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Providers for Zip Code 85621

LegalConsumer.com/obamacare

ObamacareByZipCode.com

Obamacare 2016 Marketplace Rates For Santa Cruz County, Arizona

Thursday, April 25th, 2024


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 Santa Cruz County, Arizona.

Obamacare Providers, Plans and 2016 Rates for Santa Cruz County

Santa Cruz County is in “Rating Area 6” of Arizona.

Currently, there are 10 providers offering 124 plans to Rating Area 6. †

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 Nogales, AZ area accept this insurance coverage as within the plan's "network".
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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

Plan: (HMO) EverydayHealth HMO 4000 - Statewide Network

Summary 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
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		 $258.39
$293.27
$330.22
$461.48
$701.26		 $516.78
$586.54
$660.44
$922.96
$1402.52		 $680.86
$750.62
$824.52
$1087.04		 $844.94
$914.70
$988.60
$1251.12		 $1009.02
$1078.78
$1152.68
$1415.20		 $422.47
$457.35
$494.30
$625.56		 $586.55
$621.43
$658.38
$789.64		 $750.63
$785.51
$822.46
$953.72		 $164.08

Plan: (HMO) EverydayHealth HMO 6000 - Statewide Network

Summary 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
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		 $215.80
$244.93
$275.79
$385.41
$585.67		 $431.60
$489.86
$551.58
$770.82
$1171.34		 $568.63
$626.89
$688.61
$907.85		 $705.66
$763.92
$825.64
$1044.88		 $842.69
$900.95
$962.67
$1181.91		 $352.83
$381.96
$412.82
$522.44		 $489.86
$518.99
$549.85
$659.47		 $626.89
$656.02
$686.88
$796.50		 $137.03

Plan: (HMO) Portfolio HSA HMO 3250 - Statewide Network

Summary 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
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
Silver 21
30
40
50
60		 $216.88
$246.16
$277.18
$387.35
$588.61		 $433.76
$492.32
$554.36
$774.70
$1177.22		 $571.48
$630.04
$692.08
$912.42		 $709.20
$767.76
$829.80
$1050.14		 $846.92
$905.48
$967.52
$1187.86		 $354.60
$383.88
$414.90
$525.07		 $492.32
$521.60
$552.62
$662.79		 $630.04
$659.32
$690.34
$800.51		 $137.72

Plan: (HMO) Portfolio HSA HMO 5500 - Statewide Network

Summary 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
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		 $186.19
$211.33
$237.95
$332.54
$505.32		 $372.38
$422.66
$475.90
$665.08
$1010.64		 $490.61
$540.89
$594.13
$783.31		 $608.84
$659.12
$712.36
$901.54		 $727.07
$777.35
$830.59
$1019.77		 $304.42
$329.56
$356.18
$450.77		 $422.65
$447.79
$474.41
$569.00		 $540.88
$566.02
$592.64
$687.23		 $118.23

Plan: (HMO) Portfolio HSA HMO 6550 - Statewide Network

Summary 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
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
any age
Bronze 21
30
40
50
60		 $179.49
$203.72
$229.38
$320.56
$487.12		 $358.98
$407.44
$458.76
$641.12
$974.24		 $472.96
$521.42
$572.74
$755.10		 $586.94
$635.40
$686.72
$869.08		 $700.92
$749.38
$800.70
$983.06		 $293.47
$317.70
$343.36
$434.54		 $407.45
$431.68
$457.34
$548.52		 $521.43
$545.66
$571.32
$662.50		 $113.98

Plan: (HMO) SimpleHealth HMO 6850 - Statewide Network

Summary 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
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		 $155.79
$176.82
$199.09
$278.23
$422.80		 $311.58
$353.64
$398.18
$556.46
$845.60		 $410.51
$452.57
$497.11
$655.39		 $509.44
$551.50
$596.04
$754.32		 $608.37
$650.43
$694.97
$853.25		 $254.72
$275.75
$298.02
$377.16		 $353.65
$374.68
$396.95
$476.09		 $452.58
$473.61
$495.88
$575.02		 $98.93
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Meritus Health Partners

