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 Maricopa County, Arizona.
Obamacare Providers, Plans and 2016 Rates for Maricopa County
Maricopa County is in “Rating Area 4” of Arizona.
Currently, there are 10 providers offering 119 plans to Rating Area 4. †
Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios for:
- Individual
- Couple
- Couple with 1 2 or 3 children
- Individual with 1 2 or 3 children
- A child alone
Each scenario is covered for age
- Age 21, 30, 40, 50
- Age 60 (Individual and Couple only)
For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:
- a summary of plan benefits and costs,
- a plan brochure, and
- a "Provider Directory" -- where you can find out which doctors and hospitals in the Phoenix, AZ area accept this insurance coverage as within the plan's "network".
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Humana Health Plan, Inc.Local: 1-877-720-4854 | Toll Free: 1-877-720-4854 TTY: 1-800-325-2028 |
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Plan: (HMO) Humana Basic 6850/Phoenix HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health Plan, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$132.98 $150.93 $169.95 $237.50 $360.91 |
$265.96 $301.86 $339.90 $475.00 $721.82 |
$350.40 $386.30 $424.34 $559.44 |
$434.84 $470.74 $508.78 $643.88 |
$519.28 $555.18 $593.22 $728.32 |
$217.42 $235.37 $254.39 $321.94 |
$301.86 $319.81 $338.83 $406.38 |
$386.30 $404.25 $423.27 $490.82 |
$84.44 |
Plan: (HMO) Humana Bronze 6450/Phoenix HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health Plan, Inc.)
Deductible: Individual:
$6,450
: Family:
$12,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$178.57 $202.68 $228.21 $318.93 $484.64 |
$357.14 $405.36 $456.42 $637.86 $969.28 |
$470.53 $518.75 $569.81 $751.25 |
$583.92 $632.14 $683.20 $864.64 |
$697.31 $745.53 $796.59 $978.03 |
$291.96 $316.07 $341.60 $432.32 |
$405.35 $429.46 $454.99 $545.71 |
$518.74 $542.85 $568.38 $659.10 |
$113.39 |
Plan: (HMO) Humana Silver 3800/Phoenix HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health Plan, Inc.)
Deductible: Individual:
$3,800
: Family:
$7,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$210.60 $239.03 $269.15 $376.13 $571.57 |
$421.20 $478.06 $538.30 $752.26 $1143.14 |
$554.93 $611.79 $672.03 $885.99 |
$688.66 $745.52 $805.76 $1019.72 |
$822.39 $879.25 $939.49 $1153.45 |
$344.33 $372.76 $402.88 $509.86 |
$478.06 $506.49 $536.61 $643.59 |
$611.79 $640.22 $670.34 $777.32 |
$133.73 |
Plan: (HMO) Humana Gold 2250/Phoenix HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health Plan, Inc.)
Deductible: Individual:
$2,250
: Family:
$4,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$249.80 $283.52 $319.24 $446.14 $677.96 |
$499.60 $567.04 $638.48 $892.28 $1355.92 |
$658.22 $725.66 $797.10 $1050.90 |
$816.84 $884.28 $955.72 $1209.52 |
$975.46 $1042.90 $1114.34 $1368.14 |
$408.42 $442.14 $477.86 $604.76 |
$567.04 $600.76 $636.48 $763.38 |
$725.66 $759.38 $795.10 $922.00 |
$158.62 |
Plan: (HMO) Humana Platinum 500/Phoenix HMOxSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-720-4854 - Provider Directory for This Plan: (Humana Health Plan, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$297.68 $337.87 $380.44 $531.66 $807.90 |
$595.36 $675.74 $760.88 $1063.32 $1615.80 |
$784.39 $864.77 $949.91 $1252.35 |
$973.42 $1053.80 $1138.94 $1441.38 |
$1162.45 $1242.83 $1327.97 $1630.41 |
$486.71 $526.90 $569.47 $720.69 |
$675.74 $715.93 $758.50 $909.72 |
$864.77 $904.96 $947.53 $1098.75 |
$189.03 |
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Blue Cross Blue Shield of Arizona, Inc.Local: 1-866-230-4760 x4899 | Toll Free: 1-866-230-4760 TTY: 1-602-864-4823 |
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Plan: (HMO) EverydayHealth HMO 1000 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$311.35 $353.38 $397.90 $556.07 $845.00 |
$622.70 $706.76 $795.80 $1112.14 $1690.00 |
$820.41 $904.47 $993.51 $1309.85 |
$1018.12 $1102.18 $1191.22 $1507.56 |
$1215.83 $1299.89 $1388.93 $1705.27 |
$509.06 $551.09 $595.61 $753.78 |
$706.77 $748.80 $793.32 $951.49 |
$904.48 $946.51 $991.03 $1149.20 |
$197.71 |
Plan: (HMO) EverydayHealth HMO 4000 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$250.57 $284.40 $320.23 $447.52 $680.05 |
$501.14 $568.80 $640.46 $895.04 $1360.10 |
$660.26 $727.92 $799.58 $1054.16 |
$819.38 $887.04 $958.70 $1213.28 |
$978.50 $1046.16 $1117.82 $1372.40 |
$409.69 $443.52 $479.35 $606.64 |
$568.81 $602.64 $638.47 $765.76 |
$727.93 $761.76 $797.59 $924.88 |
$159.12 |
Plan: (HMO) EverydayHealth HMO 6000 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$209.27 $237.52 $267.45 $373.76 $567.96 |
$418.54 $475.04 $534.90 $747.52 $1135.92 |
$551.43 $607.93 $667.79 $880.41 |
$684.32 $740.82 $800.68 $1013.30 |
$817.21 $873.71 $933.57 $1146.19 |
$342.16 $370.41 $400.34 $506.65 |
$475.05 $503.30 $533.23 $639.54 |
$607.94 $636.19 $666.12 $772.43 |
$132.89 |
Plan: (HMO) EverydayHealth HMO 1000 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$318.73 $361.76 $407.34 $569.25 $865.04 |
$637.46 $723.52 $814.68 $1138.50 $1730.08 |
$839.86 $925.92 $1017.08 $1340.90 |
$1042.26 $1128.32 $1219.48 $1543.30 |
$1244.66 $1330.72 $1421.88 $1745.70 |
$521.13 $564.16 $609.74 $771.65 |
$723.53 $766.56 $812.14 $974.05 |
$925.93 $968.96 $1014.54 $1176.45 |
$202.40 |
Plan: (HMO) EverydayHealth HMO 4000 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$256.52 $291.14 $327.83 $458.13 $696.17 |
$513.04 $582.28 $655.66 $916.26 $1392.34 |
$675.93 $745.17 $818.55 $1079.15 |
$838.82 $908.06 $981.44 $1242.04 |
$1001.71 $1070.95 $1144.33 $1404.93 |
$419.41 $454.03 $490.72 $621.02 |
$582.30 $616.92 $653.61 $783.91 |
$745.19 $779.81 $816.50 $946.80 |
