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$356.37 $404.49 $455.45 $636.49 $967.20	$712.74 $808.98 $910.90 $1272.98 $1934.40	$939.04 $1035.28 $1137.20 $1499.28	$1165.34 $1261.58 $1363.50 $1725.58	$1391.64 $1487.88 $1589.80 $1951.88	$582.67 $630.79 $681.75 $862.79	$808.97 $857.09 $908.05 $1089.09	$1035.27 $1083.39 $1134.35 $1315.39	$226.30
Plan: (POS) Gym Access IND Platinum POS BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$361.09 $409.83 $461.47 $644.90 $979.99	$722.18 $819.66 $922.94 $1289.80 $1959.98	$951.47 $1048.95 $1152.23 $1519.09	$1180.76 $1278.24 $1381.52 $1748.38	$1410.05 $1507.53 $1610.81 $1977.67	$590.38 $639.12 $690.76 $874.19	$819.67 $868.41 $920.05 $1103.48	$1048.96 $1097.70 $1149.34 $1332.77	$229.29
Plan: (HMO) IND Platinum HMO BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$338.32 $383.99 $432.37 $604.23 $918.19	$676.64 $767.98 $864.74 $1208.46 $1836.38	$891.47 $982.81 $1079.57 $1423.29	$1106.30 $1197.64 $1294.40 $1638.12	$1321.13 $1412.47 $1509.23 $1852.95	$553.15 $598.82 $647.20 $819.06	$767.98 $813.65 $862.03 $1033.89	$982.81 $1028.48 $1076.86 $1248.72	$214.83
Plan: (HMO) Gym Access IND Platinum HMO BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$342.80 $389.08 $438.10 $612.24 $930.36	$685.60 $778.16 $876.20 $1224.48 $1860.72	$903.28 $995.84 $1093.88 $1442.16	$1120.96 $1213.52 $1311.56 $1659.84	$1338.64 $1431.20 $1529.24 $1877.52	$560.48 $606.76 $655.78 $829.92	$778.16 $824.44 $873.46 $1047.60	$995.84 $1042.12 $1091.14 $1265.28	$217.68
Plan: (POS) IND Platinum POS BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$375.44 $426.13 $479.82 $670.54 $1018.96	$750.88 $852.26 $959.64 $1341.08 $2037.92	$989.29 $1090.67 $1198.05 $1579.49	$1227.70 $1329.08 $1436.46 $1817.90	$1466.11 $1567.49 $1674.87 $2056.31	$613.85 $664.54 $718.23 $908.95	$852.26 $902.95 $956.64 $1147.36	$1090.67 $1141.36 $1195.05 $1385.77	$238.41
Plan: (POS) Gym Access IND Platinum POS BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$380.39 $431.74 $486.14 $679.38 $1032.38	$760.78 $863.48 $972.28 $1358.76 $2064.76	$1002.33 $1105.03 $1213.83 $1600.31	$1243.88 $1346.58 $1455.38 $1841.86	$1485.43 $1588.13 $1696.93 $2083.41	$621.94 $673.29 $727.69 $920.93	$863.49 $914.84 $969.24 $1162.48	$1105.04 $1156.39 $1210.79 $1404.03	$241.55
Plan: (HMO) IND Platinum HMO 91 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $250 : Family: $750 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$330.31 $374.90 $422.13 $589.93 $896.46	$660.62 $749.80 $844.26 $1179.86 $1792.92	$870.37 $959.55 $1054.01 $1389.61	$1080.12 $1169.30 $1263.76 $1599.36	$1289.87 $1379.05 $1473.51 $1809.11	$540.06 $584.65 $631.88 $799.68	$749.81 $794.40 $841.63 $1009.43	$959.56 $1004.15 $1051.38 $1219.18	$209.75
Plan: (HMO) Gym Access IND Platinum HMO 91 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $250 : Family: $750 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$334.70 $379.88 $427.74 $597.77 $908.36	$669.40 $759.76 $855.48 $1195.54 $1816.72	$881.93 $972.29 $1068.01 $1408.07	$1094.46 $1184.82 $1280.54 $1620.60	$1306.99 $1397.35 $1493.07 $1833.13	$547.23 $592.41 $640.27 $810.30	$759.76 $804.94 $852.80 $1022.83	$972.29 $1017.47 $1065.33 $1235.36	$212.53
Plan: (HMO) IND Platinum HMO 92 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $500 : Family: $1,000 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$325.75 $369.73 $416.31 $581.79 $884.09	$651.50 $739.46 $832.62 $1163.58 $1768.18	$858.35 $946.31 $1039.47 $1370.43	$1065.20 $1153.16 $1246.32 $1577.28	$1272.05 $1360.01 $1453.17 $1784.13	$532.60 $576.58 $623.16 $788.64	$739.45 $783.43 $830.01 $995.49	$946.30 $990.28 $1036.86 $1202.34	$206.85
Plan: (HMO) Gym Acccess IND Platinum HMO 92 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $500 : Family: $1,000 Out of Pocket Maximum per year: 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