Local: 1-602-957-2113 | Toll Free: 1-855-755-2700

TTY: 1-855-568-2800

Plan: (HMO) Meritus Community Network Silver HMO Pima

Summary 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
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		 $167.41
$190.01
$213.94
$298.99
$454.35		 $334.82
$380.02
$427.88
$597.98
$908.70		 $441.12
$486.32
$534.18
$704.28		 $547.42
$592.62
$640.48
$810.58		 $653.72
$698.92
$746.78
$916.88		 $273.71
$296.31
$320.24
$405.29		 $380.01
$402.61
$426.54
$511.59		 $486.31
$508.91
$532.84
$617.89		 $106.30

Plan: (HMO) Meritus Healthy Bronze Complete HMO 6800

Summary 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
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		 $172.73
$196.04
$220.74
$308.49
$468.78		 $345.46
$392.08
$441.48
$616.98
$937.56		 $455.14
$501.76
$551.16
$726.66		 $564.82
$611.44
$660.84
$836.34		 $674.50
$721.12
$770.52
$946.02		 $282.41
$305.72
$330.42
$418.17		 $392.09
$415.40
$440.10
$527.85		 $501.77
$525.08
$549.78
$637.53		 $109.68

Plan: (HMO) Meritus Healthy Bronze HMO Pima 6800

Summary 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
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		 $145.95
$165.65
$186.52
$260.66
$396.10		 $291.90
$331.30
$373.04
$521.32
$792.20		 $384.57
$423.97
$465.71
$613.99		 $477.24
$516.64
$558.38
$706.66		 $569.91
$609.31
$651.05
$799.33		 $238.62
$258.32
$279.19
$353.33		 $331.29
$350.99
$371.86
$446.00		 $423.96
$443.66
$464.53
$538.67		 $92.67

Plan: (HMO) Meritus Healthy Silver Complete HMO 4000

Summary 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
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
Silver 21
30
40
50
60		 $188.92
$214.42
$241.43
$337.41
$512.72		 $377.84
$428.84
$482.86
$674.82
$1025.44		 $497.80
$548.80
$602.82
$794.78		 $617.76
$668.76
$722.78
$914.74		 $737.72
$788.72
$842.74
$1034.70		 $308.88
$334.38
$361.39
$457.37		 $428.84
$454.34
$481.35
$577.33		 $548.80
$574.30
$601.31
$697.29		 $119.96

Plan: (HMO) Meritus Healthy Silver HMO Pima 4000

Summary 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
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
Silver 21
30
40
50
60		 $159.62
$181.16
$203.99
$285.08
$433.20		 $319.24
$362.32
$407.98
$570.16
$866.40		 $420.59
$463.67
$509.33
$671.51		 $521.94
$565.02
$610.68
$772.86		 $623.29
$666.37
$712.03
$874.21		 $260.97
$282.51
$305.34
$386.43		 $362.32
$383.86
$406.69
$487.78		 $463.67
$485.21
$508.04
$589.13		 $101.35

Plan: (HMO) Meritus Healthy Gold Complete HMO Plus 2000

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $231.71
$262.99
$296.12
$413.83
$628.86		 $463.42
$525.98
$592.24
$827.66
$1257.72		 $610.55
$673.11
$739.37
$974.79		 $757.68
$820.24
$886.50
$1121.92		 $904.81
$967.37
$1033.63
$1269.05		 $378.84
$410.12
$443.25
$560.96		 $525.97
$557.25
$590.38
$708.09		 $673.10
$704.38
$737.51
$855.22		 $147.13