$162.89 |
Plan: (HMO) EverydayHealth HMO 6000 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$214.23 $243.15 $273.78 $382.61 $581.41 |
$428.46 $486.30 $547.56 $765.22 $1162.82 |
$564.50 $622.34 $683.60 $901.26 |
$700.54 $758.38 $819.64 $1037.30 |
$836.58 $894.42 $955.68 $1173.34 |
$350.27 $379.19 $409.82 $518.65 |
$486.31 $515.23 $545.86 $654.69 |
$622.35 $651.27 $681.90 $790.73 |
$136.04 |
Plan: (HMO) Portfolio HSA HMO 1500 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$283.64 $321.93 $362.49 $506.58 $769.79 |
$567.28 $643.86 $724.98 $1013.16 $1539.58 |
$747.39 $823.97 $905.09 $1193.27 |
$927.50 $1004.08 $1085.20 $1373.38 |
$1107.61 $1184.19 $1265.31 $1553.49 |
$463.75 $502.04 $542.60 $686.69 |
$643.86 $682.15 $722.71 $866.80 |
$823.97 $862.26 $902.82 $1046.91 |
$180.11 |
Plan: (HMO) Portfolio HSA HMO 3250 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$3,250
: Family:
$6,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$210.33 $238.72 $268.79 $375.64 $570.81 |
$420.66 $477.44 $537.58 $751.28 $1141.62 |
$554.22 $611.00 $671.14 $884.84 |
$687.78 $744.56 $804.70 $1018.40 |
$821.34 $878.12 $938.26 $1151.96 |
$343.89 $372.28 $402.35 $509.20 |
$477.45 $505.84 $535.91 $642.76 |
$611.01 $639.40 $669.47 $776.32 |
$133.56 |
Plan: (HMO) Portfolio HSA HMO 5500 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$180.56 $204.94 $230.76 $322.48 $490.04 |
$361.12 $409.88 $461.52 $644.96 $980.08 |
$475.78 $524.54 $576.18 $759.62 |
$590.44 $639.20 $690.84 $874.28 |
$705.10 $753.86 $805.50 $988.94 |
$295.22 $319.60 $345.42 $437.14 |
$409.88 $434.26 $460.08 $551.80 |
$524.54 $548.92 $574.74 $666.46 |
$114.66 |
Plan: (HMO) Portfolio HSA HMO 6550 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,550
: Family:
$13,100 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$174.06 $197.56 $222.45 $310.87 $472.39 |
$348.12 $395.12 $444.90 $621.74 $944.78 |
$458.65 $505.65 $555.43 $732.27 |
$569.18 $616.18 $665.96 $842.80 |
$679.71 $726.71 $776.49 $953.33 |
$284.59 $308.09 $332.98 $421.40 |
$395.12 $418.62 $443.51 $531.93 |
$505.65 $529.15 $554.04 $642.46 |
$110.53 |
Plan: (HMO) Portfolio HSA HMO 1500 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$290.37 $329.57 $371.09 $518.59 $788.05 |
$580.74 $659.14 $742.18 $1037.18 $1576.10 |
$765.13 $843.53 $926.57 $1221.57 |
$949.52 $1027.92 $1110.96 $1405.96 |
$1133.91 $1212.31 $1295.35 $1590.35 |
$474.76 $513.96 $555.48 $702.98 |
$659.15 $698.35 $739.87 $887.37 |
$843.54 $882.74 $924.26 $1071.76 |
$184.39 |
Plan: (HMO) Portfolio HSA HMO 3250 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$3,250
: Family:
$6,500 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$215.31 $244.38 $275.17 $384.54 $584.34 |
$430.62 $488.76 $550.34 $769.08 $1168.68 |
$567.34 $625.48 $687.06 $905.80 |
$704.06 $762.20 $823.78 $1042.52 |
$840.78 $898.92 $960.50 $1179.24 |
$352.03 $381.10 $411.89 $521.26 |
$488.75 $517.82 $548.61 $657.98 |
$625.47 $654.54 $685.33 $794.70 |
$136.72 |
Plan: (HMO) Portfolio HSA HMO 5500 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$184.84 $209.80 $236.23 $330.13 $501.66 |
$369.68 $419.60 $472.46 $660.26 $1003.32 |
$487.06 $536.98 $589.84 $777.64 |
$604.44 $654.36 $707.22 $895.02 |
$721.82 $771.74 $824.60 $1012.40 |
$302.22 $327.18 $353.61 $447.51 |
$419.60 $444.56 $470.99 $564.89 |
$536.98 $561.94 $588.37 $682.27 |
$117.38 |
Plan: (HMO) Portfolio HSA HMO 6550 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,550
: Family:
$13,100 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$178.19 $202.24 $227.72 $318.24 $483.59 |
$356.38 $404.48 $455.44 $636.48 $967.18 |
$469.53 $517.63 $568.59 $749.63 |
$582.68 $630.78 $681.74 $862.78 |
$695.83 $743.93 $794.89 $975.93 |
$291.34 $315.39 $340.87 $431.39 |
$404.49 $428.54 $454.02 $544.54 |
$517.64 $541.69 $567.17 $657.69 |
$113.15 |
Plan: (HMO) SimpleHealth HMO 6850 - Alliance NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$151.07 $171.47 $193.07 $269.81 $410.00 |
$302.14 $342.94 $386.14 $539.62 $820.00 |
$398.07 $438.87 $482.07 $635.55 |
$494.00 $534.80 $578.00 $731.48 |
$589.93 $630.73 $673.93 $827.41 |
$247.00 $267.40 $289.00 $365.74 |
$342.93 $363.33 $384.93 $461.67 |
$438.86 $459.26 $480.86 $557.60 |
$95.93 |
Plan: (HMO) SimpleHealth HMO 6850 - Select NetworkSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-866-230-4760 - Provider Directory for This Plan: (Blue Cross Blue Shield of Arizona, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$154.65 $175.53 $197.65 $276.21 $419.72 |
$309.30 $351.06 $395.30 $552.42 $839.44 |
$407.51 $449.27 $493.51 $650.63 |
$505.72 $547.48 $591.72 $748.84 |
$603.93 $645.69 $689.93 $847.05 |
$252.86 $273.74 $295.86 $374.42 |
$351.07 $371.95 $394.07 $472.63 |
$449.28 $470.16 $492.28 $570.84 |
$98.21 |
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Meritus Health PartnersLocal: 1-602-957-2113 | Toll Free: 1-855-755-2700 TTY: 1-855-568-2800 |
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Plan: (HMO) Meritus Neighborhood Network Silver HMO MIHSSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$173.20 $196.58 $221.34 $309.33 $470.06 |
$346.40 $393.16 $442.68 $618.66 $940.12 |
$456.38 $503.14 $552.66 $728.64 |
$566.36 $613.12 $662.64 $838.62 |
$676.34 $723.10 $772.62 $948.60 |
$283.18 $306.56 $331.32 $419.31 |
$393.16 $416.54 $441.30 $529.29 |
$503.14 $526.52 $551.28 $639.27 |
$109.98 |
Plan: (HMO) Meritus Community Network Silver HMO BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$191.06 $216.85 $244.17 $341.23 $518.53 |
$382.12 $433.70 $488.34 $682.46 $1037.06 |
$503.44 $555.02 $609.66 $803.78 |
$624.76 $676.34 $730.98 $925.10 |
$746.08 $797.66 $852.30 $1046.42 |
$312.38 $338.17 $365.49 $462.55 |
$433.70 $459.49 $486.81 $583.87 |