Platinum	21 30 40 50 60	$330.08 $374.64 $421.84 $589.52 $895.83	$660.16 $749.28 $843.68 $1179.04 $1791.66	$869.76 $958.88 $1053.28 $1388.64	$1079.36 $1168.48 $1262.88 $1598.24	$1288.96 $1378.08 $1472.48 $1807.84	$539.68 $584.24 $631.44 $799.12	$749.28 $793.84 $841.04 $1008.72	$958.88 $1003.44 $1050.64 $1218.32	$209.60
ADVERTISEMENT
UnitedHealthcare of Florida, Inc. Local: 1-877-887-0441 \| Toll Free: 1-877-887-0441
Plan: (HMO) Gold Compass 1500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$323.37 $367.02 $413.26 $577.53 $877.61	$646.74 $734.04 $826.52 $1155.06 $1755.22	$852.08 $939.38 $1031.86 $1360.40	$1057.42 $1144.72 $1237.20 $1565.74	$1262.76 $1350.06 $1442.54 $1771.08	$528.71 $572.36 $618.60 $782.87	$734.05 $777.70 $823.94 $988.21	$939.39 $983.04 $1029.28 $1193.55	$205.34
Plan: (HMO) Gold Compass HSA 1600 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $1,600 : Family: $3,200 Out of Pocket Maximum per year: Individual: $3,500 : Family: $6,850 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$297.14 $337.25 $379.74 $530.68 $806.42	$594.28 $674.50 $759.48 $1061.36 $1612.84	$782.96 $863.18 $948.16 $1250.04	$971.64 $1051.86 $1136.84 $1438.72	$1160.32 $1240.54 $1325.52 $1627.40	$485.82 $525.93 $568.42 $719.36	$674.50 $714.61 $757.10 $908.04	$863.18 $903.29 $945.78 $1096.72	$188.68
Plan: (HMO) Silver Compass 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $4,000 : Family: $8,000 Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$272.09 $308.81 $347.72 $485.93 $738.42	$544.18 $617.62 $695.44 $971.86 $1476.84	$716.95 $790.39 $868.21 $1144.63	$889.72 $963.16 $1040.98 $1317.40	$1062.49 $1135.93 $1213.75 $1490.17	$444.86 $481.58 $520.49 $658.70	$617.63 $654.35 $693.26 $831.47	$790.40 $827.12 $866.03 $1004.24	$172.77
Plan: (HMO) Silver Compass HSA 3600 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $3,600 : Family: $7,200 Out of Pocket Maximum per year: Individual: $3,600 : Family: $7,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$274.05 $311.03 $350.22 $489.43 $743.73	$548.10 $622.06 $700.44 $978.86 $1487.46	$722.11 $796.07 $874.45 $1152.87	$896.12 $970.08 $1048.46 $1326.88	$1070.13 $1144.09 $1222.47 $1500.89	$448.06 $485.04 $524.23 $663.44	$622.07 $659.05 $698.24 $837.45	$796.08 $833.06 $872.25 $1011.46	$174.01
Plan: (HMO) Bronze Compass 4200 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $4,200 : Family: $8,400 Out of Pocket Maximum per year: Individual: $6,600 : Family: $13,200 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$232.16 $263.49 $296.68 $414.62 $630.05	$464.32 $526.98 $593.36 $829.24 $1260.10	$611.73 $674.39 $740.77 $976.65	$759.14 $821.80 $888.18 $1124.06	$906.55 $969.21 $1035.59 $1271.47	$379.57 $410.90 $444.09 $562.03	$526.98 $558.31 $591.50 $709.44	$674.39 $705.72 $738.91 $856.85	$147.41
Plan: (HMO) Bronze Compass 6400 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $6,400 : Family: $12,800 Out of Pocket Maximum per year: 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	$238.42 $270.60 $304.69 $425.80 $647.05	$476.84 $541.20 $609.38 $851.60 $1294.10	$628.23 $692.59 $760.77 $1002.99	$779.62 $843.98 $912.16 $1154.38	$931.01 $995.37 $1063.55 $1305.77	$389.81 $421.99 $456.08 $577.19	$541.20 $573.38 $607.47 $728.58	$692.59 $724.77 $758.86 $879.97	$151.39
Plan: (HMO) Catastrophic Compass 6850 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-887-0441 - Provider Directory for This Plan: (UnitedHealthcare of Florida, Inc.) Deductible: Individual: $6,850 : Family: $13,700 Out of Pocket Maximum per year: Individual: $6,850 : Family: $13,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$191.84 $217.72 $245.15 $342.60 $520.61	$383.68 $435.44 $490.30 $685.20 $1041.22	$505.49 $557.25 $612.11 $807.01	$627.30 $679.06 $733.92 $928.82	$749.11 $800.87 $855.73 $1050.63	$313.65 $339.53 $366.96 $464.41	$435.46 $461.34 $488.77 $586.22	$557.27 $583.15 $610.58 $708.03	$121.81