Plan: (HMO) Meritus Healthy Gold HMO Plus Pima 2000

Summary 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
Out of Pocket Maximum per year: 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
Gold 21
30
40
50
60		 $196.63
$223.17
$251.29
$351.18
$533.65		 $393.26
$446.34
$502.58
$702.36
$1067.30		 $518.12
$571.20
$627.44
$827.22		 $642.98
$696.06
$752.30
$952.08		 $767.84
$820.92
$877.16
$1076.94		 $321.49
$348.03
$376.15
$476.04		 $446.35
$472.89
$501.01
$600.90		 $571.21
$597.75
$625.87
$725.76		 $124.86

Plan: (HMO) Meritus Healthy Platinum Complete HMO Plus 500

Summary 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
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		 $274.84
$311.94
$351.24
$490.86
$745.91		 $549.68
$623.88
$702.48
$981.72
$1491.82		 $724.20
$798.40
$877.00
$1156.24		 $898.72
$972.92
$1051.52
$1330.76		 $1073.24
$1147.44
$1226.04
$1505.28		 $449.36
$486.46
$525.76
$665.38		 $623.88
$660.98
$700.28
$839.90		 $798.40
$835.50
$874.80
$1014.42		 $174.52

Plan: (HMO) Meritus Healthy Platinum HMO Plus Pima 500

Summary 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
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		 $233.07
$264.53
$297.86
$416.26
$632.55		 $466.14
$529.06
$595.72
$832.52
$1265.10		 $614.13
$677.05
$743.71
$980.51		 $762.12
$825.04
$891.70
$1128.50		 $910.11
$973.03
$1039.69
$1276.49		 $381.06
$412.52
$445.85
$564.25		 $529.05
$560.51
$593.84
$712.24		 $677.04
$708.50
$741.83
$860.23		 $147.99
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All Savers Insurance Company

Local: 1-877-512-9939 | Toll Free: 1-877-512-9939

Plan: (PPO) Bronze Compass Plus 6500

Summary 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
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		 $148.76
$168.85
$190.12
$265.69
$403.75		 $297.52
$337.70
$380.24
$531.38
$807.50		 $391.99
$432.17
$474.71
$625.85		 $486.46
$526.64
$569.18
$720.32		 $580.93
$621.11
$663.65
$814.79		 $243.23
$263.32
$284.59
$360.16		 $337.70
$357.79
$379.06
$454.63		 $432.17
$452.26
$473.53
$549.10		 $94.47

Plan: (PPO) Bronze Compass Plus HSA 5500

Summary 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
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		 $141.49
$160.59
$180.82
$252.70
$384.00		 $282.98
$321.18
$361.64
$505.40
$768.00		 $372.83
$411.03
$451.49
$595.25		 $462.68
$500.88
$541.34
$685.10		 $552.53
$590.73
$631.19
$774.95		 $231.34
$250.44
$270.67
$342.55		 $321.19
$340.29
$360.52
$432.40		 $411.04
$430.14
$450.37
$522.25		 $89.85

Plan: (PPO) Catastrophic Compass Plus 6850

Summary 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
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		 $131.27
$148.99
$167.77
$234.45
$356.27		 $262.54
$297.98
$335.54
$468.90
$712.54		 $345.90
$381.34
$418.90
$552.26		 $429.26
$464.70
$502.26
$635.62		 $512.62
$548.06
$585.62
$718.98		 $214.63
$232.35
$251.13
$317.81		 $297.99
$315.71
$334.49
$401.17		 $381.35
$399.07
$417.85
$484.53		 $83.36

Plan: (PPO) Gold Compass Plus 1000

Summary 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
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
Gold 21
30
40
50
60		 $195.70
$222.12
$250.10
$349.51
$531.12		 $391.40
$444.24
$500.20
$699.02
$1062.24		 $515.67
$568.51
$624.47
$823.29		 $639.94
$692.78
$748.74
$947.56		 $764.21
$817.05
$873.01
$1071.83		 $319.97
$346.39
$374.37
$473.78		 $444.24
$470.66
$498.64
$598.05		 $568.51
$594.93
$622.91
$722.32		 $124.27