$555.02 $580.81 $608.13 $705.19 |
$121.32 |
Plan: (HMO) Meritus Healthy Bronze Complete HMO 6800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$186.13 $211.25 $237.87 $332.42 $505.15 |
$372.26 $422.50 $475.74 $664.84 $1010.30 |
$490.45 $540.69 $593.93 $783.03 |
$608.64 $658.88 $712.12 $901.22 |
$726.83 $777.07 $830.31 $1019.41 |
$304.32 $329.44 $356.06 $450.61 |
$422.51 $447.63 $474.25 $568.80 |
$540.70 $565.82 $592.44 $686.99 |
$118.19 |
Plan: (HMO) Meritus Healthy Bronze HMO Banner 6800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$167.52 $190.13 $214.09 $299.19 $454.64 |
$335.04 $380.26 $428.18 $598.38 $909.28 |
$441.41 $486.63 $534.55 $704.75 |
$547.78 $593.00 $640.92 $811.12 |
$654.15 $699.37 $747.29 $917.49 |
$273.89 $296.50 $320.46 $405.56 |
$380.26 $402.87 $426.83 $511.93 |
$486.63 $509.24 $533.20 $618.30 |
$106.37 |
Plan: (HMO) Meritus Healthy Bronze HMO Abrazo 6800Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$154.24 $175.06 $197.11 $275.47 $418.60 |
$308.48 $350.12 $394.22 $550.94 $837.20 |
$406.42 $448.06 $492.16 $648.88 |
$504.36 $546.00 $590.10 $746.82 |
$602.30 $643.94 $688.04 $844.76 |
$252.18 $273.00 $295.05 $373.41 |
$350.12 $370.94 $392.99 $471.35 |
$448.06 $468.88 $490.93 $569.29 |
$97.94 |
Plan: (HMO) Meritus Healthy Silver Complete HMO 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$203.58 $231.06 $260.17 $363.59 $552.51 |
$407.16 $462.12 $520.34 $727.18 $1105.02 |
$536.43 $591.39 $649.61 $856.45 |
$665.70 $720.66 $778.88 $985.72 |
$794.97 $849.93 $908.15 $1114.99 |
$332.85 $360.33 $389.44 $492.86 |
$462.12 $489.60 $518.71 $622.13 |
$591.39 $618.87 $647.98 $751.40 |
$129.27 |
Plan: (HMO) Meritus Healthy Silver HMO Banner 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$183.22 $207.95 $234.15 $327.23 $497.25 |
$366.44 $415.90 $468.30 $654.46 $994.50 |
$482.78 $532.24 $584.64 $770.80 |
$599.12 $648.58 $700.98 $887.14 |
$715.46 $764.92 $817.32 $1003.48 |
$299.56 $324.29 $350.49 $443.57 |
$415.90 $440.63 $466.83 $559.91 |
$532.24 $556.97 $583.17 $676.25 |
$116.34 |
Plan: (HMO) Meritus Healthy Silver HMO Abrazo 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$168.69 $191.46 $215.58 $301.28 $457.82 |
$337.38 $382.92 $431.16 $602.56 $915.64 |
$444.49 $490.03 $538.27 $709.67 |
$551.60 $597.14 $645.38 $816.78 |
$658.71 $704.25 $752.49 $923.89 |
$275.80 $298.57 $322.69 $408.39 |
$382.91 $405.68 $429.80 $515.50 |
$490.02 $512.79 $536.91 $622.61 |
$107.11 |
Plan: (HMO) Meritus Healthy Silver HMO MIHS 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$163.71 $185.81 $209.22 $292.38 $444.30 |
$327.42 $371.62 $418.44 $584.76 $888.60 |
$431.37 $475.57 $522.39 $688.71 |
$535.32 $579.52 $626.34 $792.66 |
$639.27 $683.47 $730.29 $896.61 |
$267.66 $289.76 $313.17 $396.33 |
$371.61 $393.71 $417.12 $500.28 |
$475.56 $497.66 $521.07 $604.23 |
$103.95 |
Plan: (HMO) Meritus Healthy Gold Complete HMO Plus 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$249.69 $283.39 $319.10 $445.94 $677.65 |
$499.38 $566.78 $638.20 $891.88 $1355.30 |
$657.93 $725.33 $796.75 $1050.43 |
$816.48 $883.88 $955.30 $1208.98 |
$975.03 $1042.43 $1113.85 $1367.53 |
$408.24 $441.94 $477.65 $604.49 |
$566.79 $600.49 $636.20 $763.04 |
$725.34 $759.04 $794.75 $921.59 |
$158.55 |
Plan: (HMO) Meritus Healthy Gold HMO Plus Banner 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$225.31 $255.72 $287.94 $402.40 $611.49 |
$450.62 $511.44 $575.88 $804.80 $1222.98 |
$593.69 $654.51 $718.95 $947.87 |
$736.76 $797.58 $862.02 $1090.94 |
$879.83 $940.65 $1005.09 $1234.01 |
$368.38 $398.79 $431.01 $545.47 |
$511.45 $541.86 $574.08 $688.54 |
$654.52 $684.93 $717.15 $831.61 |
$143.07 |
Plan: (HMO) Meritus Healthy Gold HMO Plus Abrazo 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$207.92 $235.98 $265.72 $371.34 $564.29 |
$415.84 $471.96 $531.44 $742.68 $1128.58 |
$547.86 $603.98 $663.46 $874.70 |
$679.88 $736.00 $795.48 $1006.72 |
$811.90 $868.02 $927.50 $1138.74 |
$339.94 $368.00 $397.74 $503.36 |
$471.96 $500.02 $529.76 $635.38 |
$603.98 $632.04 $661.78 $767.40 |
$132.02 |
Plan: (HMO) Meritus Healthy Platinum Complete HMO Plus 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$296.16 $336.14 $378.49 $528.94 $803.77 |
$592.32 $672.28 $756.98 $1057.88 $1607.54 |
$780.38 $860.34 $945.04 $1245.94 |
$968.44 $1048.40 $1133.10 $1434.00 |
$1156.50 $1236.46 $1321.16 $1622.06 |
$484.22 $524.20 $566.55 $717.00 |
$672.28 $712.26 $754.61 $905.06 |
$860.34 $900.32 $942.67 $1093.12 |
$188.06 |
Plan: (HMO) Meritus Healthy Platinum HMO Plus MIHS 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$239.32 $271.62 $305.85 $427.42 $649.51 |
$478.64 $543.24 $611.70 $854.84 $1299.02 |
$630.60 $695.20 $763.66 $1006.80 |
$782.56 $847.16 $915.62 $1158.76 |
$934.52 $999.12 $1067.58 $1310.72 |
$391.28 $423.58 $457.81 $579.38 |
$543.24 $575.54 $609.77 $731.34 |
$695.20 $727.50 $761.73 $883.30 |
$151.96 |
Plan: (HMO) Meritus Healthy Platinum HMO Plus Banner 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$267.14 $303.20 $341.40 $477.11 $725.01 |
$534.28 $606.40 $682.80 $954.22 $1450.02 |
$703.91 $776.03 $852.43 $1123.85 |
$873.54 $945.66 $1022.06 $1293.48 |
$1043.17 $1115.29 $1191.69 $1463.11 |
$436.77 $472.83 $511.03 $646.74 |
$606.40 $642.46 $680.66 $816.37 |
$776.03 $812.09 $850.29 $986.00 |
$169.63 |
Plan: (HMO) Meritus Healthy Platinum HMO Plus Abrazo 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Platinum | 21 30 40 50 60 |
$246.42 $279.68 $314.92 $440.10 $668.78 |
$492.84 $559.36 $629.84 $880.20 $1337.56 |
$649.31 $715.83 $786.31 $1036.67 |
$805.78 $872.30 $942.78 $1193.14 |
$962.25 $1028.77 $1099.25 $1349.61 |
$402.89 $436.15 $471.39 $596.57 |
$559.36 $592.62 $627.86 $753.04 |
$715.83 $749.09 $784.33 $909.51 |