†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 Brevard County here.

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Suntree, FL

2016 Rates and Providers

Obamacare Providers, Plans and 2016 Rates for Brevard County

Blue Cross and Blue Shield of Florida

Plan: (EPO) BlueOptions Everyday Health 1423

Plan: (EPO) BlueOptions Essential 1419

Plan: (EPO) BlueOptions Everyday Health 1431

Plan: (EPO) BlueOptions Everyday Health 1418

Plan: (EPO) BlueOptions Everyday Health Premier 1418V

Plan: (EPO) BlueOptions Everyday Health 1416

Plan: (EPO) BlueOptions All Copay 1424

Plan: (EPO) BlueOptions Everyday Health 1410

Plan: (EPO) BlueOptions All Copay 1505

Plan: (EPO) BlueSelect Everyday Health 1456

Plan: (EPO) BlueSelect Essential 1452

Plan: (EPO) BlueSelect Everyday Health 1464

Plan: (EPO) BlueSelect Everyday Health 1451

Plan: (EPO) BlueSelect Everyday Health Premier 1451V

Plan: (EPO) BlueSelect Everyday Health 1449

Plan: (EPO) BlueSelect All Copay 1457

Plan: (EPO) BlueSelect Everyday Health 1443

Plan: (EPO) BlueSelect All Copay 1535

Health First Health Plans, Inc.

Plan: (HMO) Health First Gold HMO 100 1002

Plan: (HMO) Health First Gold HMO 90 1005

Plan: (HMO) Health First Gold HMO 80 1012

Plan: (HMO) Health First Gold HMO 80 1020

Plan: (HMO) Health First Gold HMO 80 1024

Plan: (HMO) Health First Gold HMO 70 1035

Plan: (HMO) Health First Silver HMO 100 1046

Plan: (HMO) Health First Silver HMO 100 1058

Plan: (HMO) Health First Silver HMO 90 1070

Plan: (HMO) Health First Silver HMO 80 1094

Plan: (HMO) Health First Silver HMO 80 1110

Plan: (HMO) Health First Silver HMO 70 1126

Plan: (HMO) Health First Silver HMO 70 1158

Plan: (HMO) Health First Bronze HMO 100 1251

Plan: (HMO) Health First Bronze HMO 90 1254

Plan: (HMO) Health First Bronze HMO 70 1261

Plan: (HMO) Health First Bronze HMO 70 1265

Plan: (HMO) Health First Catastrophic HMO 1268

Plan: (HMO) Health First Platinum HMO 100 1300

Plan: (HMO) Health First Platinum HMO 90 1301

Plan: (HMO) Health First Platinum HMO 80 1302

Plan: (POS) Health First Gold POS 100 1003

Plan: (POS) Health First Gold POS 90 1006

Plan: (POS) Health First Gold POS 80 1013

Plan: (POS) Health First Gold POS 80 1025

Plan: (POS) Health First Gold POS 70 1036

Plan: (POS) Health First Silver POS 100 1050

Plan: (POS) Health First Silver POS 90 1074

Plan: (POS) Health First Silver POS 80 1098

Plan: (POS) Health First Silver POS 70 1130

Plan: (POS) Health First Silver POS 70 1162

Plan: (POS) Health First Bronze POS 100 1252

Plan: (POS) Health First Bronze POS 70 1262

Plan: (POS) Health First Bronze POS 70 1266

Plan: (POS) Health First Catastrophic POS 1269

Health Options, Inc.

Plan: (HMO) BlueCare Everyday Health 1490

Plan: (HMO) BlueCare Essential 1486

Plan: (HMO) BlueCare Everyday Health 1498

Plan: (HMO) BlueCare Everyday Health 1485

Plan: (HMO) BlueCare Everyday Health 1483

Plan: (HMO) BlueCare All Copay 1491

Plan: (HMO) BlueCare Everyday Health 1477

Plan: (HMO) BlueCare All Copay 1565

Florida Health Care Plan, Inc.

Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36

Plan: (HMO) IND Essential Plus Catastrophic HMO 36

Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37

Plan: (POS) IND Essential Plus Catastrophic POS 37

Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53

Plan: (HMO) IND Essential Plus Silver HMO 53

Plan: (HMO) Gym Access IND Essential Plus Bronze HMO 41

Plan: (HMO) IND Essential Plus Bronze HMO 41

Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63

Plan: (HMO) IND Essential Plus Gold HMO 63