Plan: (PPO) Gold Compass Plus 500

Summary 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
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
Gold 21
30
40
50
60		 $195.18
$221.53
$249.44
$348.59
$529.71		 $390.36
$443.06
$498.88
$697.18
$1059.42		 $514.30
$567.00
$622.82
$821.12		 $638.24
$690.94
$746.76
$945.06		 $762.18
$814.88
$870.70
$1069.00		 $319.12
$345.47
$373.38
$472.53		 $443.06
$469.41
$497.32
$596.47		 $567.00
$593.35
$621.26
$720.41		 $123.94

Plan: (PPO) Silver Compass Plus 2000

Summary 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
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		 $170.41
$193.42
$217.79
$304.36
$462.50		 $340.82
$386.84
$435.58
$608.72
$925.00		 $449.03
$495.05
$543.79
$716.93		 $557.24
$603.26
$652.00
$825.14		 $665.45
$711.47
$760.21
$933.35		 $278.62
$301.63
$326.00
$412.57		 $386.83
$409.84
$434.21
$520.78		 $495.04
$518.05
$542.42
$628.99		 $108.21

Plan: (PPO) Silver Compass Plus HSA 3000

Summary 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
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		 $163.14
$185.16
$208.49
$291.36
$442.76		 $326.28
$370.32
$416.98
$582.72
$885.52		 $429.87
$473.91
$520.57
$686.31		 $533.46
$577.50
$624.16
$789.90		 $637.05
$681.09
$727.75
$893.49		 $266.73
$288.75
$312.08
$394.95		 $370.32
$392.34
$415.67
$498.54		 $473.91
$495.93
$519.26
$602.13		 $103.59

Plan: (PPO) Silver Compass Plus 3500

Summary 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
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		 $171.28
$194.40
$218.89
$305.90
$464.85		 $342.56
$388.80
$437.78
$611.80
$929.70		 $451.32
$497.56
$546.54
$720.56		 $560.08
$606.32
$655.30
$829.32		 $668.84
$715.08
$764.06
$938.08		 $280.04
$303.16
$327.65
$414.66		 $388.80
$411.92
$436.41
$523.42		 $497.56
$520.68
$545.17
$632.18		 $108.76

Plan: (PPO) Silver Compass Plus 2000-1

Summary 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
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		 $169.55
$192.43
$216.68
$302.81
$460.15		 $339.10
$384.86
$433.36
$605.62
$920.30		 $446.76
$492.52
$541.02
$713.28		 $554.42
$600.18
$648.68
$820.94		 $662.08
$707.84
$756.34
$928.60		 $277.21
$300.09
$324.34
$410.47		 $384.87
$407.75
$432.00
$518.13		 $492.53
$515.41
$539.66
$625.79		 $107.66

Plan: (PPO) Gold Compass Plus 0

Summary 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
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
Gold 21
30
40
50
60		 $194.31
$220.54
$248.33
$347.04
$527.36		 $388.62
$441.08
$496.66
$694.08
$1054.72		 $512.01
$564.47
$620.05
$817.47		 $635.40
$687.86
$743.44
$940.86		 $758.79
$811.25
$866.83
$1064.25		 $317.70
$343.93
$371.72
$470.43		 $441.09
$467.32
$495.11
$593.82		 $564.48
$590.71
$618.50
$717.21		 $123.39

Plan: (PPO) Silver Compass Plus 4500

Summary 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
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		 $175.61
$199.31
$224.43
$313.63
$476.60		 $351.22
$398.62
$448.86
$627.26
$953.20		 $462.73
$510.13
$560.37
$738.77		 $574.24
$621.64
$671.88
$850.28		 $685.75
$733.15
$783.39
$961.79		 $287.12
$310.82
$335.94
$425.14		 $398.63
$422.33
$447.45
$536.65		 $510.14
$533.84
$558.96
$648.16		 $111.51

†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 Santa Cruz County here.

 

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