$156.47 |
Plan: (HMO) Meritus Healthy Gold HMO Plus MIHS 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-755-2700 - Provider Directory for This Plan: (Meritus Health Partners)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$201.95 $229.21 $258.09 $360.68 $548.09 |
$403.90 $458.42 $516.18 $721.36 $1096.18 |
$532.13 $586.65 $644.41 $849.59 |
$660.36 $714.88 $772.64 $977.82 |
$788.59 $843.11 $900.87 $1106.05 |
$330.18 $357.44 $386.32 $488.91 |
$458.41 $485.67 $514.55 $617.14 |
$586.64 $613.90 $642.78 $745.37 |
$128.23 |
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||||||||||
Phoenix Health Plans, Inc.Local: 1-855-463-7275 | Toll Free: 1-855-463-7275 TTY: 1-855-463-7279 |
||||||||||
Plan: (HMO) Phoenix Choice Gold HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$205.08 $232.77 $262.09 $366.28 $556.59 |
$410.16 $465.54 $524.18 $732.56 $1113.18 |
$540.39 $595.77 $654.41 $862.79 |
$670.62 $726.00 $784.64 $993.02 |
$800.85 $856.23 $914.87 $1123.25 |
$335.31 $363.00 $392.32 $496.51 |
$465.54 $493.23 $522.55 $626.74 |
$595.77 $623.46 $652.78 $756.97 |
$130.23 |
Plan: (HMO) Phoenix Choice Silver HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$168.63 $191.39 $215.51 $301.17 $457.66 |
$337.26 $382.78 $431.02 $602.34 $915.32 |
$444.34 $489.86 $538.10 $709.42 |
$551.42 $596.94 $645.18 $816.50 |
$658.50 $704.02 $752.26 $923.58 |
$275.71 $298.47 $322.59 $408.25 |
$382.79 $405.55 $429.67 $515.33 |
$489.87 $512.63 $536.75 $622.41 |
$107.08 |
Plan: (HMO) Phoenix Choice Bronze HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,150
: Family:
$12,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$135.40 $153.68 $173.05 $241.83 $367.48 |
$270.80 $307.36 $346.10 $483.66 $734.96 |
$356.78 $393.34 $432.08 $569.64 |
$442.76 $479.32 $518.06 $655.62 |
$528.74 $565.30 $604.04 $741.60 |
$221.38 $239.66 $259.03 $327.81 |
$307.36 $325.64 $345.01 $413.79 |
$393.34 $411.62 $430.99 $499.77 |
$85.98 |
Plan: (HMO) Phoenix Choice Catastrophic HMOSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$69.99 $79.44 $89.45 $125.01 $189.96 |
$139.98 $158.88 $178.90 $250.02 $379.92 |
$184.43 $203.33 $223.35 $294.47 |
$228.88 $247.78 $267.80 $338.92 |
$273.33 $292.23 $312.25 $383.37 |
$114.44 $123.89 $133.90 $169.46 |
$158.89 $168.34 $178.35 $213.91 |
$203.34 $212.79 $222.80 $258.36 |
$44.45 |
Plan: (HMO) Phoenix Choice Gold HMO + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$215.89 $245.03 $275.90 $385.57 $585.91 |
$431.78 $490.06 $551.80 $771.14 $1171.82 |
$568.87 $627.15 $688.89 $908.23 |
$705.96 $764.24 $825.98 $1045.32 |
$843.05 $901.33 $963.07 $1182.41 |
$352.98 $382.12 $412.99 $522.66 |
$490.07 $519.21 $550.08 $659.75 |
$627.16 $656.30 $687.17 $796.84 |
$137.09 |
Plan: (HMO) Phoenix Choice Silver HMO + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$179.35 $203.57 $229.21 $320.32 $486.76 |
$358.70 $407.14 $458.42 $640.64 $973.52 |
$472.59 $521.03 $572.31 $754.53 |
$586.48 $634.92 $686.20 $868.42 |
$700.37 $748.81 $800.09 $982.31 |
$293.24 $317.46 $343.10 $434.21 |
$407.13 $431.35 $456.99 $548.10 |
$521.02 $545.24 $570.88 $661.99 |
$113.89 |
Plan: (HMO) Phoenix Choice Gold HMO Abrazo and Phoenix Children's HospitalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$197.59 $224.27 $252.53 $352.90 $536.27 |
$395.18 $448.54 $505.06 $705.80 $1072.54 |
$520.65 $574.01 $630.53 $831.27 |
$646.12 $699.48 $756.00 $956.74 |
$771.59 $824.95 $881.47 $1082.21 |
$323.06 $349.74 $378.00 $478.37 |
$448.53 $475.21 $503.47 $603.84 |
$574.00 $600.68 $628.94 $729.31 |
$125.47 |
Plan: (HMO) Phoenix Choice Silver HMO Abrazo and Phoenix Children's HospitalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$162.80 $184.77 $208.05 $290.75 $441.83 |
$325.60 $369.54 $416.10 $581.50 $883.66 |
$428.98 $472.92 $519.48 $684.88 |
$532.36 $576.30 $622.86 $788.26 |
$635.74 $679.68 $726.24 $891.64 |
$266.18 $288.15 $311.43 $394.13 |
$369.56 $391.53 $414.81 $497.51 |
$472.94 $494.91 $518.19 $600.89 |
$103.38 |
Plan: (HMO) Phoenix Choice Bronze HMO Abrazo and Phoenix Children's HospitalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,150
: Family:
$12,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$128.53 $145.88 $164.26 $229.56 $348.84 |
$257.06 $291.76 $328.52 $459.12 $697.68 |
$338.68 $373.38 $410.14 $540.74 |
$420.30 $455.00 $491.76 $622.36 |
$501.92 $536.62 $573.38 $703.98 |
$210.15 $227.50 $245.88 $311.18 |
$291.77 $309.12 $327.50 $392.80 |
$373.39 $390.74 $409.12 $474.42 |
$81.62 |
Plan: (HMO) Phoenix Choice Catastrophic HMO Abrazo and Phoenix Children's HospitalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$67.15 $76.22 $85.82 $119.94 $182.25 |
$134.30 $152.44 $171.64 $239.88 $364.50 |
$176.94 $195.08 $214.28 $282.52 |
$219.58 $237.72 $256.92 $325.16 |
$262.22 $280.36 $299.56 $367.80 |
$109.79 $118.86 $128.46 $162.58 |
$152.43 $161.50 $171.10 $205.22 |
$195.07 $204.14 $213.74 $247.86 |
$42.64 |
Plan: (HMO) Phoenix Choice Gold HMO Abrazo and Phoenix Children’s Hospital + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$208.40 $236.53 $266.33 $372.20 $565.59 |
$416.80 $473.06 $532.66 $744.40 $1131.18 |
$549.13 $605.39 $664.99 $876.73 |
$681.46 $737.72 $797.32 $1009.06 |
$813.79 $870.05 $929.65 $1141.39 |
$340.73 $368.86 $398.66 $504.53 |
$473.06 $501.19 $530.99 $636.86 |
$605.39 $633.52 $663.32 $769.19 |
$132.33 |
Plan: (HMO) Phoenix Choice Silver HMO Abrazo and Phoenix Children's Hospital + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$173.52 $196.95 $221.76 $309.91 $470.93 |
$347.04 $393.90 $443.52 $619.82 $941.86 |
$457.23 $504.09 $553.71 $730.01 |
$567.42 $614.28 $663.90 $840.20 |
$677.61 $724.47 $774.09 $950.39 |
$283.71 $307.14 $331.95 $420.10 |
$393.90 $417.33 $442.14 $530.29 |
$504.09 $527.52 $552.33 $640.48 |
$110.19 |
Plan: (HMO) Phoenix Choice Gold HMO AbrazoSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$194.67 $220.95 $248.79 $347.68 $528.33 |
$389.34 $441.90 $497.58 $695.36 $1056.66 |
$512.95 $565.51 $621.19 $818.97 |
$636.56 $689.12 $744.80 $942.58 |
$760.17 $812.73 $868.41 $1066.19 |
$318.28 $344.56 $372.40 $471.29 |
$441.89 $468.17 $496.01 $594.90 |
$565.50 $591.78 $619.62 $718.51 |
$123.61 |
Plan: (HMO) Phoenix Choice Silver HMO AbrazoSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$159.69 $181.25 $204.09 $285.21 $433.41 |
$319.38 $362.50 $408.18 $570.42 $866.82 |
$420.78 $463.90 $509.58 $671.82 |
$522.18 $565.30 $610.98 $773.22 |
$623.58 $666.70 $712.38 $874.62 |
$261.09 $282.65 $305.49 $386.61 |
$362.49 $384.05 $406.89 $488.01 |
$463.89 $485.45 $508.29 $589.41 |
$101.40 |
Plan: (HMO) Phoenix Choice Bronze HMO AbrazoSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,150
: Family:
$12,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$126.13 $143.16 $161.19 $225.27 $342.31 |
$252.26 $286.32 $322.38 $450.54 $684.62 |
$332.35 $366.41 $402.47 $530.63 |
$412.44 $446.50 $482.56 $610.72 |
$492.53 $526.59 $562.65 $690.81 |
$206.22 $223.25 $241.28 $305.36 |
$286.31 $303.34 $321.37 $385.45 |
$366.40 $383.43 $401.46 $465.54 |
$80.09 |
Plan: (HMO) Phoenix Choice Catastrophic HMO AbrazoSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$65.72 $74.60 $83.99 $117.38 $178.37 |
$131.44 $149.20 $167.98 $234.76 $356.74 |
$173.17 $190.93 $209.71 $276.49 |
$214.90 $232.66 $251.44 $318.22 |
$256.63 $274.39 $293.17 $359.95 |
$107.45 $116.33 $125.72 $159.11 |
$149.18 $158.06 $167.45 $200.84 |
$190.91 $199.79 $209.18 $242.57 |
$41.73 |
Plan: (HMO) Phoenix Choice Gold HMO Abrazo + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$1,800
: Family:
$3,600 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 |
$205.47 $233.21 $262.59 $366.97 $557.65 |
$410.94 $466.42 $525.18 $733.94 $1115.30 |
$541.41 $596.89 $655.65 $864.41 |
$671.88 $727.36 $786.12 $994.88 |
$802.35 $857.83 $916.59 $1125.35 |
$335.94 $363.68 $393.06 $497.44 |
$466.41 $494.15 $523.53 $627.91 |
$596.88 $624.62 $654.00 $758.38 |
$130.47 |
Plan: (HMO) Phoenix Choice Silver HMO Abrazo + Dental/VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-463-7275 - Provider Directory for This Plan: (Phoenix Health Plans, Inc.)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$170.42 $193.42 $217.79 $304.36 $462.51 |
$340.84 $386.84 $435.58 $608.72 $925.02 |
$449.05 $495.05 $543.79 $716.93 |
$557.26 $603.26 $652.00 $825.14 |
$665.47 $711.47 $760.21 $933.35 |
$278.63 $301.63 $326.00 $412.57 |
$386.84 $409.84 $434.21 $520.78 |
$495.05 $518.05 $542.42 $628.99 |
$108.21 |
ADVERTISEMENT
|
||||||||||
Health Choice Insurance Co.Local: 1-480-800-6700 | Toll Free: 1-855-452-4242 TTY: 1-800-367-8939 |
||||||||||
Plan: (HMO) Health Choice Essential SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$195.99 $222.45 $250.48 $350.04 $531.92 |
$391.98 $444.90 $500.96 $700.08 $1063.84 |
$516.43 $569.35 $625.41 $824.53 |
$640.88 $693.80 $749.86 $948.98 |
$765.33 $818.25 $874.31 $1073.43 |
$320.44 $346.90 $374.93 $474.49 |
$444.89 $471.35 $499.38 $598.94 |
$569.34 $595.80 $623.83 $723.39 |
$124.45 |
Plan: (HMO) Health Choice Essential BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$174.96 $198.58 $223.60 $312.48 $474.84 |
$349.92 $397.16 $447.20 $624.96 $949.68 |
$461.02 $508.26 $558.30 $736.06 |
$572.12 $619.36 $669.40 $847.16 |
$683.22 $730.46 $780.50 $958.26 |
$286.06 $309.68 $334.70 $423.58 |
$397.16 $420.78 $445.80 $534.68 |
$508.26 $531.88 $556.90 $645.78 |
$111.10 |
Plan: (HMO) Health Choice Essential BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$116.48 $132.20 $148.86 $208.03 $316.13 |
$232.96 $264.40 $297.72 $416.06 $632.26 |
$306.92 $338.36 $371.68 $490.02 |
$380.88 $412.32 $445.64 $563.98 |
$454.84 $486.28 $519.60 $637.94 |
$190.44 $206.16 $222.82 $281.99 |
$264.40 $280.12 $296.78 $355.95 |
$338.36 $354.08 $370.74 $429.91 |
$73.96 |
Plan: (HMO) Health Choice Value GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$196.37 $222.88 $250.96 $350.72 $532.95 |
$392.74 $445.76 $501.92 $701.44 $1065.90 |
$517.43 $570.45 $626.61 $826.13 |
$642.12 $695.14 $751.30 $950.82 |
$766.81 $819.83 $875.99 $1075.51 |
$321.06 $347.57 $375.65 $475.41 |
$445.75 $472.26 $500.34 $600.10 |
$570.44 $596.95 $625.03 $724.79 |
$124.69 |
Plan: (HMO) Health Choice Value SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$164.60 $186.82 $210.36 $293.98 $446.72 |
$329.20 $373.64 $420.72 $587.96 $893.44 |
$433.72 $478.16 $525.24 $692.48 |
$538.24 $582.68 $629.76 $797.00 |
$642.76 $687.20 $734.28 $901.52 |
$269.12 $291.34 $314.88 $398.50 |
$373.64 $395.86 $419.40 $503.02 |
$478.16 $500.38 $523.92 $607.54 |
$104.52 |
Plan: (HMO) Health Choice Value BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$137.81 $156.41 $176.12 $246.13 $374.02 |
$275.62 $312.82 $352.24 $492.26 $748.04 |
$363.13 $400.33 $439.75 $579.77 |
$450.64 $487.84 $527.26 $667.28 |
$538.15 $575.35 $614.77 $754.79 |
$225.32 $243.92 $263.63 $333.64 |
$312.83 $331.43 $351.14 $421.15 |
$400.34 $418.94 $438.65 $508.66 |
$87.51 |
Plan: (HMO) Health Choice Value BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$95.72 $108.64 $122.33 $170.96 $259.78 |
$191.44 $217.28 $244.66 $341.92 $519.56 |
$252.22 $278.06 $305.44 $402.70 |
$313.00 $338.84 $366.22 $463.48 |
$373.78 $399.62 $427.00 $524.26 |
$156.50 $169.42 $183.11 $231.74 |
$217.28 $230.20 $243.89 $292.52 |
$278.06 $290.98 $304.67 $353.30 |
$60.78 |
Plan: (HMO) Health Choice Total Wellness SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-452-4242 - Provider Directory for This Plan: (Health Choice Insurance Co.)
Deductible: Individual:
$3,100
: Family:
$6,200 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 |
$161.90 $183.76 $206.91 $289.15 $439.40 |
$323.80 $367.52 $413.82 $578.30 $878.80 |
$426.61 $470.33 $516.63 $681.11 |
$529.42 $573.14 $619.44 $783.92 |
$632.23 $675.95 $722.25 $886.73 |
$264.71 $286.57 $309.72 $391.96 |
$367.52 $389.38 $412.53 $494.77 |
$470.33 $492.19 $515.34 $597.58 |
$102.81 |
ADVERTISEMENT
|
||||||||||
Aetna Health Inc. (a PA corp.)Local: 1-877-336-3915 | Toll Free: 1-877-336-3915 |
||||||||||
Plan: (HMO) Aetna Leap Everyday ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$5,250
: Family:
$10,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$216.75 $246.01 $277.00 $387.11 $588.25 |
$433.50 $492.02 $554.00 $774.22 $1176.50 |
$571.14 $629.66 $691.64 $911.86 |
$708.78 $767.30 $829.28 $1049.50 |
$846.42 $904.94 $966.92 $1187.14 |
$354.39 $383.65 $414.64 $524.75 |
$492.03 $521.29 $552.28 $662.39 |
$629.67 $658.93 $689.92 $800.03 |
$137.64 |
Plan: (HMO) Aetna Leap Everyday Plus ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$4,510
: Family:
$9,020 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$232.81 $264.24 $297.53 $415.80 $631.85 |
$465.62 $528.48 $595.06 $831.60 $1263.70 |
$613.46 $676.32 $742.90 $979.44 |
$761.30 $824.16 $890.74 $1127.28 |
$909.14 $972.00 $1038.58 $1275.12 |
$380.65 $412.08 $445.37 $563.64 |
$528.49 $559.92 $593.21 $711.48 |
$676.33 $707.76 $741.05 $859.32 |
$147.84 |
Plan: (HMO) Aetna Leap Basic Plus ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$157.42 $178.67 $201.19 $281.16 $427.25 |
$314.84 $357.34 $402.38 $562.32 $854.50 |
$414.80 $457.30 $502.34 $662.28 |
$514.76 $557.26 $602.30 $762.24 |
$614.72 $657.22 $702.26 $862.20 |
$257.38 $278.63 $301.15 $381.12 |
$357.34 $378.59 $401.11 $481.08 |
$457.30 $478.55 $501.07 $581.04 |
$99.96 |
Plan: (HMO) Aetna Leap Basic ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple 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 |
$152.58 $173.18 $195.00 $272.51 $414.10 |
$305.16 $346.36 $390.00 $545.02 $828.20 |
$402.05 $443.25 $486.89 $641.91 |
$498.94 $540.14 $583.78 $738.80 |
$595.83 $637.03 $680.67 $835.69 |
$249.47 $270.07 $291.89 $369.40 |
$346.36 $366.96 $388.78 $466.29 |
$443.25 $463.85 $485.67 $563.18 |
$96.89 |
Plan: (HMO) Aetna Leap Basic HSA ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$6,450
: 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 |
$157.00 $178.20 $200.65 $280.41 $426.11 |
$314.00 $356.40 $401.30 $560.82 $852.22 |
$413.70 $456.10 $501.00 $660.52 |
$513.40 $555.80 $600.70 $760.22 |
$613.10 $655.50 $700.40 $859.92 |
$256.70 $277.90 $300.35 $380.11 |
$356.40 $377.60 $400.05 $479.81 |
$456.10 $477.30 $499.75 $579.51 |
$99.70 |
Plan: (HMO) Aetna Leap Specialty ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$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 |
$279.82 $317.59 $357.61 $499.76 $759.43 |
$559.64 $635.18 $715.22 $999.52 $1518.86 |
$737.32 $812.86 $892.90 $1177.20 |
$915.00 $990.54 $1070.58 $1354.88 |
$1092.68 $1168.22 $1248.26 $1532.56 |
$457.50 $495.27 $535.29 $677.44 |
$635.18 $672.95 $712.97 $855.12 |
$812.86 $850.63 $890.65 $1032.80 |
$177.68 |
Plan: (HMO) Aetna Leap Diabetes ‚Ä́ BannerSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-336-3915 - Provider Directory for This Plan: (Aetna Health Inc. (a PA corp.))
Deductible: Individual:
$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 |
$291.85 $331.25 $372.99 $521.25 $792.08 |
$583.70 $662.50 $745.98 $1042.50 $1584.16 |
$769.03 $847.83 $931.31 $1227.83 |
$954.36 $1033.16 $1116.64 $1413.16 |
$1139.69 $1218.49 $1301.97 $1598.49 |
$477.18 $516.58 $558.32 $706.58 |
$662.51 $701.91 $743.65 $891.91 |
$847.84 $887.24 $928.98 $1077.24 |
$185.33 |
ADVERTISEMENT
|
||||||||||
Health Net of Arizona, Inc.Local: 1-877-288-9085 | Toll Free: 1-877-288-9085 TTY: 1-888-926-5180 |
||||||||||
Plan: (HMO) CommunityCare HMO Gold $30/$60/$6000/$375 with Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$254.53 $288.90 $325.29 $454.60 $690.80 |
$509.06 $577.80 $650.58 $909.20 $1381.60 |
$670.69 $739.43 $812.21 $1070.83 |
$832.32 $901.06 $973.84 $1232.46 |
$993.95 $1062.69 $1135.47 $1394.09 |
$416.16 $450.53 $486.92 $616.23 |
$577.79 $612.16 $648.55 $777.86 |
$739.42 $773.79 $810.18 $939.49 |
$161.63 |
Plan: (HMO) CommunityCare HMO Silver $30/$50/$4500 with Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$219.77 $249.43 $280.86 $392.50 $596.44 |
$439.54 $498.86 $561.72 $785.00 $1192.88 |
$579.09 $638.41 $701.27 $924.55 |
$718.64 $777.96 $840.82 $1064.10 |
$858.19 $917.51 $980.37 $1203.65 |
$359.32 $388.98 $420.41 $532.05 |
$498.87 $528.53 $559.96 $671.60 |
$638.42 $668.08 $699.51 $811.15 |
$139.55 |
Plan: (HMO) CommunityCare HMO Gold $30/$60/$6000/$375 without Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$250.56 $284.38 $320.21 $447.50 $680.01 |
$501.12 $568.76 $640.42 $895.00 $1360.02 |
$660.22 $727.86 $799.52 $1054.10 |
$819.32 $886.96 $958.62 $1213.20 |
$978.42 $1046.06 $1117.72 $1372.30 |
$409.66 $443.48 $479.31 $606.60 |
$568.76 $602.58 $638.41 $765.70 |
$727.86 $761.68 $797.51 $924.80 |
$159.10 |
Plan: (HMO) CommunityCare HMO Silver $30/$50/$4500 without Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$216.33 $245.54 $276.47 $386.37 $587.13 |
$432.66 $491.08 $552.94 $772.74 $1174.26 |
$570.03 $628.45 $690.31 $910.11 |
$707.40 $765.82 $827.68 $1047.48 |
$844.77 $903.19 $965.05 $1184.85 |
$353.70 $382.91 $413.84 $523.74 |
$491.07 $520.28 $551.21 $661.11 |
$628.44 $657.65 $688.58 $798.48 |
$137.37 |
Plan: (HMO) CommunityCare HMO Bronze 40%/40%/$5750 with Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$5,750
: Family:
$11,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$198.25 $225.02 $253.37 $354.08 $538.06 |
$396.50 $450.04 $506.74 $708.16 $1076.12 |
$522.39 $575.93 $632.63 $834.05 |
$648.28 $701.82 $758.52 $959.94 |
$774.17 $827.71 $884.41 $1085.83 |
$324.14 $350.91 $379.26 $479.97 |
$450.03 $476.80 $505.15 $605.86 |
$575.92 $602.69 $631.04 $731.75 |
$125.89 |
Plan: (HMO) CommunityCare HMO Bronze 40%/40%/$5750 without Pediatric DentalSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-288-9085 - Provider Directory for This Plan: (Health Net of Arizona, Inc.)
Deductible: Individual:
$5,750
: Family:
$11,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$195.16 $221.50 $249.41 $348.55 $529.66 |
$390.32 $443.00 $498.82 $697.10 $1059.32 |
$514.24 $566.92 $622.74 $821.02 |
$638.16 $690.84 $746.66 $944.94 |
$762.08 $814.76 $870.58 $1068.86 |
$319.08 $345.42 $373.33 $472.47 |
$443.00 $469.34 $497.25 $596.39 |
$566.92 $593.26 $621.17 $720.31 |
$123.92 |
ADVERTISEMENT
|
||||||||||
Cigna HealthCare of Arizona, IncLocal: 1-877-900-1237 | Toll Free: 1-877-900-1237 |
||||||||||
Plan: (HMO) Cigna Connect HSA Bronze 6000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$6,000
: Family:
$12,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$172.06 $195.29 $219.89 $307.30 $466.97 |
$344.12 $390.58 $439.78 $614.60 $933.94 |
$453.38 $499.84 $549.04 $723.86 |
$562.64 $609.10 $658.30 $833.12 |
$671.90 $718.36 $767.56 $942.38 |
$281.32 $304.55 $329.15 $416.56 |
$390.58 $413.81 $438.41 $525.82 |
$499.84 $523.07 $547.67 $635.08 |
$109.26 |
Plan: (HMO) Cigna Connect Flex Bronze 6400Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$6,400
: Family:
$12,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$177.14 $201.06 $226.39 $316.38 $480.77 |
$354.28 $402.12 $452.78 $632.76 $961.54 |
$466.77 $514.61 $565.27 $745.25 |
$579.26 $627.10 $677.76 $857.74 |
$691.75 $739.59 $790.25 $970.23 |
$289.63 $313.55 $338.88 $428.87 |
$402.12 $426.04 $451.37 $541.36 |
$514.61 $538.53 $563.86 $653.85 |
$112.49 |
Plan: (HMO) Cigna Connect HSA Silver 2700Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$2,700
: Family:
$5,400 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$202.83 $230.21 $259.21 $362.25 $550.47 |
$405.66 $460.42 $518.42 $724.50 $1100.94 |
$534.46 $589.22 $647.22 $853.30 |
$663.26 $718.02 $776.02 $982.10 |
$792.06 $846.82 $904.82 $1110.90 |
$331.63 $359.01 $388.01 $491.05 |
$460.43 $487.81 $516.81 $619.85 |
$589.23 $616.61 $645.61 $748.65 |
$128.80 |
Plan: (HMO) Cigna Connect Flex Silver 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$219.85 $249.53 $280.97 $392.66 $596.68 |
$439.70 $499.06 $561.94 $785.32 $1193.36 |
$579.31 $638.67 $701.55 $924.93 |
$718.92 $778.28 $841.16 $1064.54 |
$858.53 $917.89 $980.77 $1204.15 |
$359.46 $389.14 $420.58 $532.27 |
$499.07 $528.75 $560.19 $671.88 |
$638.68 $668.36 $699.80 $811.49 |
$139.61 |
Plan: (HMO) Cigna Connect Flex Silver 4000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$4,000
: Family:
$8,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$211.11 $239.61 $269.79 $377.04 $572.94 |
$422.22 $479.22 $539.58 $754.08 $1145.88 |
$556.27 $613.27 $673.63 $888.13 |
$690.32 $747.32 $807.68 $1022.18 |
$824.37 $881.37 $941.73 $1156.23 |
$345.16 $373.66 $403.84 $511.09 |
$479.21 $507.71 $537.89 $645.14 |
$613.26 $641.76 $671.94 $779.19 |
$134.05 |
Plan: (HMO) Cigna Connect Flex Silver 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$209.26 $237.51 $267.43 $373.73 $567.93 |
$418.52 $475.02 $534.86 $747.46 $1135.86 |
$551.40 $607.90 $667.74 $880.34 |
$684.28 $740.78 $800.62 $1013.22 |
$817.16 $873.66 $933.50 $1146.10 |
$342.14 $370.39 $400.31 $506.61 |
$475.02 $503.27 $533.19 $639.49 |
$607.90 $636.15 $666.07 $772.37 |
$132.88 |
Plan: (HMO) Cigna Connect Flex Gold 1500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-900-1237 - Provider Directory for This Plan: (Cigna HealthCare of Arizona, Inc)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$259.41 $294.43 $331.53 $463.31 $704.04 |
$518.82 $588.86 $663.06 $926.62 $1408.08 |
$683.55 $753.59 $827.79 $1091.35 |
$848.28 $918.32 $992.52 $1256.08 |
$1013.01 $1083.05 $1157.25 $1420.81 |
$424.14 $459.16 $496.26 $628.04 |
$588.87 $623.89 $660.99 $792.77 |
$753.60 $788.62 $825.72 $957.50 |
$164.73 |
ADVERTISEMENT
|
||||||||||
All Savers Insurance CompanyLocal: 1-877-512-9939 | Toll Free: 1-877-512-9939 |
||||||||||
Plan: (PPO) Bronze Compass Plus 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$177.45 $201.40 $226.78 $316.92 $481.59 |
$354.90 $402.80 $453.56 $633.84 $963.18 |
$467.58 $515.48 $566.24 $746.52 |
$580.26 $628.16 $678.92 $859.20 |
$692.94 $740.84 $791.60 $971.88 |
$290.13 $314.08 $339.46 $429.60 |
$402.81 $426.76 $452.14 $542.28 |
$515.49 $539.44 $564.82 $654.96 |
$112.68 |
Plan: (PPO) Bronze Compass Plus HSA 5500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$5,500
: Family:
$11,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$168.77 $191.55 $215.69 $301.42 $458.04 |
$337.54 $383.10 $431.38 $602.84 $916.08 |
$444.71 $490.27 $538.55 $710.01 |
$551.88 $597.44 $645.72 $817.18 |
$659.05 $704.61 $752.89 $924.35 |
$275.94 $298.72 $322.86 $408.59 |
$383.11 $405.89 $430.03 $515.76 |
$490.28 $513.06 $537.20 $622.93 |
$107.17 |
Plan: (PPO) Catastrophic Compass Plus 6850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$6,850
: Family:
$13,700 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$156.58 $177.72 $200.11 $279.66 $424.96 |
$313.16 $355.44 $400.22 $559.32 $849.92 |
$412.59 $454.87 $499.65 $658.75 |
$512.02 $554.30 $599.08 $758.18 |
$611.45 $653.73 $698.51 $857.61 |
$256.01 $277.15 $299.54 $379.09 |
$355.44 $376.58 $398.97 $478.52 |
$454.87 $476.01 $498.40 $577.95 |
$99.43 |
Plan: (PPO) Gold Compass Plus 1000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$233.43 $264.94 $298.32 $416.90 $633.52 |
$466.86 $529.88 $596.64 $833.80 $1267.04 |
$615.09 $678.11 $744.87 $982.03 |
$763.32 $826.34 $893.10 $1130.26 |
$911.55 $974.57 $1041.33 $1278.49 |
$381.66 $413.17 $446.55 $565.13 |
$529.89 $561.40 $594.78 $713.36 |
$678.12 $709.63 $743.01 $861.59 |
$148.23 |
Plan: (PPO) Gold Compass Plus 500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$500
: Family:
$1,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$232.81 $264.24 $297.53 $415.79 $631.84 |
$465.62 $528.48 $595.06 $831.58 $1263.68 |
$613.45 $676.31 $742.89 $979.41 |
$761.28 $824.14 $890.72 $1127.24 |
$909.11 $971.97 $1038.55 $1275.07 |
$380.64 $412.07 $445.36 $563.62 |
$528.47 $559.90 $593.19 $711.45 |
$676.30 $707.73 $741.02 $859.28 |
$147.83 |
Plan: (PPO) Silver Compass Plus 2000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$203.27 $230.71 $259.78 $363.04 $551.67 |
$406.54 $461.42 $519.56 $726.08 $1103.34 |
$535.61 $590.49 $648.63 $855.15 |
$664.68 $719.56 $777.70 $984.22 |
$793.75 $848.63 $906.77 $1113.29 |
$332.34 $359.78 $388.85 $492.11 |
$461.41 $488.85 $517.92 $621.18 |
$590.48 $617.92 $646.99 $750.25 |
$129.07 |
Plan: (PPO) Silver Compass Plus HSA 3000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$194.59 $220.86 $248.69 $347.54 $528.12 |
$389.18 $441.72 $497.38 $695.08 $1056.24 |
$512.75 $565.29 $620.95 $818.65 |
$636.32 $688.86 $744.52 $942.22 |
$759.89 $812.43 $868.09 $1065.79 |
$318.16 $344.43 $372.26 $471.11 |
$441.73 $468.00 $495.83 $594.68 |
$565.30 $591.57 $619.40 $718.25 |
$123.57 |
Plan: (PPO) Silver Compass Plus 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$204.30 $231.88 $261.10 $364.88 $554.47 |
$408.60 $463.76 $522.20 $729.76 $1108.94 |
$538.33 $593.49 $651.93 $859.49 |
$668.06 $723.22 $781.66 $989.22 |
$797.79 $852.95 $911.39 $1118.95 |
$334.03 $361.61 $390.83 $494.61 |
$463.76 $491.34 $520.56 $624.34 |
$593.49 $621.07 $650.29 $754.07 |
$129.73 |
Plan: (PPO) Silver Compass Plus 2000-1Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$202.23 $229.54 $258.46 $361.19 $548.87 |
$404.46 $459.08 $516.92 $722.38 $1097.74 |
$532.88 $587.50 $645.34 $850.80 |
$661.30 $715.92 $773.76 $979.22 |
$789.72 $844.34 $902.18 $1107.64 |
$330.65 $357.96 $386.88 $489.61 |
$459.07 $486.38 $515.30 $618.03 |
$587.49 $614.80 $643.72 $746.45 |
$128.42 |
Plan: (PPO) Gold Compass Plus 0Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$0
: Family:
$0 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$231.77 $263.06 $296.21 $413.95 $629.04 |
$463.54 $526.12 $592.42 $827.90 $1258.08 |
$610.72 $673.30 $739.60 $975.08 |
$757.90 $820.48 $886.78 $1122.26 |
$905.08 $967.66 $1033.96 $1269.44 |
$378.95 $410.24 $443.39 $561.13 |
$526.13 $557.42 $590.57 $708.31 |
$673.31 $704.60 $737.75 $855.49 |
$147.18 |
Plan: (PPO) Silver Compass Plus 4500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-512-9939 - Provider Directory for This Plan: (All Savers Insurance Company)
Deductible: Individual:
$4,500
: Family:
$9,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$209.46 $237.74 $267.70 $374.10 $568.49 |
$418.92 $475.48 $535.40 $748.20 $1136.98 |
$551.93 $608.49 $668.41 $881.21 |
$684.94 $741.50 $801.42 $1014.22 |
$817.95 $874.51 $934.43 $1147.23 |
$342.47 $370.75 $400.71 $507.11 |
$475.48 $503.76 $533.72 $640.12 |
$608.49 $636.77 $666.73 $773.13 |
$133.01 |
†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 Maricopa County here.